Registered Nurse Case Manager jobs at Community Health Systems - 206 jobs

Northwest Health - La Porte has been the heart of healthcare in La Porte for more than 40 years. At 227 licensed beds, the hospital provides exceptional acute care with strong programs in cardiology, orthopedics, surgical services, emergency care, oncology, and maternal health. Operated by Community Health Systems, the hospital also maintains an affiliation with Indiana University Health. **Job Summary** The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families. **Essential Functions** + Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process. + Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members. + Utilizes knowledge of human growth and development to provide age-appropriate care and education. + Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice. + Assists physicians during procedures within the scope of documented competency and skill level. + Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs. + Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate. + Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery. + Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions. + Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections. + Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety. + Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff. + Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements. + Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies. + Documents patient care and education thoroughly and promptly in the medical record. + Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations. + Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery. **Cath Lab RN:** + Pre-Procedure: + Reviews medical history, assesses patient's overall health, and prepares them for the procedure. + Intravenous (IV) Line Initiation: Starts and maintains an IV line for medication administration. + Administers medications as prescribed by the physician. + Educates patients and families about the procedure and what to expect. + Verifies that surgical consents have been signed. + During the Procedure: + Assists the Cardiologist during the catheterization process. + Closely monitors the patient's vital signs, hemodynamic data, and sedation levels. + Ensures proper functioning of equipment and supplies. + Manages potential complications and responding to emergencies. + Post-Procedure: + Continues to monitor the patient's vital signs and overall condition after the procedure. + Administers post-procedure medications as needed. + Performs other duties as assigned. + Complies with all policies and standards. **Qualifications** + 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required **Knowledge, Skills and Abilities** + Strong knowledge of the nursing process and clinical nursing practices. + Ability to perform thorough patient assessments and communicate findings effectively. + Proficient in administering medications and monitoring for side effects. + Effective communication and interpersonal skills to collaborate with interdisciplinary teams. + Strong organizational skills and attention to detail in documenting patient care. + Knowledge of safety standards, infection control, and quality improvement initiatives. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required + BCLS - Basic Life Support required + ACLS - Advanced Cardiac Life Support preferred + PALS - Pediatric Advanced Life Support preferred + NRP - Neonatal Resuscitation preferred + Refer to facility or unit-specific guidelines for additional requirements. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.

The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families. **Essential Functions** + Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process. + Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members. + Utilizes knowledge of human growth and development to provide age-appropriate care and education. + Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice. + Assists physicians during procedures within the scope of documented competency and skill level. + Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs. + Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate. + Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery. + Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions. + Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections. + Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety. + Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff. + Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements. + Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies. + Documents patient care and education thoroughly and promptly in the medical record. + Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations. + Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery. + **Critical Care RN:** + Administers medications and other treatments as prescribed, including intravenous medications and therapies. + Manages complex medical equipment, including ventilators, monitoring devices, and other life-support systems. + Performs procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support. + **Emergency Services RN:** + Rapid Assessment and Triage: Evaluate patients' conditions quickly to determine the severity of their injuries or illnesses and prioritize care accordingly. + Conducts emergency procedures such as intubation, wound care, and suturing. + Implements interventions to stabilize patients, including administering medications, starting IV lines, and providing respiratory support. + **OR Services RN:** + Provides comprehensive care to patients before, during, and after surgery, including assessments, planning, and evaluation of nursing care. + Scrubs in for surgeries, assisting the surgical team with instruments and supplies, and ensuring a sterile environment. + Monitors patient vital signs, administers medications, and observes for changes in patient condition. + **Cardiac Surgery RN:** + Continuously assesses patients' condition, including vital signs, hemodynamic parameters, and ECG readings. + Administers medications and IV drips, adjusting dosages based on the patient's condition. + Proficient in operating and maintaining advanced life support equipment like ventilators, intra-aortic balloon pumps, and ECMO. + After cardiac surgeries, monitors patients' recovery, manage chest tubes, pacing wires, and wound care. + **Endoscopy RN:** + Assesses patient needs, reviews medical history, explains procedures, obtains consent, and prepares the patient for procedure. + Monitors patient vitals, administers medications, and assists the physician during procedure. + Provides post-procedure care, monitors recovery, and educates patients about aftercare instructions. + Ensures the endoscopy room is properly prepared, instruments are sterilized, and equipment is functioning correctly. + **Obstetrics/Labor and Delivery/Post Partum/Nursery RN:** + Educates patients about pregnancy, provides prenatal screenings, and prepares patients for labor and delivery. + Assesses and monitors the new mother's physical recovery, including vital signs, postpartum hemorrhage, and potential complications like postpartum depression. + Assists with epidurals and other pain management techniques during labor. + Administers pain medication, induces labor, and manages other medication needs during labor and delivery. + Assists during labor and delivery, monitors fetal well-being, administers medications, and provides pain relief. Monitors mothers and newborns after delivery, assessing their well-being, and providing education on postpartum care and breastfeeding. + Assesses and monitors newborn health, taking vital signs, performing routine assessments, and educating parents on newborn care. + Assists with gynecological exams and procedures, and provides education on reproductive health, contraception, and prenatal care. + Educates patients about family planning, fertility, pregnancy, childbirth, and postpartum care. + Interprets fetal heart rate patterns and assesses fetal well-being using electronic fetal monitoring. + **Oncology RN:** + Administers chemotherapy, manages side effects, monitors vitals, and manages pain. + Explains treatments, answers questions, and provides information on resources. + Provides emotional and psychological support to patients and their families. + **Orthopedics RN:** + Provides specialized care for patients with musculoskeletal conditions, injuries, and diseases. + Provides care for Orthopedic patients encompassing pre-operative and post-operative care. + Conducts peripheral/vascular assessments. + Treats patients with immobilization devices. + Provides pain management. + Provides patient education. + **PACU RN:** + Assesses the patient's level of consciousness and responsiveness as they wake up from anesthesia. + Evaluates pain levels and administers pain medications as prescribed. + Observes any side effects of anesthesia, such as nausea, vomiting, shivering, or muscle aches. + Monitors for and respond to any post-operative complications. + Administers medications, including pain relievers and other post-operative medications, as prescribed. + Regulates intravenous (IV) fluids and monitor fluid balance. + Checks and changes dressings on surgical wounds. + Ensures a clear airway and provide oxygen support as needed. + Educates patients and families about post-surgery care, potential complications, and discharge instructions. + **NICU RN:** + Continuously assesses and monitors vital signs (heart rate, respiratory rate, blood pressure, oxygen saturation) and other signs of distress. + Administers prescribed medications, intravenous fluids, and other treatments, including respiratory support and oxygen therapy. + Manages feeding needs, including tube, breast milk feeding support, and ensuring adequate nutrition. + Provides basic care tasks like diaper changes, bathing, and positioning. + Performs procedures like inserting IV lines, administering medications, and assisting with intubation or ventilation. Operates and adjusts specialized medical equipment used in the NICU. + **Telemetry RN:** + Using telemetry equipment to track heart rhythms (EKG), blood pressure, oxygen saturation, and other vital signs. + Analyzes telemetry data to identify trends, abnormalities, and potential problems, and reports these findings to physicians. + Provides direct patient care, including medication administration, wound care, and patient education, with a focus on cardiac health. + Recognizes and responds to emergencies, such as cardiac arrest, and implements appropriate interventions. + **Dialysis RN:** + Sets up and operates dialysis machines, monitors patients before, during, and after treatment, and adjusts treatment parameters as needed. + Takes vital signs, monitors signs of complications, and responds to changes in patient condition. + Educates patients and families about kidney disease, dialysis procedures, and the importance of adhering to treatment plans, diet, and medication. + Inspects and maintains dialysis machines and equipment. + **Cath Lab RN:** + Pre-Procedure: + Reviews medical history, assesses patient's overall health, and prepares them for the procedure. + Intravenous (IV) Line Initiation: Starts and maintains an IV line for medication administration. + Administers medications as prescribed by the physician. + Educates patients and families about the procedure and what to expect. + Verifies that surgical consents have been signed. + During the Procedure: + Assists the Cardiologist during the catheterization process. + Closely monitors the patient's vital signs, hemodynamic data, and sedation levels. + Ensures proper functioning of equipment and supplies. + Manages potential complications and responding to emergencies. + Post-Procedure: + Continues to monitor the patient's vital signs and overall condition after the procedure. + Administers post-procedure medications as needed. + Performs other duties as assigned. + Complies with all policies and standards. **Qualifications** + 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required **Knowledge, Skills and Abilities** + Strong knowledge of the nursing process and clinical nursing practices. + Ability to perform thorough patient assessments and communicate findings effectively. + Proficient in administering medications and monitoring for side effects. + Effective communication and interpersonal skills to collaborate with interdisciplinary teams. + Strong organizational skills and attention to detail in documenting patient care. + Knowledge of safety standards, infection control, and quality improvement initiatives. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required + BCLS - Basic Life Support required + ACLS - Advanced Cardiac Life Support preferred + PALS - Pediatric Advanced Life Support preferred + NRP - Neonatal Resuscitation preferred + Refer to facility or unit-specific guidelines for additional requirements. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.

The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families. **Essential Functions** + Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process. + Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members. + Utilizes knowledge of human growth and development to provide age-appropriate care and education. + Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice. + Assists physicians during procedures within the scope of documented competency and skill level. + Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs. + Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate. + Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery. + Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions. + Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections. + Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety. + Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff. + Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements. + Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies. + Documents patient care and education thoroughly and promptly in the medical record. + Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations. + Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery. + **Critical Care RN:** + Administers medications and other treatments as prescribed, including intravenous medications and therapies. + Manages complex medical equipment, including ventilators, monitoring devices, and other life-support systems. + Performs procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support. + **Emergency Services RN:** + Rapid Assessment and Triage: Evaluate patients' conditions quickly to determine the severity of their injuries or illnesses and prioritize care accordingly. + Conducts emergency procedures such as intubation, wound care, and suturing. + Implements interventions to stabilize patients, including administering medications, starting IV lines, and providing respiratory support. + **OR Services RN:** + Provides comprehensive care to patients before, during, and after surgery, including assessments, planning, and evaluation of nursing care. + Scrubs in for surgeries, assisting the surgical team with instruments and supplies, and ensuring a sterile environment. + Monitors patient vital signs, administers medications, and observes for changes in patient condition. + **Cardiac Surgery RN:** + Continuously assesses patients' condition, including vital signs, hemodynamic parameters, and ECG readings. + Administers medications and IV drips, adjusting dosages based on the patient's condition. + Proficient in operating and maintaining advanced life support equipment like ventilators, intra-aortic balloon pumps, and ECMO. + After cardiac surgeries, monitors patients' recovery, manage chest tubes, pacing wires, and wound care. + **Endoscopy RN:** + Assesses patient needs, reviews medical history, explains procedures, obtains consent, and prepares the patient for procedure. + Monitors patient vitals, administers medications, and assists the physician during procedure. + Provides post-procedure care, monitors recovery, and educates patients about aftercare instructions. + Ensures the endoscopy room is properly prepared, instruments are sterilized, and equipment is functioning correctly. + **Obstetrics/Labor and Delivery/Post Partum/Nursery RN:** + Educates patients about pregnancy, provides prenatal screenings, and prepares patients for labor and delivery. + Assesses and monitors the new mother's physical recovery, including vital signs, postpartum hemorrhage, and potential complications like postpartum depression. + Assists with epidurals and other pain management techniques during labor. + Administers pain medication, induces labor, and manages other medication needs during labor and delivery. + Assists during labor and delivery, monitors fetal well-being, administers medications, and provides pain relief. Monitors mothers and newborns after delivery, assessing their well-being, and providing education on postpartum care and breastfeeding. + Assesses and monitors newborn health, taking vital signs, performing routine assessments, and educating parents on newborn care. + Assists with gynecological exams and procedures, and provides education on reproductive health, contraception, and prenatal care. + Educates patients about family planning, fertility, pregnancy, childbirth, and postpartum care. + Interprets fetal heart rate patterns and assesses fetal well-being using electronic fetal monitoring. + **Oncology RN:** + Administers chemotherapy, manages side effects, monitors vitals, and manages pain. + Explains treatments, answers questions, and provides information on resources. + Provides emotional and psychological support to patients and their families. + **Orthopedics RN:** + Provides specialized care for patients with musculoskeletal conditions, injuries, and diseases. + Provides care for Orthopedic patients encompassing pre-operative and post-operative care. + Conducts peripheral/vascular assessments. + Treats patients with immobilization devices. + Provides pain management. + Provides patient education. + **PACU RN:** + Assesses the patient's level of consciousness and responsiveness as they wake up from anesthesia. + Evaluates pain levels and administers pain medications as prescribed. + Observes any side effects of anesthesia, such as nausea, vomiting, shivering, or muscle aches. + Monitors for and respond to any post-operative complications. + Administers medications, including pain relievers and other post-operative medications, as prescribed. + Regulates intravenous (IV) fluids and monitor fluid balance. + Checks and changes dressings on surgical wounds. + Ensures a clear airway and provide oxygen support as needed. + Educates patients and families about post-surgery care, potential complications, and discharge instructions. + **NICU RN:** + Continuously assesses and monitors vital signs (heart rate, respiratory rate, blood pressure, oxygen saturation) and other signs of distress. + Administers prescribed medications, intravenous fluids, and other treatments, including respiratory support and oxygen therapy. + Manages feeding needs, including tube, breast milk feeding support, and ensuring adequate nutrition. + Provides basic care tasks like diaper changes, bathing, and positioning. + Performs procedures like inserting IV lines, administering medications, and assisting with intubation or ventilation. Operates and adjusts specialized medical equipment used in the NICU. + **Telemetry RN:** + Using telemetry equipment to track heart rhythms (EKG), blood pressure, oxygen saturation, and other vital signs. + Analyzes telemetry data to identify trends, abnormalities, and potential problems, and reports these findings to physicians. + Provides direct patient care, including medication administration, wound care, and patient education, with a focus on cardiac health. + Recognizes and responds to emergencies, such as cardiac arrest, and implements appropriate interventions. + **Dialysis RN:** + Sets up and operates dialysis machines, monitors patients before, during, and after treatment, and adjusts treatment parameters as needed. + Takes vital signs, monitors signs of complications, and responds to changes in patient condition. + Educates patients and families about kidney disease, dialysis procedures, and the importance of adhering to treatment plans, diet, and medication. + Inspects and maintains dialysis machines and equipment. + **Cath Lab RN:** + Pre-Procedure: + Reviews medical history, assesses patient's overall health, and prepares them for the procedure. + Intravenous (IV) Line Initiation: Starts and maintains an IV line for medication administration. + Administers medications as prescribed by the physician. + Educates patients and families about the procedure and what to expect. + Verifies that surgical consents have been signed. + During the Procedure: + Assists the Cardiologist during the catheterization process. + Closely monitors the patient's vital signs, hemodynamic data, and sedation levels. + Ensures proper functioning of equipment and supplies. + Manages potential complications and responding to emergencies. + Post-Procedure: + Continues to monitor the patient's vital signs and overall condition after the procedure. + Administers post-procedure medications as needed. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Qualifications** + 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required **Knowledge, Skills and Abilities** + Strong knowledge of the nursing process and clinical nursing practices. + Ability to perform thorough patient assessments and communicate findings effectively. + Proficient in administering medications and monitoring for side effects. + Effective communication and interpersonal skills to collaborate with interdisciplinary teams. + Strong organizational skills and attention to detail in documenting patient care. + Knowledge of safety standards, infection control, and quality improvement initiatives. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required + BCLS - Basic Life Support required + ACLS - Advanced Cardiac Life Support preferred + PALS - Pediatric Advanced Life Support preferred + NRP - Neonatal Resuscitation preferred + Refer to facility or unit-specific guidelines for additional requirements. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.

Registered Nurse (RN) PartTime, Nights Position in the Intermediate Care Unit at Northwest Health - La Porte Hospital New pay rates available! Full time: 24 hours per week, 12 hour shifts Hours: 7p - 7a.Weekend and holiday rotation required. No call required. Eligible for shift differential Other incentives include a Relocation package for eligible candidates; Medical, Vision, Dental, and 401k available for Full-Time and Part-Time roles. Join a patient centered team committed to not only supporting our patients but each other! Compassionate Caring is our Calling About our unit: 30 Bed unit with wall monitors and telemetry Unit currently accepts COVID patients (anywhere from 4-10 COVID patients on average) Good unit for building foundational skills as a nurse. New RNs are accepted on this unit. The IMCU RN provides direct and indirect patient care in a therapeutic manner focusing on a multidisciplinary approach. Nurses can expect to treat patients requiring a level of care higher than med-surg but lower than ICU. Patient ailments and acuity level will vary. Who are we? Just off the shores of Lake Michigan in Northern Indiana, Northwest Health - La Porte has been the heart of healthcare in La Porte for more than 40 years. La Porte is a 227-bed hospital providing acute care with strong programs in cardiology, orthopedics, surgical services, emergency care, oncology and maternal health. As of October 2020, our new and improved La Porte location opened. This location features the latest technology for our staff and providers. Our hospital is La Porte's only stroke center and nationally accredited chest pain center. Job Summary The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families. Essential Functions Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process. Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members. Utilizes knowledge of human growth and development to provide age-appropriate care and education. Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice. Assists physicians during procedures within the scope of documented competency and skill level. Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs. Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate. Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery. Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions. Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections. Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety. Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff. Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements. Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies. Documents patient care and education thoroughly and promptly in the medical record. Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations. Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery. Performs other duties as assigned. Complies with all policies and standards. Qualifications * 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required Knowledge, Skills and Abilities Strong knowledge of the nursing process and clinical nursing practices. Ability to perform thorough patient assessments and communicate findings effectively. Proficient in administering medications and monitoring for side effects. Effective communication and interpersonal skills to collaborate with interdisciplinary teams. Strong organizational skills and attention to detail in documenting patient care. Knowledge of safety standards, infection control, and quality improvement initiatives. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure required BCLS - Basic Life Support required ACLS - Advanced Cardiac Life Support preferred PALS - Pediatric Advanced Life Support preferred NRP - Neonatal Resuscitation preferred Refer to facility or unit-specific guidelines for additional requirements.

Inova Fairfax Medical Campus is looking for a dedicated Registered Nurse Case Manager to join the team. This role offers full-time, part-time and PRN availability. Hours are Monday - Friday 8:30am - 5:00pm with every 5th weekend and 1-2 holidays per year. Relocation assistance is available for eligible candidates. Candidates may be considered for current and future opportunities. Inova Fairfax Hospital is proud to announce that the American Nurses Credentialing Center (ANCC) awarded Magnet designation, the most prestigious accolade for nursing excellence, to our hospital in December 2020. Currently, only 8.5% of hospitals in the nation hold Magnet designation and Inova Fairfax Hospital is proud to be part of this select group. The new Magnet designation is in addition to several other prestigious recognitions which include: a five star rating from the Centers for Medicare and Medicaid Services (CMS), being named by IBM Watson Health as one the nation's highest performing hospitals, and among the top 10 Major Teaching Hospitals, an A for Patient Safety by The Leapfrog Group, the #1 hospital in the DC metro area by U.S. News & World Reports, and being nationally ranked in gynecologic care. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Please see the link below for additional information regarding Inova Fairfax Hospital. ************************************************************ Featured Benefits: • Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. • Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. • Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. • Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. • Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities. Registered Nurse (RN) Case Manager 1 Job Responsibilities: Collects delay and other data for specific performance and/or outcome indicators. Assists in the collection and reporting of resource and financial indicators including acute and post-acute case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals. Collects, analyzes and addresses variances from plans of care and care paths with physicians and/or other members of the healthcare team. Uses concurrent variance data to drive practice changes and positively impact outcomes. Documents key clinical path variances and outcomes which relate to areas of direct responsibility (e.g. discharge planning, chronic disease planning). Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently. Ensures safe care to patients by adhering to policies, procedures and standards within budgetary specifications including time management, supply management, productivity and accuracy of practice. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency. Supports department based goals which contribute to the success of the organization. Provides discharge planning and continuity of care for assigned patients in the acute and post-acute setting. Initiates and facilitates referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment and supplies as indicated. Collaborates with the interdisciplinary healthcare team, patients and families in the assessment and coordination of discharge planning needs, delivery of post-discharge planning needs, delivery of post-discharge services and transition of patients from hospitals to the discharge setting as well as ongoing care in the community. Documents relevant discharge planning information in medical records according to department standards and/or care management plans. Collaborates/communicates with internal and external case managers. Understands pre-acute and post-acute resources. Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare team members. Work closely with members of patients' healthcare teams to manage and coordinate all areas of patients' care. Works holistically to ensure that healthcare plans and discharge plans meet the physical, social and emotional needs of patients. Provides educational resources and/or referrals to patients and patients' families to address identified needs such as social or financial. Acts as an advocate for patients to resolve barriers to care progression. Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities. Discusses payer criteria and issues on a case by case basis with clinical staff and follows-up to resolve problems with payers as needed. Applies approved clinical criteria to monitor appropriateness of admissions, continued stays or post-acute setting appropriateness and documents findings based on department standards. Identifies at risk populations by using approved screening tools and following established reporting procedures. Monitors LOS and ancillary resource use, depending on inpatient stay or outpatient program criteria, on an ongoing basis and takes actions to achieve continuous improvement efficiencies in both areas. Refers cases and issues appropriately to resolve barriers to care progression. Participates in the assessment of patients' clinical and psychosocial needs through review of patient information, personal contact with patients/families and interdisciplinary healthcare team members. Communicates routinely with patients, families, interdisciplinary healthcare team members and other appropriate parties with regard to the status of patients' care plans and progress toward treatment goals, identification of concerns and/or problems, problem solving and assisting with conflict resolution when necessary. Works with the multidisciplinary team to address/resolve system problems impeding diagnostic or treatment progress. Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge. Ensures that all elements critical to patients' care plans have been communicated to the patients/families and members of the healthcare team. Minimum Qualifications: Education: BSN from an accredited school of nursing. If RN has an associate's degree (ADN); must complete BSN within 5 years of start date. Experience: Requires a minimum of 1-year Case Management and/or Clinical Care experience. Certification: Currently licensed as a Registered Nurse in the State of Virginia or hold a privilege to practice in the State of Virginia under the Enhanced Nurse Licensure Compact (eNLC). Basic Life Support (BLS) for Healthcare Provider certification from the American Heart Association required upon start. Preferred Qualifications: One (1) year of previous inpatient case management experience is highly preferred. About Inova Health System We are Inova, Northern Virginia's leading nonprofit healthcare provider. Every day, our 24,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better - to shape a more compassionate future for healthcare. Inova's Anti-Discrimination Employment Policy Inova Health System is an Equal Opportunity. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

Job Type: PRN Your experience matters At Community Rehabilitation Hospital South, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As a Case Manager joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute A Case Manager who excels in this role: Completes departmental orientation, initial and annual competencies. Assists with departmental specific performance improvement initiatives collecting and reporting data as requested by supervisor. As appropriate, consults other departmental staff to collaborate in patient care delivery, identify barriers to care and or discharge and develop solutions/resolution. Completes documentation per workflow timeline and content requirements including completion of the Individual Plan of Care (IPoC) per CMS guidelines. Schedules family conferences and/or communicates with caregiver following each team conference and more often as needed to keep patient and designated caregiver informed of progress and provides appropriate information related to goal achievement, course of rehabilitation stay, and plans for discharge. What we offer Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers: Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development: Ongoing learning and career advancement opportunities. Competitive Pay Rates Superior Quality Patient Outcomes Supportive Leadership and Culture Qualifications and requirements: Bachelor's or Master's degree in Social Work, or as required by state regulations (verify state-specific requirements). Certification in Case Management or Rehabilitation Nursing preferred (e.g., CCM, ACM, RN-BC, ARN). Minimum of 2 years social work or case management experience in an inpatient setting highly preferred; acute/rehabilitation hospital experience preferred. Effective oral and written communication skills in English, additional languages preferred. Must have good organizational skills, time management skills and analytical ability in order to interpret information and carry out duties independently About us Community Rehabilitation Hospital South is a hospital located in Indianapolis, Indiana, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters. EEOC Statement “Community Rehabilitation Hospital South is an Equal Opportunity Employer. Community Rehabilitation Hospital South is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.”

This is a general application which is applicable across all TRA locations and, all RN and Allied Travel and Local contracts. When you receive your offer letter, it will be customized for the specific position you are hired into. With TRA, you will receive greater contract security than with outside agencies while accessing exciting travel and local contracts across the nation. Why Choose TRA? Guaranteed Hours for Travel Contracts Preferred Booking Agreement for Local Contracts Company Matching funds for the 401K Holiday Pay TRA is preferred for all contract assignments within Tenet while receiving the same tenure as Tenet staff. Location: This is a general application link and, you can be hired into any specific position that fits with what location you are looking to be hired into. As mentioned above, your offer letter will be customized and specific for the position you and your Recruiter speak about.

Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians' clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions and/or procedures. Educates members of the patient care team regarding documentation guidelines, including the following: attending physicians, allied health practitioners, nursing, and case management. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. 1. Record Review: * Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) record in business partner designated CDI tool and/or host medical record system. * Conducts follow-up reviews of patients every 24-48 hours or as needed up through discharge to support assigned working MS-DRG assignment upon patient discharge, as necessary. * Formulate physician queries regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary. * Collaborates with providers, case managers, nursing staff and other ancillary staff regarding documentation and to resolve physician queries prior to discharge. 2.CDI * Communicates/Completes Clinical Documentation Integrity (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up, provider education and DRG Miss-Match reconciliation. * Assists with Provider education, rounding and communication regarding open queries for resolution. 3. Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD10-CM and PCS coding. Attends CDI Boot camp, CDI/coding trainings annually and quarterly for inpatient coding. Attends monthly education lecture series (MELS) and all CDI/coding assigned learn share modules as well as any additional required CDI education. 4. Assist in training department staff new to CDI 5. Performs other duties as assigned 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. * CDI Specialist must display teamwork and commitment while performing daily duties * Must demonstrate initiative and discipline in time management and medical record review. * Travel may be required to meet the needs of the facilities. * Proficient knowledge of disease pathophysiology and drug utilization * Intermediate knowledge of MS-DRG classification and reimbursement structures * Critical thinking, problem solving and deductive reasoning skills. * Effective written and verbal communication skills * Excellent computer skills including MS Word/Excel * Knowledge of coding compliance and regulatory standards * Excellent organizational skills for initiation and maintenance of efficient workflow * Regular and reliable attendance * Capacity to work independently in facility on-site setting. * Capacity to work independently in a virtual office setting if required for specific assignment. * Exhibit flexibility as needed to meet program needs. * Understand and communicate documentation strategies. * Recognize opportunities for documentation improvement. * Formulate clinically, compliant credible queries. * Ability to successfully comply to robust auditing and CDI program monitoring * Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation. 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. * Preferred: Acute Care nursing and/or Provider relevant experience * Zero (0) to two (2) years CDI experience * Two (2) plus years' nursing experience - Medical/Surgical/Intensive Care and/or Case/Utilization Review * Two (2) plus years' Provider experience - Medical/Surgical/Intensive Care and/or Case/Utilization Review * Graduate from a Nursing program, BSN, or graduate program; OR * Graduate from Medical Doctor and/or Foreign Medical Doctor Program CERTIFICATES, LICENSES, REGISTRATIONS * Active state Registered Nurse license; OR * Graduate MD and/or FMD license * Preferred: CDIP or CCDS 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 sit for extended periods of time. * Ability to stand for extended periods of time. * Must be able to efficiently use computer keyboard and mouse. * Good visual acuity 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. OTHER * Must be able to travel as needed, not to exceed 10%. Compensation and Benefit Information Compensation * Pay: $72,509- $108,763 annually. Compensation depends on location, qualifications, and experience. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrued 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. **********

Inova Health is looking for a dedicated Registered Nurse (RN) Clinical Documentation Denials Auditor to join the team. This role will be fully-time remote, Monday-Friday, regular business hours 8:00 AM - 4:30 PM (flexible). Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities. Registered Nurse (RN) Clinical Documentation Denials Auditor Job Responsibilities: Evaluates specificity and completeness of physician documentation to ensure optimal coding (e.g. mortality outcomes using APR-DRG, SOI and ROM, appropriate reduction of complications based on PSI and HAC, revenue assurance outcomes based on reimbursement DRG (MS-DRG), documentation of significant chronic conditions affecting resource utilization based on HCC). Summarizes audit findings for individual records along with specific documentation guidelines to improve expected clinical outcomes for an individual physician, physician practice, or specialty. Conducts follow-up audits (i.e. concurrent or post-discharge) with routine feedback until documentation practice comes into line with expected clinical outcomes. Works with Clinical Documentation Improvement (CDI) Director and Lead Auditor on other work related to physician audits and education programs. Demonstrates proficiency with Cobius to access external audit work, record summary results and upload appeal letters. Demonstrates proficiency with Encompass 360 and HDM audit functions to review electronic medical records with advanced functions (i.e. ex, auto-suggest and search) and record detail coding audit results. Showcases proficiency in reviewing records in Epic electronic medical records - which may be the only option for audits of older records. Demonstrates proficiency in writing effective appeal letters that include appropriate coding guidelines and medical references. Identifies trends in external audit findings related to coding quality and physician documentation. Prepares educational communications related to these findings. Evaluates physicians' documentation, diagnostic reports, and clinical findings for validation of diagnoses. Processes the requests for second opinion reviews when clinical validity is not supported or in question. May perform additional duties as assigned. Minimum Qualifications: Certification: Certified Coding Specialist / Certified Clinical Documentation Specialist; ACDIS/AHIMA certification, CCDS or CDIP Licensure: Current RN license and eligible to practice in VA Experience: Seven years of recent CDI, DRG validation or coding audit experience in an acute hospital setting with clinician training as RN, BSN, NP, PA or MD; Coding certification CCS and CDI certification CCDS or CDIP Education: Associate Degree in Nursing or Medicine. Preferred Qualifications: Experience: Recent coding experience. Clinical background and coding + denials knowledge. Experience writing denials & appeals. Outpatient and/or inpatient experience. Knowledge to identify clinical indicators (example: sepsis). EPIC experience. Certifications: CCDS Skills: presenting Remote Eligibility: This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV

Inova Mt Vernon Hospital is seeking an experienced Emergency Room RN to join our Emergency Dept. Eligible Nurses will qualify for sign on & relocation bonuses. Full-Time, Night shift (7pm - 7am). During orientation will rotate through all shifts (Days, Mids, and Nights). Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Inova Mount Vernon Hospital is home to the nationally recognized Inova Joint Replacement Center and Inova Rehabilitation Center. Both are ranked among the top orthopedic and rehabilitation programs in the country. It also is the administrative and clinical home for the Inova Wound Healing Center, the region's largest and most experienced. Inova Mount Vernon Hospital has again been awarded a grade of "A" for hospital safety by The Leapfrog Group. We have earned this important recognition every year since 2014. The Veatch Family Emergency Department is a state-of-the-art facility featuring 35 all-private treatment rooms, new “fast track” rooms to treat less serious injuries, improved ambulance access, new cardiac emergency rooms and a specialized pediatric treatment area among its many amenities. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules. Emergency Room Nurse Responsibilities: Provide knowledgeable and caring clinical practice and care coordination through an understanding of patient, family, nurse, and healthcare delivery team. Conduct all patient care in a patient and family-centered manner. Use an integrated approach toward patient outcomes Utilize standards, guidelines, and pathways for care delivery. Minimum Qualifications: Experience: Requires a minimum of one year of Registered Nurse clinical experience in the acute care setting. . Education: BSN from an accredited school of nursing. If RN has an Associates Degree (ADN); must complete BSN within 5 years of start date. License: Must be RN licensed, or eligible to practice in the Commonwealth of Virginia as an RN. Certification: BLS from American Heart Association Proficient in English. Strong verbal and written communication skills. Exceptional interpersonal skills and the ability to display a caring demeanor toward others Proficient computer skills required. Preferred Qualifications: Strongly prefer 2 year plus of ED RN experience. CEN/ACLS certification desired

The CRC Auditor, conducts coding and documentation quality reviews and generates responses for cases that have been denied by commercial and government payors to ensure hospital inpatient, outpatient, and pro-fee claims, were coded and billed in accordance with nationally recognized coding guidelines, standards, regulations and regulatory requirements, as well as payor and billing guidelines. The responses generated by the Auditor may include system documentation of findings and / or a formal appeal letter. The Auditor will escalate trends to CRC leadership, Conifer Quality & Performance leadership and Conifer Compliance as warranted. The Auditor will perform analysis on clinical documentation, evidenced based criteria application outcome, physician documentation, physician advisor input and complete review of the medical record related to clinical denials. Assures appropriate action is taken within appeal time frames. Communicates identified denial trends and patterns to the CRC leadership. Provides expert application of evidence based medical necessity review criteria tool. Works collaboratively to review, evaluate and improve the denial appeal process. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Formulates and submits letters of appeal. Creates an effective appeal utilizing relevant and effective clinical documentation from the medical record; supported by current industry clinical guidelines and coding guidelines, evidence-based medicine, community and national medical management and coding standards and protocols. * Performs reviews of accounts denied for DRG validation and DRG downgrades. * Documents in appropriate denial tracking tool (ACE). Maintains and distributes reports as needed to leadership. * Identifies payment methodology of accounts including Managed Care contract rates, Medicare and State Funded rates, Per-Diems, DRG's, Outlier Payments, and Stop Loss calculations. * Collaborates with Physician Advisors and CRC leadership when documentation-specific areas of concern are identified. * Maintains expertise in clinical areas and current trends in healthcare, inpatient coding and reimbursement methodologies and utilization management specialty areas. 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. * Effectively organizes work priorities * Demonstrates compliance with departmental safety and security policies and practices * Demonstrates critical thinking, analytical skills, and ability to resolve problems * Demonstrates ability to handle multiple assignments and carry out work independently with minimal supervision * Demonstrates quality proficiency by maintaining accuracy at unit standard key performance indicator goals * Possesses excellent written and verbal communication skills * Detail oriented and ability to work independently and in a team setting * Moderate skills in MS Excel and PowerPoint, MS Office * Ability to research difficult coding and documentation issues and follow through to resolution * Ability to work in a virtual setting under minimal supervision * Ability to conduct research regarding state/federal guidelines and applicable regulatory guidelines related to government audit processes 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 Includes minimum education, technical training, and/or experience required to perform the job. Education * Minimum Required: * Completion of BSN Degree Program or three years of experience and completion of BSN within five years of employment * RN License in the State of Practice * Current working knowledge of clinical documentation and inpatient coding, discharge planning, utilization management, case management, performance improvement and managed care reimbursement. * Preferred/Desired: * Completion of BSN Degree Program * CCDS certification or inpatient coding certification Experience * Minimum Required: * Three to Five years Clinical RN Experience * Three to Five years of Clinical Documentation Integrity experience * Must have expertise with Interqual and/or MCG Disease Management Ideologies * Strong communication (verbal/written) and interpersonal skills * Knowledge of CMS regulations * Knowledge of inpatient coding guidelines * 1-2 years of current experience with reimbursement methodologies * Preferred/Desired: * Experience preparing appeals for clinical denials related to DRG assignment. * Strong understanding of rules and guidelines, including AHA's Coding Clinics, American Association of Medical Audit Specialists (AAMAS), National Commission on Insurance Guidelines and Medicare Billing Guidelines (CMS), State Funded Billing Regulations (Arizona, California, Nevada) and grievance process; working knowledge of billing codes such as RBRVS, CPT, ICD-10, HCPCS CERTIFICATES, LICENSES, REGISTRATIONS * Required: * RN, * CCDS or other related clinical documentation specialist certification, and/or AHIMA or AAPC Coding Credential CCS, CCA, CIC, CPC or CPMA * Preferred: BSN 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 15-30lbs * Ability to travel approximately 10% of the time; either to client 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 record quality 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 * Interaction with facility HIM and / or physician advisors * Must meet the requirements of the Conifer Telecommuting Policy and Procedure As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $56,784.00 - $85,176.00 annually. Compensation depends on location, qualifications, and experience. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrued 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. **********

The Transfer Center RN is responsible for coordinating direct admissions and hospital transfers to and from community hospitals with the intent to transfer each patient to an appropriate Tenet hospital. The position works collaboratively to foster relationships with referring facilities, physicians, and hospital staffs in representation of Tenet Healthcare Mission and Values. EDUCATION: Minimum: Education recognized by the State of Florida as qualification for Registered Nurse licensure. Preferred: BSN EXPERIENCE: Minimum of four (4) years clinical experience in an acute care setting, to include Charge Nurse, House Supervisor or other related management experience. REQUIRED CERTIFICATION/LICENSURE/REGISTRATION: Registered Nurse - licensed in the State of Florida. OTHER QUALIFICATIONS: · RN experience in an ER/ Critical Care. · Demonstrated professional leadership skills that include problem resolution capabilities. Demonstrated ability to handle multiple tasks and remain flexible. · Computer literacy in EMR's, Word Processing, and Excel spread sheets. #LI-HB1

Responsible for patient triage, patient education, and assisting physicians in the assessment of patient needs and treatment plan(s). Maintain chart documentation to ensure all information about patient is completed and documented correctly. Education: High School Diploma or equivalent and completion of an accredited nursing program. Experience: 2 years of clinical in a physician office. Certification: Current State RN license and CPR certification. #LI-RF1

HealthTrust Workforce Solution External is seeking a travel nurse RN Electrophysiology Lab for a travel nursing job in Fort Wayne, Indiana. Job Description & Requirements Specialty: Electrophysiology Lab Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: Travel BLS, ACLS, PALS required 7a-7:30p shift 2+ recent experience in EP lab required

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. LTSS RN Case Manager - provide case management to ADULT members LOCATION: Austin, TX and surrounding Central Texas area Hybrid position - 4 days per week for member visits and work from home Monday - Friday: 8 am - 5 pm (CST) Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care. Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations Reviews referrals information and intake assessments to develop appropriate care plans / service plans Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits Acts as liaison and member advocate between the member/family, physician, and facilities/agencies Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4-6 years of related experience Bachelor's degree in Nursing preferred License/Certification: RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required Pay Range: $36.21 - $65.09 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Registered Nurse - House Supervisor Job Type: Full Time Shift: Days 36 hour weeks (Monday - Friday 7 am - 7:30 pm) Brentwood Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Registered Nurse joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute: You'll make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact patient wellbeing. * Manage Scheduling and Staffing for the nursing department, ensure coverage, minimize overtime and agency use, and approve or deny time-off request. * Monitor staff attendance, maintain records of tardiness and absences, and assist the Nurse Manager with payroll. * Provide backup nursing and intake assistance, respond to patient needs, and advocate for patients * Supervise hospital operations when administration is not present, oversee staff performance, and provide coaching and education as needed. * Conduct staff evaluations and deliver disciplinary actions professionally and promptly. * Provide support to the intake department as necessary. Why Join Us: * Health (Medical, Dental, Vision) and 401K Benefits * Flexible spending and health savings accounts * Competitive Paid Time Off * Employee Assistance Program - mental, physical, and financial wellness assistance * Free Parking * Tuition Reimbursement/Assistance for qualified applicants * Membership discounts with local gyms and community businesses * Working with highly engaged staff * Healthy staffing levels * Flexible scheduling * Career growth What we are looking for: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. * Associate's degree in nursing required. * Current Registered Nurse license as required by state regulations in which the facility operates. * 1-year experience in a psychiatric health care facility preferred. * CPR certification is required within 30 days of employment and prior to any patient contact. * De-escalation certification required within 30 days of employment and prior to any patient contact. Connect with a Recruiter: Not ready to complete an application, or have questions? Please contact Cyndi by email: ***************************** More about Brentwood Springs: Brentwood Springs is a 72-bed behavioral health hospital located in Dublin, OH, part of the greater Columbus area. We provide high-quality compassionate care for those facing mental health and addiction challenges. Programs include 24/7 crisis care and assessment, inpatient mental health and addiction treatment, Patrial Hospitalization Programs (PHP) and Intensive Outpatient Programs (IOP) for adults age 18+. EEOC Statement: Brentwood Springs is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law. Apply today! Join us in delivering high-quality care.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care. Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs May identify problems/barriers for care management and appropriate care management interventions for escalated cases Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations Reviews referrals information and intake assessments to develop appropriate care plans/service plans May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness Other duties or responsibilities as assigned by people leader to meet business needs Performs other duties as assigned Complies with all policies and standards Candidates for this role must be based in Michigan. The position supports members in Wayne and Macomb counties and requires approximately 75% travel to member homes, with the remaining time working remotely. Education/Experience: Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 - 6 years of related experience. License/Certification: RN - Registered Nurse - State Licensure and/or Compact State Licensure required. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

HealthTrust Workforce Solution External is seeking a travel nurse RN Med Surg for a travel nursing job in Mooresville, Indiana. Job Description & Requirements Specialty: Med Surg Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: Travel BLS (AHA) required 2+ years recent Med/Surg RN experience required

Registered Nurse Job Type: Full Time Shift: Day or Night 36 hour weeks (12 hour shift 7 - 7:30) People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do! At Community South Rehabilitation Hospital, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As a registered nurse (RN) joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve. Why Choose Us: Health (Medical, Dental, Vision) and 401K Benefits Flexible spending and health savings accounts Competitive Paid Time Off Employee Assistance Program - mental, physical, and financial wellness assistance Free Parking Tuition Reimbursement/Assistance for qualified applicants Membership discounts with local gyms and community businesses Working with highly engaged staff Healthy staffing levels Flexible scheduling Career growth Position Summary: Provides direct patient care to patients using the nursing process in accordance with applicable scope and standards of practice. Performs plan of care intervention, including medication administration, specimen collection, clinical treatments, as well as other medical care treatment. Documents patient care given. Monitors, records, and communicate patient condition as appropriate to care team, physician, patient, and family. Assists patients with performing activities of daily living, including personal hygiene, elimination, nutrition, and ambulation. Collaborates as needed across disciplines to coordinate patient care, including patient transfer, discharge, referral and spiritual/psychosocial support needs. Evaluates learning needs of patient and/or family and provides patient/family education appropriate to age, culture, condition, and circumstances. Works as an advocate for the physical and emotional well-being of the patient. Qualifications: Graduation from an accredited Bachelors of Science in Nursing, Associate Degree in Nursing or Nursing Diploma program. Current state licensure as Registered Nurse. CPR/BCLS certification. ACLS preferred. Excellent oral and written communication and interpersonal skills. EEOC Statement: Community South Rehabilitation Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law. Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country. Apply today! Email your resume and cover letter to Cyndi at: ***************************** or apply online: Search Careers | Lifepoint Health Careers Join us in delivering high-quality care.