TRA RN and Allied specialties Travel and Local Contracts
Oncology registered nurse job at Tenet Healthcare
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.
Auto-ApplyRegistered Nurse (RN) - Transfer Center
Oncology registered nurse job at Tenet Healthcare
The Transfer Center RN is responsible for coordinating direct admissions and hospital transfers to and from community hospitals with the intent to transfer each patient to an appropriate Tenet hospital. The position works collaboratively to foster relationships with referring facilities, physicians, and hospital staffs in representation of Tenet Healthcare Mission and Values.
EDUCATION:
Minimum: Education recognized by the State of Florida as qualification for Registered Nurse licensure.
Preferred: BSN
EXPERIENCE:
Minimum of four (4) years clinical experience in an acute care setting, to include Charge Nurse, House Supervisor or other related management experience.
REQUIRED CERTIFICATION/LICENSURE/REGISTRATION:
Registered Nurse - licensed in the State of Florida.
OTHER QUALIFICATIONS:
· RN experience in an ER/ Critical Care.
· Demonstrated professional leadership skills that include problem resolution capabilities. Demonstrated ability to handle multiple tasks and remain flexible.
· Computer literacy in EMR's, Word Processing, and Excel spread sheets.
#LI-HB1
Auto-ApplySRS - RN -(Remote) Part Time - Day Shift
San Diego, CA jobs
**Facility:** SRS **City** San Diego **Department** **Job Status** Regular **Shift** Variable **FTE** 0.6 **Shift Start Time** **Shift End Time** Bachelor's Degree in Nursing; AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse (RN) - CA Board of Registered Nursing; ACLS Certification (Advanced Cardiac Life Support) - American Heart Association
**Hours** **:**
**Shift Start Time:**
Variable
**Shift End Time:**
Variable
**AWS Hours Requirement:**
8/40 - 8 Hour Shift
**Additional Shift Information:**
**Weekend Requirements:**
No Weekends
**On-Call Required:**
No
**Hourly Pay Range (Minimum - Midpoint - Maximum):**
$49.700 - $64.130 - $71.820
The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
**_Please Note: As part of our recruitment process, you may receive communication from Dawn, our virtual recruiting assistant. Dawn helps coordinate scheduling for screening calls and interviews to ensure a smooth and timely experience. Rest assured, all candidate evaluations and hiring decisions are made by our recruitment and hiring teams._**
**What You Will Do**
Assists patients, staff and physicians as needed to maintain a high level of efficiency of operations and customer service while providing quality care to the designated patient population. Assists with the leadership of the Nursing and Patient Service Representative staff. Serves as technical nursing expert for assigned areas.
**Required Qualifications**
+ California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED
+ AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED
**Preferred Qualifications**
+ Bachelor's Degree in Nursing
+ RN experience in related clinical area.
+ Leadership experience.
+ ACLS Certification (Advanced Cardiac Life Support) - American Heart Association -PREFERRED
**Essential Functions**
+ Clinical SkillsDemonstrates clinical knowledge and skill and technical expertise in assigned area and within scope of practice.Uses well developed assessment skills to deliver all nursing care.Fully successful in performing/assisting with all tests and procedures in assigned department.May act as a clinical resource for assigned area.Able to prepare patient for examination or procedure. Obtains complete and accurate consent for procedures/surgery. Prepares and labels biopsies in a thorough and accurate manner.Accurately documents patient care per protocol.Partners with physicians to continuously learn and expand clinical knowledge base.Listens to patients, collects pertinent information, recognizes the urgency of the patient's problem and routes to physicians.Returns phone calls according to physician instruction. May schedule patient appointments.In partnership with physician, provides specific educational material and individual teaching.Uses universal precautions and demonstrates knowledge of infection control policies and procedures.Provides assistance to PSRs in resolving issues related to front desk responsibilities including scheduling and telephone management. Acts as a positive role model and ensures appropriate service delivery.Participates in clinical projects as directed by the physician or manager.
+ Department Efficiency and EffectivenessOrganizes and completes daily requirements and responsibilities.Telephone Message Management - Ensures prompt and efficient return of messages according to established policy. Troubleshoots and resolves problem calls.Daily Organization - Monitors patient flow, physician schedules and completes daily tasks to ensure quality and meet service standards. Follows policy and procedure for entering of OCM. Completes work within assigned hours.Able to respond to changing circumstances and prioritize patient needs.Responds to urgent and emergent situations in a calm and capable manner. Utilizes good judgment and problem solving ability.Ensures readiness of reports and information to maximize patient visit.Maintains appropriate supply levels. Cost conscious in usage.Participates in and prepares for site inspections and inventories.Completes department inventories per guidelines.Enters authorizations and schedules surgeries and procedures in a timely and accurate manner.Assists in other departments as assigned to meet staffing needs and travels to other sites as business needs arise.
+ LeadershipAssists with training and education of new and existing staff.Consistently pro-active in team development and in problem-solving to meet department goals and support changes.Acts as a resource and role model for staff.Facilitates inter-departmental cooperation and teamwork.Adheres to Sharp HealthCare standards of conduct.
+ Medication ManagementMaintains current knowledge of applicable medications.Demonstrates safe and accurate administration techniques. No medication errors.Ensures verification by licensed person and documentation of all medications administered including two (2) patient identifier verification.Assists with Medical Assistant medication verification in immediate area.
+ Nursing CompetenciesSuccessfully completes Nursing Competencies with a score of 90% or greater in each section = Great.Successfully completes Nursing Competencies with a score of 90% or greater on all but one section. Passed on retesting = Good.Unsuccessful in passing more than one section of Nursing Competency Testing and/or failed to pass testing on second attempt = Needs Improvement.
+ Quality InitiativesCompletes Quality Assurance (QA) assignments and ensures overall department compliance with requirements. QA scores: 96- 100% = Great; 90-95% = Good; 90% and below = Needs Improvement.Maintains narcotic control procedures including key management and inventory. Assists with prescription reconciliation at the end of month.Support and completion of quality initiatives: P4P, BMI, DataMart, etc.
+ Technical SkillsDemonstrates knowledge of equipment and Information Systems applications.Able to activate emergency procedure per protocol - code, fire, etc.Documents patient care events in a thorough and accurate manner. Manages and completes AEHR tasks per prescribed time lines.Support and knowledge of new applications and policies: AEHR, Abbreviations, etc.Demonstrate typing skills proficiency by: Using a keyboard, required to type proficiently and accurately; Have the ability to type a minimum of 30 words per minute with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review, scheduling requirements and support of front desk responsibilities.Able to operate and maintain department equipment.
**Knowledge, Skills, and Abilities**
+ IV proficient.
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
RN- Surgery Full Time
Remote
The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families.
Essential Functions
Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process.
Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members.
Utilizes knowledge of human growth and development to provide age-appropriate care and education.
Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice.
Assists physicians during procedures within the scope of documented competency and skill level.
Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs.
Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate.
Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery.
Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions.
Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections.
Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety.
Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff.
Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements.
Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies.
Documents patient care and education thoroughly and promptly in the medical record.
Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations.
Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery.
Critical Care RN:
Administers medications and other treatments as prescribed, including intravenous medications and therapies.
Manages complex medical equipment, including ventilators, monitoring devices, and other life-support systems.
Performs procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support.
Emergency Services RN:
Rapid Assessment and Triage: Evaluate patients' conditions quickly to determine the severity of their injuries or illnesses and prioritize care accordingly.
Conducts emergency procedures such as intubation, wound care, and suturing.
Implements interventions to stabilize patients, including administering medications, starting IV lines, and providing respiratory support.
OR Services RN:
Provides comprehensive care to patients before, during, and after surgery, including assessments, planning, and evaluation of nursing care.
Scrubs in for surgeries, assisting the surgical team with instruments and supplies, and ensuring a sterile environment.
Monitors patient vital signs, administers medications, and observes for changes in patient condition.
Cardiac Surgery RN:
Continuously assesses patients' condition, including vital signs, hemodynamic parameters, and ECG readings.
Administers medications and IV drips, adjusting dosages based on the patient's condition.
Proficient in operating and maintaining advanced life support equipment like ventilators, intra-aortic balloon pumps, and ECMO.
After cardiac surgeries, monitors patients' recovery, manage chest tubes, pacing wires, and wound care.
Endoscopy RN:
Assesses patient needs, reviews medical history, explains procedures, obtains consent, and prepares the patient for procedure.
Monitors patient vitals, administers medications, and assists the physician during procedure.
Provides post-procedure care, monitors recovery, and educates patients about aftercare instructions.
Ensures the endoscopy room is properly prepared, instruments are sterilized, and equipment is functioning correctly.
Obstetrics/Labor and Delivery/Post Partum/Nursery RN:
Educates patients about pregnancy, provides prenatal screenings, and prepares patients for labor and delivery.
Assesses and monitors the new mother's physical recovery, including vital signs, postpartum hemorrhage, and potential complications like postpartum depression.
Assists with epidurals and other pain management techniques during labor.
Administers pain medication, induces labor, and manages other medication needs during labor and delivery.
Assists during labor and delivery, monitors fetal well-being, administers medications, and provides pain relief. Monitors mothers and newborns after delivery, assessing their well-being, and providing education on postpartum care and breastfeeding.
Assesses and monitors newborn health, taking vital signs, performing routine assessments, and educating parents on newborn care.
Assists with gynecological exams and procedures, and provides education on reproductive health, contraception, and prenatal care.
Educates patients about family planning, fertility, pregnancy, childbirth, and postpartum care.
Interprets fetal heart rate patterns and assesses fetal well-being using electronic fetal monitoring.
Oncology RN:
Administers chemotherapy, manages side effects, monitors vitals, and manages pain.
Explains treatments, answers questions, and provides information on resources.
Provides emotional and psychological support to patients and their families.
Orthopedics RN:
Provides specialized care for patients with musculoskeletal conditions, injuries, and diseases.
Provides care for Orthopedic patients encompassing pre-operative and post-operative care.
Conducts peripheral/vascular assessments.
Treats patients with immobilization devices.
Provides pain management.
Provides patient education.
PACU RN:
Assesses the patient's level of consciousness and responsiveness as they wake up from anesthesia.
Evaluates pain levels and administers pain medications as prescribed.
Observes any side effects of anesthesia, such as nausea, vomiting, shivering, or muscle aches.
Monitors for and respond to any post-operative complications.
Administers medications, including pain relievers and other post-operative medications, as prescribed.
Regulates intravenous (IV) fluids and monitor fluid balance.
Checks and changes dressings on surgical wounds.
Ensures a clear airway and provide oxygen support as needed.
Educates patients and families about post-surgery care, potential complications, and discharge instructions.
NICU RN:
Continuously assesses and monitors vital signs (heart rate, respiratory rate, blood pressure, oxygen saturation) and other signs of distress.
Administers prescribed medications, intravenous fluids, and other treatments, including respiratory support and oxygen therapy.
Manages feeding needs, including tube, breast milk feeding support, and ensuring adequate nutrition.
Provides basic care tasks like diaper changes, bathing, and positioning.
Performs procedures like inserting IV lines, administering medications, and assisting with intubation or ventilation. Operates and adjusts specialized medical equipment used in the NICU.
Telemetry RN:
Using telemetry equipment to track heart rhythms (EKG), blood pressure, oxygen saturation, and other vital signs.
Analyzes telemetry data to identify trends, abnormalities, and potential problems, and reports these findings to physicians.
Provides direct patient care, including medication administration, wound care, and patient education, with a focus on cardiac health.
Recognizes and responds to emergencies, such as cardiac arrest, and implements appropriate interventions.
Dialysis RN:
Sets up and operates dialysis machines, monitors patients before, during, and after treatment, and adjusts treatment parameters as needed.
Takes vital signs, monitors signs of complications, and responds to changes in patient condition.
Educates patients and families about kidney disease, dialysis procedures, and the importance of adhering to treatment plans, diet, and medication.
Inspects and maintains dialysis machines and equipment.
Cath Lab RN:
Pre-Procedure:
Reviews medical history, assesses patient's overall health, and prepares them for the procedure.
Intravenous (IV) Line Initiation: Starts and maintains an IV line for medication administration.
Administers medications as prescribed by the physician.
Educates patients and families about the procedure and what to expect.
Verifies that surgical consents have been signed.
During the Procedure:
Assists the Cardiologist during the catheterization process.
Closely monitors the patient's vital signs, hemodynamic data, and sedation levels.
Ensures proper functioning of equipment and supplies.
Manages potential complications and responding to emergencies.
Post-Procedure:
Continues to monitor the patient's vital signs and overall condition after the procedure.
Administers post-procedure medications as needed.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
Qualifications
0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required
Knowledge, Skills and Abilities
Strong knowledge of the nursing process and clinical nursing practices.
Ability to perform thorough patient assessments and communicate findings effectively.
Proficient in administering medications and monitoring for side effects.
Effective communication and interpersonal skills to collaborate with interdisciplinary teams.
Strong organizational skills and attention to detail in documenting patient care.
Knowledge of safety standards, infection control, and quality improvement initiatives.
Licenses and Certifications
RN - Registered Nurse - State Licensure and/or Compact State Licensure required
BCLS - Basic Life Support required
ACLS - Advanced Cardiac Life Support preferred
PALS - Pediatric Advanced Life Support preferred
NRP - Neonatal Resuscitation preferred
Refer to facility or unit-specific guidelines for additional requirements.
Auto-ApplyRegistered Nurse (RN) - Transfer Coordinator - Mid Shift
Remote
The Transfer Coordinator - RN is responsible for coordinating patient transfers and admissions into and out of CHS facilities. This role performs initial admission screening using approved clinical criteria, ensuring each transfer aligns with policy and clinical standards. The Transfer Coordinator works closely with the Bed/Capacity Coordinator, hospital departments, and external healthcare providers to facilitate efficient patient flow and address barriers to patient throughput.
Essential Functions
Coordinates all aspects of patient transfers, admissions, or consultations from referring facilities, ensuring appropriate level of care and transport.
Conducts admission screening using approved criteria to verify appropriateness of care level and bed assignments.
Collaborates with Bed/Capacity Coordinator to prioritize transfers, bed assignments, and ensure patient information accuracy.
Acts as a liaison between physicians, healthcare providers, patients, and families to streamline the admission/transfer process.
Maintains and updates the Electronic Health Record (EHR) with accurate patient transfer information and outcomes.
Identifies barriers to patient throughput, tracks trends, and recommends actions to improve efficiency and patient flow.
Complies with regulatory and CHS policy standards, including EMTALA and quality initiatives, while adapting processes to ensure compliance.
Utilizes medical necessity criteria to evaluate admissions, ensuring bed types and patient statuses are appropriate.
Builds and maintains collaborative relationships with hospital staff, nursing units, and external healthcare providers to support quality patient care.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
Qualifications
Associate Degree in Nursing required
Bachelor's Degree in Nursing preferred
1-3 years of clinical nursing experience in an acute care setting required
Prior experience in transfer coordination or patient flow in ED or Critical Care preferred
Knowledge, Skills and Abilities
Strong clinical assessment and decision-making skills for managing patient transfers.
Knowledge of healthcare regulations, including EMTALA and medical necessity guidelines.
Excellent communication skills and ability to work effectively with multidisciplinary teams.
Strong organizational skills with the ability to prioritize multiple tasks in a dynamic environment.
Proficient in using electronic health record systems and standard office software.
Ability to provide superior customer service and facilitate positive patient experiences.
Licenses and Certifications
RN - Registered Nurse - State Licensure and/or Compact State Licensure in the state of Tennessee required
Auto-ApplyLicensed Vocational Nurse/LVN - Heart & Vascular Specialists Clinic - Full-Time, Days
Remote
Licensed Vocational Nurse/LVN - Heart & Vascular Specialists Clinic - Full-Time, Days - (25011364) Description Licensed Vocational Nurse/LVN - Heart & Vascular Specialists Clinic - Full-Time, DaysBring your passion to Texas Health so we are Better + Together Work location: Alliance - 10840 Texas Health Trail, Alliance/Keller, TX 76244Work hours: Full-time, 40 hours weekly, Monday thru Friday, 8:00am - 5:00pmTravel: 25% to surrounding clinics as needed (mileage reimbursement provided) Heart & Vascular Specialists Clinic Highlights:Strong teamwork and collaboration Fast-paced, high volume inbound/outbound calls Compassion and empathy to our patients and the TeamJoin an innovative team working towards making healthcare more accessible, integrated, and reliable Qualifications Here's What You NeedLVN - Licensed Vocational Nurse Upon Hire (required) Accredited School of Practical Nursing Program (required)6 months LVN experience (strongly preferred)1 year LVN experience (preferred) Proficient IV insertion and ECG rhythms experience (strongly preferred) ACLS or BCLS (required upon hire) Knowledge of basic nursing processes and understanding of healthcare technology, equipment, and supplies Knowledge of state law on nursing care, nurse practice guidelines, and clinic policies and procedures Ability to effectively communicate to staff and patients Demonstrate sound judgment and composure Ability to take appropriate action in questionable or emergency situations Maintain a positive, caring attitude towards staff and patients Possess a strong work ethic and a high level of professionalism Efficient time management skills What You Will DoDelivers care to patients utilizing the LVN ProcessPerforms basic nursing care for patients by following established standards and procedures.
May perform specific nursing care as it relates to specialty of the practice.
Collects patient data such as vital signs, notes how the patient looks and acts or responds to stimuli and reports this information accordingly.
Prepares and administers injections, performs routine tests, treats wounds and changes bandages.
10%Prepares patient records and files using established medical record forms/automated systems and documentation practices.
Administers certain prescribed medications and monitors and documents treatment progress and patient response.
Participates in the implementation and evaluation of patient care based on practice guidelines, standards of care, and federal/state laws and regulations.
Monitors and documents treatment progress and patient response.
Conveys information to patients and families about health status, health maintenance, and management of acute and chronic conditions.
Participates in teams to improve patient care processes and outcomes.
Performs other duties as assigned.
Additional perks of being a Texas Health employee Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.
Strong Unit Based Council (UBC).
A supportive, team environment with outstanding opportunities for growth.
Learn more about our culture, benefits, and recent awards.
Entity Highlights:Texas Health Physicians Group includes more than 1,000 physicians, nurse practitioners and physician assistants dedicated to providing quality, patient-safe care at more than 240 offices located throughout the DFW Metroplex.
THPG members are active in group governance and serve on multiple committees and councils.
Ongoing Texas Health initiatives, like the Diversity Action Council and Living the Promise, have helped to create an inclusive, supportive, people-first, excellence-driven culture and workplace, making THPG a great place to work.
If you're ready to join us in our mission to improve the health of our community, then let's show the world how we're even better together! Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.
org.
#LI-CT1 Primary Location: AllianceOther Locations: Pecan Acres, Decatur, Dish, Northlake, Highland Village, Krum, Newark, Argyle, Haslet, Saginaw, Copper Canyon, Blue Mound, Rhome, Denton, Corral City, Flower Mound, Justin, Trophy Club, Roanoke, Westlake, Watauga, KellerJob: LVNOrganization: Texas Health Physicians Group 9250 Amberton Parkway TX 75243Travel: Yes, 25 % of the TimeJob Posting: Nov 3, 2025, 5:43:32 AMShift: Day JobEmployee Status: RegularJob Type: StandardSchedule: Full-time
Auto-ApplyAppeals Specialist II - RN (REMOTE)
Franklin, TN jobs
The Appeal Specialist II reviews, analyzes, and resolves insurance denials to ensure accurate reimbursement and regulatory compliance. This role logs and reviews denials for trend reporting, provides feedback to facilities, and communicates payer updates to relevant stakeholders. The Appeal Specialist II collaborates with internal teams to ensure timely and thorough appeal resolution and supports initiatives that improve denial prevention and recovery processes.
As an Appeals Specialist II at Community Health Systems (CHS) - SSC Nashville, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k.
**Essential Functions**
+ Reviews and resolves pre-payment insurance denials in collaboration with follow-up teams.
+ Coordinates with Denial Coordinators, Facility Denial Liaisons, and Managed Care Coordinators to ensure payer accountability and identify education opportunities.
+ Provides feedback to facilities regarding denials resulting in retractions or reimbursement impacts.
+ Monitors payer billing and coding updates and communicates changes to SSC and ancillary departments.
+ Tracks and logs denials and appeal activity according to established documentation and reporting guidelines.
+ Prepares and distributes reports summarizing appeal trends, project updates, and payer response activity.
+ Recommends process improvements to enhance appeal efficiency and reduce recurring denials.
+ Maintains up-to-date knowledge of payer policies, billing and coding practices, and reimbursement regulations.
+ Utilizes practice management systems and maintains documentation of appeal activity in compliance with departmental standards.
+ Performs other duties as assigned.
+ Maintains regular and reliable attendance.
+ Complies with all policies and standards.
+ This is a fully remote position.
**Qualifications**
+ H.S. Diploma or GED required
+ Bachelor's Degree in Nursing preferred
+ 2-4 years of experience in healthcare revenue cycle or business office required
+ 1-3 years of experience in healthcare insurance or medical billing preferred
**Knowledge, Skills and Abilities**
+ Proficiency in word processing, spreadsheet, and database applications.
+ Working knowledge of billing, coding, and reimbursement principles.
+ Strong analytical, research, and problem-solving skills.
+ Ability to communicate effectively with payers, facility staff, and leadership.
+ Strong organizational and documentation skills with attention to detail.
+ Ability to work independently and manage multiple priorities in a fast-paced environment.
+ Understanding of insurance claims processing and denial management workflows.
**Licenses and Certifications**
+ RN - Registered Nurse - State Licensure and/or Compact State Licensure required
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
The Shared Services Center - Nashville provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare providers. But we're not only about work. We know employing a skilled and engaged team of professionals is vitally important to our success, so we make sure to offer competitive benefits, recognition programs, professional development opportunities and a fun and engaging team environment.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
Registered Nurse (RN), Rehabilitation
Beachwood, OH jobs
Registered Nurse Job Type: Full Time/Parttime/PRN Shift: Days/Nights 36 hour weeks (12 hour shift 7 - 7:30) People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do! At University Hospital Beachwood Rehab, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As a registered nurse (RN) joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve.
Why Choose Us:
* Health (Medical, Dental, Vision) and 401K Benefits
* Flexible spending and health savings accounts
* Competitive Paid Time Off
* Employee Assistance Program - mental, physical, and financial wellness assistance
* Free Parking
* Tuition Reimbursement/Assistance for qualified applicants
* Membership discounts with local gyms and community businesses
* Working with highly engaged staff
* Healthy staffing levels
* Flexible scheduling
* Career growth
Position Summary:
Provides direct patient care to patients using the nursing process in accordance with applicable scope and standards of practice.
* Performs plan of care intervention, including medication administration, specimen collection, clinical treatments, as well as other medical care treatment.
* Documents patient care given.
* Monitors, records, and communicate patient condition as appropriate to care team, physician, patient, and family.
* Assists patients with performing activities of daily living, including personal hygiene, elimination, nutrition, and ambulation.
* Collaborates as needed across disciplines to coordinate patient care, including patient transfer, discharge, referral and spiritual/psychosocial support needs.
* Evaluates learning needs of patient and/or family and provides patient/family education appropriate to age, culture, condition, and circumstances.
* Works as an advocate for the physical and emotional well-being of the patient.
Qualifications:
* Graduation from an accredited Bachelor of Science in Nursing, Associate Degree in Nursing or Nursing Diploma program.
* Current state licensure as Registered Nurse.
* CPR/BCLS certification. ACLS preferred.
* Excellent oral and written communication and interpersonal skills.
EEOC Statement:
University Hospital Beachwood Rehab is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
Apply today!
Email your resume and cover letter to Cyndi at: ***************************** or apply online: Search Careers | Lifepoint Health Careers
Join us in delivering high-quality care.
Easy ApplyDRG CVA RN Auditor - National Remote
Plymouth, MN jobs
**$10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS** Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together** .
In this position as a **Coding & Clinical Auditor / DRG Specialist RN** , you will apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic Guidelines in the auditing of inpatient claims. Employing both industry and Optum proprietary tools, you will validate ICD-10 diagnosis and procedure codes, DRG assignments, and discharge statuses billed by hospitals to identify overpayments. Utilizing excellent communications skills, you will compose rationales supporting your audit findings.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Conduct MS-DRG and APR-DRG coding reviews to verify the accuracy of DRG assignment and reimbursement with a focus on overpayment identification
+ Utilize expert knowledge to identify the ICD-10-CM/PCS code assignment, appropriate code sequencing, present on admission (POA) assignment, and discharge disposition, in accordance with CMS requirements, ICD-10 Official Guidelines for Coding and Reporting, and AHA Coding Clinic guidance
+ Apply current ICD-10 Official Coding Guidelines and AHA Coding Clinic citations and demonstrate working knowledge of clinical criteria documentation requirements used to successfully substantiate code assignments
+ Perform clinical coding review to ensure accuracy of medical coding and utilizes clinical expertise and judgment to determine correct coding and billing
+ Utilize solid command of anatomy and physiology, diagnostic procedures, and surgical operations developed from specialized training and extensive experience with ICD-10-PCS code assignment
+ Write clear, accurate and concise rationales in support of findings using ICD-10 CM/PCS Official Coding Guidelines, and AHA Coding Clinics
+ Utilize proprietary workflow systems and encoder tool efficiently and accurately to make audit determinations, generate audit rationales and move claims through workflow process correctly
+ Demonstrate knowledge of and compliance with changes and updates to coding guidelines, reimbursement trends, and client processes and requirements
+ Maintain and manage daily case review assignments, with a high emphasis on quality
+ Provide clinical support and expertise to the other investigative and analytical areas
+ Work in a high-volume production environment that is matrix driven
**What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:**
+ Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account
+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
+ 401(k) Savings Plan, Employee Stock Purchase Plan
+ Education Reimbursement
+ Employee Discounts
+ Employee Assistance Program
+ Employee Referral Bonus Program
+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
+ More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Associate's Degree (or higher)
+ Unrestricted RN (Registered Nurse) license
+ CCS/CIC or willing to obtain certification within 6 months of hire
+ 3+ years of MS DRG/APR DRG coding experience in a hospital environment with expert knowledge of ICD-10 Official Coding Guidelines and DRG reimbursement methodologies
+ 2+ years of ICD-10-CM coding experience including but not limited to: expert knowledge of principal diagnosis selection, complications/comorbidities (CCs) and major complications/comorbidities (MCCs), and conditions that impact severity of illness (SOI) and risk of mortality (ROM)
+ 2+ years of ICD-10-PCS coding experience including but not limited to: expert knowledge of the structural components of PCS such as selection of appropriate body systems, root operations, body parts, approaches, devices, and qualifiers
**Preferred Qualifications:**
+ Experience with prior DRG concurrent and/or retrospective overpayment identification audits
+ Experience with readmission reviews of claims
+ Experience with DRG encoder tools (ex. 3M)
+ Experience using Microsoft Excel with the ability to create / edit spreadsheets, use sort / filter function, and perform data entry
+ Healthcare claims experience
+ Managed care experience
+ Knowledge of health insurance business, industry terminology, and regulatory guidelines
**Soft Skills:**
+ Ability to use a Windows PC with the ability to utilize multiple applications at the same time
+ Demonstrate excellent written and verbal communication skills, solid analytical skills, and attention to detail
+ Ability to work independently in a remote environment and deliver exceptional results
+ Excellent time management and work prioritization skills
**Physical Requirements and Work Environment:**
+ Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer
+ Have a secluded office area in which to perform job duties during the work day
+ Have reliable high - speed internet access and a work environment free from distractions
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
The salary range for this role is $34.42 to $67.60 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO #GREEN #RPOLinkedin
Registered Nurse FT Days!
Dayton, OH jobs
Registered Nurse FT Days! (Job Number: 549045) Description $15K SOB!At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking.
Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.
Job SummaryProvides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation.
Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary.
Communicates changes in patient's clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate.
Participates in discharge planning process.
Essential FunctionsMaintains the standard of nursing care and implements policies and procedures of the hospital and nursing department Directs, supervises, provides and evaluates nursing care provided to patients Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated Assigns nursing care team members in accordance with patient needs, team member's capabilities and qualifications Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient's medical record according to nursing standards and policies Performs assessment on all patients on admission and reassessments as per policy Makes referrals to other disciplines based on assessment Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team Assesses and reassesses pain Utilizes appropriate pain management techniques Educates the patient and family regarding pain management.
Revises the plan of care as indicated by the patient's response to treatment and evaluates overall plan daily for effectiveness Performs patient care responsibilities considering needs specific to the standard of care for patient's age Receives physician's orders, ensures transcription is accurate and documents completion Administers medication utilizing the five rights of medication administration reducing the potential for medication errors Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice Performs treatments and provides services to level of licensure Treats patients and their families with respect and dignity Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families Functions as liaison between administration, patients, physicians, and other healthcare providers Interacts professionally with patient/family and involves patient/family in the formation of the plan of care Interprets data about the patient's status to identify each patient's age specific needs and provide care needed by the patient group Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors Initiates or assists with emergency measures for sudden adverse developments in patients' condition Answers telephone, paging system, patients' call lights, anticipates patients' needs, and makes rounds of assigned patients and responds as appropriate Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off Communicates appropriately and clearly to management, co-workers, and physicians Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs Participates in orientation, instruction/training of new personnel Manages and operates equipment safely and correctly Knowledge/Skills/Abilities/ExpectationsKnowledge of medications and their correct administration based on age of the patient and their clinical condition Basic computer knowledge Able to organize tasks, develop action plans, set priorities and function under stressful situations Ability to maintain a good working relationship both within the department and with other departments Approximate percent of time required to travel: 0%Must read, write and speak fluent EnglishMust have good and regular attendance Performs other related duties as assigned Qualifications EducationGraduation from an accredited Bachelor of Science in NursingAssociate Degree in Nursing or Nursing Diploma program Licenses/CertificationCurrent state licensure as Registered NurseBCLS certification required ACLS certifications preferred ExperienceMinimum six months' Medical/Surgical experience in an acute care setting preferred Job: RNPrimary Location: OH-Dayton-Kindred Hospital - DaytonOrganization: 4500 - Kindred Hospital - DaytonShift: Day
Auto-ApplyRegistered Nurse/FT/Days
Lima, OH jobs
Registered Nurse/FT/Days (Job Number: 548658) Description $20,000 SIGN ON BONUS THROUGH JANUARY 2026. At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking.
Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.
Job Summary Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation.
Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary.
Communicates changes in patient's clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate.
Participates in discharge planning process.
Essential Functions Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department Directs, supervises, provides and evaluates nursing care provided to patients Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated Assigns nursing care team members in accordance with patient needs, team member's capabilities and qualifications Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient's medical record according to nursing standards and policies Performs assessment on all patients on admission and reassessments as per policy Makes referrals to other disciplines based on assessment Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team Assesses and reassesses pain Utilizes appropriate pain management techniques Educates the patient and family regarding pain management Revises the plan of care as indicated by the patient's response to treatment and evaluates overall plan daily for effectiveness Performs patient care responsibilities considering needs specific to the standard of care for patient's age Receives physician's orders, ensures transcription is accurate and documents completion Administers medication utilizing the five rights of medication administration reducing the potential for medication errors Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice Performs treatments and provides services to level of licensure Treats patients and their families with respect and dignity Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families Functions as liaison between administration, patients, physicians, and other healthcare providers Interacts professionally with patient/family and involves patient/family in the formation of the plan of care Interprets data about the patient's status to identify each patient's age specific needs and provide care needed by the patient group Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors Initiates or assists with emergency measures for sudden adverse developments in patients' condition Answers telephone, paging system, patients' call lights, anticipates patients' needs, and makes rounds of assigned patients and responds as appropriate Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off Communicates appropriately and clearly to management, co-workers, and physicians Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs Participates in orientation, instruction/training of new personnel Manages and operates equipment safely and correctly Knowledge/Skills/Abilities/ExpectationsKnowledge of medications and their correct administration based on age of the patient and their clinical condition Basic computer knowledge Able to organize tasks, develop action plans, set priorities and function under stressful situations Ability to maintain a good working relationship both within the department and with other departments Approximate percent of time required to travel: 0%Must read, write and speak fluent EnglishMust have good and regular attendance Performs other related duties as assigned Qualifications EducationGraduation from an accredited Bachelor of Science in NursingAssociate Degree in Nursing or Nursing Diploma program Licenses/CertificationCurrent state licensure as Registered NurseBCLS certification required ACLS certifications preferred ExperienceMinimum six months' Medical/Surgical experience in an acute care setting preferred Job: RNPrimary Location: OH-Lima-Kindred Hospital-LimaOrganization: 4851 - Kindred Hospital-LimaShift: Day
Auto-ApplyRegistered Nurse RN Weekend Night Option Program
Lima, OH jobs
Registered Nurse RN Weekend Night Option Program (Job Number: 540377) Description $20,000 Sign-on-Bonus!At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and EvaluationDevelops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary Communicates changes in patient's clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate Participates in discharge planning process Essential Functions Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department Directs, supervises, provides and evaluates nursing care provided to patients Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated Assigns nursing care team members in accordance with patient needs, team member's capabilities and qualifications Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient's medical record according to nursing standards and policies Performs assessment on all patients on admission and reassessments as per policy. Makes referrals to other disciplines based on assessment Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team Assesses and reassesses pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management Revises the plan of care as indicated by the patient's response to treatment and evaluates overall plan daily for effectiveness Performs patient care responsibilities considering needs specific to the standard of care for patient's age Receives physician's orders, ensures transcription is accurate and documents completion Administers medication utilizing the five rights of medication administration reducing the potential for medication errors Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice Performs treatments and provides services to level of licensure Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families Functions as liaison between administration, patients, physicians, and other healthcare providers Interacts professionally with patient/family and involves patient/family in the formation of the plan of care Interprets data about the patient's status to identify each patient's age specific needs and provide care needed by the patient group Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors Initiates or assists with emergency measures for sudden adverse developments in patients' condition Answers telephone, paging system, patients' call lights, anticipates patients' needs, and makes rounds of assigned patients and responds as appropriate Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off Communicates appropriately and clearly to management, co-workers, and physicians Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs Participates in orientation, instruction/training of new personnel Manages and operates equipment safely and correctly Knowledge/Skills/Abilities/ExpectationsKnowledge of medications and their correct administration based on age of the patient and their clinical condition Basic computer knowledge Able to organize tasks, develop action plans, set priorities and function under stressful situations Ability to maintain a good working relationship both within the department and with other departments Approximate percent of time required to travel: 0%Must read, write and speak fluent EnglishMust have good and regular attendance Performs other related duties as assigned Qualifications Education
Graduation from an accredited Bachelor of Science in Nursing
Associate Degree in Nursing or Nursing Diploma program
Licenses/Certification
Current state licensure as Registered Nurse
BCLS certification required
ACLS certifications preferred
Experience
Minimum six months' Medical/Surgical experience in an acute care setting preferred
Job: RNPrimary Location: OH-Lima-Kindred Hospital-LimaOrganization: 4851 - Kindred Hospital-LimaShift: Night
Auto-ApplyRegistered Nurse RN Weekend Days Option Program
Lima, OH jobs
Registered Nurse RN Weekend Days Option Program (Job Number: 540391) Description $20,000 Sign-on-Bonus! At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary. Communicates changes in patient's clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate. Participates in discharge planning process.Essential Functions Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department.Directs, supervises, provides and evaluates nursing care provided to patients. Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated.Assigns nursing care team members in accordance with patient needs, team member's capabilities and qualifications.Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient's medical record according to nursing standards and policies.Performs assessment on all patients on admission and reassessments as per policy. Makes referrals to other disciplines based on assessment. Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team.Assesses and reassesses pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management.Revises the plan of care as indicated by the patient's response to treatment and evaluates overall plan daily for effectiveness.Performs patient care responsibilities considering needs specific to the standard of care for patient's age.Receives physician's orders, ensures transcription is accurate and documents completion.Administers medication utilizing the five rights of medication administration reducing the potential for medication errors.Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate.Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice.Performs treatments and provides services to level of licensure.Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians, and other healthcare providers.Interacts professionally with patient/family and involves patient/family in the formation of the plan of care.Interprets data about the patient's status to identify each patient's age specific needs and provide care needed by the patient group.Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.Initiates or assists with emergency measures for sudden adverse developments in patients' condition.Answers telephone, paging system, patients' call lights, anticipates patients' needs, and makes rounds of assigned patients and responds as appropriate.Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs.Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off.Communicates appropriately and clearly to management, co-workers, and physicians.Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs.Participates in orientation, instruction/training of new personnel.Manages and operates equipment safely and correctly.Knowledge/Skills/Abilities/ExpectationsKnowledge of medications and their correct administration based on age of the patient and their clinical condition.Basic computer knowledge.Able to organize tasks, develop action plans, set priorities and function under stressful situations.Ability to maintain a good working relationship both within the department and with other departments.Approximate percent of time required to travel: 0% Must read, write and speak fluent English.Must have good and regular attendance.Performs other related duties as assigned.Qualifications Education
Graduation from an accredited Bachelor of Science in Nursing,
Associate Degree in Nursing or Nursing Diploma program.
Licenses/Certification
Current state licensure as Registered Nurse.
BCLS certification required.
ACLS certifications preferred.
Experience
Minimum six months' Medical/Surgical experience in an acute care setting preferred.
Job: RNPrimary Location: OH-Lima-Kindred Hospital-LimaOrganization: 4851 - Kindred Hospital-LimaShift: Day
Auto-ApplyCall Center Nurse RN - Part Time - Remote
Fort Pierce, FL jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The Call Center Nurse RN is responsible for providing comprehensive clinical services to our customers located throughout the U.S. and may require multiple licenses to practice across various states. Services provided to our customers include but are not limited to the following telephonic services: clinical triage, transitions of care, medication adherence and reconciliation, management of gaps in care, and other care extension services. The Call Center Nurse assists and guides patients toward self-management and behavior modifications that result in improved patient outcomes. The Call Center Nurse is the primary point of contact for multiple disciplines. Success is measured in terms of improved patient outcomes, prevention of patient adverse events and satisfied customers, meeting or exceeding quality measures, producing consistent and high-quality work, and collaboration with other care team members. The Call Center Nurse is an experience nurse, able to perform tasks independently and once trained, without guidance. This person can provide education to patients, deploying best practices and standard workflow in their daily activities with the ability to apply their expertise across the various areas of responsibility, understanding how their interactions with patients affect customer satisfaction and can make recommendations to improve processes.
Positions in this family require a current, unrestricted nursing license (RN) in the applicable state, as indicated in the function description and/or title.
This is a PART TIME position working 7:30am - 6pm Eastern 2 days per week - either Mon and Friday OR Wednesday and Thursday.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Provide remote telephonic nursing support to patients, caregivers, and healthcare providers
* Assess and triage patient calls to determine urgency of medical needs
* Offer medical advice, guidance, and education to patients and caregivers regarding treatment plans, medication management, and self-care techniques
* Collaborate with healthcare professionals to coordinate patient care and follow-up
* Document patient interactions, assessments, and recommendations accurately and timely in electronic health records systems
* Adhere to established protocols, guidelines, and best practices for telephonic nursing
* Maintain patient confidentiality and privacy in accordance with HIPPA regulations
* Participate in ongoing training and professional development activities to stay updated on medical advancements and best practices in telehealth
* Contribute to quality improvement initiatives to enhance the delivery of telephonic nursing services
* Provide exceptional customer service and support to ensure a positive experience for patients and clients
* Ability to adapt nursing interventions and care plans to meet the individualized needs and preferences of diverse patients across the continuum of care
* Demonstrates the ability to meet deadlines independently and efficiently, requiring minimal to no supervision
* Actively engage in collaborative efforts within nursing team to ensure seamless communication, shared knowledge, and coordinated patient care delivery
* Utilizes extensive expertise in chronic illnesses and medication management to effectively treat diseases
* Works with supervisors to solve more complex problems
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Registered Nurse (RN) with a current, active, and unrestricted RN License in PA (state specific or compact)
* 3+ years of clinical nursing experience
* Experience with electronic medical records system(s)
* Proven proficiency using MS Office Suite (i.e. Teams, Outlook, Word, Excel)
* Ability to work PT hours (7:30am - 6PM EST) on either Monday and Friday OR Wednesday and Thursday
Preferred Qualifications:
* Telehealth nursing experience
* Experience with Cerner
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
The hourly range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Behavioral Health Registered Nurse FT Weekends!
Dayton, OH jobs
Behavioral Health Registered Nurse FT Weekends! (Job Number: 548843) Description $15K SOB!At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking.
Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.
Job SummaryProvides planning and delivery of direct and indirect patient care through the nursing process of assessment planning, intervention, and evaluation.
Develops nursing care plan in coordination with patient, family, and interdisciplinary staff as necessary.
Communicates changes in patient's clinical condition with physicians, nursing supervisor/manager, and co-workers as appropriate.
Participates in discharge planning process.
Essential Functions Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department Directs, supervises, and evaluates nursing care provided to patients Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated Assigns nursing care team members in accordance with patient needs, team member's capabilities and qualifications Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient's medical record according to nursing standards and policies Performs assessment on all patients on admission and reassessments as per policy Makes referrals to other disciplines based on assessment Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the JD KBHS RN the team Administer medication utilizing the five rights of medication administration reducing the potential for medication errors Assesses and reassess pain.
Utilizes appropriate pain management techniques Educates the patient and family regarding pain management Revises the plan of care as indicated by the patient's response to treatment and evaluates overall plan of effectiveness Performs patient care responsibilities considering needs specific to the standard of care for patient's age.
Receives physician's orders, ensures transcription is accurate and documents completion.
Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate Assists physicians with examinations, treatments, and special procedures and performs services requiring technical and manual skills within scope of practice Performs treatments and provides services to the level of licensure Treats patients and their families with respect and dignity Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families Functions as liaison between administration, patients, physicians, and other healthcare providers Interacts professionally with patient/family and involves patient/family in the formation of the plan of care Interprets data about the patient's status to identify each patient's age specific needs and provide care needed by the patient group.
Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors Initiates or assists with emergency measures for sudden adverse developments in patients' condition Answers telephone, paging system, patients' call lights, anticipates patients' needs, and makes rounds of assigned patients and responds as appropriate Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs Provides end of shift report to on coming nurse, narcotics are counted, documentation is complete, and physician orders signed off Communicates appropriately and clearly to management, co-workers, and physicians Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs Participates in orientation, instruction/training of new personnel Manages and operates equipment safely and correctly Performs other duties as requested Knowledge/Skills/Abilities/ExpectationsExcellent oral and written communication and interpersonal skills Knowledge of medications and their correct administration based on age of the patient and their clinical condition Basic computer knowledge Able to organize tasks, develop action plans, set priorities and function under stressful situations Ability to maintain a good working relationship both within the department and with other departments Approximate percent of time required to travel: 0%Must read, write and speak fluent EnglishMust have good and regular attendance Performs other related duties as assigned Qualifications EducationGraduation from an accredited Bachelor of Science in Nursing, Associate Degree in Nursing, or Nursing Diploma program Licenses/CertificationsCurrent state licensure as Registered NurseACLS preferred BCLS certification Crisis prevention training and certification strongly preferred; mandatory completion within 90 days of hire ExperienceMinimum one year in an inpatient psychiatric setting Job: Behavior/Mental HealthPrimary Location: OH-Dayton-Kindred Dayton BHUOrganization: 4020 - Kindred Dayton BHUShift: Weekend
Auto-ApplyService Care Coordinator RN - Remote in South Austin, TX
Austin, TX jobs
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
This is a Field Based role with a Home-Based office. Must be open to traveling up to 50 miles from home office based on business need.
If you are located in or within commutable driving distance from South Austin, TX, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
* Assess, plan and implement care strategies that are individualized by patients and directed toward the most appropriate, at least restrictive level of care
* Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
* Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
* Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
* Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
* Medical Plan options along with participation in a Health Spending Account or a Health Saving account
* Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
* 401(k) Savings Plan, Employee Stock Purchase Plan
* Education Reimbursement
* Employee Discounts
* Employee Assistance Program
* Employee Referral Bonus Program
* Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
* More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Current and unrestricted Registered Nurse license in the state of Texas
* 2+ years of experience working within the community health setting or in a healthcare role
* Intermediate level of computer proficiency (including Microsoft Outlook, Teams) and ability to use multiple web applications
* Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
* Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
* Valid driver's license, access to reliable transportation and the ability to travel in this 'assigned region' to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices
* Reside in or within commutable driving distance from South Austin, TX
Preferred Qualifications:
* 1+ years of experience with long-term care services and support, Medicaid or Medicare
* Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations
* Proven ability to create, edit, save and send documents, spreadsheets and emails
* Reside in South Austin, TX
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Service Care Coordinator RN - Remote in South Austin, TX
Austin, TX jobs
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together**
This is a Field Based role with a Home-Based office. Must be open to traveling up to 50 miles from home office based on business need.
If you are located in or within commutable driving distance from South Austin, TX, you will have the flexibility to telecommute* as you take on some tough challenges.
**Primary Responsibilities:**
+ Assess, plan and implement care strategies that are individualized by patients and directed toward the most appropriate, at least restrictive level of care
+ Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
+ Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
+ Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
+ Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account
+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
+ 401(k) Savings Plan, Employee Stock Purchase Plan
+ Education Reimbursement
+ Employee Discounts
+ Employee Assistance Program
+ Employee Referral Bonus Program
+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
+ More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Current and unrestricted Registered Nurse license in the state of Texas
+ 2+ years of experience working within the community health setting or in a healthcare role
+ Intermediate level of computer proficiency (including Microsoft Outlook, Teams) and ability to use multiple web applications
+ Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
+ Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
+ Valid driver's license, access to reliable transportation and the ability to travel in this 'assigned region' to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices
+ Reside in or within commutable driving distance from South Austin, TX
**Preferred Qualifications:**
+ 1+ years of experience with long-term care services and support, Medicaid or Medicare
+ Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations
+ Proven ability to create, edit, save and send documents, spreadsheets and emails
+ Reside in South Austin, TX
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
DRG CVA RN Auditor - National Remote
Minnetonka, MN jobs
**$10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS** Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together** .
In this position as a **Coding & Clinical Auditor / DRG Specialist RN** , you will apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic Guidelines in the auditing of inpatient claims. Employing both industry and Optum proprietary tools, you will validate ICD-10 diagnosis and procedure codes, DRG assignments, and discharge statuses billed by hospitals to identify overpayments. Utilizing excellent communications skills, you will compose rationales supporting your audit findings.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Conduct MS-DRG and APR-DRG coding reviews to verify the accuracy of DRG assignment and reimbursement with a focus on overpayment identification
+ Utilize expert knowledge to identify the ICD-10-CM/PCS code assignment, appropriate code sequencing, present on admission (POA) assignment, and discharge disposition, in accordance with CMS requirements, ICD-10 Official Guidelines for Coding and Reporting, and AHA Coding Clinic guidance
+ Apply current ICD-10 Official Coding Guidelines and AHA Coding Clinic citations and demonstrate working knowledge of clinical criteria documentation requirements used to successfully substantiate code assignments
+ Perform clinical coding review to ensure accuracy of medical coding and utilizes clinical expertise and judgment to determine correct coding and billing
+ Utilize solid command of anatomy and physiology, diagnostic procedures, and surgical operations developed from specialized training and extensive experience with ICD-10-PCS code assignment
+ Write clear, accurate and concise rationales in support of findings using ICD-10 CM/PCS Official Coding Guidelines, and AHA Coding Clinics
+ Utilize proprietary workflow systems and encoder tool efficiently and accurately to make audit determinations, generate audit rationales and move claims through workflow process correctly
+ Demonstrate knowledge of and compliance with changes and updates to coding guidelines, reimbursement trends, and client processes and requirements
+ Maintain and manage daily case review assignments, with a high emphasis on quality
+ Provide clinical support and expertise to the other investigative and analytical areas
+ Work in a high-volume production environment that is matrix driven
**What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:**
+ Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account
+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
+ 401(k) Savings Plan, Employee Stock Purchase Plan
+ Education Reimbursement
+ Employee Discounts
+ Employee Assistance Program
+ Employee Referral Bonus Program
+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
+ More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Associate's Degree (or higher)
+ Unrestricted RN (Registered Nurse) license
+ CCS/CIC or willing to obtain certification within 6 months of hire
+ 3+ years of MS DRG/APR DRG coding experience in a hospital environment with expert knowledge of ICD-10 Official Coding Guidelines and DRG reimbursement methodologies
+ 2+ years of ICD-10-CM coding experience including but not limited to: expert knowledge of principal diagnosis selection, complications/comorbidities (CCs) and major complications/comorbidities (MCCs), and conditions that impact severity of illness (SOI) and risk of mortality (ROM)
+ 2+ years of ICD-10-PCS coding experience including but not limited to: expert knowledge of the structural components of PCS such as selection of appropriate body systems, root operations, body parts, approaches, devices, and qualifiers
**Preferred Qualifications:**
+ Experience with prior DRG concurrent and/or retrospective overpayment identification audits
+ Experience with readmission reviews of claims
+ Experience with DRG encoder tools (ex. 3M)
+ Experience using Microsoft Excel with the ability to create / edit spreadsheets, use sort / filter function, and perform data entry
+ Healthcare claims experience
+ Managed care experience
+ Knowledge of health insurance business, industry terminology, and regulatory guidelines
**Soft Skills:**
+ Ability to use a Windows PC with the ability to utilize multiple applications at the same time
+ Demonstrate excellent written and verbal communication skills, solid analytical skills, and attention to detail
+ Ability to work independently in a remote environment and deliver exceptional results
+ Excellent time management and work prioritization skills
**Physical Requirements and Work Environment:**
+ Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer
+ Have a secluded office area in which to perform job duties during the work day
+ Have reliable high - speed internet access and a work environment free from distractions
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
The salary range for this role is $34.42 to $67.60 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO #GREEN #RPOLinkedin
Inpatient Care Management Nurse RN - Remote
Eden Prairie, MN jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.
As an Inpatient Care Management Nurse, you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization.
What makes your nursing career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
Schedule will be Monday through Friday from 8AM-5PM. Role does not require nights or Holidays however occasional weekend work may be required based off business needs.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Perform initial and concurrent review of inpatient cases applying evidenced-based criteria (InterQual criteria)
* Discuss cases with facility healthcare professionals to obtain plans-of-care
* Collaborate with Optum Enterprise Clinical Services Medical Directors on performing utilization management
* Participation in discussions with the Clinical Services team to improve the progression of care to the most appropriate level
* Consult with the Medical Director, as needed, for complex cases and make appropriate referrals to downstream partners
* Apply clinical expertise when discussing case with internal and external Case Managers and Physicians
* Identify delays in care or services and manage with MD
* Follow all Standard Operating Procedures in end to end management of cases
* Obtain clinical information to assess and expedite alternate levels of care
* Facilitate timely and appropriate care and effective discharge planning
* Participate in team meetings, education, discussions, and related activities
* Maintain compliance with Federal, State and accreditation organizations
* Identify opportunities for improved communication or processes
* Participate in audit activities and meetings
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Active, unrestricted RN license in state of residence
* 3+ years of clinical nursing experience practicing clinically (Acute Inpatient, SNF/AIR/ LTAC, Emergency Department, Urgent Care)
* Experience in acute, long-term care, acute rehabilitation, or skilled nursing facilities
* Demonstrated proficiency in computer skills - Windows, IM, Excel (Microsoft Suite), Outlook, clinical platforms
* Designated workspace and access to install secure high-speed internet via cable / DSL in home
Preferred Qualifications:
* Bachelor's degree
* Compact RN license
* 2+ years case management experience
* 1+ years Background that involves utilization review and evidence-based guidelines (InterQual Guidelines)
* Managed care experience
* Experience performing discharge planning
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Registered Nurse
Columbus, OH jobs
$5000 Sign-on Bonus for External Candidates Explore opportunities with Cambridge Home Health Care a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources.
Primary Responsibilities:
* Clinical Competence
* Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals
* Supervises care provided by home health aides and licensed practical/vocational nurses, provides instruction, and assigns tasks according to State and federal regulations
* Provides required supervisory visits
* Documentation and Care Delivery
* Provides high-quality clinical services within the scope of practice and infection control standards, in accordance with the plan of care, and in coordination with other health care team members
* Completes comprehensive assessments (OASIS) including medication reconciliation accurately and timely
* Documents patient visits per policy and payer requirements, and syncs timely per LHC policy
* Quality
* Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation
* Communicates relevant information timely and effectively with appropriate agency staff, including patient care issues, visit assignments, schedule changes, orders, OASIS data sets, coding requests, and coordination with other clinicians
* Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence
* Teamwork
* Takes direction from Clinical Director and Executive Director professionally and completes assigned tasks timely, including required learning
* Assists in the orientation of new agency personnel and serves as a preceptor to other staff and students
* Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes
* Participates in on-call and weekend rotation as needed to meet patient needs
* Adheres to and participates in the agency's utilization management model
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Current and unrestricted RN licensure in state of practice
* 1+ years of Home Health experience
* Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation
* Current CPR Certification
* Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
Preferred Qualifications:
* Ability to work independently
* Solid communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.