Nurse Manager
Nurse manager job at Acadia Healthcare
The Ohio Hospital for Psychiatry is hiring a Nurse Manager!
Shift: Day
Schedule: Full Time
Pay Range:
$45 to $49 per hour (dependent on years of experience)
Sign On Bonus:
$7,500
Ohio Hospital for Psychiatry is an acute inpatient & outpatient treatment center for adults and seniors suffering from mental health disorders and addictions.
Responsibilities
Anticipates and effectively manage changes in census and acuity and allocates nursing resources based on measurement of patient acuity/care needed
Role models expectations related to customer service and demonstrates a sense of urgency related to the importance of patient safety
Accountable for the standard of care at the facility, providing consultations and expertise in the delivery of care to patient.
Serve as a clinical and service resource to nursing staff and other staff as assigned.
Manage the activities of staff, coordinating safe and appropriate care between departments and disciplines.
Manage and evaluate work activities of nursing, technical, clerical, service or maintenance staff for the unit, work group and other facility staff as directed.
Analyze information/situation to choose the best solution(s) to solve problems.
Responsible for recruitment, hiring and training of new staff.
Identify the educational needs of others and develop educational or training programs.
Assist with the development and implementation of organizational policies and procedures for the facility.
Prepare reports to inform management of the status and implementation of programs, services and quality initiatives of the unit.
Perform administrative or managerial functions such as planning budgets and authorizing expenditures.
Provide direct care as needed.
OTHER FUNCTIONS:
Perform other functions and tasks as assigned.
OTHER FUNCTIONS:
Perform other functions and tasks as assigned.
Qualifications
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
· BSN or higher strongly preferred
· Current registered nursing license in State of facility required
· Three years as a registered nurse strongly preferred
· Two years of registered nursing experience required
· Two years of prior experience as a registered nursing with patient population of the facility is preferred.
· One year of prior experience with the population required
· Prior experience as a house supervisor strongly preferred
· One year of charge RN or other administrative experience required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
Current RN license as required by state.
CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
First aid may be required based on state or facility.
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
AHRN
#LI-OHP
#LI-SW2
Not ready to apply? Connect with us for general consideration.
Auto-ApplyManager-Nurse RN
Nurse manager job at Acadia Healthcare
Are you ready to take an important step in your Nurse Manager career by working at a respected behavioral healthcare facility in Cincinnati, OH? If so, you are on the right path by learning about Glenwood Behavioral Health, where we offer a full continuum of mental health and addiction treatment services for adults age 18 and older. Employment in the field of behavioral healthcare is incredibly rewarding. At Glenwood, you will work with a team of skilled professionals who care about the work they do. We offer both structure and flexibility by providing training, while encouraging employees to independently develop their skill-set. If you want to know more about joining our team, reach out today.
ESSENTIAL FUNCTIONS:
* Collaborate with interdisciplinary treatment teams, other departments and administration to ensure that all residents' physical, biopsychosocial, age, developmental and cultural needs are met and when they are not met, acknowledge and work to resolve customer complaints.
* Anticipate and effectively manage changes in census and acuity and allocates nursing resources based on measurement of patient acuity/care needed.
* Role models expectations related to customer service and demonstrates a sense of urgency related to the importance of patient safety.
* Accountable for the standard of care at the facility, providing consultations and expertise in the delivery of care to patient.
* Serve as a clinical and service resource to nursing staff and other staff as assigned.
* Manage the activities of staff, coordinating safe and appropriate care between departments and disciplines.
* Manage and evaluate work activities of nursing, technical, clerical, service or maintenance staff for the unit, work group and other facility staff as directed.
* Analyze information/situation to choose the best solution(s) to solve problems.
* Identify the educational needs of others and develop educational or training programs.
* Assist with the development and implementation of organizational policies and procedures for the facility.
* Prepare reports to inform management of the status and implementation of programs, services and quality initiatives of the unit.
* Perform administrative or managerial functions such as planning budgets and authorizing expenditures.
* Provide staff management to include hiring, development, training, performance management and communication to ensure effective and efficient department operation.
* Provide direct care as needed.
OTHER FUNCTIONS:
* Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
* BSN or higher strongly preferred.
* Current registered nursing license in State of facility required.
* Three years as a registered nurse strongly preferred.
* Two years of registered nursing experience required.
* Two years of prior experience as a registered nurse with patient population of the facility is preferred.
* One year of prior experience with patient population is required.
* Prior experience as a house supervisor strongly preferred.
* One year of charge RN or other administrative experience required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
* Current RN license as required by state.
* CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
* First aid may be required based on state or facility.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. null
Clinical Appeals Nurse - Remote
Frisco, TX jobs
The Revenue Cycle Clinician for the Appellate Solution is responsible for: * Recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review * Preparing and documenting appeal based on industry accepted criteria.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
1. Performs retrospective (post -discharge/ post-service) medical necessity reviews to determine appellate potential of clinical disputes/denials or those eligible for clinical review.
2. Demonstrates proficiency in use of medical necessity criteria sets, currently InterQual or other key factors or systems as evidenced by Inter-rater reliability studies and other QA audits. Constructs and documents a succinct and fact based clinical case to support appeal utilizing appropriate module of InterQual criteria (Acute, Procedures, etc). If clinical review does not meet IQ criteria, other pertinent clinical facts are utilized to support the appeal. Pertinent clinical facts include, but are not limited to, documentation preventing a safe transfer/discharge or documentation of medical necessary services denied for no authorization.
3. Demonstrates ability to critically think and follow documented processes for supporting the clinical appellate process.
4. Adhers to the department standards for productivity and quality goals. Ensuring accounts assigned are worked in a timely manner based on the payor guidelines.
5. Demonstrates proficiency in utilization of electronic tools including but not limited to ACE, nThrive, eCARE, Authorization log, InterQual, VI, HPF, as well as competency in Microsoft Office.
6.Demonstrates basic patient accounting knowledge i.e. UB92/UB04 and EOB components, adjustments, credits, debits, balance due, patient liability, denials management, etc.
7. Additional responsibilities:
a) Serves as a resource to non-clinical personnel.
b) Provides CRC leadership with sound solutions related to process improvement
c) Assist in development of policy and procedures as business needs dictate.
d) Assists Law Department with any medical necessity reviews as capacity allows up to and including attending mediation hearings, other litigation forums, etc.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Demonstrates proficiency in the application of medical necessity criteria, currently InterQual
* Possesses excellent written, verbal and professional letter writing skills
* Critical thinker, able to make decisions regarding medical necessity independently
* Ability to interact intelligently and professionally with other clinical and non-clinical partners
* Demonstrates knowledge of managed care contracts including reimbursement matrixes and terms
* Ability to multi-task
* Ability to conduct research regarding State/Federal appellate guidelines and applicable regulatory processes related to the appellate process.
* Ability to conduct research regarding off-label use of medications
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* Must possess a valid nursing license (Registered)
* Minimum of 3 yearsacute care experience in a facility environment
* Medical-surgical/critical care experience preferred
* Appeals writing experience preffered
* Minimum of 2 years UR/Case Management experience preferred
* Managed care payor experience a plus either in Utilization Review, Case Management or Appeals
*
* Previous classroom led instruction on InterQual or MCG products (Acute Adult, Peds, Outpatient and Behavioral Health) preferred
CERTIFICATES, LICENSES, REGISTRATIONS
* Current, valid RN/ licensure
* Certified Case Manager (CCM) or Certified Professional in Utilization Review/Utilization Management/Healthcare Management (CPUR , CPUM, or CPHM) preferred
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to lift 15-20lbs
* Ability to travel approximately 10% of the time; either to facility sites, National Insurance Center (NIC) sites, Headquarters or other designated sites
* Ability to sit and work at a computer for a prolonged period of time conducting medical necessity reviews
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Characteristic of typical office environment requiring use of desk, chair, and office equipment such as computer, telephone, printer, etc.
OTHER
* May require travel - approximately 10%
* Interaction with facility Case Management, Physician Advisor is a requirement.
Compensation and Benefit Information
Compensation
* Pay: $30.85 - $46.28 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
*** Offering up to a $20,000 Sign-On for eligible Full Time, Registered Nurse candidates! ***
Why MountainView Regional Medical Center?
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Team members across our organization enjoy working in team environments and making a difference in the health and well-being of the patients they serve. Their efforts are rewarded through numerous recognition programs and our affiliates also offer team member benefits, including:
Competitive compensation
Paid time off plans for vacations, holidays and illness
Health insurance, including coverage for medical, dental, vision and prescription drugs
401(k) retirement plan
Education & student loan assistance
Life and disability insurance
Flexible spending accounts
About Who We Are
We are a 168-bed Joint Commission accredited acute care facility serving Las Cruces and southern New Mexico. A legacy of rich history, culture and natural beauty; Las Cruces remains one of the Southwest's best kept secrets. With a thriving arts scene, a focus on downtown, adjacent national monuments and plenty of Southwest charm, there's always something for you and your family to do or see in Las Cruces. Often recognized nationally as a top place to live and retire, Las Cruces offers a welcoming community. MountainView Regional Medical Center is Las Cruces Strong! Start your new job search here and see why we are ….Proud to be MountainView!
Job Summary
The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.
Essential Functions
Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.
Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.
Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs.
Refers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.
Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.
Identifies and appropriately refers cases to Child/Adult Protective Services, ensuring compliance with legal and ethical standards.
Provides professional assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.
Performs other duties as assigned.
Complies with all policies and standards.
Qualifications
Bachelor's Degree in Nursing preferred
2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required
2-4 years of care management experience preferred
Knowledge, Skills and Abilities
Strong understanding of case management principles, discharge planning, and transitions of care.
Knowledge of federal, state, and Joint Commission standards related to case management.
Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams.
Ability to assess complex situations, identify solutions, and implement care plans efficiently.
Proficiency in electronic medical records (EMR) and documentation systems.
Strong organizational and time management skills to prioritize tasks in a dynamic environment.
Licenses and Certifications
RN - Registered Nurse - State Licensure and/or Compact State Licensure required
BCLS - Basic Life Support required
State Specific Requirements
Alabama: Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred.
New Mexico: Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications preferred.
Auto-ApplyNurse Manager
Nurse manager job at Acadia Healthcare
The Ohio Hospital for Psychiatry is hiring a Nurse Manager! Shift: Day Schedule: Full Time Pay Range: $45 to $49 per hour (dependent on years of experience) Sign On Bonus: $7,500 Ohio Hospital for Psychiatry is an acute inpatient & outpatient treatment center for adults and seniors suffering from mental health disorders and addictions.
* Anticipates and effectively manage changes in census and acuity and allocates nursing resources based on measurement of patient acuity/care needed
* Role models expectations related to customer service and demonstrates a sense of urgency related to the importance of patient safety
* Accountable for the standard of care at the facility, providing consultations and expertise in the delivery of care to patient.
* Serve as a clinical and service resource to nursing staff and other staff as assigned.
* Manage the activities of staff, coordinating safe and appropriate care between departments and disciplines.
* Manage and evaluate work activities of nursing, technical, clerical, service or maintenance staff for the unit, work group and other facility staff as directed.
* Analyze information/situation to choose the best solution(s) to solve problems.
* Responsible for recruitment, hiring and training of new staff.
* Identify the educational needs of others and develop educational or training programs.
* Assist with the development and implementation of organizational policies and procedures for the facility.
* Prepare reports to inform management of the status and implementation of programs, services and quality initiatives of the unit.
* Perform administrative or managerial functions such as planning budgets and authorizing expenditures.
* Provide direct care as needed.
OTHER FUNCTIONS:
* Perform other functions and tasks as assigned.
OTHER FUNCTIONS:
* Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
* BSN or higher strongly preferred
* Current registered nursing license in State of facility required
* Three years as a registered nurse strongly preferred
* Two years of registered nursing experience required
* Two years of prior experience as a registered nursing with patient population of the facility is preferred.
* One year of prior experience with the population required
* Prior experience as a house supervisor strongly preferred
* One year of charge RN or other administrative experience required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
* Current RN license as required by state.
* CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
* First aid may be required based on state or facility.
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
AHRN
#LI-OHP
#LI-SW2
Telephonic Case Manager RN Medical Oncology
Dallas, TX jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**
We're making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today!
The **Telephonic Case Manager RN Medical/Oncology** will identify, coordinate, and provide appropriate levels of care. The Telephonic Case Manager RN Medical/Oncology is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting.
**This is a full-time, Monday - Friday, 8am-5pm position in your time zone.**
You'll enjoy the flexibility to work remotely* as you take on some tough challenges.
**Primary Responsibilities:**
+ Make outbound calls and receive inbound calls to assess members current health status
+ Identify gaps or barriers in treatment plans
+ Provide patient education to assist with self-management
+ Make referrals to outside sources
+ Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
+ Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Solid computer and software navigation skills are critical. You should also be solidly patient-focused and adaptable to changes.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Current, unrestricted RN license in state of residence
+ Active Compact RN License or ability to obtain upon hire
+ 3+ years of experience in a hospital, acute care or direct care setting
+ Proven ability to type and have the ability to navigate a Windows based environment
+ Have access to high-speed internet (DSL or Cable)
+ Dedicated work area established that is separated from other living areas and provides information privacy
**Preferred Qualifications**
+ BSN
+ Certified Case Manager (CCM)
+ 1+ years of experience within Medical/Oncology
+ Case management experience
+ Experience or exposure to discharge planning
+ Experience in a telephonic role
+ Background in managed care
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Nurse Case Manager - Tulsa, OK Area -- Remote
Tulsa, OK jobs
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.
As a team member of our Optum At Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home. We're connecting care to create a seamless health journey for patients across care settings. Join us to start **Caring. Connecting. Growing together.**
Registered Nurses in the Optum at Home program work with patients primarily in their home setting. They perform as part of a care team including a Nurse Practitioner, Behavioral Health Advocate, Care Navigator and other supporting team members. They deliver role appropriate patient care through in-home visits, telephonic outreach and consultations, and interdisciplinary team activities.
The Registered Nurse may perform care and counsel of the ill, injured, or infirm, in the promotion and maintenance of health with individuals, groups, or both throughout the life span. They help to manage health problems and coordinate health care for the Optum at Home patients in accordance with State and Federal rules and regulations and the nursing standards of care. This includes (but is not limited to) assessment of health status, development, and implementation of plan of care, and ongoing evaluation of patient status and response to the plan of care. Clinical management is conducted in collaboration with other care team members.
If you are located in Tulsa OK area 60 mile radius, you will have the flexibility to work remotely* as you take on some tough challenges.
**Primary Responsibilities:**
+ Assess the health status of members as within the scope of licensure and with the frequency established in the model of care
+ Establish goals to meet identified health care needs
+ Plan, implement and evaluate responses to the plan of care
+ Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care
+ Works closely with mental health clinicians to help bridge the gap between mental and physical health
+ Consult with the patient's PCP, specialists, or other health care professionals as appropriate
+ Assess patient needs for community resources and make appropriate referrals for service
+ Facilitate the patient's transition within and between health care settings in collaboration with the primary care physician and other treating physicians
+ Completely and accurately document in patient's electronic medical record
+ Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit
+ Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations
+ Actively participate in organizational quality initiatives
+ Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery
+ Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs
+ Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our members
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Current unrestricted licensure as RN in state of practice
+ RN licensure in OK
+ 2+ years of experience as an RN
+ Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs
+ Computer literate and able to navigate the Internet
+ Proven ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes)
+ Ability to travel up to 75% of the time for field based work, valid driver's license
**Preferred Qualifications:**
+ Home health experience
+ Geriatric experience
+ Proven computer skills, including us of Electronic Medical Records
+ Proven effective time management and communication skills
+ Proven excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families
**Physical Requirements:**
+ Ability to lift a 30-pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurations
+ Ability to spend at least 1 hour with a member in their home, which may be in understaffed or remote areas, in the presence of pets or individuals who are tobacco users
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
Nurse Case Manager - Tulsa, OK Area -- Remote
Tulsa, OK jobs
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.
As a team member of our Optum At Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.
Registered Nurses in the Optum at Home program work with patients primarily in their home setting. They perform as part of a care team including a Nurse Practitioner, Behavioral Health Advocate, Care Navigator and other supporting team members. They deliver role appropriate patient care through in-home visits, telephonic outreach and consultations, and interdisciplinary team activities.
The Registered Nurse may perform care and counsel of the ill, injured, or infirm, in the promotion and maintenance of health with individuals, groups, or both throughout the life span. They help to manage health problems and coordinate health care for the Optum at Home patients in accordance with State and Federal rules and regulations and the nursing standards of care. This includes (but is not limited to) assessment of health status, development, and implementation of plan of care, and ongoing evaluation of patient status and response to the plan of care. Clinical management is conducted in collaboration with other care team members.
If you are located in Tulsa OK area 60 mile radius, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
* Assess the health status of members as within the scope of licensure and with the frequency established in the model of care
* Establish goals to meet identified health care needs
* Plan, implement and evaluate responses to the plan of care
* Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care
* Works closely with mental health clinicians to help bridge the gap between mental and physical health
* Consult with the patient's PCP, specialists, or other health care professionals as appropriate
* Assess patient needs for community resources and make appropriate referrals for service
* Facilitate the patient's transition within and between health care settings in collaboration with the primary care physician and other treating physicians
* Completely and accurately document in patient's electronic medical record
* Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit
* Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations
* Actively participate in organizational quality initiatives
* Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery
* Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs
* Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our members
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Current unrestricted licensure as RN in state of practice
* RN licensure in OK
* 2+ years of experience as an RN
* Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs
* Computer literate and able to navigate the Internet
* Proven ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes)
* Ability to travel up to 75% of the time for field based work, valid driver's license
Preferred Qualifications:
* Home health experience
* Geriatric experience
* Proven computer skills, including us of Electronic Medical Records
* Proven effective time management and communication skills
* Proven excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families
Physical Requirements:
* Ability to lift a 30-pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurations
* Ability to spend at least 1 hour with a member in their home, which may be in understaffed or remote areas, in the presence of pets or individuals who are tobacco users
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Clinic Registered Nurse (RN) Care Manager
Middletown, OH jobs
Our Mission
We meet people where they are and partner with them on their journey towards wellness.
Our Vision
The destination for servant leaders to provide comprehensive and exceptional care.
Our Values
R - Respect
I - Innovation
S - Stewardship
E - Excellence
Registered Nurse (RN) Summary
Assists in examination and treatment of patients under a Provider's direction by performing the following duties.
A Day in the Life
This reflects management's assignment of essential functions. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Customer care:
· Conducts outreach to patients for Annual Wellness Visits (AWVs), chronic care management, and preventive health screenings.
· Educates patients and families on self-management strategies, chronic disease care, and lifestyle modifications to support overall wellness.
· Triages patient calls and walk-ins, addresses routine concerns, and escalates clinical issues as appropriate.
· Documents all patient interactions and communications in the electronic medical record (EMR) with accuracy and timeliness.
· Encourages patients to stay current with preventive services, immunizations, and chronic condition management.
Clinical:
· Conducts Medicare Annual Wellness Visits and other preventive health assessments, documenting findings and collaborating with Providers to establish or update care plans.
· Administers vaccines and injections, including psychotropic medications, per Provider direction and organizational protocols.
· Assists Providers with clinical procedures, medication administration, and vital sign collection.
· Closes care gaps by ensuring patients receive recommended screenings, labs, immunizations, and follow-up visits.
· Reviews and reconciles medications during patient visits; provides education on medication adherence and side effects.
· Tracks and follows up on diagnostic tests, referrals, and abnormal results as directed by the Provider.
· Assists in the management of patients with complex or chronic conditions, ensuring continuity and coordination of care.
· Documents all procedures, education, and communications in the EMR in compliance with quality and regulatory standards.
· Participates or directly manages quality initiatives with special populations e.g. 0-2 years receive recommended vaccinations
Operations:
· Prepares, cleans and sterilizes equipment and exam rooms as established by standard safety and clinical protocols.
· Participates in huddles, pre-visit planning, and team meetings to identify patients due for preventive services or follow-up care.
· Supports health initiatives, including tracking and reporting of quality metrics (e.g., immunizations, screenings, chronic disease management measures).
· Collaborates with care coordinators and Providers to address barriers to care and improve patient outcomes.
· Participates in staff education, training, and quality improvement initiatives.
· Properly handles the disposal of infectious/hazardous waste, according to OSHA guidelines.
· Inventories and requests supplies.
· Responsible for performing health and team based care related services within the guidelines of the state of Ohio Board of Nursing.
· Support a shared goal model in order to achieve high-quality care that is patient and family centered.
· Facilitates coordination of care following hospital, ER utilization or follow up from specialty providers.
· May participate in team meetings and quality improvement activities as necessary.
· Performs all other duties and tasks as assigned.
Requirements
Core Competencies
· Customer Service: Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met.
· Communication: Understand and communicate effectively with others using a variety of contexts and formats, which include writing, speaking, reading, listening and interpersonal skills.
· Dependability: Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements.
· Quality: Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems.
· Productivity: Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, and handles information flow.
Success Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience
Graduation from an accredited school of nursing. Bachelor's program preferred.
Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medical record, Microsoft Word, text paging, Internet, and Intranet.
Certificates, Licenses, Registrations
RN License. Must hold a current, valid license to practice nursing in the state of Ohio.
Other Applicable Requirements
Ability to speak Spanish desirable. Knowledge of examination, diagnostic, and treatment room procedures. Knowledge of medical equipment and instruments to administer patient care. Skill in taking vital signs. Skill in maintaining records and recording test results. Skill with geriatric patients and patients in lower socio-economic sectors of the community.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee are occasionally exposed to fumes or airborne particles; toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.
Affirmative Action/EEO Statement
It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Clinic Registered Nurse (RN) Care Manager
Hamilton, OH jobs
Our Mission
We meet people where they are and partner with them on their journey towards wellness.
Our Vision
The destination for servant leaders to provide comprehensive and exceptional care.
Our Values
R - Respect
I - Innovation
S - Stewardship
E - Excellence
Registered Nurse (RN) Summary
Assists in examination and treatment of patients under a Provider's direction by performing the following duties.
A Day in the Life
This reflects management's assignment of essential functions. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Customer care:
· Conducts outreach to patients for Annual Wellness Visits (AWVs), chronic care management, and preventive health screenings.
· Educates patients and families on self-management strategies, chronic disease care, and lifestyle modifications to support overall wellness.
· Triages patient calls and walk-ins, addresses routine concerns, and escalates clinical issues as appropriate.
· Documents all patient interactions and communications in the electronic medical record (EMR) with accuracy and timeliness.
· Encourages patients to stay current with preventive services, immunizations, and chronic condition management.
Clinical:
· Conducts Medicare Annual Wellness Visits and other preventive health assessments, documenting findings and collaborating with Providers to establish or update care plans.
· Administers vaccines and injections, including psychotropic medications, per Provider direction and organizational protocols.
· Assists Providers with clinical procedures, medication administration, and vital sign collection.
· Closes care gaps by ensuring patients receive recommended screenings, labs, immunizations, and follow-up visits.
· Reviews and reconciles medications during patient visits; provides education on medication adherence and side effects.
· Tracks and follows up on diagnostic tests, referrals, and abnormal results as directed by the Provider.
· Assists in the management of patients with complex or chronic conditions, ensuring continuity and coordination of care.
· Documents all procedures, education, and communications in the EMR in compliance with quality and regulatory standards.
· Participates or directly manages quality initiatives with special populations e.g. 0-2 years receive recommended vaccinations
Operations:
· Prepares, cleans and sterilizes equipment and exam rooms as established by standard safety and clinical protocols.
· Participates in huddles, pre-visit planning, and team meetings to identify patients due for preventive services or follow-up care.
· Supports health initiatives, including tracking and reporting of quality metrics (e.g., immunizations, screenings, chronic disease management measures).
· Collaborates with care coordinators and Providers to address barriers to care and improve patient outcomes.
· Participates in staff education, training, and quality improvement initiatives.
· Properly handles the disposal of infectious/hazardous waste, according to OSHA guidelines.
· Inventories and requests supplies.
· Responsible for performing health and team based care related services within the guidelines of the state of Ohio Board of Nursing.
· Support a shared goal model in order to achieve high-quality care that is patient and family centered.
· Facilitates coordination of care following hospital, ER utilization or follow up from specialty providers.
· May participate in team meetings and quality improvement activities as necessary.
· Performs all other duties and tasks as assigned.
Requirements
Core Competencies
· Customer Service: Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met.
· Communication: Understand and communicate effectively with others using a variety of contexts and formats, which include writing, speaking, reading, listening and interpersonal skills.
· Dependability: Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements.
· Quality: Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems.
· Productivity: Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, and handles information flow.
Success Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience
Graduation from an accredited school of nursing. Bachelor's program preferred.
Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medical record, Microsoft Word, text paging, Internet, and Intranet.
Certificates, Licenses, Registrations
RN License. Must hold a current, valid license to practice nursing in the state of Ohio.
Other Applicable Requirements
Ability to speak Spanish desirable. Knowledge of examination, diagnostic, and treatment room procedures. Knowledge of medical equipment and instruments to administer patient care. Skill in taking vital signs. Skill in maintaining records and recording test results. Skill with geriatric patients and patients in lower socio-economic sectors of the community.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee are occasionally exposed to fumes or airborne particles; toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.
Affirmative Action/EEO Statement
It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Field Nurse Case Manager
Grove City, OH jobs
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.
As a team member of our Optum At Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home.
We're connecting care to create a seamless health journey for patients across care settings. Join us to start **Caring. Connecting. Growing together.**
Registered Nurses in the Optum at Home program work with patients primarily in their home setting. They perform as part of a care team including a Nurse Practitioner, Behavioral Health Advocate, Care Navigator and other supporting team members. They deliver role appropriate patient care through in-home visits, telephonic outreach and consultations, and interdisciplinary team activities.
The Field Case Manager RN may perform care and counsel of the ill, injured, or infirm, in the promotion and maintenance of health with individuals, groups, or both throughout the life span. They help to manage health problems and coordinate health care for the Optum at Home patients in accordance with State and Federal rules and regulations and the nursing standards of care. This includes (but is not limited to) assessment of health status, development and implementation of plan of care, and ongoing evaluation of patient status and response to the plan of care. Clinical management is conducted in collaboration with other care team members.
**Primary Responsibilities:**
+ Reports to RN Manager
+ Assess the health status of members as within the scope of licensure and with the frequency established in the model of care
+ Establish goals to meet identified health care needs
+ Plan, implement and evaluate responses to the plan of care
+ Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care
+ Works closely with mental health clinicians to help bridge the gap between mental and physical health
+ Consult with the patient's PCP, specialists, or other health care professionals as appropriate
+ Assess patient needs for community resources and make appropriate referrals for service
+ Facilitate the patient's transition within and between health care settings in collaboration with the primary care physician and other treating physicians
+ Completely and accurately document in patient's electronic medical record
+ Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit
+ Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations
+ Actively participate in organizational quality initiatives
+ Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery
+ Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs
+ Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our member
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Years of post-high school education can be substituted/is equivalent to years of experience.
**Required Qualifications:**
+ Current unrestricted licensure as RN in Ohio
+ 2+ years of relevant experience
+ Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs
+ Demonstrated ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes)
+ Proven solid computer skills, including use of electronic medical records
+ Ability to travel 100% of the time in the Cuyahoga County, OH area for field-based work within 60 miles of residence
+ Valid driver's license
+ Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
**Preferred Qualification:**
+ Field based experience
+ Case management experience
+ Proven effective time management and communication skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
Field Nurse Case Manager
Grove City, OH jobs
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.
As a team member of our Optum At Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home.
We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.
Registered Nurses in the Optum at Home program work with patients primarily in their home setting. They perform as part of a care team including a Nurse Practitioner, Behavioral Health Advocate, Care Navigator and other supporting team members. They deliver role appropriate patient care through in-home visits, telephonic outreach and consultations, and interdisciplinary team activities.
The Field Case Manager RN may perform care and counsel of the ill, injured, or infirm, in the promotion and maintenance of health with individuals, groups, or both throughout the life span. They help to manage health problems and coordinate health care for the Optum at Home patients in accordance with State and Federal rules and regulations and the nursing standards of care. This includes (but is not limited to) assessment of health status, development and implementation of plan of care, and ongoing evaluation of patient status and response to the plan of care. Clinical management is conducted in collaboration with other care team members.
Primary Responsibilities:
* Reports to RN Manager
* Assess the health status of members as within the scope of licensure and with the frequency established in the model of care
* Establish goals to meet identified health care needs
* Plan, implement and evaluate responses to the plan of care
* Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care
* Works closely with mental health clinicians to help bridge the gap between mental and physical health
* Consult with the patient's PCP, specialists, or other health care professionals as appropriate
* Assess patient needs for community resources and make appropriate referrals for service
* Facilitate the patient's transition within and between health care settings in collaboration with the primary care physician and other treating physicians
* Completely and accurately document in patient's electronic medical record
* Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit
* Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations
* Actively participate in organizational quality initiatives
* Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery
* Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs
* Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our member
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Years of post-high school education can be substituted/is equivalent to years of experience.
Required Qualifications:
* Current unrestricted licensure as RN in Ohio
* 2+ years of relevant experience
* Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs
* Demonstrated ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes)
* Proven solid computer skills, including use of electronic medical records
* Ability to travel 100% of the time in the Cuyahoga County, OH area for field-based work within 60 miles of residence
* Valid driver's license
* Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
Preferred Qualification:
* Field based experience
* Case management experience
* Proven effective time management and communication skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Clinical Appeals RN - Remote in EST or CST Time Zone
Cypress, CA jobs
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
If you are located within Eastern Standard time zone, you will have the flexibility to work remotely* as you take on some tough challenges. The work schedule is generally Monday-Friday, 8-5 EST or 8-5 CST.
Primary Responsibilities:
* Perform initial assessment review of appeals, medical records, and CMS/State Policies to determine if care/services provided meets coverage and billable criteria to be paid
* Identify if additional information is required to process an appeal
* Ability to adapt to changes that require cross training on appeal types as they are identified
* Ability to work independently
* Utilize Clinical nursing judgment assessment and critical thinking skills, guided by regulatory policy, to make decision on administrative nurse level cases
* Ability to navigate multiple computer programs, moving from one system to another, while managing multiple tasks and priorities
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Current, valid, and unrestricted RN licensure in your state of residence
* 2+ years of clinical experience in an acute care or an outpatient setting
* 1+ years of direct experience within one (or more) of the following areas:
* Utilization Review
* Medicaid and/or Medicare appeals experience
* LOC assessment planning and Discharge SNF Planning including understanding of Denial Notice and NOMNC
* Proven experience/understanding of billable services and claims in a managed care environment
* Solid Microsoft Office (Word, Excel & Outlook) Basic computer skills
* Access to high-speed internet
* Ability to work 8-5 within EST (Eastern standard time zone)
Preferred Qualifications:
* 5+ years of Medical Appeal experience working with Medicare and Medicaid
* Solid coding experience or Certified Coder (CPC)
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Clinical Appeals RN - Remote in EST or CST Time Zone
Cypress, CA jobs
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.**
If you are located within Eastern Standard time zone, you will have the flexibility to work remotely* as you take on some tough challenges. The work schedule is generally Monday-Friday, 8-5 EST or 8-5 CST.
**Primary Responsibilities:**
+ Perform initial assessment review of appeals, medical records, and CMS/State Policies to determine if care/services provided meets coverage and billable criteria to be paid
+ Identify if additional information is required to process an appeal
+ Ability to adapt to changes that require cross training on appeal types as they are identified
+ Ability to work independently
+ Utilize Clinical nursing judgment assessment and critical thinking skills, guided by regulatory policy, to make decision on administrative nurse level cases
+ Ability to navigate multiple computer programs, moving from one system to another, while managing multiple tasks and priorities
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Current, valid, and unrestricted RN licensure in your state of residence
+ 2+ years of clinical experience in an acute care or an outpatient setting
+ 1+ years of direct experience within one (or more) of the following areas:
+ Utilization Review
+ Medicaid and/or Medicare appeals experience
+ LOC assessment planning and Discharge SNF Planning including understanding of Denial Notice and NOMNC
+ Proven experience/understanding of billable services and claims in a managed care environment
+ Solid Microsoft Office (Word, Excel & Outlook) Basic computer skills
+ Access to high-speed internet
+ Ability to work 8-5 within EST (Eastern standard time zone)
**Preferred Qualifications:**
+ 5+ years of Medical Appeal experience working with Medicare and Medicaid
+ Solid coding experience or Certified Coder (CPC)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Clinical Appeals RN (M&R) - Remote (M-F 8-5)
Cypress, CA jobs
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.**
As a Clinical Appeals RN for UHC Clinical Services, you will work on post-service appeals for Medicare-based claims.
**Primary Responsibilities:**
+ Review provider post-service appeals for Medicare and Retirement
+ Gather clinical information including medical records and coverage criteria as it pertains to Medicare guidelines
+ Discuss cases with medical directors when applicable
+ Ability to communicate and collaborate with other teams in order to gather medical information to process cases
+ Communicate effectively in both verbal and written documentation
+ Must meet quality and productivity metrics
+ Ability to work independently and prioritize
+ Attend mandatory trainings and scheduled staff meetings
+ Engage in respectful and courteous team dialog via email, IM and in staff meeting
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Undergraduate degree or equivalent experience
+ Unrestricted, active RN license
+ 2+ years of RN experience in acute setting
+ Proven working knowledge of Clinical Criteria and CMS Guidelines/InterQual
+ Proven proficiency in basic computer skills
+ Demonstrated ability to have high speed internet installed in home for Secure Job use only
+ Proven designated HIPPA compliant home workspace
**Preferred Qualifications:**
+ Undergraduate degree (BSN)
+ Proven utilization management, prior authorization, case management or prior appeals experience
+ Proven claims and coding experience
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Clinical Appeals RN (M&R) - Remote (M-F 8-5)
Cypress, CA jobs
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
As a Clinical Appeals RN for UHC Clinical Services, you will work on post-service appeals for Medicare-based claims.
Primary Responsibilities:
* Review provider post-service appeals for Medicare and Retirement
* Gather clinical information including medical records and coverage criteria as it pertains to Medicare guidelines
* Discuss cases with medical directors when applicable
* Ability to communicate and collaborate with other teams in order to gather medical information to process cases
* Communicate effectively in both verbal and written documentation
* Must meet quality and productivity metrics
* Ability to work independently and prioritize
* Attend mandatory trainings and scheduled staff meetings
* Engage in respectful and courteous team dialog via email, IM and in staff meeting
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Undergraduate degree or equivalent experience
* Unrestricted, active RN license
* 2+ years of RN experience in acute setting
* Proven working knowledge of Clinical Criteria and CMS Guidelines/InterQual
* Proven proficiency in basic computer skills
* Demonstrated ability to have high speed internet installed in home for Secure Job use only
* Proven designated HIPPA compliant home workspace
Preferred Qualifications:
* Undergraduate degree (BSN)
* Proven utilization management, prior authorization, case management or prior appeals experience
* Proven claims and coding experience
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Registered Nurse FT Days!
Dayton, OH jobs
Registered Nurse FT Days! (Job Number: 549045) Description $15K SOB!At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking.
Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.
Job SummaryProvides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation.
Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary.
Communicates changes in patient's clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate.
Participates in discharge planning process.
Essential FunctionsMaintains the standard of nursing care and implements policies and procedures of the hospital and nursing department Directs, supervises, provides and evaluates nursing care provided to patients Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated Assigns nursing care team members in accordance with patient needs, team member's capabilities and qualifications Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient's medical record according to nursing standards and policies Performs assessment on all patients on admission and reassessments as per policy Makes referrals to other disciplines based on assessment Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team Assesses and reassesses pain Utilizes appropriate pain management techniques Educates the patient and family regarding pain management.
Revises the plan of care as indicated by the patient's response to treatment and evaluates overall plan daily for effectiveness Performs patient care responsibilities considering needs specific to the standard of care for patient's age Receives physician's orders, ensures transcription is accurate and documents completion Administers medication utilizing the five rights of medication administration reducing the potential for medication errors Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice Performs treatments and provides services to level of licensure Treats patients and their families with respect and dignity Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families Functions as liaison between administration, patients, physicians, and other healthcare providers Interacts professionally with patient/family and involves patient/family in the formation of the plan of care Interprets data about the patient's status to identify each patient's age specific needs and provide care needed by the patient group Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors Initiates or assists with emergency measures for sudden adverse developments in patients' condition Answers telephone, paging system, patients' call lights, anticipates patients' needs, and makes rounds of assigned patients and responds as appropriate Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off Communicates appropriately and clearly to management, co-workers, and physicians Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs Participates in orientation, instruction/training of new personnel Manages and operates equipment safely and correctly Knowledge/Skills/Abilities/ExpectationsKnowledge of medications and their correct administration based on age of the patient and their clinical condition Basic computer knowledge Able to organize tasks, develop action plans, set priorities and function under stressful situations Ability to maintain a good working relationship both within the department and with other departments Approximate percent of time required to travel: 0%Must read, write and speak fluent EnglishMust have good and regular attendance Performs other related duties as assigned Qualifications EducationGraduation from an accredited Bachelor of Science in NursingAssociate Degree in Nursing or Nursing Diploma program Licenses/CertificationCurrent state licensure as Registered NurseBCLS certification required ACLS certifications preferred ExperienceMinimum six months' Medical/Surgical experience in an acute care setting preferred Job: RNPrimary Location: OH-Dayton-Kindred Hospital - DaytonOrganization: 4500 - Kindred Hospital - DaytonShift: Day
Auto-ApplyRegistered Nurse RN Weekend Night Option Program
Lima, OH jobs
Registered Nurse RN Weekend Night Option Program (Job Number: 540377) Description $20,000 Sign-on-Bonus!At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and EvaluationDevelops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary Communicates changes in patient's clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate Participates in discharge planning process Essential Functions Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department Directs, supervises, provides and evaluates nursing care provided to patients Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated Assigns nursing care team members in accordance with patient needs, team member's capabilities and qualifications Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient's medical record according to nursing standards and policies Performs assessment on all patients on admission and reassessments as per policy. Makes referrals to other disciplines based on assessment Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team Assesses and reassesses pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management Revises the plan of care as indicated by the patient's response to treatment and evaluates overall plan daily for effectiveness Performs patient care responsibilities considering needs specific to the standard of care for patient's age Receives physician's orders, ensures transcription is accurate and documents completion Administers medication utilizing the five rights of medication administration reducing the potential for medication errors Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice Performs treatments and provides services to level of licensure Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families Functions as liaison between administration, patients, physicians, and other healthcare providers Interacts professionally with patient/family and involves patient/family in the formation of the plan of care Interprets data about the patient's status to identify each patient's age specific needs and provide care needed by the patient group Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors Initiates or assists with emergency measures for sudden adverse developments in patients' condition Answers telephone, paging system, patients' call lights, anticipates patients' needs, and makes rounds of assigned patients and responds as appropriate Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off Communicates appropriately and clearly to management, co-workers, and physicians Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs Participates in orientation, instruction/training of new personnel Manages and operates equipment safely and correctly Knowledge/Skills/Abilities/ExpectationsKnowledge of medications and their correct administration based on age of the patient and their clinical condition Basic computer knowledge Able to organize tasks, develop action plans, set priorities and function under stressful situations Ability to maintain a good working relationship both within the department and with other departments Approximate percent of time required to travel: 0%Must read, write and speak fluent EnglishMust have good and regular attendance Performs other related duties as assigned Qualifications Education
Graduation from an accredited Bachelor of Science in Nursing
Associate Degree in Nursing or Nursing Diploma program
Licenses/Certification
Current state licensure as Registered Nurse
BCLS certification required
ACLS certifications preferred
Experience
Minimum six months' Medical/Surgical experience in an acute care setting preferred
Job: RNPrimary Location: OH-Lima-Kindred Hospital-LimaOrganization: 4851 - Kindred Hospital-LimaShift: Night
Auto-ApplyRegistered Nurse/FT/Days
Lima, OH jobs
Registered Nurse/FT/Days (Job Number: 548658) Description $20,000 SIGN ON BONUS THROUGH JANUARY 2026. At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking.
Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.
Job Summary Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation.
Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary.
Communicates changes in patient's clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate.
Participates in discharge planning process.
Essential Functions Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department Directs, supervises, provides and evaluates nursing care provided to patients Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated Assigns nursing care team members in accordance with patient needs, team member's capabilities and qualifications Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient's medical record according to nursing standards and policies Performs assessment on all patients on admission and reassessments as per policy Makes referrals to other disciplines based on assessment Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team Assesses and reassesses pain Utilizes appropriate pain management techniques Educates the patient and family regarding pain management Revises the plan of care as indicated by the patient's response to treatment and evaluates overall plan daily for effectiveness Performs patient care responsibilities considering needs specific to the standard of care for patient's age Receives physician's orders, ensures transcription is accurate and documents completion Administers medication utilizing the five rights of medication administration reducing the potential for medication errors Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice Performs treatments and provides services to level of licensure Treats patients and their families with respect and dignity Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families Functions as liaison between administration, patients, physicians, and other healthcare providers Interacts professionally with patient/family and involves patient/family in the formation of the plan of care Interprets data about the patient's status to identify each patient's age specific needs and provide care needed by the patient group Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors Initiates or assists with emergency measures for sudden adverse developments in patients' condition Answers telephone, paging system, patients' call lights, anticipates patients' needs, and makes rounds of assigned patients and responds as appropriate Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off Communicates appropriately and clearly to management, co-workers, and physicians Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs Participates in orientation, instruction/training of new personnel Manages and operates equipment safely and correctly Knowledge/Skills/Abilities/ExpectationsKnowledge of medications and their correct administration based on age of the patient and their clinical condition Basic computer knowledge Able to organize tasks, develop action plans, set priorities and function under stressful situations Ability to maintain a good working relationship both within the department and with other departments Approximate percent of time required to travel: 0%Must read, write and speak fluent EnglishMust have good and regular attendance Performs other related duties as assigned Qualifications EducationGraduation from an accredited Bachelor of Science in NursingAssociate Degree in Nursing or Nursing Diploma program Licenses/CertificationCurrent state licensure as Registered NurseBCLS certification required ACLS certifications preferred ExperienceMinimum six months' Medical/Surgical experience in an acute care setting preferred Job: RNPrimary Location: OH-Lima-Kindred Hospital-LimaOrganization: 4851 - Kindred Hospital-LimaShift: Day
Auto-ApplyRegistered Nurse RN PT Nights
Lima, OH jobs
Registered Nurse RN PT Nights (Job Number: 526650) Description At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.
Job Summary
Part-time, 24 hours a week, 12 hour shifts
Night Shift
Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary. Communicates changes in patient's clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate. Participates in discharge planning process.
Essential Functions
Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department.
Directs, supervises, provides and evaluates nursing care provided to patients.
Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated.
Assigns nursing care team members in accordance with patient needs, team member's capabilities and qualifications.
Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient's medical record according to nursing standards and policies.
Performs assessment on all patients on admission and reassessments as per policy. Makes referrals to other disciplines based on assessment.
Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team.
Assesses and reassesses pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management.
Revises the plan of care as indicated by the patient's response to treatment and evaluates overall plan daily for effectiveness.
Performs patient care responsibilities considering needs specific to the standard of care for patient's age.
Receives physician's orders, ensures transcription is accurate and documents completion.
Administers medication utilizing the five rights of medication administration reducing the potential for medication errors.
Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate.
Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice.
Performs treatments and provides services to level of licensure.
Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians, and other healthcare providers.
Interacts professionally with patient/family and involves patient/family in the formation of the plan of care.
Interprets data about the patient's status to identify each patient's age specific needs and provide care needed by the patient group.
Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
Initiates or assists with emergency measures for sudden adverse developments in patients' condition.
Answers telephone, paging system, patients' call lights, anticipates patients' needs, and makes rounds of assigned patients and responds as appropriate.
Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs.
Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off.
Communicates appropriately and clearly to management, co-workers, and physicians.
Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs.
Participates in orientation, instruction/training of new personnel.
Manages and operates equipment safely and correctly.
Knowledge/Skills/Abilities/Expectations
Knowledge of medications and their correct administration based on age of the patient and their clinical condition.
Basic computer knowledge.
Able to organize tasks, develop action plans, set priorities and function under stressful situations.
Ability to maintain a good working relationship both within the department and with other departments.
Approximate percent of time required to travel: 0%
Must read, write and speak fluent English.
Must have good and regular attendance.
Performs other related duties as assigned.
Qualifications Education
Graduation from an accredited Bachelor of Science in Nursing,
Associate Degree in Nursing or Nursing Diploma program.
Licenses/Certification
Current state licensure as Registered Nurse.
BCLS certification required.
ACLS certifications preferred.
Experience
Minimum six months' Medical/Surgical experience in an acute care setting preferred.
Job: RNPrimary Location: OH-Lima-Kindred Hospital-LimaOrganization: 4851 - Kindred Hospital-LimaShift: Night
Auto-Apply