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Licensed Practical Nurse jobs at Tower Group Companies

- 18 jobs
  • (RN/ LPN) Baylor Shifts Available

    Condor 4.4company rating

    Licensed practical nurse job at Tower Group Companies

    Weekend (LPN)(RN) Baylor Pay At Condor Health Anderson Nursing, we set focus on developing long lasting relationships with the families and residents that we serve. We understand the stresses and enjoyments of long-term care. At the Ivy we believe that as one unified family organization we will survive so long as we are committed to a culture of respect, integrity, and transparency. This position is every weekend (12hr shift) and one day during the week (8hr shift). Responsibilities: Responsible for evaluating the staffing needs of nursing and to work with the DON on any problems related to nursing services. Assign CNAs their job duties in accordance with their training and the resident's needs, including break and mealtimes. Responsible for the documentation and maintenance of all residents' charts, in accordance with established policies and procedures of the facility. Observation of nursing care given to maintain the highest work standards for all staff. Can and will assume the duties of Charge Nurse on an as needed basis. Requirements/Qualifications: Licensed in your specialty (LPN/RN) in the State. Experience in long-term care, skilled, and/or sub-acute care setting preferred, but not required. Excellent customer service skills; dedication and commitment to providing excellent healthcare services to our residents and patients. Benefits/Perks: Medical, Dental, Vision, Life Insurance Retirement Savings Employee Recognition program Access Perks Monthly Raffles Daily Pay Course Reimbursement Referral Bonuses Location: Anderson, SC JOB CODE: 67396
    $41k-57k yearly est. 60d+ ago
  • (RN/ LPN) Baylor Shifts Available

    Condor 4.4company rating

    Licensed practical nurse job at Tower Group Companies

    Job Description: Weekend (LPN)(RN) Baylor Pay At Condor Health Anderson Nursing, we set focus on developing long lasting relationships with the families and residents that we serve. We understand the stresses and enjoyments of long-term care. At the Ivy we believe that as one unified family organization we will survive so long as we are committed to a culture of respect, integrity, and transparency. This position is every weekend (12hr shift) and one day during the week (8hr shift). Responsibilities: Responsible for evaluating the staffing needs of nursing and to work with the DON on any problems related to nursing services. Assign CNAs their job duties in accordance with their training and the resident's needs, including break and mealtimes. Responsible for the documentation and maintenance of all residents' charts, in accordance with established policies and procedures of the facility. Observation of nursing care given to maintain the highest work standards for all staff. Can and will assume the duties of Charge Nurse on an as needed basis. Requirements/Qualifications: Licensed in your specialty (LPN/RN) in the State. Experience in long-term care, skilled, and/or sub-acute care setting preferred, but not required. Excellent customer service skills; dedication and commitment to providing excellent healthcare services to our residents and patients. Benefits/Perks: Medical, Dental, Vision, Life Insurance Retirement Savings Employee Recognition program Access Perks Monthly Raffles Daily Pay Course Reimbursement Referral Bonuses Location: Anderson, SC
    $41k-57k yearly est. 6d ago
  • Sr. Provider Education Consultant - RN

    Bluecross Blueshield of South Carolina 4.6company rating

    Columbia, SC jobs

    Logistics: Palmetto GBA,- one of BlueCross BlueShield's South Carolina subsidiary companies. Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. Location: This a full-time remote position for the following areas: (South Carolina, North Carolina, Georgia, and Alabama) You will work an 8-hour shift scheduled during our normal business hours of 8:00 a.m.-5:00 p.m. Monday - Friday. There will be some travel involved for in-person conferences and presentations. It may be necessary, given the business need to work occasional overtime. What You'll Do: Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal conference calls and/or in-person educational visits with providers that are consistently over utilizing services, on progressive corrective action, or have unacceptable denial rates and/or error rates under the medical review program. Conducts coverage and documentation workshops for provider staff (Medicare providers and physicians' staff). Researches, composes, and coordinates the preparation of all regulatory based provider education materials. Performs analysis of effective reports to determine actions to be taken regarding medical reviewed its/audits. Determines what providers are over-utilizing services and what services are being over-utilized. Works with medical review department and provides input regarding actions taken in response to provider billing practices. Targets providers where greatest abuse of Medicare program has occurred. Participates in the medical review process and inter reviewer reliability (IRR) studies. Assists in training of medical review associates regarding coverage and medical review process. To Qualify for This Position, You'll Need the Following: Required Education: If LPN, graduate of accredited School of Licensed Practical Nursing; if LVN, graduate of accredited School of Licensed Vocational Nursing; if RN, graduate of approved School of Nursing. Required Experience: If LPN or LVN, 7 years of clinical experience or equivalent combination of clinical and educator experience. If RN, 5 years of clinical experience or equivalent combination of clinical and educator experience. Required Software and tools: Microsoft Office. Required Skills and Abilities: Knowledge of medical terminology and disease processes. Demonstrated proficiency in word processing and spreadsheet software. Good judgment skills. Effective customer service, organizational, and presentation skills. Demonstrated proficiency in spelling, punctuation, and grammar. Analytical or critical thinking skills. Basic business math proficiency. Knowledge of mathematical or statistical concepts. Ability to persuade, negotiate, or influence. Required Licenses and Certificates: Active LPN or LVN licensure in state hired, OR active compact multistate LPN license as defined by the Nurse Licensure Compact (NLC), OR active RN licensure in state hired OR active compact multistate RN license as defined by the Nurse Licensure Compact (NLC) others. Ability to handle confidential or sensitive information with discretion. We Prefer That You Have the Following: Preferred Work Experience: 3 years of provider relations and Medicare experience. Preferred Skills and Abilities: Knowledge of claims processing software. In-depth knowledge of Medicare program, guidelines, regulations governing coverage. Preferred Software and Other Tools: Working knowledge of Microsoft Access or other database software. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.
    $72k-86k yearly est. Auto-Apply 60d+ ago
  • Women's Homecare RN- Per Diem - Columbia, SC

    Unitedhealth Group 4.6company rating

    Charleston, SC 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** We are currently hiring a Homecare Nurse for our Optum Women's and Children's Health - Homecare. This position will provide skilled nursing care in a home care environment. Assess, plan, and document the homecare nursing process; educate and provide instruction to patients and their family. **Travel:** This position will travel up to 2-2.5 hours to patients home **Schedule:** Once you get the referral the patient has to be seen within 24-48 hours where you can work with the patient to self schedule **Primary Responsibilities:** Supervisory Responsibility: + Home health administrator responsibilities as assigned + Special project management as assigned + Additional responsibilities as assigned Duties and Responsibilities: + Positively represent the Company to both internal and external customers; always maintain a professional and courteous manner + Uphold the Optum core values in the conduct of work + Adhere to Company privacy guidelines; ensure compliance with local, state, and federal regulations + Provide services according to Optum policy and the prescriber's plan of treatment + Individualize patient assessments based on care/services being provided and patient need + Ensure interventions respect and encourage the patient's ability to make choices + Respect each patient's rights and conduct business in an ethical manner + Educate patients and families with a systematic approach, promoting patient understanding of treatment and services, health status, coping ability and patient/family involvement in the continuum of care or service + Initiate the plan of treatment/care pathway based upon the analysis of information obtained and within scope of practice and certification + Modify the plan of care, as appropriate, based on re-assessment, change in prescriber orders, the patient's need for further care or services, and the achievement of identified goals within scope of practice and certification + Coordinate care with the patient services centers, pharmacists, and other healthcare professionals to promote the continuum of care or service + Accurately communicate (written/verbal) patient status information to prescribing physician in timely manner and provide necessary clinical information to Optum pharmacists and other healthcare professionals as necessary + Complete clinical record documentation per Optum policy in a timely, complete, and accurate manner + Provide service-related clinical support to key physicians/hospitals through personal contacts and in-services, as directed + Participate in holiday and weekend duties as scheduled + Must maintain a current CPR certification and obtain an annual screen and TB test and influenza immunization in accordance with Optum policy + Must comply with random drug testing + Ensure senior management decisions and directives are carried out Routine travel required + May be asked to participate in training or act as preceptor + Additional duties as assigned 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 unrestricted nursing license (RN) for state of residence + 1+ years of obstetrical nursing experience + Ability to maintain competency on all services provided according to policy + Proven technology knowledge to include desktop/laptop computer proficiency; use of analytical software, Microsoft Office, Outlook (internet and email). Attend in-services on applicable technology enhancements + Additional state required qualifications may apply **Preferred Qualifications:** + BSN + Exceptional communication skills (written and verbal) + Ability to deal with patient/family conflict resolution and grievances + Ability to work with individuals with disabilities 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._
    $28.3-50.5 hourly 41d ago
  • Bilingual Health Engagement Nurse - Fort Mill, SC and Charlotte, NC

    Unitedhealth Group Inc. 4.6company rating

    Fort Mill, SC 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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This Health Engagement Nurse position is an exciting opportunity for an experienced nurse to work to promote engagement in clinical/disease management programs, helping to improve member healthcare decisions. The ideal candidate will have experience providing health education on an individual and group level, and will utilize analytic data to improve employee engagement, affordability and decision making, to deliver high impact results. The onsite nurse will help empower members to make better healthcare decisions and connect them with the appropriate resources. This position focuses on health education, behavior modification, health care consumerism with UHC and Optum products, and engagement in the wellness program offerings. This is a field-based position. Primary Responsibilities: * Educate members on health education and condition management (formal and informal), as well as plan specifics and member resources, in collaboration with OptumHealth * Referral of employees to available clinical programs including premium designated physicians * Create, manage and implement employer specific programs based on employer needs * Monitors and analyzes customer specific health analytic data and develops targeted data driven strategic plans and programs; provides support to clinical programs; may perform clinical assessments, non-invasive biometric screenings and associated health education and counseling * Clinical interface with facilities and providers for resolution of issues concerning members, benefit interpretation, program definition and clarification. * Knowledge of community resources for referral and community outreach This is an onsite position that requires up to 50% travel between multiple locations throughout the South Carolina and North Carolina area. The two primary locations are in Fort Mill, SC and Charlotte, NC. 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 with active and unrestricted license for state of residence * 3+ years of clinical experience in a hospital, acute care, home health / hospice, direct care or care management * Bilingual Spanish * Solid presentation skills with proven experience delivering group presentations and 1:1 coaching * Proficient in Microsoft Word, PowerPoint and Excel including the ability to navigate a Windows environment Preferred Qualifications: * Bachelor's degree in Nursing * Case management experience and/ or Case Management Certification (CCM) * 3+ years of experience in managed care with significant program management experience * Comfortable with individual and group presentations up to 50-100 * Previous wellness/disease management, program promotion, education and development experience * Diabetes education experience * Community outreach experience * Possess familiarity in data analysis (utilization/program outcomes) and reporting Soft Skills: * Excellent verbal communication skills * Self-starter; ability to work with senior leadership 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.
    $48k-57k yearly est. 6d ago
  • Registered Nurse Medical Surgical in Sumter, South Carolina

    Intercare Recruitment 4.5company rating

    Sumter, SC jobs

    Registered Nurse Medical-Surgical in Sumter, South Carolina RN Medical Surgical or Acute Care Provides clinical direction for all aspects of patient care in an acute inpatient setting, fostering patient/family-centered care. Demonstrates clinical competency utilizing evidence-based practices/research in all areas of the nursing process: assessment, planning, implementation, evaluation, and outcomes. Incorporates knowledge of safety protocols, cost containment, and quality improvement throughout the nursing process. Identifies patient, unit, and organizational priorities and incorporates them into the nursing process. Adheres to all compliance and policy/procedures of the organization, including, but not limited to, licensure renewal, assigned training, employee health screenings, time and attendance policy, dress code policy, patient confidentiality, infection control, and medication administration. Demonstrates knowledge of regulatory agency requirements (TJC, SC DPH, CMS). Provides care within the scope of the South Carolina Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, a holiday, and on-call work. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Collects data and completes nursing assessment utilizing appropriate area and/or age-specific standards/policies and tools. Completes appropriate forms. Assesses and recognizes subtle or actual changes in patients' status and patient response to intervention. Identifies nursing priorities for patient plan of care based on nursing assessment and other data as appropriate. Validates these priorities with healthcare team members and documents appropriately. Develops an individual plan of care based on the age and assessed needs of the patient. Develops the plan in collaboration with the patient and/or family, the provider, and other members of the interdisciplinary health care team. Updates the plan based on changes in the patient's condition and communicates changes in the plan to other members of the team. Identifies realistic and measurable goals and outcomes to be attained before discharge. Validates these with the patient and/or family. Demonstrates respect for the patient's/family's cultural, spiritual, and belief system in planning for care. Includes planning for discharge to assure continuity of care and a smooth transition post-discharge from one level of care to another, including appropriate referrals. Provides direct care to assigned patients consistent with the established nursing plan. Performs specific tasks based on organizational, departmental, and/or unit policies and procedures within the RN scope of practice. Delegates nursing tasks as appropriate to members of the healthcare team, developing written assignments (if appropriate), and ensures completion of assigned tasks. Monitors quality of care delivered continually; ensures appropriate surveillance of assigned patients. Provides care based on patient and unit priorities, coordinating and organizing tasks as appropriate, utilizing resources internal and external to the unit. Incorporates cost containment principles into nursing care. Utilizes appropriate technology in daily practice. Assumes responsibility for patient safety by maintaining a safe environment to include awareness of safety procedures, protocols and adherence to patient care standards. Utilizes performance indicators to collect data, monitor quality, and effectiveness while providing nursing care. Completes assigned hospital/unit performance improvement monitoring (audits). Based on assessment/reassessment of patient response to interventions, evaluates plan of care for effectiveness, documents progress toward expected outcomes, and revises plan of care as needed. Reports changes in patient condition and refers unresolved problems to the appropriate healthcare team members. Discusses outcomes with peers (via shift-to-shift report) and with other healthcare team members. Evaluates opportunities for quality improvement; based upon evaluation, incorporates performance improvement recommendations into the plan of care as appropriate. Identifies/assesses patient/family learning needs and teaches accordingly by using language and terminology that the patient/family is familiar with, providing examples to clarify ideas, implementing and evaluating teaching plan (encourages patient/family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need for education/teaching to others in the healthcare continuum. Evaluates own nursing practice against professional practice standard guidelines, state statutes, policies, procedures, rules/regulations, and current specific knowledge. Takes personal accountability for maintaining competency through education and professional activities. Maintains professional licensure and completes required mandatory education promptly. Reflects on identified areas of strength that offer opportunity for improvement. Ensures that written documentation and oral communication focus on pertinent information to support meeting patient/family care needs. Serves as the patient's advocate and coordinator of care, working collaboratively with providers and other members of the healthcare team. Performs other duties as assigned. Supervisory/Management Responsibility This is a non-management job that will report to a supervisor, manager, director, or executive. Minimum Requirements Education - Associate degree in Nursing. A bachelor's degree in Nursing is preferred. Experience - One (1) year of experience as a registered nurse. Instead of Instead of one (1) year of registered nurse experience, will accept successful completion of the Prisma Health Nurse Residency Program or successful completion of a comparable residency from another organization. In lieu of one (1) year of registered nurse experience, will accept 1 year of licensed practical nurse (LPN) experience for internal candidates within the same service line. In lieu of Associate degree in nursing, will accept nursing diploma with licensure to practice as a registered nurse. Required Certifications, Registrations, Licenses Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state where the team member is working. Required Skills: Compliance Collaboration Interventions Indicators Referrals Nursing Accountability Healthcare Confidentiality Participation Forms Teaching Regulations Education Administration Research Documentation Planning Training Communication
    $60k-106k yearly est. 60d+ ago
  • Registered Nurse - Hospice

    Unitedhealth Group 4.6company rating

    Columbia, SC jobs

    Explore opportunities with Heart of Hospice, LLC, 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 Case Manager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluate personal and professional performance and makes necessary changes to increase productivity and quality of care delivered. Adheres to and supports the policies/procedures/goals/objectives of hospice to assure quality patient care. **Primary Responsibilities:** + Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral + Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) days + Initiates and coordinates the plan of care while maintaining accurate and relevant clinical notes regarding the patient's condition + Documents problems, appropriate goals, interventions, and patient/family response to hospice care + Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care daily 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 unrestricted RN licensure in the state of practice + 1+ years of clinical experience + Current CPR Certification + Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation 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. \#LHCJobs _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._
    $28.3-50.5 hourly 16d ago
  • Pediatric RN- Quality Practice Advisor

    Centene Corporation 4.5company rating

    Surfside Beach, SC jobs

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. ****NOTE: This is a work-from-home, hybrid remote (up to 50% travel) role that meets virtually and in person with provider groups based in South Carolina to discuss and improve HEDIS performance. Typical daily tasks will include creating/using PowerPoint presentations, creating/exporting reports, and data analysis. **Preference will be given to applicants who (1) reside in South Carolina, (2) have a pediatric background, and (3) an active RN license.** Additional Details: - Department: MED-Quality Improvement - Business Unit: Absolute Total Care - Schedule: Mon - Fri, 8am - 5 pm CT - Territory: Typically no more than 2 hours from residence.**** **Position Purpose:** Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers. + Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements. + Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure. + Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters). + Identifies specific practice needs where Centene can provide support. + Develops, enhances and maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards. + Ability to travel up to 75% of time to provider offices. + Performs other duties as assigned. + Complies with all policies and standards. **Education/Experience:** Bachelor's Degree or equivalent required 3+ years in HEDIS record collection and risk adjustment (coding) required **Licenses/Certifications:** One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS Registered Health Information Technician (RHIT ) Pay Range: $26.50 - $47.59 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $26.5-47.6 hourly 60d+ ago
  • NP Home Based Medical Care -10 Hours Per Week in Aiken, SC

    Unitedhealth Group Inc. 4.6company rating

    Aiken, SC jobs

    $3,500 Sign On Bonus For External Candidates 10 Hours Per week Home Base Medical Care, part of the Optum family of businesses, is seeking a Part Time Nurse Practitioner to join our team in Aiken, SC. Optum is a clinician-led care organization that is changing the way clinicians work and live. Home Based Medical Care involves travel to patient residences. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Position Highlights & Primary Responsibilities: * Establishes and maintains effective relationships with patients, care givers, and/or their legal representatives, IDT members, PCPs, other collaborating physicians/providers, and facility staff when applicable * Performs an initial comprehensive assessment on all newly enrolled patients and provides ongoing care thereafter, including visits to address changes in condition * Develops a patient management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization * Consults with Physician Leaders and coordinate with PCP in these decisions as available * Comfortable with basic procedures of episodic nursing care, including IV placement, blood draws, injections, foley catheters, nasal packing, basic wound care, etc. New hire and annual skills training provided * Performs post discharge visits to ensure patient stability is consistent with their goals of care * Participates in HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care management and delivery * Participates in clinical after hours on-call program on rotational basis Home Base Medical Care, a part of Optum, was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to patients.Our clinical teams can spend quality-time caring for a smaller number of patients, giving all patients the space, respect, compassion and care they deserve. At Home Base Medical Care, our interdisciplinary teams collaboratively manage our complex patient panels. Join Home Base Medical Care to be part of a growing company full of purpose-driven, action-oriented, and compassionate team members working to dramatically transform healthcare for our communities. Together, we're making health care work better for everyone. 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: * Certification through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC) * Current, unrestricted NP licensure in State of Practice * Nurse Practitioner must actively hold, unrestricted RN licensure in State of Practice * Current, active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice) * Driver's License and access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy Preferred Qualifications: * 2+ years of clinical experience, primary care, home-based medical care, geriatrics, palliative care, emergency/urgent care, or similar setting * Proven knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems * Proven knowledge of CPT, ICD-10 and HCPC codes * Proven knowledge of clinical standards of care * Demonstrated awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems 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 $43.22 to $77.21 per hour based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
    $42k-53k yearly est. 26d ago
  • Registered Nurse Medical Surgical in Columbia, South Carolina

    Intercare Recruitment 4.5company rating

    Columbia, SC jobs

    RN Medical Surgical or Acute Care in South Carolina Provides clinical direction for all aspects of patient care in an acute inpatient setting, fostering patient/family-centered care. Demonstrates clinical competency utilizing evidence-based practices/research in all areas of the nursing process: assessment, planning, implementation, evaluation, and outcomes. Incorporates knowledge of safety protocols, cost containment, and quality improvement throughout the nursing process. Identifies patient, unit, and organizational priorities and incorporates them into the nursing process. Adheres to all compliance and policy/procedures of the organization, including, but not limited to, licensure renewal, assigned training, employee health screenings, time and attendance policy, dress code policy, patient confidentiality, infection control, and medication administration. Demonstrates knowledge of regulatory agency requirements (TJC, SC DPH, CMS). Provides care within the scope of the South Carolina Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, a holiday, and on-call work. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Collects data and completes nursing assessment utilizing appropriate area and/or age-specific standards/policies and tools. Completes appropriate forms. Assesses and recognizes subtle or actual changes in patients' status and patient response to intervention. Identifies nursing priorities for patient plan of care based on nursing assessment and other data as appropriate. Validates these priorities with healthcare team members and documents appropriately. Develops an individual plan of care based on the age and assessed needs of the patient. Develops the plan in collaboration with the patient and/or family, the provider, and other members of the interdisciplinary health care team. Updates the plan based on changes in the patient's condition and communicates changes in the plan to other members of the team. Identifies realistic and measurable goals and outcomes to be attained before discharge. Validates these with the patient and/or family. Demonstrates respect for the patient's/family's cultural, spiritual, and belief system in planning for care. Includes planning for discharge to assure continuity of care and a smooth transition post-discharge from one level of care to another, including appropriate referrals. Provides direct care to assigned patients consistent with the established nursing plan. Performs specific tasks based on organizational, departmental, and/or unit policies and procedures within the RN scope of practice. Delegates nursing tasks as appropriate to members of the healthcare team, developing written assignments (if appropriate), and ensures completion of assigned tasks. Monitors quality of care delivered continually; ensures appropriate surveillance of assigned patients. Provides care based on patient and unit priorities, coordinating and organizing tasks as appropriate, utilizing resources internal and external to the unit. Incorporates cost containment principles into nursing care. Utilizes appropriate technology in daily practice. Assumes responsibility for patient safety by maintaining a safe environment to include awareness of safety procedures, protocols and adherence to patient care standards. Utilizes performance indicators to collect data, monitor quality, and effectiveness while providing nursing care. Completes assigned hospital/unit performance improvement monitoring (audits). Based on assessment/reassessment of patient response to interventions, evaluates plan of care for effectiveness, documents progress toward expected outcomes, and revises plan of care as needed. Reports changes in patient condition and refers unresolved problems to the appropriate healthcare team members. Discusses outcomes with peers (via shift-to-shift report) and with other healthcare team members. Evaluates opportunities for quality improvement; based upon evaluation, incorporates performance improvement recommendations into the plan of care as appropriate. Identifies/assesses patient/family learning needs and teaches accordingly by using language and terminology that the patient/family is familiar with, providing examples to clarify ideas, implementing and evaluating teaching plan (encourages patient/family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need for education/teaching to others in the healthcare continuum. Evaluates own nursing practice against professional practice standard guidelines, state statutes, policies, procedures, rules/regulations, and current specific knowledge. Takes personal accountability for maintaining competency through education and professional activities. Maintains professional licensure and completes required mandatory education promptly. Reflects on identified areas of strength that offer opportunity for improvement. Ensures that written documentation and oral communication focus on pertinent information to support meeting patient/family care needs. Serves as the patient's advocate and coordinator of care, working collaboratively with providers and other members of the healthcare team. Performs other duties as assigned. Supervisory/Management Responsibility This is a non-management job that will report to a supervisor, manager, director, or executive. Minimum Requirements Education - Associate degree in Nursing. A bachelor's degree in Nursing is preferred. Experience - One (1) year of experience as a registered nurse. Instead of Instead of one (1) year of registered nurse experience, will accept successful completion of the Prisma Health Nurse Residency Program or successful completion of a comparable residency from another organization. In lieu of one (1) year of registered nurse experience, will accept 1 year of licensed practical nurse (LPN) experience for internal candidates within the same service line. In lieu of Associate degree in nursing, will accept nursing diploma with licensure to practice as a registered nurse. Required Certifications, Registrations, Licenses Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state where the team member is working.
    $60k-106k yearly est. 60d+ ago
  • Lpn/ RN

    Condor 4.4company rating

    Licensed practical nurse job at Tower Group Companies

    Licensed Practical & Registered Nurses At Condor Anderson Nursing, we set focus on developing long lasting relationships with the families and residents that we serve. We understand the stresses and enjoyments of long-term care. At the Ivy we believe that as one unified family organization we will survive so long as we are committed to a culture of respect, integrity, and transparency. PRN/ Per Diem is available with Competitive Rates. Benefits/Perks: You may apply for full-time employment which includes all our amazing benefits! To convert over, you will apply for that role and be switched over. Medical, Dental & Vision Insurance Life Insurance Tuition Reimbursement Daily Pay Monthly raffles Referral Bonuses Employee Recognition program Access Perks Responsibilities: Responsible for evaluating the staffing needs of nursing and to work with the DON on any problems related to nursing services. Assign CNAs their job duties in accordance with their training and the resident's needs, including break and mealtimes. Responsible for the documentation and maintenance of all residents' charts, in accordance with established policies and procedures of the facility. Observation of nursing care given to maintain the highest work standards for all staff. Can and will assume the duties of Charge Nurse on an as needed basis. Requirements/Qualifications: Licensed in your specialty (LPN/RN) in the State. Experience in long-term care, skilled, and/or sub-acute care setting preferred, but not required. Excellent customer service skills; dedication and commitment to providing excellent healthcare services to our residents and patients. Location: Condor Health Anderson 611 E Hampton St., Anderson, SC 29624 JOB CODE: 67396
    $41k-57k yearly est. 60d+ ago
  • Registered Nurse - Hospice

    Unitedhealth Group Inc. 4.6company rating

    Columbia, SC jobs

    Explore opportunities with Heart of Hospice, LLC, 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 Case Manager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluate personal and professional performance and makes necessary changes to increase productivity and quality of care delivered. Adheres to and supports the policies/procedures/goals/objectives of hospice to assure quality patient care. Primary Responsibilities: * Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral * Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) days * Initiates and coordinates the plan of care while maintaining accurate and relevant clinical notes regarding the patient's condition * Documents problems, appropriate goals, interventions, and patient/family response to hospice care * Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care daily 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 unrestricted RN licensure in the state of practice * 1+ years of clinical experience * Current CPR Certification * Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation 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. #LHCJobs 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.
    $28.3-50.5 hourly 6d ago
  • LPN/ RN

    Condor 4.4company rating

    Licensed practical nurse job at Tower Group Companies

    Job DescriptionLicensed Practical & Registered Nurses At Condor Anderson Nursing, we set focus on developing long lasting relationships with the families and residents that we serve. We understand the stresses and enjoyments of long-term care. At the Ivy we believe that as one unified family organization we will survive so long as we are committed to a culture of respect, integrity, and transparency. PRN/ Per Diem is available with Competitive Rates. Benefits/Perks: You may apply for full-time employment which includes all our amazing benefits! To convert over, you will apply for that role and be switched over. Medical, Dental & Vision Insurance Life Insurance Tuition Reimbursement Daily Pay Monthly raffles Referral Bonuses Employee Recognition program Access Perks Responsibilities: Responsible for evaluating the staffing needs of nursing and to work with the DON on any problems related to nursing services. Assign CNAs their job duties in accordance with their training and the resident's needs, including break and mealtimes. Responsible for the documentation and maintenance of all residents' charts, in accordance with established policies and procedures of the facility. Observation of nursing care given to maintain the highest work standards for all staff. Can and will assume the duties of Charge Nurse on an as needed basis. Requirements/Qualifications: Licensed in your specialty (LPN/RN) in the State. Experience in long-term care, skilled, and/or sub-acute care setting preferred, but not required. Excellent customer service skills; dedication and commitment to providing excellent healthcare services to our residents and patients. Location: Condor Health Anderson 611 E Hampton St., Anderson, SC 29624
    $41k-57k yearly est. 6d ago
  • Women's Homecare RN- Per Diem - Columbia, SC

    Unitedhealth Group 4.6company rating

    Greenville, SC 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** We are currently hiring a Homecare Nurse for our Optum Women's and Children's Health - Homecare. This position will provide skilled nursing care in a home care environment. Assess, plan, and document the homecare nursing process; educate and provide instruction to patients and their family. **Travel:** This position will travel up to 2-2.5 hours to patients home **Schedule:** Once you get the referral the patient has to be seen within 24-48 hours where you can work with the patient to self schedule **Primary Responsibilities:** Supervisory Responsibility: + Home health administrator responsibilities as assigned + Special project management as assigned + Additional responsibilities as assigned Duties and Responsibilities: + Positively represent the Company to both internal and external customers; always maintain a professional and courteous manner + Uphold the Optum core values in the conduct of work + Adhere to Company privacy guidelines; ensure compliance with local, state, and federal regulations + Provide services according to Optum policy and the prescriber's plan of treatment + Individualize patient assessments based on care/services being provided and patient need + Ensure interventions respect and encourage the patient's ability to make choices + Respect each patient's rights and conduct business in an ethical manner + Educate patients and families with a systematic approach, promoting patient understanding of treatment and services, health status, coping ability and patient/family involvement in the continuum of care or service + Initiate the plan of treatment/care pathway based upon the analysis of information obtained and within scope of practice and certification + Modify the plan of care, as appropriate, based on re-assessment, change in prescriber orders, the patient's need for further care or services, and the achievement of identified goals within scope of practice and certification + Coordinate care with the patient services centers, pharmacists, and other healthcare professionals to promote the continuum of care or service + Accurately communicate (written/verbal) patient status information to prescribing physician in timely manner and provide necessary clinical information to Optum pharmacists and other healthcare professionals as necessary + Complete clinical record documentation per Optum policy in a timely, complete, and accurate manner + Provide service-related clinical support to key physicians/hospitals through personal contacts and in-services, as directed + Participate in holiday and weekend duties as scheduled + Must maintain a current CPR certification and obtain an annual screen and TB test and influenza immunization in accordance with Optum policy + Must comply with random drug testing + Ensure senior management decisions and directives are carried out Routine travel required + May be asked to participate in training or act as preceptor + Additional duties as assigned 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 unrestricted nursing license (RN) for state of residence + 1+ years of obstetrical nursing experience + Ability to maintain competency on all services provided according to policy + Proven technology knowledge to include desktop/laptop computer proficiency; use of analytical software, Microsoft Office, Outlook (internet and email). Attend in-services on applicable technology enhancements + Additional state required qualifications may apply **Preferred Qualifications:** + BSN + Exceptional communication skills (written and verbal) + Ability to deal with patient/family conflict resolution and grievances + Ability to work with individuals with disabilities 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._
    $28.3-50.5 hourly 41d ago
  • Women's Homecare RN- Per Diem - Columbia, SC

    Unitedhealth Group Inc. 4.6company rating

    Columbia, SC 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We are currently hiring a Homecare Nurse for our Optum Women's and Children's Health - Homecare. This position will provide skilled nursing care in a home care environment. Assess, plan, and document the homecare nursing process; educate and provide instruction to patients and their family. Travel: This position will travel up to 2-2.5 hours to patients home Schedule: Once you get the referral the patient has to be seen within 24-48 hours where you can work with the patient to self schedule Primary Responsibilities: Supervisory Responsibility: * Home health administrator responsibilities as assigned * Special project management as assigned * Additional responsibilities as assigned Duties and Responsibilities: * Positively represent the Company to both internal and external customers; always maintain a professional and courteous manner * Uphold the Optum core values in the conduct of work * Adhere to Company privacy guidelines; ensure compliance with local, state, and federal regulations * Provide services according to Optum policy and the prescriber's plan of treatment * Individualize patient assessments based on care/services being provided and patient need * Ensure interventions respect and encourage the patient's ability to make choices * Respect each patient's rights and conduct business in an ethical manner * Educate patients and families with a systematic approach, promoting patient understanding of treatment and services, health status, coping ability and patient/family involvement in the continuum of care or service * Initiate the plan of treatment/care pathway based upon the analysis of information obtained and within scope of practice and certification * Modify the plan of care, as appropriate, based on re-assessment, change in prescriber orders, the patient's need for further care or services, and the achievement of identified goals within scope of practice and certification * Coordinate care with the patient services centers, pharmacists, and other healthcare professionals to promote the continuum of care or service * Accurately communicate (written/verbal) patient status information to prescribing physician in timely manner and provide necessary clinical information to Optum pharmacists and other healthcare professionals as necessary * Complete clinical record documentation per Optum policy in a timely, complete, and accurate manner * Provide service-related clinical support to key physicians/hospitals through personal contacts and in-services, as directed * Participate in holiday and weekend duties as scheduled * Must maintain a current CPR certification and obtain an annual screen and TB test and influenza immunization in accordance with Optum policy * Must comply with random drug testing * Ensure senior management decisions and directives are carried out Routine travel required * May be asked to participate in training or act as preceptor * Additional duties as assigned 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 unrestricted nursing license (RN) for state of residence * 1+ years of obstetrical nursing experience * Ability to maintain competency on all services provided according to policy * Proven technology knowledge to include desktop/laptop computer proficiency; use of analytical software, Microsoft Office, Outlook (internet and email). Attend in-services on applicable technology enhancements * Additional state required qualifications may apply Preferred Qualifications: * BSN * Exceptional communication skills (written and verbal) * Ability to deal with patient/family conflict resolution and grievances * Ability to work with individuals with disabilities 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.
    $28.3-50.5 hourly 6d ago
  • Women's Homecare RN- Per Diem - Columbia, SC

    Unitedhealth Group 4.6company rating

    Rock Hill, SC 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** We are currently hiring a Homecare Nurse for our Optum Women's and Children's Health - Homecare. This position will provide skilled nursing care in a home care environment. Assess, plan, and document the homecare nursing process; educate and provide instruction to patients and their family. **Travel:** This position will travel up to 2-2.5 hours to patients home **Schedule:** Once you get the referral the patient has to be seen within 24-48 hours where you can work with the patient to self schedule **Primary Responsibilities:** Supervisory Responsibility: + Home health administrator responsibilities as assigned + Special project management as assigned + Additional responsibilities as assigned Duties and Responsibilities: + Positively represent the Company to both internal and external customers; always maintain a professional and courteous manner + Uphold the Optum core values in the conduct of work + Adhere to Company privacy guidelines; ensure compliance with local, state, and federal regulations + Provide services according to Optum policy and the prescriber's plan of treatment + Individualize patient assessments based on care/services being provided and patient need + Ensure interventions respect and encourage the patient's ability to make choices + Respect each patient's rights and conduct business in an ethical manner + Educate patients and families with a systematic approach, promoting patient understanding of treatment and services, health status, coping ability and patient/family involvement in the continuum of care or service + Initiate the plan of treatment/care pathway based upon the analysis of information obtained and within scope of practice and certification + Modify the plan of care, as appropriate, based on re-assessment, change in prescriber orders, the patient's need for further care or services, and the achievement of identified goals within scope of practice and certification + Coordinate care with the patient services centers, pharmacists, and other healthcare professionals to promote the continuum of care or service + Accurately communicate (written/verbal) patient status information to prescribing physician in timely manner and provide necessary clinical information to Optum pharmacists and other healthcare professionals as necessary + Complete clinical record documentation per Optum policy in a timely, complete, and accurate manner + Provide service-related clinical support to key physicians/hospitals through personal contacts and in-services, as directed + Participate in holiday and weekend duties as scheduled + Must maintain a current CPR certification and obtain an annual screen and TB test and influenza immunization in accordance with Optum policy + Must comply with random drug testing + Ensure senior management decisions and directives are carried out Routine travel required + May be asked to participate in training or act as preceptor + Additional duties as assigned 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 unrestricted nursing license (RN) for state of residence + 1+ years of obstetrical nursing experience + Ability to maintain competency on all services provided according to policy + Proven technology knowledge to include desktop/laptop computer proficiency; use of analytical software, Microsoft Office, Outlook (internet and email). Attend in-services on applicable technology enhancements + Additional state required qualifications may apply **Preferred Qualifications:** + BSN + Exceptional communication skills (written and verbal) + Ability to deal with patient/family conflict resolution and grievances + Ability to work with individuals with disabilities 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._
    $28.3-50.5 hourly 41d ago
  • Registered Nurse

    Unitedhealth Group 4.6company rating

    Cheraw, SC jobs

    Explore opportunities with SunCrest Home Health, 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._ \#LHCJobs . _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._
    $28.3-50.5 hourly 16d ago
  • Registered Nurse

    Unitedhealth Group Inc. 4.6company rating

    Cheraw, SC jobs

    Explore opportunities with SunCrest Home Health, 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. #LHCJobs . 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.
    $28.3-50.5 hourly 6d ago

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