Registered Nurse In The ICU jobs at Steward Health Care

We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - UT Position Overview: The Home Health Clinical Referral Nurse serves as the initial point of contact for potential home health patients, working closely with our clerical home health coordinators. This role is pivotal in managing new referrals and ongoing follow-ups, acting as a liaison between patients, families, and referral sources. This position is eligible for mobile/remote work if you meet eligibility requirements. Remote/Mobile Work: Eligible for work from home with reliable power and internet services and if you meet eligibility to work remote (example, dedicated office with door that closes, cannot be a primary care-giver during business hours. On-Site Requirements: Occasional on-site work may be required for training or other purposes if within driving distance to the center. Key Responsibilities: Referral Management: Receive and process referrals for patient care, ensuring timely and consistent admissions. Communication: Make and take calls for new referrals and follow-ups, maintaining clear communication with patients, families, and referral sources. Collaboration: Work closely with referring hospitals, physicians, board and care facilities, skilled nursing facilities, and other healthcare providers. Data Entry: Enter referral information into the Electronic Medical Records (EMR) system and create initial orders to facilitate the start of care. This is a fast-paced work environment that requires our nurses to be able to work in 2 separate charting systems, manage emails, communicate with multiple teams and leaders, and operate Excel documents. Customer Service: Utilize and promote excellent customer service skills in all interactions. Team Interaction: Collaborate with referral center staff, home health, Advanced Illness Management (AIM), and hospice staff across offices. Job Description: Applications accepted only from the following states: AZ, OR, AR, ID, TN, UT, NV, & TX FULL-TIME DAY SHIFTS: Varied Weekdays / Rotating Weekends EDUCATION: * Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: * Valid and unrestricted RN license in your state of residence. * SCAH After Hours Department: RN-Registered Nurse of California within 90 days TYPICAL EXPERIENCE: * 2 years recent relevant experience. SKILLS AND KNOWLEDGE: * Must have the clinical knowledge and critical thinking skills to effectively plan and provide coordination of patient care consistent with standards and regulations * Must have exceptional interpersonal and customer services skills * Must be able to effectively solve unique problems as they arise or identify when to consult the supervisor * Must have knowledge of current Hospice/Home Health admission criteria; Medicare, Medi-Cal, Commercial, State and Federal regulations * Familiarity with ICD-10 coding preferred but not essential * Must be able to demonstrate problem-solving abilities as well as telephone, interpersonal, verbal and written communication skills in English * Commitment to teamwork and customer service, both internally and externally, is required * Must have proven /proven data entry and general computer skills * Must be able to demonstrate proficiency (after training and introductory period) in efficient use of electronic medical record systems * Must be able to flex with the increased workflow when census is higher and recognize urgency of each task * Must be flexible with schedule including, but not limited to, the ability to participate in department rotation for weekend coverage if needed * Must be able to drive to designated SCAH location(s) for meetings, training, and needs as designated by business needs Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $0.00 to $0.00 / hour. Applicants in the following states: Arizona, Oregon, Arkansas, Idaho, Tennessee, & Utah Pay Range is $37.19 to $48.71 / hour. Applicants in the following states: Nevada & Texas Pay Range is $40.91 to $53.58 / hour. The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - UT Position Overview: The Home Health Clinical Referral Nurse serves as the initial point of contact for potential home health patients, working closely with our clerical home health coordinators. This role is pivotal in managing new referrals and ongoing follow-ups, acting as a liaison between patients, families, and referral sources. This position is eligible for mobile/remote work if you meet eligibility requirements. Remote/Mobile Work: Eligible for work from home with reliable power and internet services and if you meet eligibility to work remote (example, dedicated office with door that closes, cannot be a primary care-giver during business hours. On-Site Requirements: Occasional on-site work may be required for training or other purposes if within driving distance to the center. Key Responsibilities: Referral Management: Receive and process referrals for patient care, ensuring timely and consistent admissions. Communication: Make and take calls for new referrals and follow-ups, maintaining clear communication with patients, families, and referral sources. Collaboration: Work closely with referring hospitals, physicians, board and care facilities, skilled nursing facilities, and other healthcare providers. Data Entry: Enter referral information into the Electronic Medical Records (EMR) system and create initial orders to facilitate the start of care. This is a fast-paced work environment that requires our nurses to be able to work in 2 separate charting systems, manage emails, communicate with multiple teams and leaders, and operate Excel documents. Customer Service: Utilize and promote excellent customer service skills in all interactions. Team Interaction: Collaborate with referral center staff, home health, Advanced Illness Management (AIM), and hospice staff across offices. Job Description: Applications accepted only from the following states: AZ, OR, AR, ID, TN, UT, NV, & TX FULL-TIME DAY SHIFTS: Varied Weekdays / Rotating Weekends EDUCATION: * Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: * Valid and unrestricted RN license in your state of residence. * SCAH After Hours Department: RN-Registered Nurse of California within 90 days TYPICAL EXPERIENCE: * 2 years recent relevant experience. SKILLS AND KNOWLEDGE: * Must have the clinical knowledge and critical thinking skills to effectively plan and provide coordination of patient care consistent with standards and regulations * Must have exceptional interpersonal and customer services skills * Must be able to effectively solve unique problems as they arise or identify when to consult the supervisor * Must have knowledge of current Hospice/Home Health admission criteria; Medicare, Medi-Cal, Commercial, State and Federal regulations * Familiarity with ICD-10 coding preferred but not essential * Must be able to demonstrate problem-solving abilities as well as telephone, interpersonal, verbal and written communication skills in English * Commitment to teamwork and customer service, both internally and externally, is required * Must have proven /proven data entry and general computer skills * Must be able to demonstrate proficiency (after training and introductory period) in efficient use of electronic medical record systems * Must be able to flex with the increased workflow when census is higher and recognize urgency of each task * Must be flexible with schedule including, but not limited to, the ability to participate in department rotation for weekend coverage if needed * Must be able to drive to designated SCAH location(s) for meetings, training, and needs as designated by business needs Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $0.00 to $0.00 / hour. Applicants in the following states: Arizona, Oregon, Arkansas, Idaho, Tennessee, & Utah Pay Range is $37.19 to $48.71 / hour. Applicants in the following states: Nevada & Texas Pay Range is $40.91 to $53.58 / hour. The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians' clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions or procedures. Educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, and case management. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Record Review: Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) initiate a review worksheet. * Conducts follow-up reviews of patients every 2-3 days to support and assign a working or final MS-DRG assignment upon patient discharge, as necessary. * Formulate physician queries regarding missing, unclear or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary. * Collaborates with case managers, nursing staff and other ancillary staff regarding interaction with physicians regarding documentation and to resolve physician queries prior to discharge. * Assist in training department staff new to CDI * Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls as well as any required CDI education. * CDI: Communicates/Completes Clinical Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution * Other duties as assigned KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * CDI Specialist must display teamwork and commitment while performing daily duties * Must demonstrate initiative and discipline in time management and medical record review * Travel may be required to meet the needs of the facilities * Advanced knowledge of Medicare Part A and familiar with Medicare Part B * Intermediate knowledge of disease pathophysiology and drug utilization * Intermediate knowledge of MS-DRG classification and reimbursement structures * Critical thinking, problem solving and deductive reasoning skills * Effective written and verbal communication skills * Knowledge of coding compliance and regulatory standards * Excellent organizational skills for initiation and maintenance of efficient work flow * Regular and reliable attendance and time reporting per Conifer Telecommuting program requirements * Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment * Understand and communicate documentation strategies * Recognize opportunities for documentation improvement * Formulate clinically, compliant credible queries * Ability to maintain an auditing and monitoring program as a means to measure query process * Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Preferred: Acute Care nursing relevant experience * Zero (0) to two (2) years experience * Graduate from a Nursing program, BSN, or graduate CERTIFICATES, LICENSES, REGISTRATIONS * Active state Registered Nurse license * Preferred: CDIP or CCDS PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to sit for extended periods of time * Must be able to efficiently use computer keyboard and mouse * Good visual acuity WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. OTHER * Must be able to travel nationally as needed, not to exceed 10% As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $72,508.80 - $108,763.20 annually. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - UT Position Overview: The Home Health Clinical Referral Nurse serves as the initial point of contact for potential home health patients, working closely with our clerical home health coordinators. This role is pivotal in managing new referrals and ongoing follow-ups, acting as a liaison between patients, families, and referral sources. This position is eligible for mobile/remote work if you meet eligibility requirements. Remote/Mobile Work: Eligible for work from home with reliable power and internet services and if you meet eligibility to work remote (example, dedicated office with door that closes, cannot be a primary care-giver during business hours. On-Site Requirements: Occasional on-site work may be required for training or other purposes if within driving distance to the center. Key Responsibilities: Referral Management: Receive and process referrals for patient care, ensuring timely and consistent admissions. Communication: Make and take calls for new referrals and follow-ups, maintaining clear communication with patients, families, and referral sources. Collaboration: Work closely with referring hospitals, physicians, board and care facilities, skilled nursing facilities, and other healthcare providers. Data Entry: Enter referral information into the Electronic Medical Records (EMR) system and create initial orders to facilitate the start of care. This is a fast-paced work environment that requires our nurses to be able to work in 2 separate charting systems, manage emails, communicate with multiple teams and leaders, and operate Excel documents. Customer Service: Utilize and promote excellent customer service skills in all interactions. Team Interaction: Collaborate with referral center staff, home health, Advanced Illness Management (AIM), and hospice staff across offices. Job Description: Applications accepted only from the following states: AZ, OR, AR, ID, TN, UT, NV, & TX FULL-TIME DAY SHIFTS: Varied Weekdays / Rotating Weekends EDUCATION: * Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: * Valid and unrestricted RN license in your state of residence. * SCAH After Hours Department: RN-Registered Nurse of California within 90 days TYPICAL EXPERIENCE: * 2 years recent relevant experience. SKILLS AND KNOWLEDGE: * Must have the clinical knowledge and critical thinking skills to effectively plan and provide coordination of patient care consistent with standards and regulations * Must have exceptional interpersonal and customer services skills * Must be able to effectively solve unique problems as they arise or identify when to consult the supervisor * Must have knowledge of current Hospice/Home Health admission criteria; Medicare, Medi-Cal, Commercial, State and Federal regulations * Familiarity with ICD-10 coding preferred but not essential * Must be able to demonstrate problem-solving abilities as well as telephone, interpersonal, verbal and written communication skills in English * Commitment to teamwork and customer service, both internally and externally, is required * Must have proven /proven data entry and general computer skills * Must be able to demonstrate proficiency (after training and introductory period) in efficient use of electronic medical record systems * Must be able to flex with the increased workflow when census is higher and recognize urgency of each task * Must be flexible with schedule including, but not limited to, the ability to participate in department rotation for weekend coverage if needed * Must be able to drive to designated SCAH location(s) for meetings, training, and needs as designated by business needs Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $0.00 to $0.00 / hour. Applicants in the following states: Arizona, Oregon, Arkansas, Idaho, Tennessee, & Utah Pay Range is $37.19 to $48.71 / hour. Applicants in the following states: Nevada & Texas Pay Range is $40.91 to $53.58 / hour. The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

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

We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - UT Position Overview: The Home Health Clinical Referral Nurse serves as the initial point of contact for potential home health patients, working closely with our clerical home health coordinators. This role is pivotal in managing new referrals and ongoing follow-ups, acting as a liaison between patients, families, and referral sources. This position is eligible for mobile/remote work if you meet eligibility requirements. Remote/Mobile Work: Eligible for work from home with reliable power and internet services and if you meet eligibility to work remote (example, dedicated office with door that closes, cannot be a primary care-giver during business hours. On-Site Requirements: Occasional on-site work may be required for training or other purposes if within driving distance to the center. Key Responsibilities: Referral Management: Receive and process referrals for patient care, ensuring timely and consistent admissions. Communication: Make and take calls for new referrals and follow-ups, maintaining clear communication with patients, families, and referral sources. Collaboration: Work closely with referring hospitals, physicians, board and care facilities, skilled nursing facilities, and other healthcare providers. Data Entry: Enter referral information into the Electronic Medical Records (EMR) system and create initial orders to facilitate the start of care. This is a fast-paced work environment that requires our nurses to be able to work in 2 separate charting systems, manage emails, communicate with multiple teams and leaders, and operate Excel documents. Customer Service: Utilize and promote excellent customer service skills in all interactions. Team Interaction: Collaborate with referral center staff, home health, Advanced Illness Management (AIM), and hospice staff across offices. Job Description: Applications accepted only from the following states: AZ, OR, AR, ID, TN, UT, NV, & TX FULL-TIME DAY SHIFTS: Varied Weekdays / Rotating Weekends EDUCATION: * Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: * Valid and unrestricted RN license in your state of residence. * SCAH After Hours Department: RN-Registered Nurse of California within 90 days TYPICAL EXPERIENCE: * 2 years recent relevant experience. SKILLS AND KNOWLEDGE: * Must have the clinical knowledge and critical thinking skills to effectively plan and provide coordination of patient care consistent with standards and regulations * Must have exceptional interpersonal and customer services skills * Must be able to effectively solve unique problems as they arise or identify when to consult the supervisor * Must have knowledge of current Hospice/Home Health admission criteria; Medicare, Medi-Cal, Commercial, State and Federal regulations * Familiarity with ICD-10 coding preferred but not essential * Must be able to demonstrate problem-solving abilities as well as telephone, interpersonal, verbal and written communication skills in English * Commitment to teamwork and customer service, both internally and externally, is required * Must have proven /proven data entry and general computer skills * Must be able to demonstrate proficiency (after training and introductory period) in efficient use of electronic medical record systems * Must be able to flex with the increased workflow when census is higher and recognize urgency of each task * Must be flexible with schedule including, but not limited to, the ability to participate in department rotation for weekend coverage if needed * Must be able to drive to designated SCAH location(s) for meetings, training, and needs as designated by business needs Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $0.00 to $0.00 / hour. Applicants in the following states: Arizona, Oregon, Arkansas, Idaho, Tennessee, & Utah Pay Range is $37.19 to $48.71 / hour. Applicants in the following states: Nevada & Texas Pay Range is $40.91 to $53.58 / hour. The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

RN Tele Travel and Local Contracts This role provides direct clinical patient care with Tenet's in-house contingent Pool, Trusted Resource Associates. Work directly with Tenet on a Travel Contract, Local Contract or PRN. With this in-house assignment you will be part of the contingent workforce pool, yet, a W-2 Tenet employee and wear a Tenet employee badge so you blend in as staff and are not outstanding as a Contractor. You will have direct access to Tenet's hiring managers and, if you ever turn permanent at a Tenet hospital, you will have built up tenure. *For a faster reply, email your resume: ******************************* Job Description and Requirements Specialty: Tele Discipline: RN Start Date: ASAP Duration: 13 Weeks 36 Hours per week Shift: 12 Hours Night Employment Type: Travel Contract and Local Contracts TRA RN Tele: The Registered Nurse will assume responsibility for assessing, planning, implementing direct clinical care to assigned patients on a per shift basis, and unit level. The role is responsible for supervision of staff to which appropriate care is delegated. The role is accountable to support facility CNO to ensure high quality, safe and appropriate nursing care, competency of clinical staff, and appropriate resource management related to patient care. Requirements: - BLS, ACLS, and CPI required for Tele - Must have 2 years of nursing experience with a minimum one-year current experience in your specialty Benefits Weekly pay Housing and Per Diem stipend for Travel Contracts Guaranteed Hours (For Travel Contracts) Preferred Booking Agreement (for Local Contacts) Referral bonus (TRA Active Employees) Education: Required: Graduate of an accredited school of nursing. Preferred: Bachelor's or master's degree. Experience: Required: 2 years of current experience in their specialty. Certifications: Required: Currently licensed, certified, or registered to practice profession as required by law, regulation in state of practice or policy; AHA BLS, and if applicable by corporate policy for unit of hire, AHA ACLS and/or PALS and/or NRP. Physical Demands:

We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - UT Position Overview: The Home Health Clinical Referral Nurse serves as the initial point of contact for potential home health patients, working closely with our clerical home health coordinators. This role is pivotal in managing new referrals and ongoing follow-ups, acting as a liaison between patients, families, and referral sources. This position is eligible for mobile/remote work if you meet eligibility requirements. Remote/Mobile Work: Eligible for work from home with reliable power and internet services and if you meet eligibility to work remote (example, dedicated office with door that closes, cannot be a primary care-giver during business hours. On-Site Requirements: Occasional on-site work may be required for training or other purposes if within driving distance to the center. Key Responsibilities: Referral Management: Receive and process referrals for patient care, ensuring timely and consistent admissions. Communication: Make and take calls for new referrals and follow-ups, maintaining clear communication with patients, families, and referral sources. Collaboration: Work closely with referring hospitals, physicians, board and care facilities, skilled nursing facilities, and other healthcare providers. Data Entry: Enter referral information into the Electronic Medical Records (EMR) system and create initial orders to facilitate the start of care. This is a fast-paced work environment that requires our nurses to be able to work in 2 separate charting systems, manage emails, communicate with multiple teams and leaders, and operate Excel documents. Customer Service: Utilize and promote excellent customer service skills in all interactions. Team Interaction: Collaborate with referral center staff, home health, Advanced Illness Management (AIM), and hospice staff across offices. Job Description: Applications accepted only from the following states: AZ, OR, AR, ID, TN, UT, NV, & TX FULL-TIME DAY SHIFTS: Varied Weekdays / Rotating Weekends EDUCATION: * Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: * Valid and unrestricted RN license in your state of residence. * SCAH After Hours Department: RN-Registered Nurse of California within 90 days TYPICAL EXPERIENCE: * 2 years recent relevant experience. SKILLS AND KNOWLEDGE: * Must have the clinical knowledge and critical thinking skills to effectively plan and provide coordination of patient care consistent with standards and regulations * Must have exceptional interpersonal and customer services skills * Must be able to effectively solve unique problems as they arise or identify when to consult the supervisor * Must have knowledge of current Hospice/Home Health admission criteria; Medicare, Medi-Cal, Commercial, State and Federal regulations * Familiarity with ICD-10 coding preferred but not essential * Must be able to demonstrate problem-solving abilities as well as telephone, interpersonal, verbal and written communication skills in English * Commitment to teamwork and customer service, both internally and externally, is required * Must have proven /proven data entry and general computer skills * Must be able to demonstrate proficiency (after training and introductory period) in efficient use of electronic medical record systems * Must be able to flex with the increased workflow when census is higher and recognize urgency of each task * Must be flexible with schedule including, but not limited to, the ability to participate in department rotation for weekend coverage if needed * Must be able to drive to designated SCAH location(s) for meetings, training, and needs as designated by business needs Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $0.00 to $0.00 / hour. Applicants in the following states: Arizona, Oregon, Arkansas, Idaho, Tennessee, & Utah Pay Range is $37.19 to $48.71 / hour. Applicants in the following states: Nevada & Texas Pay Range is $40.91 to $53.58 / hour. The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - UT Position Overview: The Home Health Clinical Referral Nurse serves as the initial point of contact for potential home health patients, working closely with our clerical home health coordinators. This role is pivotal in managing new referrals and ongoing follow-ups, acting as a liaison between patients, families, and referral sources. This position is eligible for mobile/remote work if you meet eligibility requirements. Remote/Mobile Work: Eligible for work from home with reliable power and internet services and if you meet eligibility to work remote (example, dedicated office with door that closes, cannot be a primary care-giver during business hours. On-Site Requirements: Occasional on-site work may be required for training or other purposes if within driving distance to the center. Key Responsibilities: Referral Management: Receive and process referrals for patient care, ensuring timely and consistent admissions. Communication: Make and take calls for new referrals and follow-ups, maintaining clear communication with patients, families, and referral sources. Collaboration: Work closely with referring hospitals, physicians, board and care facilities, skilled nursing facilities, and other healthcare providers. Data Entry: Enter referral information into the Electronic Medical Records (EMR) system and create initial orders to facilitate the start of care. This is a fast-paced work environment that requires our nurses to be able to work in 2 separate charting systems, manage emails, communicate with multiple teams and leaders, and operate Excel documents. Customer Service: Utilize and promote excellent customer service skills in all interactions. Team Interaction: Collaborate with referral center staff, home health, Advanced Illness Management (AIM), and hospice staff across offices. Job Description: Applications accepted only from the following states: AZ, OR, AR, ID, TN, UT, NV, & TX FULL-TIME DAY SHIFTS: Varied Weekdays / Rotating Weekends EDUCATION: * Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: * Valid and unrestricted RN license in your state of residence. * SCAH After Hours Department: RN-Registered Nurse of California within 90 days TYPICAL EXPERIENCE: * 2 years recent relevant experience. SKILLS AND KNOWLEDGE: * Must have the clinical knowledge and critical thinking skills to effectively plan and provide coordination of patient care consistent with standards and regulations * Must have exceptional interpersonal and customer services skills * Must be able to effectively solve unique problems as they arise or identify when to consult the supervisor * Must have knowledge of current Hospice/Home Health admission criteria; Medicare, Medi-Cal, Commercial, State and Federal regulations * Familiarity with ICD-10 coding preferred but not essential * Must be able to demonstrate problem-solving abilities as well as telephone, interpersonal, verbal and written communication skills in English * Commitment to teamwork and customer service, both internally and externally, is required * Must have proven /proven data entry and general computer skills * Must be able to demonstrate proficiency (after training and introductory period) in efficient use of electronic medical record systems * Must be able to flex with the increased workflow when census is higher and recognize urgency of each task * Must be flexible with schedule including, but not limited to, the ability to participate in department rotation for weekend coverage if needed * Must be able to drive to designated SCAH location(s) for meetings, training, and needs as designated by business needs Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $0.00 to $0.00 / hour. Applicants in the following states: Arizona, Oregon, Arkansas, Idaho, Tennessee, & Utah Pay Range is $37.19 to $48.71 / hour. Applicants in the following states: Nevada & Texas Pay Range is $40.91 to $53.58 / hour. The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - UT Position Overview: The Home Health Clinical Referral Nurse serves as the initial point of contact for potential home health patients, working closely with our clerical home health coordinators. This role is pivotal in managing new referrals and ongoing follow-ups, acting as a liaison between patients, families, and referral sources. This position is eligible for mobile/remote work if you meet eligibility requirements. Remote/Mobile Work: Eligible for work from home with reliable power and internet services and if you meet eligibility to work remote (example, dedicated office with door that closes, cannot be a primary care-giver during business hours. On-Site Requirements: Occasional on-site work may be required for training or other purposes if within driving distance to the center. Key Responsibilities: Referral Management: Receive and process referrals for patient care, ensuring timely and consistent admissions. Communication: Make and take calls for new referrals and follow-ups, maintaining clear communication with patients, families, and referral sources. Collaboration: Work closely with referring hospitals, physicians, board and care facilities, skilled nursing facilities, and other healthcare providers. Data Entry: Enter referral information into the Electronic Medical Records (EMR) system and create initial orders to facilitate the start of care. This is a fast-paced work environment that requires our nurses to be able to work in 2 separate charting systems, manage emails, communicate with multiple teams and leaders, and operate Excel documents. Customer Service: Utilize and promote excellent customer service skills in all interactions. Team Interaction: Collaborate with referral center staff, home health, Advanced Illness Management (AIM), and hospice staff across offices. Job Description: Applications accepted only from the following states: AZ, OR, AR, ID, TN, UT, NV, & TX FULL-TIME DAY SHIFTS: Varied Weekdays / Rotating Weekends EDUCATION: * Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: * Valid and unrestricted RN license in your state of residence. * SCAH After Hours Department: RN-Registered Nurse of California within 90 days TYPICAL EXPERIENCE: * 2 years recent relevant experience. SKILLS AND KNOWLEDGE: * Must have the clinical knowledge and critical thinking skills to effectively plan and provide coordination of patient care consistent with standards and regulations * Must have exceptional interpersonal and customer services skills * Must be able to effectively solve unique problems as they arise or identify when to consult the supervisor * Must have knowledge of current Hospice/Home Health admission criteria; Medicare, Medi-Cal, Commercial, State and Federal regulations * Familiarity with ICD-10 coding preferred but not essential * Must be able to demonstrate problem-solving abilities as well as telephone, interpersonal, verbal and written communication skills in English * Commitment to teamwork and customer service, both internally and externally, is required * Must have proven /proven data entry and general computer skills * Must be able to demonstrate proficiency (after training and introductory period) in efficient use of electronic medical record systems * Must be able to flex with the increased workflow when census is higher and recognize urgency of each task * Must be flexible with schedule including, but not limited to, the ability to participate in department rotation for weekend coverage if needed * Must be able to drive to designated SCAH location(s) for meetings, training, and needs as designated by business needs Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $0.00 to $0.00 / hour. Applicants in the following states: Arizona, Oregon, Arkansas, Idaho, Tennessee, & Utah Pay Range is $37.19 to $48.71 / hour. Applicants in the following states: Nevada & Texas Pay Range is $40.91 to $53.58 / hour. The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - UT Position Overview: The Home Health Clinical Referral Nurse serves as the initial point of contact for potential home health patients, working closely with our clerical home health coordinators. This role is pivotal in managing new referrals and ongoing follow-ups, acting as a liaison between patients, families, and referral sources. This position is eligible for mobile/remote work if you meet eligibility requirements. Remote/Mobile Work: Eligible for work from home with reliable power and internet services and if you meet eligibility to work remote (example, dedicated office with door that closes, cannot be a primary care-giver during business hours. On-Site Requirements: Occasional on-site work may be required for training or other purposes if within driving distance to the center. Key Responsibilities: Referral Management: Receive and process referrals for patient care, ensuring timely and consistent admissions. Communication: Make and take calls for new referrals and follow-ups, maintaining clear communication with patients, families, and referral sources. Collaboration: Work closely with referring hospitals, physicians, board and care facilities, skilled nursing facilities, and other healthcare providers. Data Entry: Enter referral information into the Electronic Medical Records (EMR) system and create initial orders to facilitate the start of care. This is a fast-paced work environment that requires our nurses to be able to work in 2 separate charting systems, manage emails, communicate with multiple teams and leaders, and operate Excel documents. Customer Service: Utilize and promote excellent customer service skills in all interactions. Team Interaction: Collaborate with referral center staff, home health, Advanced Illness Management (AIM), and hospice staff across offices. Job Description: Applications accepted only from the following states: AZ, OR, AR, ID, TN, UT, NV, & TX FULL-TIME DAY SHIFTS: Varied Weekdays / Rotating Weekends EDUCATION: * Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: * Valid and unrestricted RN license in your state of residence. * SCAH After Hours Department: RN-Registered Nurse of California within 90 days TYPICAL EXPERIENCE: * 2 years recent relevant experience. SKILLS AND KNOWLEDGE: * Must have the clinical knowledge and critical thinking skills to effectively plan and provide coordination of patient care consistent with standards and regulations * Must have exceptional interpersonal and customer services skills * Must be able to effectively solve unique problems as they arise or identify when to consult the supervisor * Must have knowledge of current Hospice/Home Health admission criteria; Medicare, Medi-Cal, Commercial, State and Federal regulations * Familiarity with ICD-10 coding preferred but not essential * Must be able to demonstrate problem-solving abilities as well as telephone, interpersonal, verbal and written communication skills in English * Commitment to teamwork and customer service, both internally and externally, is required * Must have proven /proven data entry and general computer skills * Must be able to demonstrate proficiency (after training and introductory period) in efficient use of electronic medical record systems * Must be able to flex with the increased workflow when census is higher and recognize urgency of each task * Must be flexible with schedule including, but not limited to, the ability to participate in department rotation for weekend coverage if needed * Must be able to drive to designated SCAH location(s) for meetings, training, and needs as designated by business needs Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $0.00 to $0.00 / hour. Applicants in the following states: Arizona, Oregon, Arkansas, Idaho, Tennessee, & Utah Pay Range is $37.19 to $48.71 / hour. Applicants in the following states: Nevada & Texas Pay Range is $40.91 to $53.58 / hour. The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians' clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions or procedures. Educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, and case management. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Record Review: Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) initiate a review worksheet. * Conducts follow-up reviews of patients every 2-3 days to support and assign a working or final MS-DRG assignment upon patient discharge, as necessary. * Formulate physician queries regarding missing, unclear or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary. * Collaborates with case managers, nursing staff and other ancillary staff regarding interaction with physicians regarding documentation and to resolve physician queries prior to discharge. * Assist in training department staff new to CDI * Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls as well as any required CDI education. * CDI: Communicates/Completes Clinical Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution * Other duties as assigned KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * CDI Specialist must display teamwork and commitment while performing daily duties * Must demonstrate initiative and discipline in time management and medical record review * Travel may be required to meet the needs of the facilities * Advanced knowledge of Medicare Part A and familiar with Medicare Part B * Intermediate knowledge of disease pathophysiology and drug utilization * Intermediate knowledge of MS-DRG classification and reimbursement structures * Critical thinking, problem solving and deductive reasoning skills * Effective written and verbal communication skills * Knowledge of coding compliance and regulatory standards * Excellent organizational skills for initiation and maintenance of efficient work flow * Regular and reliable attendance and time reporting per Conifer Telecommuting program requirements * Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment * Understand and communicate documentation strategies * Recognize opportunities for documentation improvement * Formulate clinically, compliant credible queries * Ability to maintain an auditing and monitoring program as a means to measure query process * Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Preferred: Acute Care nursing relevant experience * Zero (0) to two (2) years experience * Graduate from a Nursing program, BSN, or graduate CERTIFICATES, LICENSES, REGISTRATIONS * Active state Registered Nurse license * Preferred: CDIP or CCDS PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to sit for extended periods of time * Must be able to efficiently use computer keyboard and mouse * Good visual acuity WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. OTHER * Must be able to travel nationally as needed, not to exceed 10% As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah The Virtual Mental Health Intake RN is a Registered Nurse who provides competent and thorough intake services by conducting initial screening of psychiatric and medical needs of all incoming referrals for psychiatric and chemical dependency admissions. Utilizes virtual assessment skills through phone triage and patient assessments including triaging patients in acute crisis and disposition to correct level of care. Provides competent and thorough mental status assessment when an involuntary hold evaluation is required. Triages to the most appropriate level of care, according to severity of illness and determines patient placement at the appropriate level. Provides illness advice and self-care intervention, identifying resources, consulting and referring. Uses the nursing process, input from physicians, and Sutter Health's approved telephone nursing guidelines and protocols to maintain highly efficient operations, to provide quality care, and to ensure positive patient outcomes. Job Description: DISCLAIMER * You must be a resident of one of the following states to be eligible for consideration for this position: Utah, Idaho, Arizona, and Montana. EDUCATION * Graduate of an accredited school of nursing CERTIFICATION & LICENSURE * RN-Registered Nurse of California (must be able to acquire prior to starting) * RN-Registered Nurse in State of Residence PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN * 1 year of mental health * 2 years of practical nursing in a hospital, clinic, urgent care, or emergency room/department. SKILLS AND KNOWLEDGE * Professional knowledge of clinical nursing protocols, regulations and institutional standards of care and risk management with an emphasis in the areas of disease processes, emergencies, health sciences and pharmacology. * Advanced clinical knowledge of medical diagnoses, procedures, protocols, treatments, and terminology, including a working knowledge of state and federal regulations and guidelines. * Solid analytical and project management skills, including the ability to analyze problems, situations, practices, and procedures, reach practical conclusions, recognize alternatives, provide solutions, and institute effective changes. * Communication, interpersonal, and interviewing skills, including the ability to build rapport and explain medical lab results or sensitive information clearly and professionally to diverse audiences (patients, staff, and doctors). * Proficient computer skills, including Microsoft Office Suite and experience working electronic medical/health records. * Work independently, as well as part of a multidisciplinary team, while demonstrating exceptional attention to detail and organizational skills. * Manage multiple priorities/projects simultaneously, sometimes with rapidly changing priorities, while maintaining event/project schedules. * Recognize unsafe or emergency situations and respond appropriately and professionally. * Ensure the privacy of each patient's protected health information (phi). * Analyze possible solutions using precedents, existing departmental guidelines and policies, experience and good judgment to identify and solve standard problems. * Build collaborative relationships with peers, physicians, nurses, administrators, and public to provide the highest quality of patient care. Job Shift: Nights Schedule: Full Time Shift Hours: 12 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 36 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $0.00 to $0.00 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians' clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions and/or procedures. Educates members of the patient care team regarding documentation guidelines, including the following: attending physicians, allied health practitioners, nursing, and case management. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. 1. Record Review: * Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) record in business partner designated CDI tool and/or host medical record system. * Conducts follow-up reviews of patients every 24-48 hours or as needed up through discharge to support assigned working MS-DRG assignment upon patient discharge, as necessary. * Formulate physician queries regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary. * Collaborates with providers, case managers, nursing staff and other ancillary staff regarding documentation and to resolve physician queries prior to discharge. 2.CDI * Communicates/Completes Clinical Documentation Integrity (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up, provider education and DRG Miss-Match reconciliation. * Assists with Provider education, rounding and communication regarding open queries for resolution. 3. Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD10-CM and PCS coding. Attends CDI Boot camp, CDI/coding trainings annually and quarterly for inpatient coding. Attends monthly education lecture series (MELS) and all CDI/coding assigned learn share modules as well as any additional required CDI education. 4. Assist in training department staff new to CDI 5. Performs other duties as assigned KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * CDI Specialist must display teamwork and commitment while performing daily duties * Must demonstrate initiative and discipline in time management and medical record review. * Travel may be required to meet the needs of the facilities. * Proficient knowledge of disease pathophysiology and drug utilization * Intermediate knowledge of MS-DRG classification and reimbursement structures * Critical thinking, problem solving and deductive reasoning skills. * Effective written and verbal communication skills * Excellent computer skills including MS Word/Excel * Knowledge of coding compliance and regulatory standards * Excellent organizational skills for initiation and maintenance of efficient workflow * Regular and reliable attendance * Capacity to work independently in facility on-site setting. * Capacity to work independently in a virtual office setting if required for specific assignment. * Exhibit flexibility as needed to meet program needs. * Understand and communicate documentation strategies. * Recognize opportunities for documentation improvement. * Formulate clinically, compliant credible queries. * Ability to successfully comply to robust auditing and CDI program monitoring * Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Preferred: Acute Care nursing and/or Provider relevant experience * Zero (0) to two (2) years CDI experience * Two (2) plus years' nursing experience - Medical/Surgical/Intensive Care and/or Case/Utilization Review * Two (2) plus years' Provider experience - Medical/Surgical/Intensive Care and/or Case/Utilization Review * Graduate from a Nursing program, BSN, or graduate program; OR * Graduate from Medical Doctor and/or Foreign Medical Doctor Program CERTIFICATES, LICENSES, REGISTRATIONS * Active state Registered Nurse license; OR * Graduate MD and/or FMD license * Preferred: CDIP or CCDS PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to sit for extended periods of time. * Ability to stand for extended periods of time. * Must be able to efficiently use computer keyboard and mouse. * Good visual acuity WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. OTHER * Must be able to travel as needed, not to exceed 10%. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Registered Nurse (RN) Boston Medical Center - Boston Allied Partners (BAP) This is a hybrid role, requiring on-site presence in our office but flexible. As an LTSS Registered Nurse (RN), you'll provide holistic, person-centered care management services for Boston Allied Partners (BAP) members. Our enrollees include individuals with chronic conditions, complex care needs, and those facing challenges such as homelessness, organ transplantation, or multiple clinical and behavioral health comorbidities. You'll work side-by-side with a diverse care team-including physicians, behavioral health specialists, pharmacists, community partners, and state agencies-to deliver care that addresses both the medical and social drivers of health. Your role is essential in helping members set and achieve goals, improve their quality of life, and reduce avoidable hospitalizations. Key Responsibilities * Complete comprehensive and condition-specific assessments for enrollees upon admission and at least annually. * Evaluate enrollee needs for complex care management, chronic condition support, and disease management programs. * Collaborate with Care Coordinators to design individualized, person-centered care plans focused on enrollee goals and objectives. * Identify and address barriers to self-management, ensuring members access benefits, resources, and community supports. * Use motivational interviewing techniques to engage enrollees in health promotion, disease management, and preventive care. * Leverage real-time EMR data and utilization reports to promote medication compliance and develop action plans with providers. * Monitor outcomes and adjust care plans to ensure effectiveness. * Educate members using evidence-based guidelines and accessible, standardized educational materials. * Support transitions of care with pre-admission assessments, post-discharge follow-ups, medication reviews, and coordination of home health, transportation, or durable medical equipment needs. * Conduct face-to-face visits in homes, shelters, medical offices, or community settings, in addition to phone and telehealth outreach. * Facilitate multidisciplinary consultations, participate in team rounds, and contribute to clinical reviews. * Provide mentoring and training to staff and consult with colleagues as needed. * Document all activities in real time using BAP's care management platforms, ensuring accuracy, timeliness, and compliance with contractual requirements. * Maintain HIPAA standards, contractual knowledge, and organizational policies. Qualifications * Education: * Current RN license (MA) * BSN preferred; ASN with relevant work experience considered * Experience: * 3+ years in home health or managed care settings * 3+ years of clinical experience with members managing multiple chronic or complex health conditions * 2+ years in care management, care coordination, or discharge planning * Behavioral Health and/or Pediatric experience strongly preferred * Preferred Skills & Background: * Experience working with Medicaid recipients and community-based services * Familiarity with Epic, eHana, CCMS, SFTP, or other EHR/healthcare databases * CCM certification * Core Competencies: * Strong motivational interviewing, coaching, and communication skills * Effective collaboration with providers and multidisciplinary teams * Ability to work in a fast-paced environment and manage multiple priorities * Proficiency in Microsoft Office, EMRs, and care management systems * Strong organizational and clinical problem-solving skills Working Conditions * Regular and reliable attendance is required. * Work may be performed in-office, home office, or community settings. * Face-to-face visits will occur in member homes, shelters, physician offices, hospitals, or other agreed-upon locations. * Limited physical effort and exposure to physical risk. * Reliable transportation required for community face-to-face visits. Compensation Range: $31.97- $46.39 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or "apps" job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah The Virtual Mental Health Intake RN is a Registered Nurse who provides competent and thorough intake services by conducting initial screening of psychiatric and medical needs of all incoming referrals for psychiatric and chemical dependency admissions. Utilizes virtual assessment skills through phone triage and patient assessments including triaging patients in acute crisis and disposition to correct level of care. Provides competent and thorough mental status assessment when an involuntary hold evaluation is required. Triages to the most appropriate level of care, according to severity of illness and determines patient placement at the appropriate level. Provides illness advice and self-care intervention, identifying resources, consulting and referring. Uses the nursing process, input from physicians, and Sutter Health's approved telephone nursing guidelines and protocols to maintain highly efficient operations, to provide quality care, and to ensure positive patient outcomes. Job Description: DISCLAIMER * You must be a resident of one of the following states to be eligible for consideration for this position: Utah, Idaho, Arizona, and Montana. EDUCATION * Graduate of an accredited school of nursing CERTIFICATION & LICENSURE * RN-Registered Nurse of California (must be able to acquire prior to starting) * RN-Registered Nurse in State of Residence PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN * 1 year of mental health * 2 years of practical nursing in a hospital, clinic, urgent care, or emergency room/department. SKILLS AND KNOWLEDGE * Professional knowledge of clinical nursing protocols, regulations and institutional standards of care and risk management with an emphasis in the areas of disease processes, emergencies, health sciences and pharmacology. * Advanced clinical knowledge of medical diagnoses, procedures, protocols, treatments, and terminology, including a working knowledge of state and federal regulations and guidelines. * Solid analytical and project management skills, including the ability to analyze problems, situations, practices, and procedures, reach practical conclusions, recognize alternatives, provide solutions, and institute effective changes. * Communication, interpersonal, and interviewing skills, including the ability to build rapport and explain medical lab results or sensitive information clearly and professionally to diverse audiences (patients, staff, and doctors). * Proficient computer skills, including Microsoft Office Suite and experience working electronic medical/health records. * Work independently, as well as part of a multidisciplinary team, while demonstrating exceptional attention to detail and organizational skills. * Manage multiple priorities/projects simultaneously, sometimes with rapidly changing priorities, while maintaining event/project schedules. * Recognize unsafe or emergency situations and respond appropriately and professionally. * Ensure the privacy of each patient's protected health information (phi). * Analyze possible solutions using precedents, existing departmental guidelines and policies, experience and good judgment to identify and solve standard problems. * Build collaborative relationships with peers, physicians, nurses, administrators, and public to provide the highest quality of patient care. Job Shift: Nights Schedule: Full Time Shift Hours: 12 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 36 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $0.00 to $0.00 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

The CRC Auditor, conducts coding and documentation quality reviews and generates responses for cases that have been denied by commercial and government payors to ensure hospital inpatient, outpatient, and pro-fee claims, were coded and billed in accordance with nationally recognized coding guidelines, standards, regulations and regulatory requirements, as well as payor and billing guidelines. The responses generated by the Auditor may include system documentation of findings and / or a formal appeal letter. The Auditor will escalate trends to CRC leadership, Conifer Quality & Performance leadership and Conifer Compliance as warranted. The Auditor will perform analysis on clinical documentation, evidenced based criteria application outcome, physician documentation, physician advisor input and complete review of the medical record related to clinical denials. Assures appropriate action is taken within appeal time frames. Communicates identified denial trends and patterns to the CRC leadership. Provides expert application of evidence based medical necessity review criteria tool. Works collaboratively to review, evaluate and improve the denial appeal process. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Formulates and submits letters of appeal. Creates an effective appeal utilizing relevant and effective clinical documentation from the medical record; supported by current industry clinical guidelines and coding guidelines, evidence-based medicine, community and national medical management and coding standards and protocols. * Performs reviews of accounts denied for DRG validation and DRG downgrades. * Documents in appropriate denial tracking tool (ACE). Maintains and distributes reports as needed to leadership. * Identifies payment methodology of accounts including Managed Care contract rates, Medicare and State Funded rates, Per-Diems, DRG's, Outlier Payments, and Stop Loss calculations. * Collaborates with Physician Advisors and CRC leadership when documentation-specific areas of concern are identified. * Maintains expertise in clinical areas and current trends in healthcare, inpatient coding and reimbursement methodologies and utilization management specialty areas. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Effectively organizes work priorities * Demonstrates compliance with departmental safety and security policies and practices * Demonstrates critical thinking, analytical skills, and ability to resolve problems * Demonstrates ability to handle multiple assignments and carry out work independently with minimal supervision * Demonstrates quality proficiency by maintaining accuracy at unit standard key performance indicator goals * Possesses excellent written and verbal communication skills * Detail oriented and ability to work independently and in a team setting * Moderate skills in MS Excel and PowerPoint, MS Office * Ability to research difficult coding and documentation issues and follow through to resolution * Ability to work in a virtual setting under minimal supervision * Ability to conduct research regarding state/federal guidelines and applicable regulatory guidelines related to government audit processes Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Includes minimum education, technical training, and/or experience required to perform the job. Education * Minimum Required: * Completion of BSN Degree Program or three years of experience and completion of BSN within five years of employment * RN License in the State of Practice * Current working knowledge of clinical documentation and inpatient coding, discharge planning, utilization management, case management, performance improvement and managed care reimbursement. * Preferred/Desired: * Completion of BSN Degree Program * CCDS certification or inpatient coding certification Experience * Minimum Required: * Three to Five years Clinical RN Experience * Three to Five years of Clinical Documentation Integrity experience * Must have expertise with Interqual and/or MCG Disease Management Ideologies * Strong communication (verbal/written) and interpersonal skills * Knowledge of CMS regulations * Knowledge of inpatient coding guidelines * 1-2 years of current experience with reimbursement methodologies * Preferred/Desired: * Experience preparing appeals for clinical denials related to DRG assignment. * Strong understanding of rules and guidelines, including AHA's Coding Clinics, American Association of Medical Audit Specialists (AAMAS), National Commission on Insurance Guidelines and Medicare Billing Guidelines (CMS), State Funded Billing Regulations (Arizona, California, Nevada) and grievance process; working knowledge of billing codes such as RBRVS, CPT, ICD-10, HCPCS CERTIFICATES, LICENSES, REGISTRATIONS * Required: * RN, * CCDS or other related clinical documentation specialist certification, and/or AHIMA or AAPC Coding Credential CCS, CCA, CIC, CPC or CPMA * Preferred: BSN PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to lift 15-30lbs * Ability to travel approximately 10% of the time; either to client sites, National Insurance Center (NIC) sites, Headquarters, or other designated sites * Ability to sit and work at a computer for a prolonged period of time conducting medical record quality reviews WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Characteristic of typical office environment requiring use of desk, chair, and office equipment such as computer, telephone, printer, etc. OTHER * Interaction with facility HIM and / or physician advisors * Must meet the requirements of the Conifer Telecommuting Policy and Procedure As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $56,784.00 - $85,176.00 annually. Compensation depends on location, qualifications, and experience. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah The Virtual Mental Health Intake RN is a Registered Nurse who provides competent and thorough intake services by conducting initial screening of psychiatric and medical needs of all incoming referrals for psychiatric and chemical dependency admissions. Utilizes virtual assessment skills through phone triage and patient assessments including triaging patients in acute crisis and disposition to correct level of care. Provides competent and thorough mental status assessment when an involuntary hold evaluation is required. Triages to the most appropriate level of care, according to severity of illness and determines patient placement at the appropriate level. Provides illness advice and self-care intervention, identifying resources, consulting and referring. Uses the nursing process, input from physicians, and Sutter Health's approved telephone nursing guidelines and protocols to maintain highly efficient operations, to provide quality care, and to ensure positive patient outcomes. Job Description: DISCLAIMER * You must be a resident of one of the following states to be eligible for consideration for this position: Utah, Idaho, Arizona, and Montana. EDUCATION * Graduate of an accredited school of nursing CERTIFICATION & LICENSURE * RN-Registered Nurse of California (must be able to acquire prior to starting) * RN-Registered Nurse in State of Residence PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN * 1 year of mental health * 2 years of practical nursing in a hospital, clinic, urgent care, or emergency room/department. SKILLS AND KNOWLEDGE * Professional knowledge of clinical nursing protocols, regulations and institutional standards of care and risk management with an emphasis in the areas of disease processes, emergencies, health sciences and pharmacology. * Advanced clinical knowledge of medical diagnoses, procedures, protocols, treatments, and terminology, including a working knowledge of state and federal regulations and guidelines. * Solid analytical and project management skills, including the ability to analyze problems, situations, practices, and procedures, reach practical conclusions, recognize alternatives, provide solutions, and institute effective changes. * Communication, interpersonal, and interviewing skills, including the ability to build rapport and explain medical lab results or sensitive information clearly and professionally to diverse audiences (patients, staff, and doctors). * Proficient computer skills, including Microsoft Office Suite and experience working electronic medical/health records. * Work independently, as well as part of a multidisciplinary team, while demonstrating exceptional attention to detail and organizational skills. * Manage multiple priorities/projects simultaneously, sometimes with rapidly changing priorities, while maintaining event/project schedules. * Recognize unsafe or emergency situations and respond appropriately and professionally. * Ensure the privacy of each patient's protected health information (phi). * Analyze possible solutions using precedents, existing departmental guidelines and policies, experience and good judgment to identify and solve standard problems. * Build collaborative relationships with peers, physicians, nurses, administrators, and public to provide the highest quality of patient care. Job Shift: Nights Schedule: Full Time Shift Hours: 12 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 36 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $0.00 to $0.00 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah The Virtual Mental Health Intake RN is a Registered Nurse who provides competent and thorough intake services by conducting initial screening of psychiatric and medical needs of all incoming referrals for psychiatric and chemical dependency admissions. Utilizes virtual assessment skills through phone triage and patient assessments including triaging patients in acute crisis and disposition to correct level of care. Provides competent and thorough mental status assessment when an involuntary hold evaluation is required. Triages to the most appropriate level of care, according to severity of illness and determines patient placement at the appropriate level. Provides illness advice and self-care intervention, identifying resources, consulting and referring. Uses the nursing process, input from physicians, and Sutter Health's approved telephone nursing guidelines and protocols to maintain highly efficient operations, to provide quality care, and to ensure positive patient outcomes. Job Description: DISCLAIMER * You must be a resident of one of the following states to be eligible for consideration for this position: Utah, Idaho, Arizona, and Montana. EDUCATION * Graduate of an accredited school of nursing CERTIFICATION & LICENSURE * RN-Registered Nurse of California (must be able to acquire prior to starting) * RN-Registered Nurse in State of Residence PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN * 1 year of mental health * 2 years of practical nursing in a hospital, clinic, urgent care, or emergency room/department. SKILLS AND KNOWLEDGE * Professional knowledge of clinical nursing protocols, regulations and institutional standards of care and risk management with an emphasis in the areas of disease processes, emergencies, health sciences and pharmacology. * Advanced clinical knowledge of medical diagnoses, procedures, protocols, treatments, and terminology, including a working knowledge of state and federal regulations and guidelines. * Solid analytical and project management skills, including the ability to analyze problems, situations, practices, and procedures, reach practical conclusions, recognize alternatives, provide solutions, and institute effective changes. * Communication, interpersonal, and interviewing skills, including the ability to build rapport and explain medical lab results or sensitive information clearly and professionally to diverse audiences (patients, staff, and doctors). * Proficient computer skills, including Microsoft Office Suite and experience working electronic medical/health records. * Work independently, as well as part of a multidisciplinary team, while demonstrating exceptional attention to detail and organizational skills. * Manage multiple priorities/projects simultaneously, sometimes with rapidly changing priorities, while maintaining event/project schedules. * Recognize unsafe or emergency situations and respond appropriately and professionally. * Ensure the privacy of each patient's protected health information (phi). * Analyze possible solutions using precedents, existing departmental guidelines and policies, experience and good judgment to identify and solve standard problems. * Build collaborative relationships with peers, physicians, nurses, administrators, and public to provide the highest quality of patient care. Job Shift: Nights Schedule: Full Time Shift Hours: 12 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 36 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $0.00 to $0.00 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.