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Registered Nurse Case Manager jobs at Community Health Systems

- 172 jobs
  • Care Manager RN

    Community Health Systems 4.5company rating

    Registered nurse case manager job at Community Health Systems

    *** Offering up to a $20,000 Sign-On for eligible Full Time, Registered Nurse candidates! *** Why MountainView Regional Medical Center? We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. Team members across our organization enjoy working in team environments and making a difference in the health and well-being of the patients they serve. Their efforts are rewarded through numerous recognition programs and our affiliates also offer team member benefits, including: Competitive compensation Paid time off plans for vacations, holidays and illness Health insurance, including coverage for medical, dental, vision and prescription drugs 401(k) retirement plan Education & student loan assistance Life and disability insurance Flexible spending accounts About Who We Are We are a 168-bed Joint Commission accredited acute care facility serving Las Cruces and southern New Mexico. A legacy of rich history, culture and natural beauty; Las Cruces remains one of the Southwest's best kept secrets. With a thriving arts scene, a focus on downtown, adjacent national monuments and plenty of Southwest charm, there's always something for you and your family to do or see in Las Cruces. Often recognized nationally as a top place to live and retire, Las Cruces offers a welcoming community. MountainView Regional Medical Center is Las Cruces Strong! Start your new job search here and see why we are ….Proud to be MountainView! Job Summary The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards. Essential Functions Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services. Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues. Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs. Refers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions. Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients. Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning. Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements. Identifies and appropriately refers cases to Child/Adult Protective Services, ensuring compliance with legal and ethical standards. Provides professional assistance to patients, families, and physicians regarding discharge planning and post-hospital care options. Performs other duties as assigned. Complies with all policies and standards. Qualifications Bachelor's Degree in Nursing preferred 2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required 2-4 years of care management experience preferred Knowledge, Skills and Abilities Strong understanding of case management principles, discharge planning, and transitions of care. Knowledge of federal, state, and Joint Commission standards related to case management. Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams. Ability to assess complex situations, identify solutions, and implement care plans efficiently. Proficiency in electronic medical records (EMR) and documentation systems. Strong organizational and time management skills to prioritize tasks in a dynamic environment. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure required BCLS - Basic Life Support required State Specific Requirements Alabama: Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred. New Mexico: Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications preferred.
    $80k-97k yearly est. Auto-Apply 4d ago
  • Registered Nurse Care Manager Full time Weekends

    Community Health System 4.5company rating

    Registered nurse case manager job at Community Health Systems

    Lutheran Hospital Registered Nurse Care Manager Weekend Premium FTE: .8 FTE (32 hours per week) Weekend Premium included (one weekend off per quarter permitted) Shift: days 8a-830p Saturday and Sunday; one 8 hr shift during the week Welcome bonus eligible up to $35,000! Benefits: * Health Insurance (Medical, Dental, Vision) * 401(k) with matching * Student Loan Repayment: Up to $10,000 * Competitive salary and comprehensive benefits package. This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer. The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role is fast paced and involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards. Essential Functions * Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services. * Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues. * Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs. * Refers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions. * Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients. * Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning. * Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements. * Identifies and appropriately refers cases to Child/Adult Protective Services, ensuring compliance with legal and ethical standards. * Provides professional assistance to patients, families, and physicians regarding discharge planning and post-hospital care options. * Performs other duties as assigned. * Maintains regular and reliable attendance. * Complies with all policies and standards. Qualifications * Bachelor's Degree in Nursing preferred * 2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required * 2-4 years of care management experience preferred Knowledge, Skills and Abilities * Strong understanding of case management principles, discharge planning, and transitions of care. * Knowledge of federal, state, and Joint Commission standards related to case management. * Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams. * Ability to assess complex situations, identify solutions, and implement care plans efficiently. * Proficiency in electronic medical records (EMR) and documentation systems. * Strong organizational and time management skills to prioritize tasks in a dynamic environment. Licenses and Certifications * RN - Registered Nurse - State Licensure and/or Compact State Licensure required * BCLS - Basic Life Support required State Specific Requirements * Alabama: Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred. * New Mexico: Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications preferred. Equal opportunity employer
    $10k monthly 19d ago
  • Registered Nurse Case Manager (RN)

    Inova Health 4.5company rating

    Remote

    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.
    $69k-97k yearly est. Auto-Apply 11d ago
  • Registered Nurse Case Manager (RN)

    Inova Health System 4.5company rating

    Remote

    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.
    $69k-97k yearly est. Auto-Apply 60d+ ago
  • Case Manager, Inpatient Rehabilitation

    Lifepoint Hospitals 4.1company rating

    Greenwood, IN jobs

    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."
    $41k-56k yearly est. 60d+ ago
  • Case Manager, PRN, Rehabilitation

    Lifepoint Hospitals 4.1company rating

    Indianapolis, IN jobs

    Case Manager - Rehabilitation IRF Job Type: PRN | Days Your experience matters At Community Rehabilitation Hospital North, 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: * Current Registered Nurse or Social Work licensure or Healthcare professional licensure as Respiratory Therapist, Physical Therapist, Speech Language Pathologist or Occupational Therapist. * Certification in Case Management or Rehabilitation Nursing preferred; for example, Commission for Case Manager Certification (CCM); Association of Rehabilitation Nurses (ARN) certification, American Case Management Association (ACM) or Board Certification in CM by the ANCC e.g.: RN-BC * 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 North 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 North is an Equal Opportunity Employer. Community Rehabilitation Hospital North is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
    $41k-56k yearly est. 32d ago
  • Case Manager, PRN, Inpatient Rehabilitation

    Lifepoint Hospitals 4.1company rating

    Brownsburg, IN jobs

    Case Manager, Inpatient Rehabilitation Job Type: PRN Your experience matters At Community Rehabilitation Hospital West, 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 - Rehabilitation 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 * 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: * Current Registered Nurse or Social Work licensure or Healthcare professional licensure as Respiratory Therapist, Physical Therapist, Speech Language Pathologist or Occupational Therapist. * Certification in Case Management or Rehabilitation Nursing preferred; for example, Commission for Case Manager Certification (CCM); Association of Rehabilitation Nurses (ARN) certification, American Case Management Association (ACM) or Board Certification in CM by the ANCC e.g.: RN-BC * Minimum of 2 years social work or case management experience in an inpatient setting highly preferred; acute/rehabilitation hospital experience preferred. * Must have good organizational skills, time management skills and analytical ability in order to interpret information and carry out duties independently * Must be cooperative and have the desire to be a team player. EEOC Statement "Community Rehabilitation Hospital West is an Equal Opportunity Employer. Community Rehabilitation Hospital West is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
    $41k-56k yearly est. 44d ago
  • Case Manager, Inpatient Rehabilitation

    Lifepoint Hospitals 4.1company rating

    Brownsburg, IN jobs

    Case Manager - Rehabilitation Job Type: Part-Time Your experience matters At Community Rehabilitation Hospital West, 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 - Rehabilitation 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 * 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: * Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. * Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. * Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. * 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. Qualifications and requirements: * Current Registered Nurse or Social Work licensure or Healthcare professional licensure as Respiratory Therapist, Physical Therapist, Speech Language Pathologist or Occupational Therapist. * Certification in Case Management or Rehabilitation Nursing preferred; for example, Commission for Case Manager Certification (CCM); Association of Rehabilitation Nurses (ARN) certification, American Case Management Association (ACM) or Board Certification in CM by the ANCC e.g.: RN-BC * Minimum of 2 years social work or case management experience in an inpatient setting highly preferred; acute/rehabilitation hospital experience preferred. * Must have good organizational skills, time management skills and analytical ability in order to interpret information and carry out duties independently * Must be cooperative and have the desire to be a team player. EEOC Statement "Community Rehabilitation Hospital West is an Equal Opportunity Employer. Community Rehabilitation Hospital West is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
    $41k-56k yearly est. 60d+ ago
  • Behavioral Health Registered Nurse (RN), Transfer Center (Remote)

    Lifepoint Hospitals 4.1company rating

    Louisville, KY jobs

    Your experience matters Lifepoint Health is 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 Behavioral Health Transfer Center 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. More about our team Our Access Point Behavioral Health Transfer Center serves as a centralized hub for coordinating timely and appropriate placement of individuals in need of acute behavioral health care. Operating 24/7, the center streamlines the transfer process by assessing clinical needs, verifying bed availability, and arranging transportation to ensure patients receive the right level of care without delay across 18 locations. Staffed by a team of 31 experienced mental health professionals, including clinicians, nurses, EMTs, and case managers, we serve as a liaison between referring facilities, facilitating over 6,000 transfers per month. Our goal is to reduce waiting times, prevent care gaps, and ensure seamless transitions for patients experiencing mental health or substance use crises. Here you will have the opportunity to work remotely in a dynamic, fast-paced, and mission-driven environment. How you'll contribute A Behavioral Health Transfer Center RN (Remote), who excels in this role: * Screen and coordinate patient admissions and transfers from hospitals and clinics * Use clinical decision-making and approved criteria to ensure the proper level of care * Collaborate with intake teams, physicians, nursing staff, and hospital departments to facilitate timely and appropriate placements * Monitor patient flow, track delays, and help improve access processes for better outcomes * Serve as a key liaison between facilities, patients, families, and providers - ensuring compassionate and efficient service * Navigating referrals submission to final acceptance in critical time (45 minutes) * Ensure compliance with EMTALA, Lifepoint Health policies, and quality standards. * Demonstrates strong clinical judgment, critical thinking, and the ability to multitask in a high-volume setting typing 30-40 wpm * Why join We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: * Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. * Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. * Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. * 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. * Opportunity to impact lives at a critical access point in care * Supportive leadership and career development What we're looking for * Active Compact RN License * 3+ years of clinical experience in Behavioral Health or ED ( EmPath Unit) / Critical Care experience with Behavioral Health patients * High-speed internet access (minimum: 50 Mbps upload / 100 Mbps download) * Excellent communication skills and a commitment to patient-centered care * Demonstrates knowledge of regulatory requirements, EMTALA, Lifepoint Health Ethics and Compliance policies, and quality initiatives. EEOC Statement Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
    $81k-98k yearly est. 4d ago
  • TRA RN and Allied specialties Travel and Local Contracts

    Tenet Healthcare 4.5company rating

    Remote

    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.
    $107k-134k yearly est. Auto-Apply 60d+ ago
  • Registered Nurse (RN) Clinical Documentation Denials Auditor

    Inova Health 4.5company rating

    Remote

    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: Registered Nurse Upon Start Current RN license and eligible to practice in VA or MD 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
    $57k-90k yearly est. Auto-Apply 21d ago
  • Registered Nurse (RN) Clinical Documentation Denials Auditor

    Inova Health System 4.5company rating

    Remote

    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: Registered Nurse Upon Start Current RN license and eligible to practice in VA or MD 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
    $57k-90k yearly est. Auto-Apply 21d ago
  • Registered Nurse (RN) Emergency

    Inova Health 4.5company rating

    Remote

    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
    $52k-96k yearly est. Auto-Apply 19d ago
  • Outpatient Registered Nurse (RN) - OBGYN

    Inova Health 4.5company rating

    Remote

    Inova Cares for Women - Dumfries/Fettler Park is looking for a dedicated Outpatient Registered Nurse (RN) to join the team. This role will be full time day shift from Monday - Friday, 8:00am - 5:00pm. Join Inova's Community Health Division - a mission driven team dedicated to reducing disparities, expanding access, and delivering exceptional care to our most vulnerable populations. This is your opportunity to make a meaningful impact where it matters most. 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. Outpatient Registered Nurse (RN) Job Responsibilities: Performs essential duties necessary to clinic or non-acute operations to include: Full Intakes Reconciliation of Medications Patient Education Vaccinations/Injections/Phlebotomy Provides safe/therapeutic care in a holistic and systematic way in a physician practice or other outpatient setting. Incorporates differences into the provision of care while integrating knowledge, skills and experiences to meet the needs of patients and families to include patient and family education. Achieves desired patient outcomes by using an integrated approach. Incorporates data and information to improve care and enhances outcomes while ensuring improvements in practice settings. Provides direction and guidance to others regarding practice while serving as a resource, preceptor and mentor. Ensures efficiency in the delivery of care. Determines immediate priorities and offers solutions for problems. Works with the team to achieve maximum productivity. Makes independent clinical decisions based on knowledge drawn from education and experience. 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. Licensure: RN licensed, or eligible to practice in the Commonwealth of Virginia as a Registered Nurse. Experience: 0 years of experience Certification: BLS from the American Heart Association. Preferred Qualifications: 1-2 years of RN experience in Labor & Delivery
    $52k-96k yearly est. Auto-Apply 13h ago
  • RN DRG Coding Auditor - Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    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. **********
    $56.8k-85.2k yearly 24d ago
  • Registered Nurse (RN) - Transfer Center

    Tenet Healthcare 4.5company rating

    Remote

    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
    $25k-76k yearly est. Auto-Apply 2d ago
  • Registered Nurse (RN), Rehabilitation

    Lifepoint Hospitals 4.1company rating

    Greenwood, IN jobs

    Registered Nurse Job Type: Full Time Shift: Day 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.
    $78k-102k yearly est. Easy Apply 24d ago
  • RN Intermediate Care IMC

    HCA 4.5company rating

    Terre Haute, IN jobs

    Introduction Terre Haute Regional Hospital is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for RN Intermediate Care IMC position and spend more time at the bedside with the patient. Benefits Terre Haute Regional Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: * Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. * Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. * Free counseling services and resources for emotional, physical and financial wellbeing * 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) * Employee Stock Purchase Plan with 10% off HCA Healthcare stock * Family support through fertility and family building benefits with Progyny and adoption assistance. * Referral services for child, elder and pet care, home and auto repair, event planning and more * Consumer discounts through Abenity and Consumer Discounts * Retirement readiness, rollover assistance services and preferred banking partnerships * Education assistance (tuition, student loan, certification support, dependent scholarships) * Colleague recognition program * Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) * Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. You contribute to our success let us contribute to yours! Whether you choose to focus on bedside care, a leadership or C-suite role, shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Terre Haute Regional Hospital! Job Summary and Qualifications The Progressive Care Registered Nurse coordinates and delivers high quality, patient-centered care. In collaboration with medical providers, the RN provides pre-operative and post-operative nursing care. The RN serves as an advocate for patients to support an unparalleled patient experience. What you will do in this role: * Assess patient condition during admission and during each shift, identifying and reporting any changes in patient status. * Perform procedures or other functions as ordered by the medical provider. * Document the administration of care in the patient medical record in a timely and thorough manner. * Perform the administration of prescribed medications and monitors response. * Maintain a knowledge of medications, procedures, and equipment used in the care of cardiac and medical-surgical patients. What qualifications you will need: * Advanced Cardiac Life Spt must be obtained within 60 months of employment start date * Basic Cardiac Life Support must be obtained within 30 days of employment start date * NIH Stroke Scale must be obtained within 60 months of employment start date * Registered Nurse * Associate Degree Terre Haute Regional Hospital has provided quality healthcare services since 1882. We give patients access to trained physicians and advanced technology. Our 275+ bed hospital is a leading acute care facilities in Indiana. Terre Haute is the only full-service hospital in the area accredited by The Joint Commission. We have provided quality care to the Wabash Valley community for 135 years. Services include the region's only Level-II trauma center, cardiovascular services--including open-heart surgery and cardiac catheterization; oncology services, which include radiation therapy and outpatient infusion; labor and delivery, including a neonatal intensive care unit; an inpatient behavioral health unit; and other specialized inpatient areas, including intensive care and inpatient rehabilitation units. At Terre Haute Regional Hospital, our care like family culture extends to our patients, people and our community. We are committed to each other. When we join together, our patients are cared for in the safest and most compassionate way. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Across HCA Healthcare's more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare. Together, we uplift and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive Join a family that cares about every stage in your career! We are interviewing candidates for our RN Intermediate Care IMC opening. Apply today and a member of our Talent Acquisition team will reach out. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $14k-50k yearly est. 35d ago
  • New Grad RN Medical Unit

    HCA 4.5company rating

    Terre Haute, IN jobs

    Introduction Do you want to join an organization that invests in you? At Terre Haute Regional Hospital, you come first! HCA Healthcare is committed to the growth and development of our future nurses! Benefits We offer a total rewards package to support your health, life, career and retirement. Some available plans and programs include: * Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services * Wellbeing support, including free counseling and referral services * Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence * Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling * Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing * Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for some benefits may vary by location. Job Summary and Qualifications The New Graduate RN coordinates and delivers high quality, patient-centered care in accordance with the nature and specific requirements of the department, and consistent with the scope and standards of practice for the relevant state and specialty. In collaboration with medical providers and other members of the care team, the RN Resident provides individualized, comprehensive, and compassionate care using established nursing models such as "Assess, Perform, Teach, and Manage." The New Graduate RN serves as an advocate for patients, families and caregivers to support an unparalleled patient experience. What will you do in this role: * Assess patient condition during admission and during each shift as scheduled, identifying and reporting any changes in patient status. * Perform procedures, monitoring, or other functions as ordered by the medical provider(s). Document the administration of care in the patient medical record in a timely and thorough manner. * Perform the administration of prescribed medications. Monitor patient for therapeutic response. Notify provider and intervene as appropriate in the event of an unintended response to medication. * Perform exceptional care by responding promptly to patient requests. Strive to anticipate patient needs and resolve them proactively. * Teach patients, families and caregivers about patient medical condition, patient status, treatment plan, medications and possible side effects, and follow-up measures. Translates complex medical terminology to ensure complete understanding. What qualifications you will need: * Basic Cardiac Life Support (BLS) obtained within 30 days of employment * Advanced Cardiac Life Support (ACLS) obtained within 1 year of employment * Other Certifications maybe required during employment * Associate or Bachelor's degree in Nursing * Registered Nurse License or Graduate Nurse in the State * No previous experience needed * Some travel maybe needed for training Terre Haute Regional Hospital has provided quality healthcare services since 1882. We give patients access to trained physicians and advanced technology. Our 275+ bed hospital is a leading acute care facilities in Indiana. Terre Haute is the only full-service hospital in the area accredited by The Joint Commission. We have provided quality care to the Wabash Valley community for 135 years. Services include the region's only Level-II trauma center, cardiovascular services--including open-heart surgery and cardiac catheterization; oncology services, which include radiation therapy and outpatient infusion; labor and delivery, including a neonatal intensive care unit; an inpatient behavioral health unit; and other specialized inpatient areas, including intensive care and inpatient rehabilitation units. At Terre Haute Regional Hospital, our care like family culture extends to our patients, people and our community. We are committed to each other. When we join together, our patients are cared for in the safest and most compassionate way. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Bricks and mortar do not make a hospital. People do." * Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Terre Haute Regional Hospital family! We will provide you with the tools and resources you need to succeed in our organization. If you are looking for an opportunity that provides satisfaction and personal growth, we promptly review all applications. Unlock the possibilities and apply today! We are an equal-opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $14k-50k yearly est. 35d ago
  • RN Labor and Delivery

    HCA 4.5company rating

    Terre Haute, IN jobs

    Introduction Do you have the career opportunities as a RN Labor and Delivery you want in your current role? We invest in what matters most to nurses like you - at home, at work, and at every stage in your career. We have an exciting opportunity for you to join Terre Haute Regional Hospital which is a part of the nation's leading provider of healthcare services, HCA Healthcare. Do you want to work where you have a voice? Nurses are at the forefront of our commitment to the care and improvement of human life. At HCA Healthcare, there are many ways for nurses to have a voice through professional practice councils, advisory councils, vital voices surveys, and units of distinction. We learn from our multi-generational nursing family. We partner with our Nurses at Terre Haute Regional Hospital! Job Summary and Qualifications Terre Haute Regional Hospital is seeking compassionate team player to join our amazing Women's and Children unit as a Labor and Delivery RN. As part of the Labor & Delivery Team, you will be required to plan, assess, implement, and evaluate ongoing delivery of care for Labor and Anti and Post-Partum patients while assisting management/charge nurse with responsibilities as needed. Be part of an organization that invests in you, submit your application and help us raise the bar in patient care!You will demonstrate ability to perform maternal and fetal assessment and provides appropriate interventions.As a member of our team you will monitor OB/anesthesia/analgesia and use appropriate interventions for OB pain management.Some key responsibilities for you in this role will be to circulate for and recover C-Sections, demonstrate support for Lactation Services and initiate and document patent teaching.Members of our team actively participate in the orientation of new personnel and have willingness to identify or assume activities relative to the developmental needs of unit and the nursing department.RequirementsGraduate from an accredited school of nursing with current licensure by the Indiana State Board of Nursing as a Registered Professional Nurse or active Compact State RN licensure.BLS certification upon hire and maintained throughout employment with Terre Haute Regional HospitalACLS and NRP certification within six months of hire and must be maintained throughout employment with Terre Haute Regional HospitalAWHONN fetal monitoring certification within one year of hire Prior OB/Pediatric experience and STABLE certification preferred Benefits Terre Haute Regional Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: * Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services * Wellbeing support, including free counseling and referral services * Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence * Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling * Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing * Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. "Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Terre Haute Regional Hospital has provided quality healthcare services since 1882. We give patients access to trained physicians and advanced technology. Our 275+ bed hospital is a leading acute care facilities in Indiana. Terre Haute is the only full-service hospital in the area accredited by The Joint Commission. We have provided quality care to the Wabash Valley community for 135 years. Services include the region's only Level-II trauma center, cardiovascular services--including open-heart surgery and cardiac catheterization; oncology services, which include radiation therapy and outpatient infusion; labor and delivery, including a neonatal intensive care unit; an inpatient behavioral health unit; and other specialized inpatient areas, including intensive care and inpatient rehabilitation units. At Terre Haute Regional Hospital, our care like family culture extends to our patients, people and our community. We are committed to each other. When we join together, our patients are cared for in the safest and most compassionate way. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. If this opportunity is your next step in your career path, we encourage you to apply for our RN Labor and Delivery opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $14k-50k yearly est. 35d ago

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