Nurse Case Manager jobs at Merakey - 646 jobs

Schenectady Center is hiring a Registered Nurse (RN) Unit Manager in Schenectady, NY. Handle all supervisory duties for assigned unit Help establish and implement employee policies and procedures Mentor less experienced nurses, offering clinical & career advice Maintain the standards of care for the unit Review Resident records & quality of care Monitor overall care & review individual Residents' cases Address questions or complaints brought forward by Residents or their families Represent the unit's interests with the upper-level management Requirements: Must hold valid State RN License 3 years Long Term Care Experience preferred 2 years Charge Nurse experience preferred Strong computer skills Excellent communication skills About us: Schenectady Center for Rehabilitation and Nursing is a 240-bed rehabilitation and skilled nursing facility located near the lively, reinvigorated downtown. With a long tradition of supporting the community-and being an active part of it-Schenectady Center is one of the newest in all of New York State with modern fixtures, contemporary features, and the latest amenities throughout. Our patient-centered therapy sessions are delivered by our caring, compassionate, expert team and will ensure that your program is tailored to your specific rehabilitation needs. Schenectady Center is a proud member of the Centers Health Care Consortium. Equal Opportunity Employer -M/F/D/V

Battelle delivers when others can't. We conduct research and development, manage national laboratories, design and manufacture products and deliver critical services for our clients-whether they are a multi-national corporation, a small start-up or a government agency. We recognize and appreciate the value and contributions of individuals from a wide range of backgrounds and experiences and welcome all qualified individuals to apply. Job Summary The Health Research and Analytics (HRA) business line is seeking a highly motivated, full-time Nurse Case Manager to join our team in support of our government customer, U.S. Special Operations Command. This position will play a critical role in advancing the Preservation of the Forces and Family (POTFF) program, which is dedicated to optimizing and sustaining the mission readiness, longevity, and performance of Special Operations Forces (SOF). Through integrated and holistic human performance initiatives, POTFF strengthens both the Forces and their families, ensuring comprehensive support for those who serve. As a Nurse Case Manager, you will contribute to impactful research and analytics that drive evidence-based decision-making and enhance the effectiveness of these vital programs. This is an exciting opportunity to make a meaningful difference in the lives of SOF personnel and their families while working in a dynamic, mission-driven environment. This position applies professional health nursing principles and clinical expertise to analyze and address complex patient needs, ensuring appropriate and cost-effective treatment. This role involves collecting and communicating detailed health data, developing time-sensitive treatment plans, assessing patient care via telephone, and coordinating discharge planning to optimize care delivery and outcomes. Additionally, the Nurse Case Manager facilitates referrals, collaborates with healthcare providers, and manages service agreements to support efficient, effective, and compliant patient care. Responsibilities Provide a full range of professional health nursing principles, practices, and procedures in clinical settings to analyze the full scope of problems associated with providing appropriate, cost-effective care to Department of Defense (DOD) beneficiaries Collect, organize, record, and communicate data relevant to primary health assessments including a detailed medical history to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations Assess patient care via the telephone, using established protocols to provide appropriate and cost-effective care Establish priorities for patient care monitors and evaluate progress toward the stated goals to provide coordinated, efficient, effective health care to its beneficiaries Oversee discharge-planning activities to ensure ideal timing and sequencing of patient care Provides professional assistance to health care finders to identify patient's needs for referrals to appropriate health care providers or facilities Negotiate, write, finalize, and administer product/service agreements to ensure mutual compliance in meeting care goals Key Qualifications Certified as a case manager by a recognized certifying organization, i.e., Commission for Case Management Certification or American Nurse Credentialing Center At least two years' nursing experience Current, full, active, and unrestricted license as a Registered Nurse in any U.S. State, the District of Columbia, Guam, Puerto Rico or U.S. Virgin Islands Ability to seek feedback from peers, professional colleagues, clients, and outcomes research, to expand clinical knowledge, enhance role performance, and increase knowledge of professional issues. Experience effectively consulting with health care providers at all levels and negotiating with outside providers for services and products to obtain client services and support Experience understanding diagnoses to assist patients to optimize their level of function and self-care Possess knowledge of patient education principles and management of complex medical, psychosocial, and financial problems to enhance patient adherence to individualized treatment plans and train peers and staff Maintain credentialing requirements in good standing at a local MTF Possess oral and written communication skills to meaningfully interact with peers, outside agencies, vendors, providers, and Military Health System (MHS) stakeholders to exchange information, provide briefings, presentations, research, and metrics to demonstrate or advance effective, efficient case management practice, outcomes, and organizational/MHS value. Experience in team coordination, facilitation, and communication to facilitate the exchange of information/education, enhance goal achievement, augment abilities of client support network, and effect change in system or policy at any level Knowledge of local, state, and federal laws and regulations, professional code of ethics, and practice standards to ensure adherence within legal and professional parameters Knowledge and skill in using pre-established utilization review criteria to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance Knowledge and skills in the use of VA/DOD Clinical Practice Guidelines to ensure an evidence-based standardized process of care to military beneficiaries Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources Experience using research tools to critically evaluate existing practices, opportunities, and outcomes Experience in management of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to involved stakeholders Knowledge of computers and software applications to conduct data collection, tracking, rending, and analysis Ability to design and present computer-generated outcome analysis information to provide timely, effective peer and higher-level educational programs or project briefings Knowledge of pharmaceuticals, their desired effects, side effects, and complications of their use to gauge their effect on patients and their recovery Knowledge of community resources, patient entitlement/benefit eligibility, and ability to access these resources to assist patients/families in optimizing their level of function and self-care Knowledge of current third-party regulations and policies, with special emphasis on TRICARE and Medicare benefits and services, to identify alternative financing sources to which DOD beneficiaries may be entitled Additional Qualifications May be required to receive and maintain clinical practice privileges Current certification in Basic Cardiac Life Support (BCLS) from the American Heart Association, with documentation provided Ability to obtain and maintain a U.S. government security clearance Benefits: Live an Extraordinary Life We care about your well-being, not just on the job. Battelle offers comprehensive and competitive benefits to help you live your best life. Balance life through a compressed work schedule: Most of our team follows a flexible, compressed work schedule that allows for every other Friday off-giving you a dedicated day to accomplish things in your personal life without using vacation time. Enjoy enhanced work flexibility, including a hybrid arrangement: You have options for where and when you work. Our Together with Flexibility model allows you to work 60% in-office and 40% remote, with Monday and Tuesday as common in-office days, dependent on team and position needs. Take time to recharge: You get paid time off to support work-life balance and keep motivated. Prioritize wellness: Stay healthy with medical, dental, and vision coverage with wellness incentives and benefits plus a variety of optional supplemental benefits. Better together: Coverage for partners, gender-affirming care and health support, and family formation support. Build your financial future: Build financial stability with an industry-leading 401(k) retirement savings plan. For most employees, we put in 5 percent whether you contribute or not, and match your contributions on top of that. Advance your education: Tuition assistance is available to pursue higher education. A Work Environment Where You Succeed For brilliant minds in science, technology, engineering and business operations, Battelle is the place to do the greatest good by solving humanity's most pressing challenges and creating a safer, healthier and more secure world. You will have the opportunity to thrive in a culture that inspires you to: Apply your talent to challenging and meaningful projects Receive select funding to pursue ideas in scientific and technological discovery Partner with world-class experts in a collaborative environment Nurture and develop the next generation of scientific leaders Give back to and improve our communities Vaccinations & Safety Protocols Battelle may require employees, based on job duties, work location, and/or its clients' requirements to follow certain safety protocols and to be vaccinated against a variety of viruses, bacteria, and diseases as a condition of employment and continued employment and to provide documentation that they are fully vaccinated. If applicable, Battelle will provide reasonable accommodations based on a qualified disability or medical condition through the Americans with Disabilities Act or the Rehabilitation Act or for a sincerely held religious belief under Title VII of the Civil Rights Act of 1964 (and related state laws). Battelle is an equal opportunity employer. We provide employment and opportunities for advancement, compensation, training, and growth according to individual merit, without regard to race, color, religion, sex (including pregnancy), national origin, sexual orientation, gender identity or expression, marital status, age, genetic information, disability, veteran-status veteran or military status, or any other characteristic protected under applicable Federal, state, or local law. Our goal is for each staff member to have the opportunity to grow to the limits of their abilities and to achieve personal and organizational objectives. We will support positive programs for equal treatment of all staff and full utilization of all qualified employees at all levels within Battelle. The above statements are intended to describe the nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, activities and skills required of staff members. No statement herein is intended to imply any authorities to commit Battelle unless special written permission is granted by Battelle's Legal Department. For more information about our other openings, please visit ************************

About GlideGLIDE is a nationally recognized center for social justice, dedicated to fighting systemic injustices, creating pathways out of poverty and crisis, and transforming lives. Through its integrated comprehensive services, advocacy initiatives, and inclusive community, GLIDE empowers individuals, families, and children to achieve stability and to thrive. GLIDE is on the forefront of addressing some of society's most pressing issues, including poverty, housing and homelessness, and racial and social justice. GLIDE's mission is to create a radically inclusive, just, and loving community mobilized to alleviate suffering and break the cycles of poverty and marginalization Position SummaryThe MOUD case manager will ensure clients have knowledge and access to the full range of Glide Foundation resources to achieve and maintain stabilization. Through intervention and counseling, client populations will be able to access HEAT services and have positive health outcomes. In this role, you will work with Glide participants who have experience with opioid use disorder to connect them to opiate replacement therapies such as methadone, suboxone, naltrexone and other medications that help participants transition from dependence on the use of opiates to self-sufficiency. The MOUD case manager will also create and develop a caseload of 20 to 30 participants with whom they work to maintain treatment adherence and stabilization; in addition to successful medication adherence, the MOUD case manager will emphasize assistance with housing resources, identification, mental health access and any needs identified by the client Essential Duties and Responsibilities: Outreach, educate, and link Glide HEAT clients to methadone, suboxone, naltrexone, Brixadi and other medications that target opiate use disorder at GLIDE, at community events, and mobile outreach efforts. Build positive clinical rapport to maintain a productive and active caseload to promote medication adherence, increase stability and wellness, and apply harm reduction practices. Link and navigate MOUD clients to primary health care, appropriate mental health services, and assist clients in accessing housing and the necessary documentation to support stabilization and positive outcomes. Outreach, education and link client caseload to full range of Glide services as well as the relevant external community resources to achieve stability and self-sufficiency. Plan, conduct outreach for, and facilitate MOUD, treatment and other harm reduction groups on a regular basis. Document and maintain complete files on clients including updated intakes, assessments, case management notes, group attendance logs, referrals and other required data captures in a timely and accurate manner in accordance with program standards, organization policy, and applicable local, state, and federal laws for MOUD services. Submit monthly activity and data reports that capture contract deliverables in required database systems. Adhere to standard professional boundaries, understand and follow basic ethics and values of case management regulatory practices, and understand and adhere to HIPAA protocols. Develop and prepare outreach and educational materials targeted to engage the broader community in HEAT MOUD programs. Assist the leadership team in coordinating special events that promote HEAT MOUD efforts as well as the full array of HEAT and Glide wide programming. Participate in and support the full range of HEAT program services such as SAS, HIV/HCV/STI testing and navigation, mobile outreach services and community outreach programming when necessary. Participate and engage in regular professional engagements including individual supervision, team meetings, community meetings, trainings, and other professional develop opportunities that support GLIDE's overall organization goals and strengthens HEAT's service delivery systems and client outcomes. If needed, the MOUD case manager will be eligible for jail clearance in San Francisco and other Bay Area counties in order to enter city and county jails to advocate on behalf of incarcerated MOUD clients. Minimum Qualifications: Bachelor's degree in social work, public health or related field and/or 2+ years providing MOUD/MAT navigation and harm reduction focused case management services to high-risk populations, including knowledge providing prescriptions for suboxone, naltrexone and other medications (and methadone dispensaries) used to support treatment adherence for clients who access HEAT MOUD services. Must have experience and training in overdose reversals, de-escalation techniques, motivational interviewing. And experience providing street-based outreach services in urban settings and homeless encampments. Must have an understanding of the social determinants of health and how they impact people experiencing homelessness, actively engaged in drug use with proximate social stressors. Ability to establish and maintain effective collaborative relationships across Glide wide programs as well as with city agencies across San Francisco and the wider Bay Area. Must understand the core principles and practices of harm reduction and can successfully engage clients in services and retention through the application of risk reduction counseling, strengths-based counseling techniques Must have knowledge of the social determinants and health and be able to provide culturally competent, culturally sensitive support to a diverse community of clients to help them achieve stability and self-sufficiency. Exceptionally strong communication skills and trust-building skills are required, including comfort and proficiency with public speaking (i.e. 1:1 interaction with clients and community, group education, street outreach, etc.) California Rapid HIV/HCV/STI test counselor certification preferred (or have the willingness to be trained). Work EnvironmentGLIDE's buildings are located in the Tenderloin neighborhood. GLIDE maintains an "open door" policy to the community and its clients, who frequently enter and leave the building. This role is covered by the collective bargaining agreement.

Battelle delivers when others can't. We conduct research and development, manage national laboratories, design and manufacture products and deliver critical services for our clients-whether they are a multi-national corporation, a small start-up or a government agency. We recognize and appreciate the value and contributions of individuals from a wide range of backgrounds and experiences and welcome all qualified individuals to apply. **Job Summary** The Health Research and Analytics (HRA) business line is seeking a highly motivated, full-time **Nurse Case Manager** to join our team in support of our government customer, U.S. Special Operations Command. This position will play a critical role in advancing the Preservation of the Forces and Family (POTFF) program, which is dedicated to optimizing and sustaining the mission readiness, longevity, and performance of Special Operations Forces (SOF). Through integrated and holistic human performance initiatives, POTFF strengthens both the Forces and their families, ensuring comprehensive support for those who serve. As a Nurse Case Manager, you will contribute to impactful research and analytics that drive evidence-based decision-making and enhance the effectiveness of these vital programs. This is an exciting opportunity to make a meaningful difference in the lives of SOF personnel and their families while working in a dynamic, mission-driven environment. This position applies professional health nursing principles and clinical expertise to analyze and address complex patient needs, ensuring appropriate and cost-effective treatment. This role involves collecting and communicating detailed health data, developing time-sensitive treatment plans, assessing patient care via telephone, and coordinating discharge planning to optimize care delivery and outcomes. Additionally, the Nurse Case Manager facilitates referrals, collaborates with healthcare providers, and manages service agreements to support efficient, effective, and compliant patient care. **Responsibilities** + Provide a full range of professional health nursing principles, practices, and procedures in clinical settings to analyze the full scope of problems associated with providing appropriate, cost-effective care to Department of Defense (DOD) beneficiaries + Collect, organize, record, and communicate data relevant to primary health assessments including a detailed medical history to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations + Assess patient care via the telephone, using established protocols to provide appropriate and cost-effective care + Establish priorities for patient care monitors and evaluate progress toward the stated goals to provide coordinated, efficient, effective health care to its beneficiaries + Oversee discharge-planning activities to ensure ideal timing and sequencing of patient care + Provides professional assistance to health care finders to identify patient's needs for referrals to appropriate health care providers or facilities + Negotiate, write, finalize, and administer product/service agreements to ensure mutual compliance in meeting care goals **Key Qualifications** + Certified as a case manager by a recognized certifying organization, i.e., Commission for Case Management Certification or American Nurse Credentialing Center + At least two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any U.S. State, the District of Columbia, Guam, Puerto Rico or U.S. Virgin Islands + Ability to seek feedback from peers, professional colleagues, clients, and outcomes research, to expand clinical knowledge, enhance role performance, and increase knowledge of professional issues. + Experience effectively consulting with health care providers at all levels and negotiating with outside providers for services and products to obtain client services and support + Experience understanding diagnoses to assist patients to optimize their level of function and self-care + Possess knowledge of patient education principles and management of complex medical, psychosocial, and financial problems to enhance patient adherence to individualized treatment plans and train peers and staff + Maintain credentialing requirements in good standing at a local MTF + Possess oral and written communication skills to meaningfully interact with peers, outside agencies, vendors, providers, and Military Health System (MHS) stakeholders to exchange information, provide briefings, presentations, research, and metrics to demonstrate or advance effective, efficient case management practice, outcomes, and organizational/MHS value. + Experience in team coordination, facilitation, and communication to facilitate the exchange of information/education, enhance goal achievement, augment abilities of client support network, and effect change in system or policy at any level + Knowledge of local, state, and federal laws and regulations, professional code of ethics, and practice standards to ensure adherence within legal and professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance + Knowledge and skills in the use of VA/DOD Clinical Practice Guidelines to ensure an evidence-based standardized process of care to military beneficiaries + Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources + Experience using research tools to critically evaluate existing practices, opportunities, and outcomes + Experience in management of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to involved stakeholders + Knowledge of computers and software applications to conduct data collection, tracking, rending, and analysis + Ability to design and present computer-generated outcome analysis information to provide timely, effective peer and higher-level educational programs or project briefings + Knowledge of pharmaceuticals, their desired effects, side effects, and complications of their use to gauge their effect on patients and their recovery + Knowledge of community resources, patient entitlement/benefit eligibility, and ability to access these resources to assist patients/families in optimizing their level of function and self-care + Knowledge of current third-party regulations and policies, with special emphasis on TRICARE and Medicare benefits and services, to identify alternative financing sources to which DOD beneficiaries may be entitled **Additional Qualifications** + May be required to receive and maintain clinical practice privileges + Current certification in Basic Cardiac Life Support (BCLS) from the American Heart Association, with documentation provided + Ability to obtain and maintain a U.S. government security clearance **Benefits: Live an Extraordinary Life** We care about your well-being, not just on the job. Battelle offers comprehensive and competitive benefits to help you live your best life. + **Balance life through a compressed work schedule** : Most of our team follows a flexible, compressed work schedule that allows for every other Friday off-giving you a dedicated day to accomplish things in your personal life without using vacation time. + **Enjoy enhanced work flexibility, including a hybrid arrangement:** You have options for where and when you work. Our Together with Flexibility model allows you to work 60% in-office and 40% remote, with Monday and Tuesday as common in-office days, dependent on team and position needs. + **Take time to recharge** : You get paid time off to support work-life balance and keep motivated. + **Prioritize wellness** : Stay healthy with medical, dental, and vision coverage with wellness incentives and benefits plus a variety of optional supplemental benefits. + **Better together** : Coverage for partners, gender-affirming care and health support, and family formation support. + **Build your financial future** : Build financial stability with an industry-leading 401(k) retirement savings plan. For most employees, we put in 5 percent whether you contribute or not, and match your contributions on top of that. + **Advance your education** : Tuition assistance is available to pursue higher education. **A Work Environment Where You Succeed** For brilliant minds in science, technology, engineering and business operations, Battelle is the place to do the greatest good by solving humanity's most pressing challenges and creating a safer, healthier and more secure world. You will have the opportunity to thrive in a culture that inspires you to: + Apply your talent to challenging and meaningful projects + Receive select funding to pursue ideas in scientific and technological discovery + Partner with world-class experts in a collaborative environment + Nurture and develop the next generation of scientific leaders + Give back to and improve our communities **Vaccinations & Safety Protocols** _Battelle may require employees, based on job duties, work location, and/or its clients' requirements to follow certain safety protocols and to be vaccinated against a variety of viruses, bacteria, and diseases as a condition of employment and continued employment and to provide documentation that they are fully vaccinated. If applicable, Battelle will provide reasonable accommodations based on a qualified disability or medical condition through the Americans with Disabilities Act or the Rehabilitation Act or for a sincerely held religious belief under Title VII of the Civil Rights Act of 1964 (and related state laws)._ _Battelle is an equal opportunity employer. We provide employment and opportunities for advancement, compensation, training, and growth according to individual merit, without regard to race, color, religion, sex (including pregnancy), national origin, sexual orientation, gender identity or expression, marital status, age, genetic information, disability, veteran-status veteran or military status, or any other characteristic protected under applicable Federal, state, or local law. Our goal is for each staff member to have the opportunity to grow to the limits of their abilities and to achieve personal and organizational objectives. We will support positive programs for equal treatment of all staff and full utilization of all qualified employees at all levels within Battelle._ The above statements are intended to describe the nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, activities and skills required of staff members. **No statement herein is intended to imply any authorities to commit Battelle unless special written permission is granted by Battelle's Legal Department.** For more information about our other openings, please visit ************************

Battelle delivers when others can't. We conduct research and development, manage national laboratories, design and manufacture products and deliver critical services for our clients-whether they are a multi-national corporation, a small start-up or a government agency. We recognize and appreciate the value and contributions of individuals from a wide range of backgrounds and experiences and welcome all qualified individuals to apply. **Job Summary** The Health Research and Analytics (HRA) business line is seeking a highly motivated, full-time **Nurse Case Manager** to join our team in support of our government customer, U.S. Special Operations Command. This position will play a critical role in advancing the Preservation of the Forces and Family (POTFF) program, which is dedicated to optimizing and sustaining the mission readiness, longevity, and performance of Special Operations Forces (SOF). Through integrated and holistic human performance initiatives, POTFF strengthens both the Forces and their families, ensuring comprehensive support for those who serve. As a Nurse Case Manager, you will contribute to impactful research and analytics that drive evidence-based decision-making and enhance the effectiveness of these vital programs. This is an exciting opportunity to make a meaningful difference in the lives of SOF personnel and their families while working in a dynamic, mission-driven environment. This position applies professional health nursing principles and clinical expertise to analyze and address complex patient needs, ensuring appropriate and cost-effective treatment. This role involves collecting and communicating detailed health data, developing time-sensitive treatment plans, assessing patient care via telephone, and coordinating discharge planning to optimize care delivery and outcomes. Additionally, the Nurse Case Manager facilitates referrals, collaborates with healthcare providers, and manages service agreements to support efficient, effective, and compliant patient care. **Responsibilities** + Provide a full range of professional health nursing principles, practices, and procedures in clinical settings to analyze the full scope of problems associated with providing appropriate, cost-effective care to Department of Defense (DOD) beneficiaries + Collect, organize, record, and communicate data relevant to primary health assessments including a detailed medical history to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations + Assess patient care via the telephone, using established protocols to provide appropriate and cost-effective care + Establish priorities for patient care monitors and evaluate progress toward the stated goals to provide coordinated, efficient, effective health care to its beneficiaries + Oversee discharge-planning activities to ensure ideal timing and sequencing of patient care + Provides professional assistance to health care finders to identify patient's needs for referrals to appropriate health care providers or facilities + Negotiate, write, finalize, and administer product/service agreements to ensure mutual compliance in meeting care goals **Key Qualifications** + Certified as a case manager by a recognized certifying organization, i.e., Commission for Case Management Certification or American Nurse Credentialing Center + At least two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any U.S. State, the District of Columbia, Guam, Puerto Rico or U.S. Virgin Islands + Ability to seek feedback from peers, professional colleagues, clients, and outcomes research, to expand clinical knowledge, enhance role performance, and increase knowledge of professional issues. + Experience effectively consulting with health care providers at all levels and negotiating with outside providers for services and products to obtain client services and support + Experience understanding diagnoses to assist patients to optimize their level of function and self-care + Possess knowledge of patient education principles and management of complex medical, psychosocial, and financial problems to enhance patient adherence to individualized treatment plans and train peers and staff + Maintain credentialing requirements in good standing at a local MTF + Possess oral and written communication skills to meaningfully interact with peers, outside agencies, vendors, providers, and Military Health System (MHS) stakeholders to exchange information, provide briefings, presentations, research, and metrics to demonstrate or advance effective, efficient case management practice, outcomes, and organizational/MHS value. + Experience in team coordination, facilitation, and communication to facilitate the exchange of information/education, enhance goal achievement, augment abilities of client support network, and effect change in system or policy at any level + Knowledge of local, state, and federal laws and regulations, professional code of ethics, and practice standards to ensure adherence within legal and professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance + Knowledge and skills in the use of VA/DOD Clinical Practice Guidelines to ensure an evidence-based standardized process of care to military beneficiaries + Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources + Experience using research tools to critically evaluate existing practices, opportunities, and outcomes + Experience in management of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to involved stakeholders + Knowledge of computers and software applications to conduct data collection, tracking, rending, and analysis + Ability to design and present computer-generated outcome analysis information to provide timely, effective peer and higher-level educational programs or project briefings + Knowledge of pharmaceuticals, their desired effects, side effects, and complications of their use to gauge their effect on patients and their recovery + Knowledge of community resources, patient entitlement/benefit eligibility, and ability to access these resources to assist patients/families in optimizing their level of function and self-care + Knowledge of current third-party regulations and policies, with special emphasis on TRICARE and Medicare benefits and services, to identify alternative financing sources to which DOD beneficiaries may be entitled **Additional Qualifications** + May be required to receive and maintain clinical practice privileges + Current certification in Basic Cardiac Life Support (BCLS) from the American Heart Association, with documentation provided + Ability to obtain and maintain a U.S. government security clearance **Benefits: Live an Extraordinary Life** We care about your well-being, not just on the job. Battelle offers comprehensive and competitive benefits to help you live your best life. + **Balance life through a compressed work schedule** : Most of our team follows a flexible, compressed work schedule that allows for every other Friday off-giving you a dedicated day to accomplish things in your personal life without using vacation time. + **Enjoy enhanced work flexibility, including a hybrid arrangement:** You have options for where and when you work. Our Together with Flexibility model allows you to work 60% in-office and 40% remote, with Monday and Tuesday as common in-office days, dependent on team and position needs. + **Take time to recharge** : You get paid time off to support work-life balance and keep motivated. + **Prioritize wellness** : Stay healthy with medical, dental, and vision coverage with wellness incentives and benefits plus a variety of optional supplemental benefits. + **Better together** : Coverage for partners, gender-affirming care and health support, and family formation support. + **Build your financial future** : Build financial stability with an industry-leading 401(k) retirement savings plan. For most employees, we put in 5 percent whether you contribute or not, and match your contributions on top of that. + **Advance your education** : Tuition assistance is available to pursue higher education. **A Work Environment Where You Succeed** For brilliant minds in science, technology, engineering and business operations, Battelle is the place to do the greatest good by solving humanity's most pressing challenges and creating a safer, healthier and more secure world. You will have the opportunity to thrive in a culture that inspires you to: + Apply your talent to challenging and meaningful projects + Receive select funding to pursue ideas in scientific and technological discovery + Partner with world-class experts in a collaborative environment + Nurture and develop the next generation of scientific leaders + Give back to and improve our communities **Vaccinations & Safety Protocols** _Battelle may require employees, based on job duties, work location, and/or its clients' requirements to follow certain safety protocols and to be vaccinated against a variety of viruses, bacteria, and diseases as a condition of employment and continued employment and to provide documentation that they are fully vaccinated. If applicable, Battelle will provide reasonable accommodations based on a qualified disability or medical condition through the Americans with Disabilities Act or the Rehabilitation Act or for a sincerely held religious belief under Title VII of the Civil Rights Act of 1964 (and related state laws)._ _Battelle is an equal opportunity employer. We provide employment and opportunities for advancement, compensation, training, and growth according to individual merit, without regard to race, color, religion, sex (including pregnancy), national origin, sexual orientation, gender identity or expression, marital status, age, genetic information, disability, veteran-status veteran or military status, or any other characteristic protected under applicable Federal, state, or local law. Our goal is for each staff member to have the opportunity to grow to the limits of their abilities and to achieve personal and organizational objectives. We will support positive programs for equal treatment of all staff and full utilization of all qualified employees at all levels within Battelle._ The above statements are intended to describe the nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, activities and skills required of staff members. **No statement herein is intended to imply any authorities to commit Battelle unless special written permission is granted by Battelle's Legal Department.** For more information about our other openings, please visit ************************

Battelle delivers when others can't. We conduct research and development, manage national laboratories, design and manufacture products and deliver critical services for our clients-whether they are a multi-national corporation, a small start-up or a government agency. We recognize and appreciate the value and contributions of individuals from a wide range of backgrounds and experiences and welcome all qualified individuals to apply. **Job Summary** The Health Research and Analytics (HRA) business line is seeking a highly motivated, full-time **Nurse Case Manager** to join our team in support of our government customer, U.S. Special Operations Command. This position will play a critical role in advancing the Preservation of the Forces and Family (POTFF) program, which is dedicated to optimizing and sustaining the mission readiness, longevity, and performance of Special Operations Forces (SOF). Through integrated and holistic human performance initiatives, POTFF strengthens both the Forces and their families, ensuring comprehensive support for those who serve. As a Nurse Case Manager, you will contribute to impactful research and analytics that drive evidence-based decision-making and enhance the effectiveness of these vital programs. This is an exciting opportunity to make a meaningful difference in the lives of SOF personnel and their families while working in a dynamic, mission-driven environment. This position applies professional health nursing principles and clinical expertise to analyze and address complex patient needs, ensuring appropriate and cost-effective treatment. This role involves collecting and communicating detailed health data, developing time-sensitive treatment plans, assessing patient care via telephone, and coordinating discharge planning to optimize care delivery and outcomes. Additionally, the Nurse Case Manager facilitates referrals, collaborates with healthcare providers, and manages service agreements to support efficient, effective, and compliant patient care. **Responsibilities** + Provide a full range of professional health nursing principles, practices, and procedures in clinical settings to analyze the full scope of problems associated with providing appropriate, cost-effective care to Department of Defense (DOD) beneficiaries + Collect, organize, record, and communicate data relevant to primary health assessments including a detailed medical history to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations + Assess patient care via the telephone, using established protocols to provide appropriate and cost-effective care + Establish priorities for patient care monitors and evaluate progress toward the stated goals to provide coordinated, efficient, effective health care to its beneficiaries + Oversee discharge-planning activities to ensure ideal timing and sequencing of patient care + Provides professional assistance to health care finders to identify patient's needs for referrals to appropriate health care providers or facilities + Negotiate, write, finalize, and administer product/service agreements to ensure mutual compliance in meeting care goals **Key Qualifications** + Certified as a case manager by a recognized certifying organization, i.e., Commission for Case Management Certification or American Nurse Credentialing Center + At least two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any U.S. State, the District of Columbia, Guam, Puerto Rico or U.S. Virgin Islands + Ability to seek feedback from peers, professional colleagues, clients, and outcomes research, to expand clinical knowledge, enhance role performance, and increase knowledge of professional issues. + Experience effectively consulting with health care providers at all levels and negotiating with outside providers for services and products to obtain client services and support + Experience understanding diagnoses to assist patients to optimize their level of function and self-care + Possess knowledge of patient education principles and management of complex medical, psychosocial, and financial problems to enhance patient adherence to individualized treatment plans and train peers and staff + Maintain credentialing requirements in good standing at a local MTF + Possess oral and written communication skills to meaningfully interact with peers, outside agencies, vendors, providers, and Military Health System (MHS) stakeholders to exchange information, provide briefings, presentations, research, and metrics to demonstrate or advance effective, efficient case management practice, outcomes, and organizational/MHS value. + Experience in team coordination, facilitation, and communication to facilitate the exchange of information/education, enhance goal achievement, augment abilities of client support network, and effect change in system or policy at any level + Knowledge of local, state, and federal laws and regulations, professional code of ethics, and practice standards to ensure adherence within legal and professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report actual or potential quality and risk management issues to improve practice and ensure compliance + Knowledge and skills in the use of VA/DOD Clinical Practice Guidelines to ensure an evidence-based standardized process of care to military beneficiaries + Knowledge of the healthcare financial environment and the fiscal dimension of population health to ensure optimal stewardship of resources + Experience using research tools to critically evaluate existing practices, opportunities, and outcomes + Experience in management of information systems and technology to manage individual or population health, continuously improve practice, and effectively communicate practice outcomes to involved stakeholders + Knowledge of computers and software applications to conduct data collection, tracking, rending, and analysis + Ability to design and present computer-generated outcome analysis information to provide timely, effective peer and higher-level educational programs or project briefings + Knowledge of pharmaceuticals, their desired effects, side effects, and complications of their use to gauge their effect on patients and their recovery + Knowledge of community resources, patient entitlement/benefit eligibility, and ability to access these resources to assist patients/families in optimizing their level of function and self-care + Knowledge of current third-party regulations and policies, with special emphasis on TRICARE and Medicare benefits and services, to identify alternative financing sources to which DOD beneficiaries may be entitled **Additional Qualifications** + May be required to receive and maintain clinical practice privileges + Current certification in Basic Cardiac Life Support (BCLS) from the American Heart Association, with documentation provided + Ability to obtain and maintain a U.S. government security clearance **Benefits: Live an Extraordinary Life** We care about your well-being, not just on the job. Battelle offers comprehensive and competitive benefits to help you live your best life. + **Balance life through a compressed work schedule** : Most of our team follows a flexible, compressed work schedule that allows for every other Friday off-giving you a dedicated day to accomplish things in your personal life without using vacation time. + **Enjoy enhanced work flexibility, including a hybrid arrangement:** You have options for where and when you work. Our Together with Flexibility model allows you to work 60% in-office and 40% remote, with Monday and Tuesday as common in-office days, dependent on team and position needs. + **Take time to recharge** : You get paid time off to support work-life balance and keep motivated. + **Prioritize wellness** : Stay healthy with medical, dental, and vision coverage with wellness incentives and benefits plus a variety of optional supplemental benefits. + **Better together** : Coverage for partners, gender-affirming care and health support, and family formation support. + **Build your financial future** : Build financial stability with an industry-leading 401(k) retirement savings plan. For most employees, we put in 5 percent whether you contribute or not, and match your contributions on top of that. + **Advance your education** : Tuition assistance is available to pursue higher education. **A Work Environment Where You Succeed** For brilliant minds in science, technology, engineering and business operations, Battelle is the place to do the greatest good by solving humanity's most pressing challenges and creating a safer, healthier and more secure world. You will have the opportunity to thrive in a culture that inspires you to: + Apply your talent to challenging and meaningful projects + Receive select funding to pursue ideas in scientific and technological discovery + Partner with world-class experts in a collaborative environment + Nurture and develop the next generation of scientific leaders + Give back to and improve our communities **Vaccinations & Safety Protocols** _Battelle may require employees, based on job duties, work location, and/or its clients' requirements to follow certain safety protocols and to be vaccinated against a variety of viruses, bacteria, and diseases as a condition of employment and continued employment and to provide documentation that they are fully vaccinated. If applicable, Battelle will provide reasonable accommodations based on a qualified disability or medical condition through the Americans with Disabilities Act or the Rehabilitation Act or for a sincerely held religious belief under Title VII of the Civil Rights Act of 1964 (and related state laws)._ _Battelle is an equal opportunity employer. We provide employment and opportunities for advancement, compensation, training, and growth according to individual merit, without regard to race, color, religion, sex (including pregnancy), national origin, sexual orientation, gender identity or expression, marital status, age, genetic information, disability, veteran-status veteran or military status, or any other characteristic protected under applicable Federal, state, or local law. Our goal is for each staff member to have the opportunity to grow to the limits of their abilities and to achieve personal and organizational objectives. We will support positive programs for equal treatment of all staff and full utilization of all qualified employees at all levels within Battelle._ The above statements are intended to describe the nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, activities and skills required of staff members. **No statement herein is intended to imply any authorities to commit Battelle unless special written permission is granted by Battelle's Legal Department.** For more information about our other openings, please visit ************************

We are seeking a Bilingual Medical Case Manager fluent in Spanish and English to join our community-based organization! Medical Case Managers are members of the interdisciplinary team within the Health Access Services department, serving patients at one or more of Philadelphia FIGHT's Community Health Center sites. This position provides both short- and long-term medical case management services to patients with chronic or complex health conditions, and/or socio-economic vulnerabilities (e.g., chronic conditions driven by social determinants of health, Hepatitis C, HIV, etc.). Responsibilities include coordinating access to public benefits, assisting with treatment adherence, coordinating transportation to/from medical appointments, providing therapeutic support, and other essential services. The position is essential in ensuring that services are aligned with Philadelphia FIGHT's mission to advance health equity and promote the well-being of the communities we serve. About the Role: Schedule: Full-time, Monday - Friday (9:00 - 5:00 PM). Location: Philadelphia FIGHT Community Health Centers 1233 Locust St, Phila, PA 19107 Compensation & Benefits: FSLA exempt with annual salary of $56,000-60,000 per year 3 weeks of PTO annually + 11 paid holidays 403(b) plan with company matching Medical, dental, vision, and life insurance FSA for medical, dependent care and transportation expenses Discounted education options with partnered institution Pierce College Requirements: Bachelor's degree required in a Social Services related field. 2+ years of related experience. Must possess basic computer skills to perform job duties including desktop computing, electronic medical records, e-mail, time sheet management, reporting, internet research, etc. using relevant software such as HRIS and Microsoft Word, Excel, etc. Discretion, initiative, and ability to maintain HIPAA compliance. Due to a high volume of Spanish speaking patients, bilingual candidates (Spanish/English) are strongly preferred. Knowledge of de-escalation methods or willingness to be trained in these methods. Must be able to exercise good judgment and identify when to escalate issues as appropriate. Ability to handle stressful situations while providing exceptional customer service. Must be able to demonstrate judgment, patience, integrity, organization, and prioritization in a multi-task environment. Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage and to draw and interpret bar graphs. Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices such as OSHA, HIPAA, HRSA, CLIA and funding body regulations. Strong skillsets in interpersonal relationships and teamwork, attention to detail, dependability, customer service, time management, autonomy and problem solving. Candidates must possess strong communication skills, the ability to multi-task and excellent attention to detail and follow-up skills. Ability to remain solution-focused and respectful in all interactions with staff, co- workers, vendors, and patients. Excellent problem-solving and conflict resolution skills. Ability to display a non-judgmental attitude. Responsibilities: Manages a caseload of clients living with chronic or complex health conditions and/or socio-economic vulnerabilities (e.g., chronic conditions driven by social determinants of health, Hepatitis C, HIV, etc.). Identifies and advocates for clients engaged in care within one or more of Philadelphia FIGHT's Community Health Centers sites related to shelter/housing, utility assistance, food assistance, clothing banks, medication assistance programs, substance use and/or behavioral services, etc. Assesses un- and under-insured clients' eligibility for Pennsylvania public benefits (e.g., Medicaid, MAWD, CHIP, SPBP, etc.). Maintain regular contact with clients, guided by program requirements, client needs, and care goals. Conduct biopsychosocial assessments and develop individualized, goal-oriented, and strengths-based service care plans at intake; reviews and updates quarterly in collaboration with the care team. Provides benefits assistance and enrollment for clients via COMPASS. Follows up on benefit applications and advocate on behalf of clients with the County Assistance Office. Provides trauma-informed therapeutic support, including crisis interventions in collaboration with behavioral health and medical providers. Maintains client files by accurately and timely documenting all client interactions medical records to the electronic medical record system, including benefit applications, appointment adherence, medical treatment plans, medication adherence, and any subsequent follow up. Identifies and advocates for population-specific support services for those who need gender-affirming care, immigrants, clients who are blind, deaf/hard of hearing, have cognitive abilities, etc. Supports clients at medical appointments or during home visits as needed to ensure continuity of care. Participates in on-call rotation during regular office hours. Serves as a mandated reporter for minor patients in cases where harm is perceived or evident. Supports department operations by providing cross-coverage for Health Access Services staff (e.g., Medical Case Managers, Benefits Access Navigators, Assistant Case Managers, receptionists, etc.). Abides by all compliance standards and operational activities, including but not limited to, completing training, attending all required staff meetings, supervision meetings, participating in events, etc. Assists with special projects, organizational events, staff coverage, etc., when needed. Other duties as assigned to fulfill FIGHT's mission. FIGHT is an EEO, Affirmative Action, LGBTQ, people living with HIV/AIDS, and protected veterans' institution. We are dedicated to recruiting, hiring, and retaining employees from many backgrounds. We recognize that an inclusive workforce with a variety of views, perspectives, and backgrounds is an integral part in our organizational success. We encourage and embrace a diverse workforce that provides us with unlimited ideas and innovative solutions.

The Licensed Medical Social Worker performs comprehensive psychosocial assessments and formulates diagnosis of social, emotional and substance abuse problems, develops treatment plans for each client; monitoring plan to ensure its implementation; and educating client regarding wellness, medications, and health care compliance. The Licensed Medical Social Worker serves as an advocate for the client. The Licensed Medical Social Worker ensures linkage to case management, mental health, substance abuse and other client services indicated by diagnosis or clinical needs. Duties and Responsibilities: · Maintains a regular and predictable work schedule. · Communicates with others (internally and externally) to provide, exchange, or verify information, answer questions, and address issues of clients. · Accomplishes assessments and diagnosis to determine the need for social treatment establishes treatment goals and selects appropriate social work treatment techniques, on the basis of problems and needs of clients and families/caregiver(s), which will be most effective. · Develops specific clinic or program treatment goals such as (1) developing communication patterns with members of other disciplines, and (2) determining priorities for services and the method of services (whether in areas of direct services, consultation, or participant teaching. · Objectivity and self-discipline to avoid emotional involvement in situations that is frequently emotional and high-charged. · Keeping abreast of new knowledge and techniques related to the practice of social work and new medical treatment modalities as they might affect the social adjustment or life style of clients via literature, professional settings and staff development activities. · Documentation of services provided in client record and CPCDMS database or other database(s). Performs quality management/assurance activities. · Other duties as assigned. Educational and Job Related Requirements: · Licensed Master Level Social Worker within the human services field required. Must have had two years volunteer or paid in the provision of social work services to infectious/communicable diseases in particular HIV/AIDS clients. Must be able to assess diagnosis, and provide treatment, including appropriate documentation. Bilingual in English and Spanish preferred. Continuing Education and Requirements: Participates in trainings required by the funding source

Job Title: Registered Nurse Job Status: Full-time Job Summary: Under limited supervision, uses intermediate skills obtained through experience and training to improve the physical health status of clients with serious mental illness, including those with co-occurring substance use disorders, who have or are at risk for comorbid primary care conditions and chronic disease. Conduct assessments, draft client care plans, make changes to treatments in care plans. Manages transitions of care with hospital discharge planners. Coordinates care of all clients still in Treat-to-Target stage or high disease acuities. Supervises a team of care workers and wellness coaches and utilizes an Electronic Health Record system to ensure that there is no break in the care provided. Essential Duties and Responsibilities: * Conduct social and medical risk assessments on clients including monitoring patient vital signs and develop plans of care specific to their health needs. Assessments may be conducted on ACCESS property or in clients homes * Enroll clients into appropriate program benefits and activities and monitor progress. Coordinate the delivery of benefits and services to clients. Refer clients to other services as needed * Advocate on behalf of client in written and oral form when providing necessary referrals and contacts with other departments/agencies/companies * Assist clients in recognizing and understanding at risk behaviors. * Provide one to one health education to clients * Plan, provide and/or conduct educational presentations to clients * Functions as a member of a multidisciplinary team that includes a nurse practitioner and clinicians * Review, interpret and explain to program participants the policies and procedures of the program * Document all services in compliance with the agencies quality assurance plan. Report on program progress at required intervals per funding guidelines * Develop and update educational materials for use by patients. Participates in team reviews, staff meetings and staff trainings * Maintain agency confidentiality, clients privacy, and HIPAA compliance * Supervise, coach, and assess staff performance * May participate in grant proposal writing and submission * May participate in audits as needed * Maintains currency on new developments in the nursing field as mandated by the National Council of State Boards of Nursing * Operates standard office equipment and uses required software applications. * Shall follow the funding sources requirements and CARF standards applicable to the services you provide * Performs other duties and responsibilities as assigned Knowledge, Skills, and Abilities: Knowledge of: * Guidelines and standards of the program * Medical/ health and social risk standards * Fundamental knowledge of concepts, practices and procedures used in nursing education and counseling as well as public health and dealing with high risk populations * Intermediate math skills * Basic knowledge of training design and culturally sensitive delivery for individuals and groups Skill in: * Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems * Instructing Teaching others how to do something * Operating standard office equipments and using required software applications, including Microsoft Office, Excel and PowerPoint, the reporting software recommended by funding agency and the ACCESS Electronic Health Record system Ability to: * Actively listen to clients * Partner with other functional areas to accomplish objectives * Facilitate meetings, ensuring that all viewpoints, ideas, and problems are addressed. * Organize and prioritize multiple tasks and meet deadlines * Communicate effectively, both orally and in writing * Speak and write in English. Ability to interpret, speak and write in Arabic, Spanish or other native language of the predominant service population a plus * Maintain confidentiality of agency and client information * Work independently as well as collaboratively within a team environment * Handle stressful situations and provide a high level of customer service in a calm and professional manner * Establish and maintain effective working relationships Educational/Previous Experience Requirements: * Minimum Degree Required: * Associates Degree in Nursing * Bachelors Degree in Nursing preferred ~and~ * * Minimum of two years experience in supervising a team in a community health setting or other related health field or any equivalent combination of experience, education, and/or training approved by Human Resources. Licenses/Certifications: * Licenses/Certifications Required at Date of Hire: * Must be registered nurse in good standing based on current licensure requirements administered by the Michigan Board of Nursing Department of Licensing and Regulatory Affairs. Working Conditions: Hours: Normal business hours. Some additional hours may be required. Travel Required: Local travel may be required. Travel required within Wayne, Oakland, and Macomb Counties. Travel throughout the state may be required based on the assigned functional area. Working Environment: Climate controlled office environment during normal business hours.

Cedar Park Med is seeking experienced Registered Nurses for Case Management, Utilization Review, CDI, and MDS (Minimum Data Set) roles. We're looking for compassionate, dedicated professionals who are ready to bring their expertise to our team and work with flexibility. Schedule: 13 weeks contract. Day shift, 8 hrs, 5 days. MUST HAVE ACUTE HOSPITAL CASE MANAGEMENT EXPERIENCE ***Hiring for both local and traveler positions! Only candidates outside a 50-mile radius qualify for traveler roles. Rates vary based on experience and whether the position is local or traveler.*** Requirements: Current New York State Registration Certified in BLS and able to be recertified Minimum of 1.5 years recent experience (within past 2 years) in an acute care facility of similar size and level as Hospital. Travelers will only be considered if experienced in hospitals of equal or greater size or trauma centers. Experience with an EPIC Electronic Medical Records preferred. Must possess excellent interpersonal and communication skills. Must not have had professional license or certification suspended or investigated. Must not have been named as a defendant in a professional liability claim. Must have verification of legal right to work in U.S. Must successfully pass pre-employment health clearance. Must have COVID vaccination card. Benefits: PTO Vacation pay Bonus pay Health insurance 401k Why Join Us: Join Cedar Park Med and experience a company that genuinely values your growth and success. Beyond our standard benefits like bonuses, PTO, health insurance, and training and career advancement, you will have an entire team dedicated to your success. Your personal recruiter will help you with your credentialing and document process. If you're ready to take the next step in your career and experience the difference a dedicated team can make, we invite you to join Cedar Park and become part of our family. Your career growth and success are our top priority!

Notice: This position reports to the Call Center Department located at the Corporate Office in Commerce, CA. This position does NOT work remotely. Under the general supervision of the Nurse Manager, the Triage Nurse is responsible for patient triage via the nurse phone line and Call Center agents, in collaboration with Clinic Administrators, providers, and other departments. The Triage Nurse provides quality patient care in compliance with local, state, and federal regulations, as well as accreditation standards. Principal Responsibilities: Responds to triage calls on the nurse phone line, assessing patient needs and providing appropriate guidance. Manages inquiries on the pharmacy phone line, ensuring timely and accurate responses. Conducts patient assessments over the phone, directing them to emergency rooms (ERs), urgent care centers, home care advice, or scheduling physician appointments as needed. Determines urgency based on a telephone assessment and the patient's medical history in the electronic medical record (EMR). Utilizes clinical decision-making tools, including algorithms that replicate physician logic, to guide scheduling decisions. Escalates high-risk cases involving symptoms such as chest pain, abdominal pain, or severe headaches, ensuring immediate ER referral or ambulance coordination. Provides home care guidance to patients who do not require emergency services. Maintains thorough documentation of consultations and treatments in the NextGen Electronic Health Record system. Coordinates appointments for non-emergency patients and consults with physicians as necessary. Acts as a resource for patient inquiries when designated as "Ask a Nurse," addressing routine questions such as vaccination schedules. Serves as a clinical resource and role model for nursing staff, promoting best practices. Manages workload effectively, prioritizing tasks and completing them promptly. Assists with medical chart reviews and compiles data for audits and reports. Supports policy development, collaborating with the Managing Nurse to establish nursing protocols and procedures. Ensures clear, concise, and accurate triage documentation. Provides patient education, offering guidance on self-care and medical conditions. Communicates professionally with staff, consultants, patients, families, and the community. Resolves conflicts proactively, improving patient satisfaction through timely responses. Participates in team meetings, training sessions, and planning discussions as needed. Performs additional duties as assigned to support clinical operations. Requirements: Licensed by the State of California as a Registered Nurse. Current BLS certification from the American Heart Association or the American Red Cross. Bilingual (English/Spanish) is required . At least one year of experience in an ambulatory care setting. Experience working with patients and staff from diverse socioeconomic, ethnic, and cultural backgrounds. Excellent verbal and written communication skills, including strong organizational, detail-oriented, and interpersonal skills. Proficiency in computer skills and word processing. Ability to travel between sites. *All JWCH, Wesley Health Centers workforce members are recommended to be fully vaccinated against COVID-19. Employee Benefits: At JWCH Institute, Inc., we believe in taking care of those who take care of others. If you work 30+ hours per week, you'll enjoy competitive pay and a robust benefits package that includes: Medical, Dental, Vision Monthly employer-sponsored allowance for assistance with health premiums. Funded Health Savings Account (up to deductible) to assist with carrier-approved medical expenses. Paid time off (vacation, sick leave) and 13 paid holidays. 401(k) Safe Harbor Profit Sharing plan. Mileage reimbursement. Short- and long-term disability plans (LTD/STD). Life insurance policy & AD&D, and more! Become part of a team where your work matters. Apply today and help us change lives, one patient at a time. JWCH Institute, Inc + Wesley Health Centers is an Equal Opportunity and Fair Chance Employer. Notice: This position does NOT work remotely.

←Back to all jobs at Friendship Community Nursing Consultant Friendship Community is an EEO Employer - M/F/Disability/Protected Veteran Status Join our nursing consultant team at Friendship Community and work with an interdisciplinary team to provide medical support for meeting the health care needs of adults with IDD/DD in residential group homes. Be involved with medication administration training, communication of Individuals' medical status, and other medical tasks for the health and wellness of Individuals. This is not your typical shift work. Proficiency in Microsoft Office is required. Current PA nursing license required, RN or LPN. At least 1 year of experience with IDD/DD population preferred, but not required. Schedule is primarily daytime Monday-Friday, with occasional evenings or weekend hours to monitor medication administration or provide phone support. Please visit our careers page to see more job opportunities.

←Back to all jobs at Friendship Community Nursing Consultant Friendship Community is an EEO Employer - M/F/Disability/Protected Veteran Status Join our nursing consultant team at Friendship Community and work with an interdisciplinary team to provide medical support for meeting the health care needs of adults with IDD/DD in residential group homes. Be involved with medication administration training, communication of Individuals' medical status, and other medical tasks for the health and wellness of Individuals. This is not your typical shift work. Proficiency in Microsoft Office is required. Current PA nursing license required, RN or LPN. At least 1 year of experience with IDD/DD population preferred, but not required. Schedule is primarily daytime Monday-Friday, with occasional evenings or weekend hours to monitor medication administration or provide phone support. As a Full-Time Nurse Consultant, you will be eligible for the following benefits: Medical Insurance: $40 bi-weekly medical benefits for individuals, $50 bi-weekly medical benefits for family. Eligible after 60-day waiting period. Ancillary benefits (ex. dental, vision, etc.) provided through Lincoln Financial. Friendship Community provides a defined annual contribution that Full-Time Team Members can use towards ancillary benefits each year. The 2024 defined contribution is $150, which totals $5.77 per pay. Eligible after 60 day waiting period. Paid Time Off: Accrues per pay period, can be used immediately. Sick Time: Accrues per pay period, can be used immediately. Retirement: Team member is able to contribute to 403(b) retirement plan after 30 days. Holiday Pay (FT status): 7 paid holidays-New Year's Day, Easter Sunday (or Good Friday for Team Members who do not normally work weekends), Memorial Day, Fourth of July, Labor Day, Thanksgiving, Christmas. Benefits Offered to all Team Members: Wellness program Everence Federal Credit Union Everence Small Loan Wellspan Employee Assistance Program (EAP) Modern Eyes Membership Discount at our Heart Gallery Meals/Activities while on shift for DSPs Olivia Cunningham Education Fund Free my Strength app access In order to be considered for a position here at Friendship Community, please apply using the following link: ************************************ Friendship Community is an Equal Opportunity Employer and does not unlawfully discriminate on the basis of race, national or ethnic origin, color, religion, sex, sexual orientation, age, disability, citizenship or veteran's status. Please visit our careers page to see more job opportunities.

This is a second-shift role working 11:00 AM - 11:30 PM, three 12-hour shifts per week, including every other weekend. The Triage RN works under the direct supervision of the Nursing Supervisor and provides high-quality, trauma-informed, person-centered nursing care in a fast-paced crisis setting. This position plays a critical role in supporting assessment, safety, and recovery. This is an in-person role at our 24/7 Resource and Crisis Center in Pontiac, MI. Essential Functions Conduct initial nursing assessments and behavioral health triages for walk-in individuals to evaluate presenting concerns, acuity, and immediate safety needs. Prioritize and triage individuals based on clinical urgency, risk factors, and level of care required. Collaborate with the Crisis Assessment Team to determine appropriate interventions, referrals, or dispositions. Participate in shift change reports and communicate pertinent updates to team members and leadership. Maintain accurate, timely, and compliant nursing documentation in accordance with agency policies and regulatory requirements. Support de-escalation and crisis intervention efforts to ensure the safety and stabilization of individual and staff. Monitor individuals in the walk-in center for changes in medical or psychiatric status, responding promptly to emergent needs. Ensure adherence to clinical protocols, infection control procedures, and best practice standards. Assist in coordinating care transitions, including admissions to higher levels of care or community-based follow-up. Provide education, reassurance, and support to clients and families during crisis stabilization. Contribute to a trauma-informed, recovery-oriented, and person-centered care environment. Participate in quality improvement, incident review, and ongoing professional development activities. Uphold confidentiality, ethical standards, and professional boundaries in all individual interactions. Perform other related duties as assigned to support effective crisis response and team operations. Job Requirements and Qualifications Education: Bachelor's degree in nursing (BSN) required. Associates Degreee of Nursing will be considered with 5 years' experience. Training Requirements (licenses, programs, or certificates): BLS Recipient Right's Unrestricted Nursing license Experience Requirements: Minimum of two years of nursing experience working in a human service, crisis or medical environment. Preferred Experience: Experience in working with electronic health records Experience in customer service Experience in crisis de-escalation Experience working with adults with severe mental illness, substance use disorder or intellectual/developmental disabilities Experience working with children with serious emotional disturbance Job Specific Competencies/Skills: Interpersonal Skills Strong Organizational Skills Data Analysis Strategic Planning Strong written and oral communication De-escalation and conflict resolution Strong leadership and problem-solving skills Clinical knowledge of mental health and suicide prevention Strong time management Knowledge Requirements: HIPPA Microsoft 365 Recipient Right's Mental Health Code Medicaid Manual Regulatory compliance Oakland Community Health Network's Core Competencies: Interacting with others in a way that gives them confidence in one's intentions and those of the organization; demonstrating loyalty to the organization and its mission and values; maintaining social, ethical, and organizational norms; firmly adhering to codes of conduct and ethical principles. (Integrity/Building Trust) Making customers and their needs a primary focus of one's actions; developing and sustaining productive customer relationships, recognizing that the ultimate customer is the person served. (Customer Focus) Actively identifying new areas for learning; regularly creating and taking advantage of learning opportunities; using newly gained knowledge and skill on the job and learning through their application. (Continuous Learning) Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence in addition to consciously adopting organizational standards of excellence. (Work Standards) Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message. (Communication) Additional Information (Travel required, physical requirements, on-call schedules, etc.): Must be available for meetings and events which may occur outside of standard office hours. Work performed primarily in a crisis center environment. The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation. OCHN is committed to building a diverse team and fostering an inclusive and equitable culture. We are proud to be an equal opportunity employer that embraces and encourages our employees' differences. This includes (but is not limited to) ability, age, color, family type, gender expression and identity, individual expression, medical conditions, national origin, pregnancy, race, religion, sexual orientation, veteran status, and all other diverse and wonderful characteristics.

We are hiring a Triage Nurse on the night shift at OCHN's Resource and Crisis Center in Pontiac , MI. This position works under the direct supervision of the Nursing Supervisor. The Triage RN is responsible for delivering high-quality, trauma-informed, and person-centered care. Operating in a fast-paced crisis setting, the RN plays a critical role in supporting assessment, safety, and recovery. NOTE: This position will work 7PM - 7:30 AM (Night Shift) The schedule is 3, 12-hour shifts per week, including every other weekend. Essential Functions Conduct initial nursing assessments and behavioral health triages for walk-in individuals to evaluate presenting concerns, acuity, and immediate safety needs. Prioritize and triage individuals based on clinical urgency, risk factors, and level of care required. Collaborate with the Crisis Assessment Team to determine appropriate interventions, referrals, or dispositions. Participate in shift change reports and communicate pertinent updates to team members and leadership. Maintain accurate, timely, and compliant nursing documentation in accordance with agency policies and regulatory requirements. Support de-escalation and crisis intervention efforts to ensure the safety and stabilization of individual and staff. Monitor individuals in the walk-in center for changes in medical or psychiatric status, responding promptly to emergent needs. Ensure adherence to clinical protocols, infection control procedures, and best practice standards. Assist in coordinating care transitions, including admissions to higher levels of care or community-based follow-up. Provide education, reassurance, and support to clients and families during crisis stabilization. Contribute to a trauma-informed, recovery-oriented, and person-centered care environment. Participate in quality improvement, incident review, and ongoing professional development activities. Uphold confidentiality, ethical standards, and professional boundaries in all individual interactions. Perform other related duties as assigned to support effective crisis response and team operations. Job Requirements and Qualifications Education: Bachelor's degree in nursing (BSN) preferred. Associates Degree of Nursing will be considered with 3 years' experience. Training Requirements (licenses, programs, or certificates): BLS Recipient Right's Unrestricted Nursing license Experience Requirements: Minimum of two years of nursing experience working in a human service, crisis or medical environment. Preferred Experience: Experience in working with electronic health records Experience in customer service Experience in crisis de-escalation Experience working with adults with severe mental illness, substance use disorder or intellectual/developmental disabilities Experience working with children with serious emotional disturbance Job Specific Competencies/Skills: Interpersonal Skills Strong Organizational Skills Data Analysis Strategic Planning Strong written and oral communication De-escalation and conflict resolution Strong leadership and problem-solving skills Clinical knowledge of mental health and suicide prevention Strong time management Knowledge Requirements: HIPPA Microsoft 365 Recipient Right's Mental Health Code Medicaid Manual Regulatory compliance Oakland Community Health Network's Core Competencies: Interacting with others in a way that gives them confidence in one's intentions and those of the organization; demonstrating loyalty to the organization and its mission and values; maintaining social, ethical, and organizational norms; firmly adhering to codes of conduct and ethical principles. (Integrity/Building Trust) Making customers and their needs a primary focus of one's actions; developing and sustaining productive customer relationships, recognizing that the ultimate customer is the person served. (Customer Focus) Actively identifying new areas for learning; regularly creating and taking advantage of learning opportunities; using newly gained knowledge and skill on the job and learning through their application. (Continuous Learning) Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence in addition to consciously adopting organizational standards of excellence. (Work Standards) Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message. (Communication) Additional Information Must be available for meetings and events which may occur outside of standard office hours. Work performed primarily in a crisis center environment. The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation. OCHN is committed to building a diverse team and fostering an inclusive and equitable culture. We are proud to be an equal opportunity employer that embraces and encourages our employees' differences. This includes (but is not limited to) ability, age, color, family type, gender expression and identity, individual expression, medical conditions, national origin, pregnancy, race, religion, sexual orientation, veteran status, and all other diverse and wonderful characteristics.

We are hiring a Triage Nurse on the night shift at OCHN's Resource and Crisis Center in Pontiac, MI. This position works under the direct supervision of the Nursing Supervisor. The Triage RN is responsible for delivering high-quality, trauma-informed, and person-centered care. Operating in a fast-paced crisis setting, the RN plays a critical role in supporting assessment, safety, and recovery. NOTE: This position will work 7PM - 7:30 AM (Night Shift) The schedule is 3, 12-hour shifts per week, including every other weekend. Essential Functions Conduct initial nursing assessments and behavioral health triages for walk-in individuals to evaluate presenting concerns, acuity, and immediate safety needs. Prioritize and triage individuals based on clinical urgency, risk factors, and level of care required. Collaborate with the Crisis Assessment Team to determine appropriate interventions, referrals, or dispositions. Participate in shift change reports and communicate pertinent updates to team members and leadership. Maintain accurate, timely, and compliant nursing documentation in accordance with agency policies and regulatory requirements. Support de-escalation and crisis intervention efforts to ensure the safety and stabilization of individual and staff. Monitor individuals in the walk-in center for changes in medical or psychiatric status, responding promptly to emergent needs. Ensure adherence to clinical protocols, infection control procedures, and best practice standards. Assist in coordinating care transitions, including admissions to higher levels of care or community-based follow-up. Provide education, reassurance, and support to clients and families during crisis stabilization. Contribute to a trauma-informed, recovery-oriented, and person-centered care environment. Participate in quality improvement, incident review, and ongoing professional development activities. Uphold confidentiality, ethical standards, and professional boundaries in all individual interactions. Perform other related duties as assigned to support effective crisis response and team operations. Job Requirements and Qualifications Education: Bachelor's degree in nursing (BSN) preferred. Associates Degree of Nursing will be considered with 3 years' experience. Training Requirements (licenses, programs, or certificates): BLS Recipient Right's Unrestricted Nursing license Experience Requirements: Minimum of two years of nursing experience working in a human service, crisis or medical environment. Preferred Experience: Experience in working with electronic health records Experience in customer service Experience in crisis de-escalation Experience working with adults with severe mental illness, substance use disorder or intellectual/developmental disabilities Experience working with children with serious emotional disturbance Job Specific Competencies/Skills: Interpersonal Skills Strong Organizational Skills Data Analysis Strategic Planning Strong written and oral communication De-escalation and conflict resolution Strong leadership and problem-solving skills Clinical knowledge of mental health and suicide prevention Strong time management Knowledge Requirements: HIPPA Microsoft 365 Recipient Right's Mental Health Code Medicaid Manual Regulatory compliance Oakland Community Health Network's Core Competencies: Interacting with others in a way that gives them confidence in one's intentions and those of the organization; demonstrating loyalty to the organization and its mission and values; maintaining social, ethical, and organizational norms; firmly adhering to codes of conduct and ethical principles. (Integrity/Building Trust) Making customers and their needs a primary focus of one's actions; developing and sustaining productive customer relationships, recognizing that the ultimate customer is the person served. (Customer Focus) Actively identifying new areas for learning; regularly creating and taking advantage of learning opportunities; using newly gained knowledge and skill on the job and learning through their application. (Continuous Learning) Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence in addition to consciously adopting organizational standards of excellence. (Work Standards) Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message. (Communication) Additional Information Must be available for meetings and events which may occur outside of standard office hours. Work performed primarily in a crisis center environment. The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation. OCHN is committed to building a diverse team and fostering an inclusive and equitable culture. We are proud to be an equal opportunity employer that embraces and encourages our employees' differences. This includes (but is not limited to) ability, age, color, family type, gender expression and identity, individual expression, medical conditions, national origin, pregnancy, race, religion, sexual orientation, veteran status, and all other diverse and wonderful characteristics.

Job Description We are hiring a Triage Nurse on the night shift at OCHN's Resource and Crisis Center in Pontiac, MI. This position works under the direct supervision of the Nursing Supervisor. The Triage RN is responsible for delivering high-quality, trauma-informed, and person-centered care. Operating in a fast-paced crisis setting, the RN plays a critical role in supporting assessment, safety, and recovery. NOTE: This position will work 7PM - 7:30 AM (Night Shift) The schedule is 3, 12-hour shifts per week, including every other weekend. Essential Functions Conduct initial nursing assessments and behavioral health triages for walk-in individuals to evaluate presenting concerns, acuity, and immediate safety needs. Prioritize and triage individuals based on clinical urgency, risk factors, and level of care required. Collaborate with the Crisis Assessment Team to determine appropriate interventions, referrals, or dispositions. Participate in shift change reports and communicate pertinent updates to team members and leadership. Maintain accurate, timely, and compliant nursing documentation in accordance with agency policies and regulatory requirements. Support de-escalation and crisis intervention efforts to ensure the safety and stabilization of individual and staff. Monitor individuals in the walk-in center for changes in medical or psychiatric status, responding promptly to emergent needs. Ensure adherence to clinical protocols, infection control procedures, and best practice standards. Assist in coordinating care transitions, including admissions to higher levels of care or community-based follow-up. Provide education, reassurance, and support to clients and families during crisis stabilization. Contribute to a trauma-informed, recovery-oriented, and person-centered care environment. Participate in quality improvement, incident review, and ongoing professional development activities. Uphold confidentiality, ethical standards, and professional boundaries in all individual interactions. Perform other related duties as assigned to support effective crisis response and team operations. Job Requirements and Qualifications Education: Bachelor's degree in nursing (BSN) preferred. Associates Degree of Nursing will be considered with 3 years' experience. Training Requirements (licenses, programs, or certificates): BLS Recipient Right's Unrestricted Nursing license Experience Requirements: Minimum of two years of nursing experience working in a human service, crisis or medical environment. Preferred Experience: Experience in working with electronic health records Experience in customer service Experience in crisis de-escalation Experience working with adults with severe mental illness, substance use disorder or intellectual/developmental disabilities Experience working with children with serious emotional disturbance Job Specific Competencies/Skills: Interpersonal Skills Strong Organizational Skills Data Analysis Strategic Planning Strong written and oral communication De-escalation and conflict resolution Strong leadership and problem-solving skills Clinical knowledge of mental health and suicide prevention Strong time management Knowledge Requirements: HIPPA Microsoft 365 Recipient Right's Mental Health Code Medicaid Manual Regulatory compliance Oakland Community Health Network's Core Competencies: Interacting with others in a way that gives them confidence in one's intentions and those of the organization; demonstrating loyalty to the organization and its mission and values; maintaining social, ethical, and organizational norms; firmly adhering to codes of conduct and ethical principles. (Integrity/Building Trust) Making customers and their needs a primary focus of one's actions; developing and sustaining productive customer relationships, recognizing that the ultimate customer is the person served. (Customer Focus) Actively identifying new areas for learning; regularly creating and taking advantage of learning opportunities; using newly gained knowledge and skill on the job and learning through their application. (Continuous Learning) Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence in addition to consciously adopting organizational standards of excellence. (Work Standards) Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message. (Communication) Additional Information Must be available for meetings and events which may occur outside of standard office hours. Work performed primarily in a crisis center environment. The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation. OCHN is committed to building a diverse team and fostering an inclusive and equitable culture. We are proud to be an equal opportunity employer that embraces and encourages our employees' differences. This includes (but is not limited to) ability, age, color, family type, gender expression and identity, individual expression, medical conditions, national origin, pregnancy, race, religion, sexual orientation, veteran status, and all other diverse and wonderful characteristics.

Altus Accountable Care Entity (ACE) is a physician-led organization empowering doctors to deliver high-quality, value-based care within their communities. Altus ACE works in partnership with Managed Care Organizations to provide care coordination services directly to patients in the STAR+PLUS, STAR+PLUS MMP (dual eligibles) and Medicare Advantage programs. Our unique community-based care model achieves quality results and healthcare savings that are shared with our physician partners. Job Description Job Title: RN - Case Manager Status: Exempt Reports To: Nurse Manager Salary: Up to $80,000 DOE Location: Houston, TX Telecommute Position: The chosen candidate must be able to travel throughout the Houston area to meet with Members. When not out in the field the chosen candidate is expected to work from home. Summary: We are looking for Registered Nurses who have the specific knowledge and skills required for care management and provide case management across the health care continuum. They utilize clinical skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options and services to facilitate appropriate health care outcomes for Members. The Registered Nurses assists Members at self-management support and navigation thru the health care system. He/she always works to achieve the best possible clinical outcomes for the Member Essential Duties and Responsibilities: Identification and risk stratification of Members; applies data driven methods of identification of Members, following appropriate procedures for identifying, screening and assessing Member needs. Proactive and predictive identification and appropriate recommendations for referrals to alternative health care programs ( e.g. , disease management, case management). Conducts comprehensive health risk assessments (HRA) of Member's clinical and psycho-social care needs and determines approaches to meeting needs either through the Altus ACE, the Member's benefits plan or external programs and services. Assessments may be in person or telephonic. Assists with teaching and coordinating medical and social referrals across the continuum of care including assistance with Medicaid recertification. Develop and implement mutually agreed upon, person-centered care plans that include long-term and short term goals aimed at improving the Member's overall health. Evaluates and identifies health care service delivery using clinical knowledge to sequence services such that the Member receives care in the setting that best promotes quality and efficiency. Reviews and approves all Member HRAs Working with Medicaid and/or Medicare members who may be experiencing chronic and or complex biopsychosocial needs. Qualifications Qualifications/Requirements: Active RN license with the State of Texas Strong customer service skills to coordinate service delivery including attention to Members, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for Members. Ability to effectively participate in a multi-disciplinary team including internal and external participants. Familiarity with basic medical terminology and concepts used in care management Effective communication, telephonic and organization skills. Computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word. Reliable transportation to travel to member homes or other locations within service delivery area Education and Certification Preferred: Case Management certification preferred Bilingual in Spanish preferred 3-5 years acute clinical/surgical experience Previous case management experience, Managed care organization experience with Medicaid/Medicare and Duals or post-acute and/or Community care experience a plus. Physical Demands: The employee must occasionally lift and/or move up to 25 pounds Additional Information All your information will be kept confidential according to EEO guidelines. Reasonable Accommodations: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Altus Accountable Care Entity (ACE) is a physician-led organization empowering doctors to deliver high-quality, value-based care within their communities. Altus ACE works in partnership with Managed Care Organizations to provide care coordination services directly to patients in the STAR+PLUS, STAR+PLUS MMP (dual eligibles) and Medicare Advantage programs. Our unique community-based care model achieves quality results and healthcare savings that are shared with our physician partners. Job Description Job Title: RN - Case Manager Status: Exempt Reports To: Nurse Manager Salary: Up to $80,000 DOE Location: Houston, TX Telecommute Position: The chosen candidate must be able to travel throughout the Houston area to meet with Members. When not out in the field the chosen candidate is expected to work from home. Summary: We are looking for Registered Nurses who have the specific knowledge and skills required for care management and provide case management across the health care continuum. They utilize clinical skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options and services to facilitate appropriate health care outcomes for Members. The Registered Nurses assists Members at self-management support and navigation thru the health care system. He/she always works to achieve the best possible clinical outcomes for the Member Essential Duties and Responsibilities: Identification and risk stratification of Members; applies data driven methods of identification of Members, following appropriate procedures for identifying, screening and assessing Member needs. Proactive and predictive identification and appropriate recommendations for referrals to alternative health care programs ( e.g. , disease management, case management). Conducts comprehensive health risk assessments (HRA) of Member's clinical and psycho-social care needs and determines approaches to meeting needs either through the Altus ACE, the Member's benefits plan or external programs and services. Assessments may be in person or telephonic. Assists with teaching and coordinating medical and social referrals across the continuum of care including assistance with Medicaid recertification. Develop and implement mutually agreed upon, person-centered care plans that include long-term and short term goals aimed at improving the Member's overall health. Evaluates and identifies health care service delivery using clinical knowledge to sequence services such that the Member receives care in the setting that best promotes quality and efficiency. Reviews and approves all Member HRAs Working with Medicaid and/or Medicare members who may be experiencing chronic and or complex biopsychosocial needs. Qualifications Qualifications/Requirements: Active RN license with the State of Texas Strong customer service skills to coordinate service delivery including attention to Members, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for Members. Ability to effectively participate in a multi-disciplinary team including internal and external participants. Familiarity with basic medical terminology and concepts used in care management Effective communication, telephonic and organization skills. Computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word. Reliable transportation to travel to member homes or other locations within service delivery area Education and Certification Preferred: Case Management certification preferred Bilingual in Spanish preferred 3-5 years acute clinical/surgical experience Previous case management experience, Managed care organization experience with Medicaid/Medicare and Duals or post-acute and/or Community care experience a plus. Physical Demands: The employee must occasionally lift and/or move up to 25 pounds Additional Information All your information will be kept confidential according to EEO guidelines. Reasonable Accommodations: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.