Health Care Coordinator jobs at Humana

- 9525 jobs

Care Manager, Telephonic Behavioral Health
Humana 4.8
Health care coordinator job at Humana
Become a part of our caring community and help us put health first The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate for assigned beneficiaries receiving care under the Autism Care Demonstration (ACD). The ASN (Autism Care Navigator) collaborates and oversees the assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's comprehensive health needs through communication and available resources to promote quality, cost-effective outcomes. Coordinate medical, behavioral and other services for beneficiaries with a primary diagnosis of ASD, as defined by the ACD. The Telephonic Care Manager (Autism Care Navigator) serves as a Humana Military liaison to TRICARE beneficiaries, providers and others involved in the care planning for beneficiaries receiving services under the TRICARE program. Role Responsibilities Serves as primary advocate for beneficiary & family collaborating with other CMs to coordinate care activities; conduct assessment for development of comprehensive care plan (CCP); update CCP at least every 6 months; notify & provide copy of CCP to providers & parents/caregivers; ensure all baseline measures are completed as required by ACD policy; collect outcome measures as defined by ACD policy, provide outcome measure data to respective providers; serve as POC for MTF CMs. Perform telephonic care management with beneficiaries throughout the East region with a focus of coordination of services for any treatment pertaining to ASD. Assess the needs of identified beneficiaries and collaborate with providers, caregivers/guardians and others as necessary to ensure treatment is initiated and any barriers are addressed. Assess the needs of the family and determine necessary resources to include but not limited to educational programs, community resources, educational materials, and support groups. Participate in care management and coordination of services in an effective and efficient manner in accordance with Medical Management policies and procedures. Utilize Motivational Interviewing and solution-oriented approaches in communication. Work collaboratively with stakeholders across the Enterprise to provide consultative assistance, coordination of services, and participate in integrated care plan meetings as appropriate. Develop comprehensive care plans in collaboration with identified stakeholders when appropriate. Provide professional and courteous service to all callers and work to resolve any complaint or issue to their satisfaction when possible. Participates in Coordinated Team Conferences; includes medical team conferences involving three or more providers rendering care to beneficiaries with ASD under the ACD. The conversation should revolve around coordination of services and ensuring goals are appropriate and not in conflict to the treatment plans by any other services received by the beneficiary. Team conferences for complex beneficiaries with ASD and other co-occurring conditions that impact services being successful in the management of ASD. Ensures providers comply with attendance and policies outlined in the TOM for conferences. Serve as meeting facilitator, created documented summary of meeting minutes and share copy with stakeholders. Actively communicate with other ASNs and/or facilitate continuity of care to ensure care transition with beneficiary relocations (regions and or markets). Assist family in identifying local & or other resources that could benefit the beneficiary to include Respite care for ADFMs. Monitor ECHO registration and EFMP enrollment for beneficiaries with qualifying diagnosis, ensuring required documentation is received. Maintain provisional list to ensure completion of required application process. Follow beneficiary to ensure coordination and approval of services. Assess the needs of identified beneficiaries and work collaboratively to ensure care coordination assistance. Ensure data is entered accurately and monitor report to make any necessary corrections so that reporting is accurate. Use your skills to make an impact Required Qualifications The Telephonic Care Manager (Autism Care Navigator) must meet ONE of the following license requirements: A current, valid, and unrestricted license to include: Licensed Clinical Social Worker (LCSW), Licensed Masters Social Worker (LMSW-ACP), Clinical Psychologist with; Clinical experience in: pediatrics, behavioral health, and/or ASD; a healthcare environment; and proven care management experience An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, this must be obtained within the first year of hire Minimum of 1 year of post-degree clinical experience in private practice or other patient care Minimum of 1 year of managed care experience OR A current, valid, and unrestricted license as a Mental Health (MH) Professional to include: Licensed Professional Counselor (LPC), Licensed Clinical Marriage and Family Therapist (LCMFT), Licensed Mental Health Counselor (LMHC) with; Clinical experience in: pediatrics, behavioral health, and/or ASD; a healthcare environment; and proven care management experience An active designation as a Certified Care Manager (CCM) Minimum of 1 year of post-degree clinical experience in private practice or other patient care Minimum of 1 year of managed care experience OR A current, valid, and unrestricted nursing license to include: Registered Nurse (R.N.) with; Must have clinical experience in: pediatrics, behavioral health, and/or ASD; a healthcare environment; and proven care management experience Minimum of 3 years of clinical nursing experience Minimum of 1 year of managed care and case management experience An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, this must be obtained within the first year of hire The Telephonic Care Manager (Autism Care Navigator) must meet ALL of the following requirements: Our Department of Defense Contract requires U.S. citizenship for this position Successfully receive interim approval for government security clearance (eQIP - Electronic Questionnaire for Investigation Processing) HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico. Proficiency in Microsoft Office programs specifically; Word, Excel and Outlook Skilled in written and verbal communications Ability to handle high volume of calls and customer contacts in a polite and professional manner Ability to handle multiple projects simultaneously and to prioritize appropriately Preferred Qualifications Prior experience with the TRICARE Autism Care Demonstration Knowledge of and experience with applied behavior analysis and integrated care needs for those with autism Direct or Indirect Military experience a plus Extensive analytical skills Bilingual a plus Work at Home/Remote Requirements: To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Work Days/Hours: Monday - Friday; must be able to work an 8 hour shift between 8:00 a.m. - 7 p.m. EST Training/Training Hours: Mandatory for the first 4 - 6 weeks; 8:00 a.m. - 5:00 p.m. EST Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $59,300 - $80,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$59.3k-80.9k yearly Auto-Apply 5d ago
Radiology Coordinator - Urgent Care
Middlesex Health 4.7
Essex, CT jobs
Highlights Department: Urgent Care Middletown Hours: 38.00 per week Shift: Shift 1 The Radiology Coordinator supervises, coordinates and oversees the daily operations, workflow, customer service and quality control of imaging services within the Urgent Care modality. Essential Duties & Responsibilities Provides patient care essential to imaging procedures. Exercises professional judgment in the performance of procedures and in accordance with the health system policies, protocols and standards. Function as a Medical Assistant to room patients; obtain vitals, reconcile medications, and interview patients to identify chief complaints. Provides a high level of expertise to mentor staff/students and problem solving. Perform regular QC checks and coordinate machine maintenance as needed. Perform regular QA checks for each technician. Provide coaching and additional training when necessary. Address and record any errors or incidents with technicians. Acts as liaison between the Radiology Department and Urgent Care clinics to ensure up to date practice for all techs. Using initiative, good judgment and technical expertise to perform a wide-range of imaging procedures. Acts as a positive role model/mentor for staff and students in demonstrating good behaviors, interpersonal relations and promotes a high degree of morale. Applies the principles of teamwork in all aspects of providing patient services. Minimum Qualifications Graduate of a JRCERT accredited Radiography program. ARRT Certification/Eligible in good standing State of Connecticut License/Eligible High School Diploma or GED equivalent Preferred Qualifications Three to five years experience as Registered Radiologic Technologist (ARRT, RDMS, NMTCB etc) required. One to three years leadership experience including coaching and counseling staff, and developing staff schedules. Bachelor degree or equivalent experience preferred. Demonstrated high level of technical expertise and competency in two or more imaging modalities. Demonstrated good communication skills (oral and written) with the ability to interact positively with all levels of health care workers and guests required. Demonstrated good organizational skills with the ability to handle several tasks/projects simultaneously required. Demonstrated good judgment and problem solving skills with the ability to function independently and make decisions required. Demonstrated flexibility, teamwork and the ability to build consensus required. Computer skills including word processing and spreadsheets preferred. Comprehensive Benefits Offered Competitive and affordable benefits package Shift Differentials Continuing Education assistance Tuition reimbursement Student Loan relief through Fiducius Quick commute access from I-84, Route 9 and surrounding areas About Middlesex Health The Smarter Choice for your Career! Come join one of Connecticut's Top Workplaces, and a Magnet designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.
$36k-43k yearly est. 3d ago
Radiology Coordinator - Urgent Care
Middlesex Health 4.7
Westbrook, CT jobs
Highlights Department: Urgent Care Middletown Hours: 38.00 per week Shift: Shift 1 The Radiology Coordinator supervises, coordinates and oversees the daily operations, workflow, customer service and quality control of imaging services within the Urgent Care modality. Essential Duties & Responsibilities Provides patient care essential to imaging procedures. Exercises professional judgment in the performance of procedures and in accordance with the health system policies, protocols and standards. Function as a Medical Assistant to room patients; obtain vitals, reconcile medications, and interview patients to identify chief complaints. Provides a high level of expertise to mentor staff/students and problem solving. Perform regular QC checks and coordinate machine maintenance as needed. Perform regular QA checks for each technician. Provide coaching and additional training when necessary. Address and record any errors or incidents with technicians. Acts as liaison between the Radiology Department and Urgent Care clinics to ensure up to date practice for all techs. Using initiative, good judgment and technical expertise to perform a wide-range of imaging procedures. Acts as a positive role model/mentor for staff and students in demonstrating good behaviors, interpersonal relations and promotes a high degree of morale. Applies the principles of teamwork in all aspects of providing patient services. Minimum Qualifications Graduate of a JRCERT accredited Radiography program. ARRT Certification/Eligible in good standing State of Connecticut License/Eligible High School Diploma or GED equivalent Preferred Qualifications Three to five years experience as Registered Radiologic Technologist (ARRT, RDMS, NMTCB etc) required. One to three years leadership experience including coaching and counseling staff, and developing staff schedules. Bachelor degree or equivalent experience preferred. Demonstrated high level of technical expertise and competency in two or more imaging modalities. Demonstrated good communication skills (oral and written) with the ability to interact positively with all levels of health care workers and guests required. Demonstrated good organizational skills with the ability to handle several tasks/projects simultaneously required. Demonstrated good judgment and problem solving skills with the ability to function independently and make decisions required. Demonstrated flexibility, teamwork and the ability to build consensus required. Computer skills including word processing and spreadsheets preferred. Comprehensive Benefits Offered Competitive and affordable benefits package Shift Differentials Continuing Education assistance Tuition reimbursement Student Loan relief through Fiducius Quick commute access from I-84, Route 9 and surrounding areas About Middlesex Health The Smarter Choice for your Career! Come join one of Connecticut's Top Workplaces, and a Magnet designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.
$41k-49k yearly est. 3d ago
Radiology Coordinator - Urgent Care
Middlesex Health 4.7
Chester, CT jobs
Highlights Department: Urgent Care Middletown Hours: 38.00 per week Shift: Shift 1 The Radiology Coordinator supervises, coordinates and oversees the daily operations, workflow, customer service and quality control of imaging services within the Urgent Care modality. Essential Duties & Responsibilities Provides patient care essential to imaging procedures. Exercises professional judgment in the performance of procedures and in accordance with the health system policies, protocols and standards. Function as a Medical Assistant to room patients; obtain vitals, reconcile medications, and interview patients to identify chief complaints. Provides a high level of expertise to mentor staff/students and problem solving. Perform regular QC checks and coordinate machine maintenance as needed. Perform regular QA checks for each technician. Provide coaching and additional training when necessary. Address and record any errors or incidents with technicians. Acts as liaison between the Radiology Department and Urgent Care clinics to ensure up to date practice for all techs. Using initiative, good judgment and technical expertise to perform a wide-range of imaging procedures. Acts as a positive role model/mentor for staff and students in demonstrating good behaviors, interpersonal relations and promotes a high degree of morale. Applies the principles of teamwork in all aspects of providing patient services. Minimum Qualifications Graduate of a JRCERT accredited Radiography program. ARRT Certification/Eligible in good standing State of Connecticut License/Eligible High School Diploma or GED equivalent Preferred Qualifications Three to five years experience as Registered Radiologic Technologist (ARRT, RDMS, NMTCB etc) required. One to three years leadership experience including coaching and counseling staff, and developing staff schedules. Bachelor degree or equivalent experience preferred. Demonstrated high level of technical expertise and competency in two or more imaging modalities. Demonstrated good communication skills (oral and written) with the ability to interact positively with all levels of health care workers and guests required. Demonstrated good organizational skills with the ability to handle several tasks/projects simultaneously required. Demonstrated good judgment and problem solving skills with the ability to function independently and make decisions required. Demonstrated flexibility, teamwork and the ability to build consensus required. Computer skills including word processing and spreadsheets preferred. Comprehensive Benefits Offered Competitive and affordable benefits package Shift Differentials Continuing Education assistance Tuition reimbursement Student Loan relief through Fiducius Quick commute access from I-84, Route 9 and surrounding areas About Middlesex Health The Smarter Choice for your Career! Come join one of Connecticut's Top Workplaces, and a Magnet designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.
$38k-45k yearly est. 3d ago
Radiology Coordinator - Urgent Care
Middlesex Health 4.7
New London, CT jobs
Highlights Department: Urgent Care Middletown Hours: 38.00 per week Shift: Shift 1 The Radiology Coordinator supervises, coordinates and oversees the daily operations, workflow, customer service and quality control of imaging services within the Urgent Care modality. Essential Duties & Responsibilities Provides patient care essential to imaging procedures. Exercises professional judgment in the performance of procedures and in accordance with the health system policies, protocols and standards. Function as a Medical Assistant to room patients; obtain vitals, reconcile medications, and interview patients to identify chief complaints. Provides a high level of expertise to mentor staff/students and problem solving. Perform regular QC checks and coordinate machine maintenance as needed. Perform regular QA checks for each technician. Provide coaching and additional training when necessary. Address and record any errors or incidents with technicians. Acts as liaison between the Radiology Department and Urgent Care clinics to ensure up to date practice for all techs. Using initiative, good judgment and technical expertise to perform a wide-range of imaging procedures. Acts as a positive role model/mentor for staff and students in demonstrating good behaviors, interpersonal relations and promotes a high degree of morale. Applies the principles of teamwork in all aspects of providing patient services. Minimum Qualifications Graduate of a JRCERT accredited Radiography program. ARRT Certification/Eligible in good standing State of Connecticut License/Eligible High School Diploma or GED equivalent Preferred Qualifications Three to five years experience as Registered Radiologic Technologist (ARRT, RDMS, NMTCB etc) required. One to three years leadership experience including coaching and counseling staff, and developing staff schedules. Bachelor degree or equivalent experience preferred. Demonstrated high level of technical expertise and competency in two or more imaging modalities. Demonstrated good communication skills (oral and written) with the ability to interact positively with all levels of health care workers and guests required. Demonstrated good organizational skills with the ability to handle several tasks/projects simultaneously required. Demonstrated good judgment and problem solving skills with the ability to function independently and make decisions required. Demonstrated flexibility, teamwork and the ability to build consensus required. Computer skills including word processing and spreadsheets preferred. Comprehensive Benefits Offered Competitive and affordable benefits package Shift Differentials Continuing Education assistance Tuition reimbursement Student Loan relief through Fiducius Quick commute access from I-84, Route 9 and surrounding areas About Middlesex Health The Smarter Choice for your Career! Come join one of Connecticut's Top Workplaces, and a Magnet designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.
$26k-30k yearly est. 3d ago
Clinical Coordinator (RN), Advanced Care Unit
Clark Regional Medical Center 4.0
Winchester, KY jobs
Clark Regional Medical Center Clinical Coordinator (RN), Advanced Care Unit Job Type: Full Time |Nights 10k Sign On Bonus Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Clark Regional Medical Center is a 79 bed community hospital featuring updated technology including new and expanded services such as Diagnostic Services, larger capacity Emergency Services, home-like Labor and Delivery Suites, and a skilled nursing facility. The campus also includes a 45,000 square foot Medical Plaza housing the Clark Clinic, Diagnostic Center for Women, Center for Rehabilitation, Specialty Clinic and Anticoagulation Clinic. Where We Are: Winchester offers a truly original experience to all with so much to do and see. Just a short drive from Lexington, the "Horse Capital of the World," and the Red River Gorge, you can experience all the beauty and excitement nature has to offer. Why Choose Us: Health (Medical, Dental, Vision) and 401K Benefits Competitive Paid Time Off Employee Assistance Program - mental, physical, and financial wellness assistance Tuition Reimbursement/Assistance for qualified applicants Free Parking Membership discounts with local gyms and community businesses And much more... Position Summary: A Clinical Coordinator assists with the daily coordination of personnel and resources within the scope of assignment. Acts as the liaison between the nursing departments and all of the ancillary departments to promote continuity of care, optimal patient outcomes, patient satisfaction, cost efficiency and compliance. Coordinates staff scheduling, educational/development activities, and performance evaluations. Identifies and resolves issues affecting the delivery of clinical services. Performs quality assurance studies and assists with implementation of QA/QI initiatives. Serves as a resource to staff and external contacts on issues related to patient care, patient flow and clinical standards, policies and procedures. Monitors departmental compliance with applicable requirements, including accreditation, legal, and The Joint Commission. Will assume required call for department when scheduled. Call will be split between other Clinical Coordinators during scheduling period. Minimum Qualifications: Associates Degree in Nursing, required Bachelor's Degree in Nursing, preferred KY RN state licensure or compact licensure, required Certifications: BLS, ACLS, PALS; within 7 days of hire Handle with care within 30 days of hire Prefer National Certification in area of specialty or within 2 years of hire date EEOC Statement: Clark Regional Medical Center 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.
$38k-47k yearly est. 3d ago
MDS Coordinator, RN
Lebanon Center 3.5
Lebanon, NH jobs
Overview: Lebanon Center Has A Full-Time RN Clinical Reimbursement Coordinator (MDS) Opportunity!*Bonus Eligible* Competitive Wages and Opportunity for Internal Advancement! At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve. Responsibilities: In this role, you will play a key role in meeting Genesis business objectives by ensuring the appropriate reimbursement for patient care services. You will participate in the Patient Assessment Process through completion of items on the MDS and the accompanying Care Area Assessments (CAAs). Assist in the development individualized patient care plans, identify patient needs and projected outcomes as required by Federal and State regulations. Contribute to the nursing center interdisciplinary Resident Assessment Instrument (RAI) process while following RAI guidelines for completion, computer encoding and electronic transmission of the MDS. Identify changes in patient condition in conjunction with the interdisciplinary team and coordinate scheduling and completion of indicated assessments. Assist with Activities of Daily Living training for new hires and through ongoing continuing education to existing staff. Attend educational programs to maintain knowledge with current RAI/Prospective Payment System regulations. Qualifications: *Must be a Registered Nurse currently licensed by the state and in good standing. *Previous experience in a hospital, long-term facility, or other healthcare related facility is required. *Prior experience completing MDSs and Care Plans is required *Must be knowledgeable of general, rehabilitative and restorative nursing and medical practices and procedures and laws, regulations and guidelines governing long-term care. Benefits: *Variable compensation plans *Tuition, Travel, and Wireless Service Discounts *Employee Assistance Program to support mental health *Employee Foundation to financially assist through unforeseen hardships *Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off We also offer several voluntary insurances such as: *Pet Insurance *Term and Whole Life Insurance *Short-term Disability *Hospital Indemnity *Personal Accident *Critical Illness *Cancer Coverage Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.Posted Salary Range: USD $44.00 - USD $48.50 /Hr. Bonus: USD $5,000.00
$44-48.5 hourly 5d ago
MDS Coordinator
Touchstone Communities 4.1
Killeen, TX jobs
HARKER HEIGHTS NURSING AND REHAB CENTER RN or LVN MDS Coordinator - Make an Impact in Skilled Nursing & Reimbursement! Are you an RN or LVN with MDS experience looking for a rewarding career in a skilled nursing facility? Do you have a passion for accuracy, compliance, and maximizing reimbursement while ensuring residents receive the highest quality care? If so, we want YOU to join our team at Harker Heights! As a MDS Coordinator, you'll play a critical role in the success of our community by overseeing the MDS assessment and reimbursement process, ensuring we continue to provide exceptional care while maintaining financial and regulatory excellence. What You'll Do: Lead the MDS process to ensure accurate and timely assessments for Medicare, Medicaid, and case management reimbursement. Work closely with clinical and financial teams to optimize reimbursement and compliance. Stay up to date on state and federal regulations related to RAI and reimbursement. Collaborate with interdisciplinary teams to develop individualized care plans that meet residents' needs. Ensure accuracy in documentation, assessments, and coding to support high-quality resident outcomes. What You Bring: Active Texas RN OR LVN license (or valid Compact State RN/LVN license). Strong understanding of the Medicare, Medicaid, and case management reimbursement system. Experience in Skilled Nursing Facilities (SNF) as an MDS Nurse preferred. Knowledge of state and federal regulations related to RAI and reimbursement. Detail-oriented mindset with excellent organizational and communication skills. What's in It for YOU? A workplace where your voice matters-your expertise is valued! Competitive compensation + paycheck advances for financial flexibility. Tuition reimbursement-invest in your professional growth. 401(k) matching-plan for your future with confidence. Paid Time Off (PTO)-start accruing from day one! Bonus opportunities-we recognize and reward your hard work. Touchstone Emergency Assistance Foundation Grants-support when you need it most. Make Lives Better - Be Part of Something Meaningful! We believe that MDS Nurses play a vital role in ensuring quality care and financial sustainability. If you're looking for a career with purpose, where your expertise directly impacts residents and the success of our community, we invite you to apply today and become a part of Team Touchstone! Apply now and take the next step in your MDS career!
$64k-80k yearly est. 5d ago
MDS Coordinator, RN
River City Center 4.1
Decatur, AL jobs
Overview: M-f 8:30AM-5PMNo on call required At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve. Responsibilities: In this role, you will play a key role in meeting Genesis business objectives by ensuring the appropriate reimbursement for patient care services. You will participate in the Patient Assessment Process through completion of items on the MDS and the accompanying Care Area Assessments (CAAs). Assist in the development individualized patient care plans, identify patient needs and projected outcomes as required by Federal and State regulations. Contribute to the nursing center interdisciplinary Resident Assessment Instrument (RAI) process while following RAI guidelines for completion, computer encoding and electronic transmission of the MDS. Identify changes in patient condition in conjunction with the interdisciplinary team and coordinate scheduling and completion of indicated assessments. Assist with Activities of Daily Living training for new hires and through ongoing continuing education to existing staff. Attend educational programs to maintain knowledge with current RAI/Prospective Payment System regulations. Qualifications: *Must be a Registered Nurse currently licensed by the state and in good standing. *Previous experience in a hospital, long-term facility, or other healthcare related facility is required. *Prior experience completing MDSs and Care Plans is required *Must be knowledgeable of general, rehabilitative and restorative nursing and medical practices and procedures and laws, regulations and guidelines governing long-term care. Benefits: *Variable compensation plans *Tuition, Travel, and Wireless Service Discounts *Employee Assistance Program to support mental health *Employee Foundation to financially assist through unforeseen hardships *Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off *Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members *On-Demand Pay Program that allows for instant access to a portion of the money you've already earned We also offer several voluntary insurances such as: *Pet Insurance *Term and Whole Life Insurance *Short-term Disability *Hospital Indemnity *Personal Accident *Critical Illness *Cancer Coverage Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service. Posted Salary Range: USD $36.00 - USD $39.00 /Hr.
$36-39 hourly 3d ago
Transplant/LVAD Evaluation Coordinator
Piedmont Healthcare Inc. 4.1
Atlanta, GA jobs
Responsibilities: RESPONSIBLE FOR: Participates in the development, implementation, and maintenance of the left ventricular assist device (LVAD) program and the heart transplant program; to coordinate and manage the patient care of this high-risk patient population throughout the continuum. Qualifications: MINIMUM EDUCATION REQUIRED: Graduate from a Registered Nurse Program. MINIMUM EXPERIENCE REQUIRED: Two (2) years of professional clinical experience required. MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: Current License in the State of Georgia as a Registered Nurse or NLC/eNLC Multistate License. BLS and ACLS certification required. ADDITIONAL QUALIFICATIONS: Cardiovascular focus experience preferred. One (1) year experience caring for LVAD patients and heart transplant patients preferred. Leadership qualities including time management, verbal and good written communication skills, listening skills, decision making, priority setting and work organization skills. Must be self-directed and use independent judgment. Effective communication skills and team building skills required. Demonstrate compassionate patient communication. Business Unit : Company Name: Piedmont Hospital
$67k-79k yearly est. 3d ago
Patient Transition Coordinator
Residential Home Health and Hospice 4.3
Fernway, PA jobs
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned as necessary. • Initiates contact for the company's Home Health to assists in preparation of accepting care of the patient such as obtaining complete/accurate demographic information, medical history including diagnosis for care, and primary care physician information. • Responsible for introducing the company's Home Health, to the patient/caregiver, explaining benefits, and coordinating clinical information to start care for the physician ordered service. • Provides follow up feedback to referral sources regarding admissions and any non-admit decisions. • Collaborates with the rehabilitation facilities regarding patient care needs and discusses potential needs of services at discharge. • Assist sales teeam with daily sales activities, including but not limited to obtaining physicans orders, PTO coverage, attending commuity engagement activities, etc. • All other duties as assigned by supervisor. QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Demonstrated knowledge of referral source types and community resources • Must have excellent organizational skills and ability to complete competing priorities • High energy level and passionate about care delivery • Displays a high level of professionalism by exercising appropriate communication, patience, flexibility and a cooperative attitude • Ability to listen attentively and offer care options based on individual patient health needs • Proficient computer skills - ability to navigate Microsoft email, word, excel, and agency software EDUCATION and/or EXPERIENCE: Experience in a healthcare setting, performing office duties EMR/portal experience is highly valued • Sales experience preferred Must have and maintain a valid Pennsylvania Driver's License, maintain automobile insurance coverage and have access to a reliable automobile. . PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this position, the employee travels by automobile and is exposed to changing weather conditions. Employee will be required to drive daily for meetings or to complete daily work responsibilities. Employee will work in varied the company's and facility environments based on assigned caseload. COMMENTS: This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time. NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. By supplying your phone number, you agree to receive communication via phone or text. By submitting your application, you are confirming that you are legally authorized to work in the United States. JR# JR251376
$50k-62k yearly est. 19h ago
Patient Transition Coordinator
Residential Home Health and Hospice 4.3
Canonsburg, PA jobs
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned as necessary. • Initiates contact for the company's Home Health to assists in preparation of accepting care of the patient such as obtaining complete/accurate demographic information, medical history including diagnosis for care, and primary care physician information. • Responsible for introducing the company's Home Health, to the patient/caregiver, explaining benefits, and coordinating clinical information to start care for the physician ordered service. • Provides follow up feedback to referral sources regarding admissions and any non-admit decisions. • Collaborates with the rehabilitation facilities regarding patient care needs and discusses potential needs of services at discharge. • Assist sales teeam with daily sales activities, including but not limited to obtaining physicans orders, PTO coverage, attending commuity engagement activities, etc. • All other duties as assigned by supervisor. QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Demonstrated knowledge of referral source types and community resources • Must have excellent organizational skills and ability to complete competing priorities • High energy level and passionate about care delivery • Displays a high level of professionalism by exercising appropriate communication, patience, flexibility and a cooperative attitude • Ability to listen attentively and offer care options based on individual patient health needs • Proficient computer skills - ability to navigate Microsoft email, word, excel, and agency software EDUCATION and/or EXPERIENCE: Experience in a healthcare setting, performing office duties EMR/portal experience is highly valued • Sales experience preferred Must have and maintain a valid Pennsylvania Driver's License, maintain automobile insurance coverage and have access to a reliable automobile. . PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this position, the employee travels by automobile and is exposed to changing weather conditions. Employee will be required to drive daily for meetings or to complete daily work responsibilities. Employee will work in varied the company's and facility environments based on assigned caseload. COMMENTS: This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time. NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. By supplying your phone number, you agree to receive communication via phone or text. By submitting your application, you are confirming that you are legally authorized to work in the United States. JR# JR251376
$50k-62k yearly est. 19h ago
RN - PCU at Healthpark Medical Center
Lee Health 3.1
Fort Myers, FL jobs
Department: Progressive Care Units [3W-Cardiac PCU, 5W-Cardiothoracic Stepdown, 6W-Cardiopulmonary PCU, 7W-Post Cardiac Intervention/Surgical PCU, 8W-Stroke/Medical PCU] 6W-Cardiopulmonary PCU, 7W-Post Cardiac Intervention/Surgical PCU, 8W-Stroke/Medical PCU) Work Type: Full Time & Part Time&PRN Shifts:Days 7:00am to 7:30pm & Nights 7:00pm to 7:30am Minimum to Midpoint Pay Rate:$30.27 - $40.86 / hour Shift Differential: $6.00/hr for night shift Hiring Incentive:$7,000 relocation bonus, plus $1,800 per month housing stipend for 3 months to those who qualify (1/2 the amount for part time) Do you want to work for?... ~A team that embeds its purpose around a culture of collaboration: We believe in the power of teamwork and shared decision-making. You'll have the opportunity to contribute your ideas and work alongside talented colleagues to achieve shared goals. ~A team that places a strong emphasis on substantial growth opportunities: We are committed to your professional development. We offer to help you grow your skills and advance your career. ~A team that is committed to fostering a diverse and inclusive environment: We value diversity and strive to create an inclusive environment where everyone feels valued and respected. We serve a diverse patient population and are committed to providing equitable care for all. If so, APPLY NOW! To schedule a phone interview with the recruiter, please click on the following link:********************** Summary Responsible for the safe delivery and documentation of patient care through the nursing process of assessment// diagnosing// planning// implementation// and evaluation. Performs responsibilities in five areas of nursing practice utilizing critical thinking// management// problem solving and differentiation of urgency in the role of: clinician// teacher// researcher// leadership and professional development. Responsible for directing and coordinating nursing care for patients based on established clinical nursing practice standards subscribed to by American Nursing Association and in accordance with the Florida Nurse Practice Act and other regulatory standards. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Supports the organization vision and mission. Uses knowledge of patient's age and cultural diversity into the provision of patient care. Contributes to the provision of quality nursing care through excellence in customer service and performance improvement techniques that demonstrate positive outcomes in patient care. The nurse practice is guided by the code of ethics for nurses with interpretative statements. Requirements Education Requirements:Graduate of an accredited school of professional nursing required; Associates or Bachelors preferred. Experience Requirements:Experience required. Qualified individuals will successfully complete the competency assessment. Experience requirements may vary by department. Please reference the Nursing Addendums for department specific requirements. Certification Requirements: Proof of American Heart Association Healthcare Provider Basic Life Support (BLS), current for a minimum of 90 days after hire date. Certification requirements may vary by department. Please reference the Nursing Addendums for department specific requirements. License Requirements: Currently licensed in the State of Florida. Other Requirements: Communication and interpersonal skills, basic computer skills, and customer service skills required. US:FL:Cape Coral
$30.3-40.9 hourly 4d ago
Care Manager - MDS Coordinator (Registered Nurse)
Summit Hills 4.5
Spartanburg, SC jobs
Now offering a $2,500 sign on bonus for a limited time! At Summit Hills, we are proud to be recognized as a Great Place to Work , and we believe that our success begins with one simple principle: People First. We are a luxury senior living company that is driven by compassion, respect, and the dedication to making every interaction meaningful. Our culture fosters growth, teamwork, and a genuine commitment to enriching the lives of our residents and our team members. If you're passionate about providing exceptional care in an environment where you're valued and supported, we invite you to be part of a company that truly puts people at the heart of everything we do. Now accepting applications for a Care Manager - MDS Coordinator (RN). Must have valid state nursing license. Must have skilled nursing experience. Prior MDS experience preferred. POSITION SUMMARY: Care Manager is responsible for the development, maintenance and implementation of the standards of nursing practice and objectives as it relates to the Minimum Data Set requirements and with the established policies and procedures of the governing body in compliance with federal, state and local regulations. The Care Manager is responsible for optimal reimbursement, proper documentation/diagnoses to justify the reason for a skilled service and reimbursement request. ESSENTIAL FUNCTIONS: • Coordinates/manages and works with clinical staff/therapy for proper documentation/care, programs and optimal reimbursement throughout the stay of a skilled resident • Researches all pertinent medical information/diagnoses for optimal reimbursement • Meet regulations for timely certifications/re-certifications, and signing of all orders • Meet all requirements in working with Managed Care organizations • Daily meetings with therapy and line staff on progress of skilled residents • Monitors Nursing skilled documentation and provides continued education as needed • Participates in the development and implementation of the resident assessment process, following the Minimum Data Set requirements of Federal, State and local regulations in accordance with Senior Living Communities/Wellmore policies and procedures • Responsible for proper ADL Documentation and continued education/training • Audits and analyzes the MDS documents for accuracy and appropriate completion dates. • Timely submissions of all MDS's • Oversees and schedules resident care planning meetings. • Assistance on floor and on-call/manager on duty as needed • Participates in and attend all required in-service training and education sessions as scheduled. • Other duties as assigned. COMPETENCIES: To perform the job successfully, an individual should demonstrate the following competencies: • Technical Skills - Individual must demonstrate current and ongoing competence in tasks assigned which indicates a specialized skill in this area above and beyond the average. • Communication - Demonstrates an ability to effectively and regularly transfer information to necessary parties to improve the quality of work and to provide the supervisor with actionable, accurate data. • Initiative - Is self-motivated and personally competitive. Wants to achieve for the good of the Company and the team. Seeks additional work when they have capacity. Demonstrates an ability and desire to bring new ideas and solutions to the supervisor on an ongoing basis. • Flexibility - The ability to quickly adapt to changing conditions. The ability to navigate obstacles with ease and professionalism. • Interpersonal Skills - Focuses on solving conflict, not blaming; listens to others without interrupting; keeps emotions under control; remains open to ideas and tries new things • Teamwork - Balances team and individual responsibilities; encourages others and asks for help when needed. Exhibits patience and compassion. • Professionalism - Ensures service is delivered on time and is of the highest quality. Assumes responsibility for mistakes. Presents themselves in a manner which enhances the brand image. Understands that no information is truly private and conducts online or social networking activities accordingly. • Ethics - Treats people with respect; keeps commitments; inspires the trust of others; works ethically with integrity; upholds the Company's Guiding Principles: o People First, Always o We Exist to Serve our Members o We Have a Responsibility to be Full Physical Demands, Work Environment, and Expected Hours of Work: 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. • This position is very active and requires frequent standing, walking, bending, kneeling, stooping and climbing. • This position will be required to lift or carry weight up to 50 lbs. and ability to push up to 250 pounds independently. • The individual must use proper body mechanics to assist residents in their daily living. • This position regularly requires long hours and frequent night and weekend work. TRAVEL: No travel is expected although occasional travel may be required for training sessions, continuing education opportunities, emergency situations, and other company functions. EDUCATION AND EXPERIENCE REQUIREMENTS: • Four-year college or university degree desired. • Current state licensure as a Registered Nurse. • Training in Medical Records regulations desired. • Understanding of diagnosis coding • Working knowledge of prescription drugs, therapy practices and bio-psycho-social sciences. • Remain in good standing with all standards of the Nurse Practice Act. • Two years' experience in a similar healthcare position preferred. KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: • Ability to read, write, speak and understand English fluently. • Ability to meet or exceed the company's attendance and punctuality standards. • Ability to use Electronic Records and miscellaneous software and office equipment. • Ability to understand and follow directions as given. • Ability to work with minimal supervision. #SLC1 #TA3H
$58k-74k yearly est. 14d ago
MA Boise Pulmonary Care Clinic Full-Time Days
Saint Alphonsus Health System 4.0
Boise, ID jobs
*Employment Type:* Full time *Shift:* Day Shift *Description:* At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.The Boise Pulmonary Clinic is looking to hire a team-oriented and motivated Medical Assistant for our clinic located on the Boise Regional Medical Center campus! Position Summary & Highlights: * This MA position will be primarily supporting an established provider to the clinic. * Saint Alphonsus Pulmonary Services is proud to treat pulmonary patients in Boise and the surrounding communities offering high-quality compassionate personalized pulmonary care. * Our board-certified pulmonary physicians serve critically ill patients, from children to adults within the hospital and in their outpatient clinic. * The outpatient clinic specializes in treating individuals with acute, chronic and recurring conditions of the respiratory system. What You Will Do: * You will work with a team of MAs, an RN, and providers, and will work with an efficient clinic workflow. * This position will be a combination of direct patient care and also administrative tasks such as processing orders, prior authorizations, in-basket/task inbox, patient phone calls, and referrals. * An ideal candidate will be dependable, self-motivated, and have a positive attitude. * You will also be adaptable, detail-oriented, have strong critical thinking skills, and excellent follow-through. Work Schedule: * 40 hours per week, 4 - 10 hour days, currently Mondays - Thursdays, 7:00am - 5:30pm.* * * Shift start and end time may vary based on provider and clinic needs. * This position may occasionally perform cross coverage at the Nampa clinic. Location: 1075 N. Curtis Road Ste. (On the Boise Regional Medical Center campus (I-184 and Curtis Road) Learn more about Pulmonary Medicine:* * [ Minimum Qualifications*:* * High School Diploma or equivalent required at hire. * MA certification required within 90 days of hire from one of the following Saint Alphonsus approved agencies: * American Association of Medical Assistants (CMA) * American Medical Technologists (RMA) * National Healthcareer Association (CCMA) * National Center for Competency Testing (NCMA) * National Association of Health Professionals (NRCMA) * American Medical Certification Association (CMAC) * National Phlebotomy Certification Examination (NPCE MA) * New Graduates: 1) MA certificate of completion required from an accredited program or school. 2) Completion of either a 100-hour MA externship or 6 months MA experience in lieu of the externship hours even with MA certification. * Medical Assistant with Experience: 1 Year of MA experience OR Current MA Certification OR obtain or renew certification within 90 days from hire from approved credentialing agencies listed above. * Basic Life Support for Healthcare providers certification from either AHA, ARC or the Military Training Network is required at hire. * *Obtaining the MA certification typically requires completing an MA Program or working as a Medical Assistant for at least 1 year. See each of the credentialing organization sites for additional details. EMT and CNA certifications will not count towards an MA certification. Highlights and Benefits When Saint Alphonsus takes care of you, you can take better care of our patients. We foster personal and professional growth and offer opportunities that empower our colleagues to develop their careers. Our belief in work-life balance compliments the natural beauty, diverse landscapes, and outdoor recreation lifestyle that is unique to Idaho and Oregon. * We offer market-competitive pay, generous PTO, and multiple options for comprehensive benefits that begin on day one. * Benefits for your future include retirement planning and matching, college savings plans for your family, and multiple life insurance plans that can change as your needs develop. * We are proud to offer Employee Assistance Programs, tuition reimbursement, and educational opportunities to help you learn and grow. Visit [******************************** Therapist PRN) to learn more! Saint Alphonsus Facility Information Saint Alphonsus Health System is a faith-based ministry and not-for-profit health system serving Idaho, Oregon, and northern Nevada communities. The health system boasts 4 hospitals, 609 licensed beds, and 73 clinic locations. Through innovative technologies, compassionate staff, and healing environments, Saint Alphonsus' goal is to improve the health and well-being of people by emphasizing care that is patient-centered, physician-led, innovative, and community-based. * Forbes America's Best Large Employers 2025; * Top 15 Health Systems in the country by IBM Watson Health; * The region's most advanced Trauma Center (Level II); * Commission on Cancer Accredited Program through demonstrating an uncompromising commitment to improving patient survival and quality of life. *Our Commitment * Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. 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 any other status protected by federal, state, or local law.
$35k-46k yearly est. 3d ago
Clinical Nurse (RN) Anti-Coagulation / Part-time
Christus Health 4.6
Espanola, NM jobs
The Registered Nurse is a clinical practitioner who coordinates and implements patient care specific to the age of the patient population served on the assigned units. He/she ensures that quality care is provided in an efficient and safe manner, consistent with the unit's standards of care. He/she demonstrates performance consistent with the mission, philosophy and goals of the unit and organization. Demonstrates quality and effectiveness in work habits and clinical practice. Treats staff, physicians, patients and families with consideration and respect. Requirements MINIMUM QUALIFICATIONS: EDUCATION: Graduate of an accredited program for Registered Nursing. CERTIFICATION/LICENSES: Current New Mexico RN license or current Compact state license. BLS Certification required or within 2 weeks of hire date. All other required certifications must be obtained within 6 months of hire date. If nurse has the required certifications at time of hire, they must maintain the certifications and will not have a grace period to renew. (See Required Department Certification List detailed on the last page of this document.) SKILLS: Current knowledge and skills appropriate to age/type of patient population served Knowledgeable and sensitive to patients' rights in the delivery of care Communicates in a clear concise manner appropriate to the developmental age of patient. EXPERIENCE: NATURE OF SUPERVISION: -Responsible to: Patient Care Director or Manager ENVIRONMENT: Bloodborne pathogen C (OR, PACU, L & D); Bloodborne pathogen B (other Patient Care areas). Exposure to infectious diseases and x-rays. Works in a clean, well lighted, ventilated smoke-free environment. Subject to stressful professional relationships. Working hours are varied, with flexibility due to unexpected changes in schedule and emergencies. PHYSICAL REQUIREMENTS: Must be able to handle emergency/crisis situations, prolonged, extensive or considerable standing and walking. Requires heavy physical effort to position, push and/or transfer patients or equipment and supplies. Requires considerable reaching, stooping, bending, kneeling and crouching. Ability to judge distance and space relationships, see peripherally, distinguish and identify different colors. Hearing and visual acuity within normal or correctable limits. Manual dexterity and fine motor coordination required.
$62k-72k yearly est. 9d ago
Clinical Nurse - BJC Healthcare
BJC 4.6
Saint Louis, MO jobs
Additional Information About the Role Sign On Bonus eligible Full-Time, Part-Time and PRN opportunities available Military Experience Preferred BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development. BJC's patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children's Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country. Preferred Qualifications Role Purpose Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care. Responsibilities Promotes patient and family centered care in a healing environment. Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration. Uses critical nursing skills to assess and evaluate patient's physical, psychosocial and emotional needs. Develops and implements individual plans of care in collaboration with other members of the healthcare team in accordance with the established guidelines and standards of nursing care. Evaluates patient's response and modifies plan of care accordingly throughout the patient's stay. Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education Nursing Diploma/Associate's - Nursing Experience No Experience Supervisor Experience No Experience Licenses & Certifications RN Preferred Requirements Education Bachelor's Degree - Nursing Experience Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
$54k-62k yearly est. 8h ago
Nurse Navigator - Cystic Fibrosis Clinic
Hartford Hospital 4.8
Wallingford, CT jobs
Shift Detail: Week Days Work where every moment matters. Every day, more than 40,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. Hartford Hospital is one of the largest and most respected teaching hospitals in New England. We are a Level 1 Trauma Center that provides cutting edge treatment to its patients. This is made possible by being home to the largest robotic surgery center in the Northeast and the Center for Education, Simulation and Innovation (CESI), one of the most-advanced medical simulation training centers in the world. When hospitals cannot provide the advanced care, expertise and new treatment options their patients require, they turn to us. Job Summary: Functioning within the context of the framework for professional nursing practice, the Cystic Fibrosis Clinic Nurse Navigator is a registered nurse experienced in patient throughput, preventing transitional care gaps, and resolving issues to enhance the quality and continuity of a patient's or populations health care leading to improved health outcomes and equitable care. This role supports the HHC mission to improve the health and healing of the people and communities we serve. Under provider direction, the Cystic Fibrosis Clinic Nurse Navigator provides skilled nursing care to patients in a variety of clinical settings. Scope of responsibility is characterized by use of nursing process to assess, plan, intervene and evaluate human responses to actual or potential health problems utilizing appropriate practices, standards, protocols and guidelines. This position reports to a Nurse Manager Manager. Job Responsibilities: • Functions as a member of an interprofessional care team in an expanded nurse role to help patients transition from the acute care setting (HH ED or inpatient). The goals include reducing all-cause readmissions, and inappropriate ED utilization, improving care coordination for patients during the transitional care period, and ultimately improving care quality and access for vulnerable populations. This role will be responsible for educating the HH community at large and advocating for resources to enhance patient healthcare engagement and expand the collaboration and communication between (inpatient/ambulatory/outpatient/attending/transitional care/specialty care/primary care) providers and care teams for high risk/complex patients. • Partners with the inpatient (i.e. acute care, IOL, STR) or ED physician and care team to proactively identify potential transitional care gaps for this patient population, and establish a safe transition plan. Key strategies include ensuring a patient/caregiver agreed upon CF Clinic and urgent specialists scheduled appointment(s) with transportation, verifying patient has necessary DME, finalizing an achievable community medication plan, completing diagnostic workup, educating the patient on disease and symptom management, and incorporating a patient-centered home care plan. • Performs post-hospitalization/ED transitional care strategies within 24-48h after discharge, including post-discharge phone calls, patient education, symptom management, and medication reconciliation, and collaborates with CF clinic physician and (clinic and community) care team to minimize identified gaps in care. • Throughout the post-inpatient/ED transitional care period, facilitates the completion of the diagnostic workup, follows up on unresulted diagnostics, collaborates with homecare, pharmacy, and DME to ensure the patient has necessary supplies/medications/resources, obtains necessary authorizations, and schedules additional consultant appointments. • Collaborates with clinic physicians to resolve issues and to advance the treatment plan until the patient has an established primary care provider. • In collaboration with the CF Clinic physician, assists the patient in identifying a primary care practice for continued care and facilitates the transfer of care to that practice • Documents all communication, transition plan, implemented strategies, and patient outcomes in EPIC. • Establishes a therapeutic rapport with patients and demonstrates a commitment to serve as a patient advocate. • Demonstrates the ability to work independently as well as collaboratively as a member of the health care team in order to provide safe patient care and prompt and efficient service. The Cystic Fibrosis Nurse Navigator provides transitional care strategies to his/her peers/colleagues and patients based on need/coverage. • Attends and actively participates in care team meetings to facilitate a safe transition plan or resolve a patient issue. • Establishes evidence-based standard work and workflows. Develops and implements processes that improve the patient experience. Collects and analyzes patient and program level data identifies areas of opportunity, recommends improvements/revisions or program development, and leads/participates in the idea/plan implementation. • Applies the nursing process as appropriate within the context of the organization's framework for professional nursing practice and following guidelines established by the team. • Provides office-based nursing care in collaboration with provider, communicates with provider regarding patient needs, nursing assessments, and recommendations, demonstrates independent nursing actions based on assessment and problem identification. Qualifications BSN required, MSN preferred • Minimum five (5) years of nursing experience, Inpatient and Ambulatory nursing experience preferred. • Current Connecticut Nursing License • BLS Certification We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment. As an Equal Opportunity Employer/Affirmative Action employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
$74k-90k yearly est. 1d ago
Nurse Navigator - Cystic Fibrosis Clinic
Hartford Hospital 4.8
Ellington, CT jobs
Shift Detail: Week Days Work where every moment matters. Every day, more than 40,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. Hartford Hospital is one of the largest and most respected teaching hospitals in New England. We are a Level 1 Trauma Center that provides cutting edge treatment to its patients. This is made possible by being home to the largest robotic surgery center in the Northeast and the Center for Education, Simulation and Innovation (CESI), one of the most-advanced medical simulation training centers in the world. When hospitals cannot provide the advanced care, expertise and new treatment options their patients require, they turn to us. Job Summary: Functioning within the context of the framework for professional nursing practice, the Cystic Fibrosis Clinic Nurse Navigator is a registered nurse experienced in patient throughput, preventing transitional care gaps, and resolving issues to enhance the quality and continuity of a patient's or populations health care leading to improved health outcomes and equitable care. This role supports the HHC mission to improve the health and healing of the people and communities we serve. Under provider direction, the Cystic Fibrosis Clinic Nurse Navigator provides skilled nursing care to patients in a variety of clinical settings. Scope of responsibility is characterized by use of nursing process to assess, plan, intervene and evaluate human responses to actual or potential health problems utilizing appropriate practices, standards, protocols and guidelines. This position reports to a Nurse Manager Manager. Job Responsibilities: • Functions as a member of an interprofessional care team in an expanded nurse role to help patients transition from the acute care setting (HH ED or inpatient). The goals include reducing all-cause readmissions, and inappropriate ED utilization, improving care coordination for patients during the transitional care period, and ultimately improving care quality and access for vulnerable populations. This role will be responsible for educating the HH community at large and advocating for resources to enhance patient healthcare engagement and expand the collaboration and communication between (inpatient/ambulatory/outpatient/attending/transitional care/specialty care/primary care) providers and care teams for high risk/complex patients. • Partners with the inpatient (i.e. acute care, IOL, STR) or ED physician and care team to proactively identify potential transitional care gaps for this patient population, and establish a safe transition plan. Key strategies include ensuring a patient/caregiver agreed upon CF Clinic and urgent specialists scheduled appointment(s) with transportation, verifying patient has necessary DME, finalizing an achievable community medication plan, completing diagnostic workup, educating the patient on disease and symptom management, and incorporating a patient-centered home care plan. • Performs post-hospitalization/ED transitional care strategies within 24-48h after discharge, including post-discharge phone calls, patient education, symptom management, and medication reconciliation, and collaborates with CF clinic physician and (clinic and community) care team to minimize identified gaps in care. • Throughout the post-inpatient/ED transitional care period, facilitates the completion of the diagnostic workup, follows up on unresulted diagnostics, collaborates with homecare, pharmacy, and DME to ensure the patient has necessary supplies/medications/resources, obtains necessary authorizations, and schedules additional consultant appointments. • Collaborates with clinic physicians to resolve issues and to advance the treatment plan until the patient has an established primary care provider. • In collaboration with the CF Clinic physician, assists the patient in identifying a primary care practice for continued care and facilitates the transfer of care to that practice • Documents all communication, transition plan, implemented strategies, and patient outcomes in EPIC. • Establishes a therapeutic rapport with patients and demonstrates a commitment to serve as a patient advocate. • Demonstrates the ability to work independently as well as collaboratively as a member of the health care team in order to provide safe patient care and prompt and efficient service. The Cystic Fibrosis Nurse Navigator provides transitional care strategies to his/her peers/colleagues and patients based on need/coverage. • Attends and actively participates in care team meetings to facilitate a safe transition plan or resolve a patient issue. • Establishes evidence-based standard work and workflows. Develops and implements processes that improve the patient experience. Collects and analyzes patient and program level data identifies areas of opportunity, recommends improvements/revisions or program development, and leads/participates in the idea/plan implementation. • Applies the nursing process as appropriate within the context of the organization's framework for professional nursing practice and following guidelines established by the team. • Provides office-based nursing care in collaboration with provider, communicates with provider regarding patient needs, nursing assessments, and recommendations, demonstrates independent nursing actions based on assessment and problem identification. Qualifications BSN required, MSN preferred • Minimum five (5) years of nursing experience, Inpatient and Ambulatory nursing experience preferred. • Current Connecticut Nursing License • BLS Certification We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment. As an Equal Opportunity Employer/Affirmative Action employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
$74k-90k yearly est. 1d ago
Registered Nurse Home Health
Humana Inc. 4.8
Health care coordinator job at Humana
Become a part of our caring community and help us put health first Make a meaningful impact every day as a CenterWell Home Health nurse. You'll provide personalized, one-on-one care that helps patients regain independence in the comfort of their homes. Working closely with a dedicated team of physicians and clinicians, you'll develop and manage care plans that support recovery and help patients get back to the life they love. Service area: Crawford and Richland Counties As a Home Health RN Case Manager, you will: * Provide admission, case management, and follow-up skilled nursing visits for home health patients. * Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager. * Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment. Provide hands-on care, management, and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision. Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation. * Coordinate appropriate care, encompassing various healthcare personnel (such as Physical Therapists, Occupational Therapists, Home Health Aides, and external providers). * Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis. * Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems. * Coordinate/oversee/supervise the work of Home Health Aides, Certified Home Health Aides and Personal Care Workers and provides written personal care instructions/care plan that reflects current plan of care. Monitor the appropriate completion of documentation by home health aides/personal care workers as part of the supervisory/leadership responsibility. * Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation. * Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes. Prepare visit/shift reports, updates/summarizes patient records and confers with other health care disciplines in providing optimum patient care Use your skills to make an impact Required Experience/Skills: * Diploma, Associate, or Bachelor Degree in Nursing * A minimum of one year of nursing experience preferred * Strong med surg, ICU, ER, acute experience * Home Health experience is a plus * Current and unrestricted Registered Nurse licensure * Current CPR certification * Strong organizational and communication skills * A valid driver's license, auto insurance, and reliable transportation are required. Pay Range * $45.00 - $63.00 - pay per visit/unit * $70,500 - $96,900 per year base pay Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $70,500 - $96,900 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$70.5k-96.9k yearly 39d ago

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Updated December 15, 2025

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