Responsibilities Registered Nurse Full Time Night Shift 7p-730a Shift Differential $4-$5/HR Arrowhead Behavioral Health is a 48-bed psychiatric hospital located in Maumee, Ohio. We serve adult patients 18 years of age and older that need mental health and chemical dependency services. Inpatient offerings include treatment for drug and alcohol withdrawal management and stabilization as well as mental health crisis management. Our outpatient services extend the continuum of care to include partial hospitalization and intensive outpatient programs which allow patients to develop and utilize proper coping mechanisms to help establish a foundation for life. Additionally, we offer a Relapse Prevention Program along with a Medication Administration Program to support patients in maintaining lifelong sobriety.
The Registered Nurse (RN) is responsible for the delivery of quality nursing care for assigned patients on the In-patient units. The RN assures the safety and treatment of patients, assuring care follows best practice and acceptable nursing care standards as defined by licensing bodies not limited to State, Federal and accreditation bodies. The RN will assure the following are completed, but is not limited to: admissions, discharges, crisis intervention, restraint and/or seclusion, respond to codes, medication management, group facilitation. Other duties as assigned.
Arrowhead Behavioral Health is a part of one of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $11.4 billion in 2019. In 2020, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
Education: Associates Degree of Nursing or BSN with an Ohio RN License
Night Shift: 7 p.m. -7:30 a.m.
Full Time: 36 hours / week
Night Shift Differential $4/HR Monday-Friday and $5/HR Saturday - Sunday.
Previous experience in a mental health or substance abuse treatment facility preferred, but we will train the right person.
This individual must possess excellent verbal and written communication skills. Diplomacy and discretion are essential, as well as excellent organizational skills and the ability to prioritize multiple projects. Professional demeanor and appearance required.
Arrowhead Behavioral Health offers an excellent time off plan, medical, dental, vision, employee assistance program, life insurance, short and long term disability benefits and 401(k) plan for full time and part time employees.
We are Equal Opportunity Employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability. We embrace diversity in our people, services and ideas. While we sincerely appreciate all applications, only candidates selected for an interview will be contacted.
Arrowhead Behavioral Health is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at Arrowhead Behavioral Health via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Arrowhead Behavioral Health. No fee will be paid in the event the candidate is hired by Arrowhead Behavioral Health as a result of the referral or through other means. Applications are only accepted via the online submission program. Paper application and resumes are not accepted.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************.
$83k-114k yearly est. 17d ago
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RN
Universal Health Services 4.4
Nurse job at Universal Health Services
Responsibilities ncourage, Empower, and Enrich at Fox Run Fox Run: The Center for Children and Adolescents, a subsidiary of UHS, is recruiting for a PRN Registered Nurse (RN) for our Day Shift (6 a.m. to 6:30 p.m.) and/or Night Shift (6 p.m. to 6:30 a.m.).
Located in St. Clairsville (OH), this 100-bed facility thrives on passionate and dedicated personnel, while incorporating innovative technology and therapies for the betterment of our patients. Here at Fox Run, we encourage our employees and patients to work towards a brighter future, empower them to accomplish their goals, and by doing so, enrich our own lives as well as those of others in our communities.
Benefits
This opportunity provides the following:
Challenging and rewarding work environment
Growth and development opportunities within UHS and its subsidiaries
Competitive Compensation
Responsibilities and Duties
Delivers, coordinates, and evaluates patient care through collaborative efforts with health team members in accordance with the nursing process and the standards of care and practices
Demonstrates the knowledge and skills necessary to provide care, based on physical, psychosocial, educational, safety and related criteria, appropriate to the age of the patients served
Qualifications
Qualifications and Skills
Graduate from an accredited program of professional nursing required;
Bachelor's Degree preferred
A minimum of two (2) years experience in a psychiatric health-care facility preferred
Currently licensed to practice by the Ohio State Board of Nursing or have a valid Compact State License.
Apply at ********************
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************.
$83k-115k yearly est. 43d ago
Travel Nurse RN - Long Term Acute Care - $2,149 per week
Healthtrust Workforce Solution External 4.2
Dayton, OH jobs
HealthTrust Workforce Solution External is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Dayton, Ohio.
Job Description & Requirements
Specialty: Long Term Acute Care
Discipline: RN
Duration: 13 weeks
36 hours per week
Shift: 12 hours, days
Employment Type: Travel
JA3
Pending approval position
$79k-101k yearly est. 2d ago
Travel Med/Surg RN (Swing Bed Unit) - $2,181 per week
Healthtrust Workforce Solution External 4.2
Versailles, OH jobs
HealthTrust Workforce Solution External is seeking a travel nurse RN Med Surg for a travel nursing job in Versailles, Kentucky.
Job Description & Requirements
Specialty: Med Surg
Discipline: RN
Duration: 13 weeks
36 hours per week
Shift: 12 hours, nights
Employment Type: Travel
7p - 7:30a Med/Surg RN
2+ years of recent med surg experience required
BLS, ACLS required
$81k-97k yearly est. 1d ago
USPI Utilization Review/Appeals RN
Tenet Healthcare 4.5
Remote
The USPI Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination across United Surgical Partners International (USPI) Hospitals. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity. This position manages medical necessity process for accurate and timely payment for services which may require negotiation with a payer on a case-by-case basis. This position integrates national standards for case management scope of services including:
Utilization Management services supporting medical necessity and denial prevention
Coordination with payers to authorize appropriate level of care and length of stay for medically necessary services required for the patient
Compliance with state and federal regulatory requirements, TJC accreditation standards and USPI policy
Education provided to payers, physicians, hospital/office staff and ancillary departments related to covered services and administration of benefits
Recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review
Preparing and documenting appeal letters based on industry accepted criteria.
REQUIREMENTS
Required: 5 years of acute hospital or behavioral health patient care experience with at least 2 years utilization review in an acute hospital, surgical hospital, or commercial/managed care payer setting. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN license for state(s) covered. Experience in writing appeals.
Preferred:
Accredited Case Manager (ACM). Previous classroom led instruction on InterQual products (Acute Adult, Peds, Outpatient and Procedures).
Patient Accounting experience a plus. Managed care payor experience a plus either in Utilization Review, Case Management or Appeals.
Interaction with facility Case Management, Physician Advisor, and Revenue Cycle Team is a requirement.
May require travel up to 25% travel across USPI hospitals. The selected candidate will be required to pass a Motor Vehicle Records check.
Compensation
Pay: $70,096-$112,112 annually. Compensation depends on location, qualifications, and experience.
Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
The following benefits are available, subject to employment status:
Medical, dental, vision, disability, life, AD&D, and business travel insurance
Paid time off (vacation & sick leave)
Discretionary 401k match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available.
RESPONSIBILITIES
Clinical Denials/Appeals
Performs retrospective (post -discharge/ post-service) medical necessity reviews to determine appellate potential of clinical disputes/denials or those eligible for clinical review.
Constructs and documents a succinct and fact-based clinical case to support appeal utilizing appropriate module of InterQual criteria (Acute, Procedures, etc.). If clinical review does not meet IQ criteria, other pertinent clinical facts are utilized to support the appeal. Pertinent clinical facts include, but are not limited to, documentation preventing a safe transfer/discharge or documentation of medical necessary services denied for no authorization.
Demonstrates ability to critically think, problem solve and make independent decisions supporting the clinical appellate process.
Demonstrates proficiency in use of medical necessity criteria sets, currently InterQual , as evidenced by Inter-rater reliability studies and other QA audits.
Demonstrates basic patient accounting knowledge i.e. UB92/UB04 and EOB components, adjustments, credits, debits, balance due, patient liability, etc.
Utilization Management
Balances clinical and financial requirements and resources in advocating for patient needs with judicious resource management
Promotes prudent utilization of all resources (fiscal, human, environmental, equipment and services) by evaluating resources available to the patient and balancing cost and quality to assure optimal clinical and financial outcomes
Completes and sends admission and concurrent reviews for payers with an authorization process identifies and documents Avoidable Days using the data to address opportunities for improvement
Coordinates clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay and discharge) compared to evidence-based practice, internal and external requirements.
Payer Authorization
Assures the patient is in the appropriate status and level of care based on Medical Necessity and submits case for Secondary Physician review per USPI policy
Ensures timely communication and documentation of clinical data to payers to support admission, level of care, length of stay and authorization
Advocates for the patient and hospital with payers to secure appropriate payment for services rendered
Prevents denials and disputes by communicating with payers and documenting relevant information
Manages payer dispute processes utilizing secondary review, peer to peer and payer type changes
Education
Ensures and provides education to physicians and the healthcare team relevant to the:
Effective progression of care,
Appropriate level of care, and
Safe and timely patient transition
Provides healthcare team education regarding resources and benefits available to the patient along with the economic impact of care options
Compliance
Ensures compliance with federal, state, and local regulations and accreditation requirements impacting case management scope of services
Adheres to department structure and staffing, policies and procedures to comply with the CMS Conditions of Participation and USPI policies
Operates within the RN scope of practice as defined by state licensing regulations
Remains current with USPI Case Management practices
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to lift 15-20lbs
Ability to travel approximately 25% of the time; either to facility sites, headquarters or other designated sites
Ability to sit and work at a computer for a prolonged period conducting medical necessity reviews and appeal letters
$70.1k-112.1k yearly Auto-Apply 10d ago
TRA RN and Allied specialties Travel and Local Contracts
Tenet Healthcare 4.5
Remote
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.
Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians' clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions and/or procedures.
Educates members of the patient care team regarding documentation guidelines, including the following: attending physicians, allied health practitioners, nursing, and case management.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
1. Record Review:
* Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) record in business partner designated CDI tool and/or host medical record system.
* Conducts follow-up reviews of patients every 24-48 hours or as needed up through discharge to support assigned working MS-DRG assignment upon patient discharge, as necessary.
* Formulate physician queries regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary.
* Collaborates with providers, case managers, nursing staff and other ancillary staff regarding documentation and to resolve physician queries prior to discharge.
2.CDI
* Communicates/Completes Clinical Documentation Integrity (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up, provider education and DRG Miss-Match reconciliation.
* Assists with Provider education, rounding and communication regarding open queries for resolution.
3. Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD10-CM and PCS coding. Attends CDI Boot camp, CDI/coding trainings annually and quarterly for inpatient coding. Attends monthly education lecture series (MELS) and all CDI/coding assigned learn share modules as well as any additional required CDI education.
4. Assist in training department staff new to CDI
5. Performs other duties as assigned
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* CDI Specialist must display teamwork and commitment while performing daily duties
* Must demonstrate initiative and discipline in time management and medical record review.
* Travel may be required to meet the needs of the facilities.
* Proficient knowledge of disease pathophysiology and drug utilization
* Intermediate knowledge of MS-DRG classification and reimbursement structures
* Critical thinking, problem solving and deductive reasoning skills.
* Effective written and verbal communication skills
* Excellent computer skills including MS Word/Excel
* Knowledge of coding compliance and regulatory standards
* Excellent organizational skills for initiation and maintenance of efficient workflow
* Regular and reliable attendance
* Capacity to work independently in facility on-site setting.
* Capacity to work independently in a virtual office setting if required for specific assignment.
* Exhibit flexibility as needed to meet program needs.
* Understand and communicate documentation strategies.
* Recognize opportunities for documentation improvement.
* Formulate clinically, compliant credible queries.
* Ability to successfully comply to robust auditing and CDI program monitoring
* Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation.
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* Preferred: Acute Care nursing and/or Provider relevant experience
* Zero (0) to two (2) years CDI experience
* Two (2) plus years' nursing experience - Medical/Surgical/Intensive Care and/or Case/Utilization Review
* Two (2) plus years' Provider experience - Medical/Surgical/Intensive Care and/or Case/Utilization Review
* Graduate from a Nursing program, BSN, or graduate program; OR
* Graduate from Medical Doctor and/or Foreign Medical Doctor Program
CERTIFICATES, LICENSES, REGISTRATIONS
* Active state Registered Nurse license; OR
* Graduate MD and/or FMD license
* Preferred: CDIP or CCDS
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to sit for extended periods of time.
* Ability to stand for extended periods of time.
* Must be able to efficiently use computer keyboard and mouse.
* Good visual acuity
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
OTHER
* Must be able to travel as needed, not to exceed 10%.
Compensation and Benefit Information
Compensation
* Pay: $72,509- $108,763 annually. Compensation depends on location, qualifications, and experience.
* Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, life, and business travel insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$72.5k-108.8k yearly 9d ago
TRA Telemetry RN Travel and Local Contracts
Tenet Healthcare 4.5
Remote
RN Tele Travel and Local Contracts
This role provides direct clinical patient care with Tenet's in-house contingent Pool, Trusted Resource Associates. Work directly with Tenet on a Travel Contract, Local Contract or PRN. With this in-house assignment you will be part of the contingent workforce pool, yet, a W-2 Tenet employee and wear a Tenet employee badge so you blend in as staff and are not outstanding as a Contractor. You will have direct access to Tenet's hiring managers and, if you ever turn permanent at a Tenet hospital, you will have built up tenure.
*For a faster reply, email your resume: *******************************
Job Description and Requirements
Specialty: Tele
Discipline: RN
Start Date: ASAP
Duration: 13 Weeks
36 Hours per week
Shift: 12 Hours Night
Employment Type: Travel Contract and Local Contracts
TRA RN Tele: The Registered Nurse will assume responsibility for assessing, planning, implementing direct clinical care to assigned patients on a per shift basis, and unit level. The role is responsible for supervision of staff to which appropriate care is delegated. The role is accountable to support facility CNO to ensure high quality, safe and appropriate nursing care, competency of clinical staff, and appropriate resource management related to patient care.
Requirements:
- BLS, ACLS, and CPI required for Tele
- Must have 2 years of nursing experience with a minimum one-year current experience in your specialty
Benefits
Weekly pay
Housing and Per Diem stipend for Travel Contracts
Guaranteed Hours (For Travel Contracts)
Preferred Booking Agreement (for Local Contacts)
Referral bonus (TRA Active Employees)
Education:
Required: Graduate of an accredited school of nursing.
Preferred: Bachelor's or master's degree.
Experience:
Required: 2 years of current experience in their specialty.
Certifications:
Required: Currently licensed, certified, or registered to practice profession as required by law, regulation in state of practice or policy; AHA BLS, and if applicable by corporate policy for unit of hire, AHA ACLS and/or PALS and/or NRP.
Physical Demands:
$92k-117k yearly est. Auto-Apply 48d ago
Registered Nurse (RN) - Endoscopy
Tenet Healthcare 4.5
Remote
Up to $15,000 SOB for qualified candidates, paid over 24 months
Full Time, Days
The RN provides high quality, safe, cost effective, total nursing care to all patients. The RN assumes responsibility for overall coordination and integration of patient care based on the nursing process. The RN directs care according to established standards of safety, risk management, PI, Infection Control, with the goal being to discharge the
patient with an optimum level of care provided.
POSITION QUALIFICATIONS:
EDUCATION:
Minimum: Education recognized by the State of Florida as qualification for
Registered Nurse licensure.
Preferred: BSN
EXPERIENCE:
Prior clinical experience in area of expertise preferred.
REQUIRED CERTIFICATION/LICENSURE/REGISTRATION:
Registered Nurse - licensed in the State of Florida. BLS, ACLS, Basic EKG.
OTHER QUALIFICATIONS:
None
#LI-MQ1
Provides all patients with an optimum level of care
Administers all medications safely and in a timely manner per hospital policy.
Utilizes appropriate interpersonal skills as outlined in the Standards of Conduct and in accordance with customer service initiatives.
Participates in the Performance Improvement process to improve patient outcomes.
Assumes responsibility for coordination and planning of patient care within the prescribed medical regime.
$85k-110k yearly est. Auto-Apply 1d ago
Registered Nurse (RN) - ICU
Tenet Healthcare 4.5
Remote
Under minimal supervision, provides nursing care for a group of patients assigned to the nurse based on matching the patients' needs with the nurse' competencies. Completes established competencies for the position within designated introductory period. Other related duties as assigned.
MINIMUM EDUCATION: Graduate of accredited school of nursing.
PREFERRED EDUCATION: Bachelor's Degree
MINIMUM EXPERIENCE: None
PREFERRED EXPERIENCE: Two years in acute care. Previous clinical nursing experience in med/surg, telemetry or ICU
REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State License for Registered Nurse
REQUIRED COURSES/COMPLETIONS (e.g., CPR):
Must have active healthcare provider Basic Life Support on hire (ARC or AHA); however, must have AHA Healthcare Provider BLS within 60 days of hire.
AHA ACLS must be completed within 60 days of hire or transfer into role (ADULT CRITICAL CARE, TELEMETRY, INTERIM CRITICAL CARE UNITS). *Should be completed before the end of the orientation period
AHA PALS must be completed within 60 days of hire or transfer into role (PEDI ICU) *Should be completed before the end of the orientation period
AHA NRP must be completed within 60 days of hire or transfer into role (NICU).
S.T.A.B.L.E. for NICU- Level 2 Nursery-Must provide proof of prior completion or obtain within 6 months of hire or transfer date into unit (Renewal is not required).
#LI-AP1
$91k-118k yearly est. Auto-Apply 60d+ ago
RN DRG Coding Auditor - Remote
Tenet Healthcare Corporation 4.5
Frisco, TX jobs
The CRC Auditor, conducts coding and documentation quality reviews and generates responses for cases that have been denied by commercial and government payors to ensure hospital inpatient, outpatient, and pro-fee claims, were coded and billed in accordance with nationally recognized coding guidelines, standards, regulations and regulatory requirements, as well as payor and billing guidelines. The responses generated by the Auditor may include system documentation of findings and / or a formal appeal letter. The Auditor will escalate trends to CRC leadership, Conifer Quality & Performance leadership and Conifer Compliance as warranted.
The Auditor will perform analysis on clinical documentation, evidenced based criteria application outcome, physician documentation, physician advisor input and complete review of the medical record related to clinical denials. Assures appropriate action is taken within appeal time frames. Communicates identified denial trends and patterns to the CRC leadership. Provides expert application of evidence based medical necessity review criteria tool. Works collaboratively to review, evaluate and improve the denial appeal process.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Formulates and submits letters of appeal. Creates an effective appeal utilizing relevant and effective clinical documentation from the medical record; supported by current industry clinical guidelines and coding guidelines, evidence-based medicine, community and national medical management and coding standards and protocols.
* Performs reviews of accounts denied for DRG validation and DRG downgrades.
* Documents in appropriate denial tracking tool (ACE). Maintains and distributes reports as needed to leadership.
* Identifies payment methodology of accounts including Managed Care contract rates, Medicare and State Funded rates, Per-Diems, DRG's, Outlier Payments, and Stop Loss calculations.
* Collaborates with Physician Advisors and CRC leadership when documentation-specific areas of concern are identified.
* Maintains expertise in clinical areas and current trends in healthcare, inpatient coding and reimbursement methodologies and utilization management specialty areas.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Effectively organizes work priorities
* Demonstrates compliance with departmental safety and security policies and practices
* Demonstrates critical thinking, analytical skills, and ability to resolve problems
* Demonstrates ability to handle multiple assignments and carry out work independently with minimal supervision
* Demonstrates quality proficiency by maintaining accuracy at unit standard key performance indicator goals
* Possesses excellent written and verbal communication skills
* Detail oriented and ability to work independently and in a team setting
* Moderate skills in MS Excel and PowerPoint, MS Office
* Ability to research difficult coding and documentation issues and follow through to resolution
* Ability to work in a virtual setting under minimal supervision
* Ability to conduct research regarding state/federal guidelines and applicable regulatory guidelines related to government audit processes
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Includes minimum education, technical training, and/or experience required to perform the job.
Education
* Minimum Required:
* Completion of BSN Degree Program or three years of experience and completion of BSN within five years of employment
* RN License in the State of Practice
* Current working knowledge of clinical documentation and inpatient coding, discharge planning, utilization management, case management, performance improvement and managed care reimbursement.
* Preferred/Desired:
* Completion of BSN Degree Program
* CCDS certification or inpatient coding certification
Experience
* Minimum Required:
* Three to Five years Clinical RN Experience
* Three to Five years of Clinical Documentation Integrity experience
* Must have expertise with Interqual and/or MCG Disease Management Ideologies
* Strong communication (verbal/written) and interpersonal skills
* Knowledge of CMS regulations
* Knowledge of inpatient coding guidelines
* 1-2 years of current experience with reimbursement methodologies
* Preferred/Desired:
* Experience preparing appeals for clinical denials related to DRG assignment.
* Strong understanding of rules and guidelines, including AHA's Coding Clinics, American Association of Medical Audit Specialists (AAMAS), National Commission on Insurance Guidelines and Medicare Billing Guidelines (CMS), State Funded Billing Regulations (Arizona, California, Nevada) and grievance process; working knowledge of billing codes such as RBRVS, CPT, ICD-10, HCPCS
CERTIFICATES, LICENSES, REGISTRATIONS
* Required:
* RN,
* CCDS or other related clinical documentation specialist certification, and/or AHIMA or AAPC Coding Credential CCS, CCA, CIC, CPC or CPMA
* Preferred: BSN
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to lift 15-30lbs
* Ability to travel approximately 10% of the time; either to client sites, National Insurance Center (NIC) sites, Headquarters, or other designated sites
* Ability to sit and work at a computer for a prolonged period of time conducting medical record quality reviews
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Characteristic of typical office environment requiring use of desk, chair, and office equipment such as computer, telephone, printer, etc.
OTHER
* Interaction with facility HIM and / or physician advisors
* Must meet the requirements of the Conifer Telecommuting Policy and Procedure
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $56,784.00 - $85,176.00 annually. Compensation depends on location, qualifications, and experience.
* Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, life, and business travel insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$56.8k-85.2k yearly 60d+ ago
Travel Psychiatric Inpatient Registered Nurse - $1,944 per week
Healthtrust Workforce Solutions 4.2
Dayton, OH jobs
HealthTrust Workforce Solutions is seeking a travel nurse RN Psychiatric for a travel nursing job in Dayton, Ohio.
Job Description & Requirements
Specialty: Psychiatric
Discipline: RN
Duration: 13 weeks
36 hours per week
Shift: 12 hours, nights
Employment Type: Travel
Provides 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. Facility Requirements: Must have 2 years recent experiance in an inpatient psychiatric setting Must have ACLS & BLS certifications must be attached to submission packet (Must be through the American Heart Association) Must have CPI certification, this must be attached to the submission packet Must have OH RN or multi-state RN license, must be attached to resume MUST USE TEMPLATE BELOW TO BE CONSIDERED FOR THE ROLE. Any submittals without will be rejected! Email Title SUBJECT LINE: (SUBMISSION) - (CANDIDATE NAME) - (FACILITY NAME) - (SPECIALTY) - (POSITION ID) BODY of Submission: Years of Clinical Experience: Years of Travel Experience: EMR Experience: Certifications on file: Has your candidate ever worked at a Kindred Hospital facility either in a permanent or contract role? (Y/N) v If so, please list what facility, dates worked, and reporting manager. Have you attached the SSN & DOB, RTR, and Vendor Submittal Packet to the Candidate Record?: (Y/N) Does your candidate have requested time off in the 3 months? v If so, please list the dates. o Please provide available interview times over the next 72 hours. Additional Information:
Healthtrust Workforce Solutions Job ID #6-970281. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Psychiatric Inpatient Registered Nurse
$74k-90k yearly est. 3d ago
Registered Nurse (RN) - Transfer Center
Tenet Healthcare 4.5
Remote
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
$25k-76k yearly est. Auto-Apply 42d ago
Registered Nurse (RN)
Tenet Healthcare 4.5
Remote
Responsible for patient triage, patient education, and assisting physicians in the assessment of patient needs and treatment plan(s).
Maintain chart documentation to ensure all information about patient is completed and documented correctly.
Education: High School Diploma or equivalent and completion of an accredited nursing program.
Experience: 2 years of clinical in a physician office.
Certification: Current State RN license and CPR certification.
#LI-RF1
$25k-76k yearly est. Auto-Apply 15d ago
Travel Nurse RN - Long Term Acute Care - $2,149 per week
Healthtrust Workforce Solution External 4.2
Dayton, OH jobs
HealthTrust Workforce Solution External is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Dayton, Ohio. Job Description & Requirements • Specialty: Long Term Acute Care • Discipline: RN • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, days
• Employment Type: Travel
JA3
Pending approval position
$79k-101k yearly est. 5d ago
Travel Med/Surg RN (Swing Bed Unit) - $2,181 per week
Healthtrust Workforce Solution External 4.2
Versailles, OH jobs
HealthTrust Workforce Solution External is seeking a travel nurse RN Med Surg for a travel nursing job in Versailles, Kentucky. Job Description & Requirements • Specialty: Med Surg • Discipline: RN • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights
• Employment Type: Travel
7p - 7:30a Med/Surg RN
2+ years of recent med surg experience required
BLS, ACLS required
$81k-97k yearly est. 1d ago
RN - SEASONAL/TEMP
Universal Health Services 4.4
Nurse job at Universal Health Services
Responsibilities Windsor Laurelwood Center for Behavioral Health RN's 13 Week Contract Day, Evening and Night Shifts Available 8 and 12 hour shifts Attentiveness, skilled and patient care is always first culture, is what defines our nurses. No matter where you are in your nursing career, when you choose this profession, you are choosing to help care for and change the lives our patients. Our nurses are integral members of our multi-disciplinary team of professionals who are committed to exceeding our patient care.
Working at Windsor offers opportunities for professional growth, skill building, and advancement in your professional career. Work in an environment where you make a difference daily and patient care is primary. This may be the perfect opportunity to make that change. Windsor Laurelwood fosters a work climate in which nurses are challenged to use their expertise, skills and clinical knowledge.
Job Summary
Our RN's daily responsibilities include, but not limited to assessing and identifying patients' needs, implement and monitor the patient's medical plan and treatment. They provide essential teaching, promote therapeutic communication and ensure that the patient care is conducted according to our policies and standards of Laurelwood.
What do our current nurses value at Windsor Laurelwood and UHS?
An environment that puts patient care first. One of the most rewarding aspects of working as a RN at Windsor Laurelwood is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. You are never alone, as you are part of a large network of peer nurses and nursing leaders that routinely exchange ideas and review current topics within the industry providing the opportunity to grow, learn, and advance in your career. We offer very robust continuing education options and opportunities for skills diversification and career advancement as a Registered Nurse (RN) with UHS.
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
Experience: Experience working in a psychiatric inpatient setting is preferred
Skills: Adaptability, communication, compassion, problem-solving and resilience
License/Certification: Current license to practice nursing in OHIO. Current CPR or BLS certification.
We are Equal Opportunity Employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability. We embrace diversity in our people, services and ideas. While we sincerely appreciate all applications, only candidates selected for an interview will be contacted.
Windsor Laurelwood Center for Behavioral Medicine is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at Windsor Laurelwood Center for Behavioral Medicine via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Windsor Laurelwood Center for Behavioral Medicine. No fee will be paid in the event the candidate is hired by Windsor Laurelwood Center for Behavioral Medicine as a result of the referral or through other
means. Applications are only accepted via the online submission program. Paper application and resumes are not accepted.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************.
$83k-116k yearly est. 60d+ ago
Registered Nurse (RN)
Universal Health Services 4.4
Nurse job at Universal Health Services
Responsibilities Encourage, Empower, and Enrich at Fox Run Fox Run: The Center for Children and Adolescents, a subsidiary of UHS, is recruiting for a Full-Time Registered Nurse (RN) for our night shift(6p - 6:30a). Located in St. Clairsville (OH), this 100-bed facility thrives on passionate and dedicated personnel, while incorporating innovative technology and therapies for the betterment of our patients. Here at Fox Run, we encourage our employees and patients to work towards a brighter future, empower them to accomplish their goals, and by doing so, enrich our own lives as well as those of others in our communities.
Benefits
This opportunity provides the following:
$7,000.00 Sign-On Bonus
Full Benefits Package
Challenging and rewarding work environment
Growth and development opportunities within UHS and its subsidiaries
Competitive Compensation
Retirement plan with Company match
Responsibilities and Duties
Delivers, coordinates, and evaluates patient care through collaborative efforts with health team members in accordance with the nursing process and the standards of care and practices
Demonstrates the knowledge and skills necessary to provide care, based on physical, psychosocial, educational, safety and related criteria, appropriate to the age of the patients served
Qualifications
Qualifications and Skills
Graduate from an accredited program of professional nursing required;
Bachelor's Degree preferred
A minimum of two (2) years experience in a psychiatric health-care facility preferred
Currently licensed to practice by the Ohio State Board of Nursing or have a State Compact License.
Apply at ********************
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************.
$83k-115k yearly est. 22d ago
Registered Nurse (RN)
Universal Health Services 4.4
Nurse job at Universal Health Services
Responsibilities Encourage, Empower, and Enrich at Fox Run Fox Run: The Center for Children and Adolescents, a subsidiary of UHS, is recruiting for a Full-Time Registered Nurse (RN) for our day shift(6a - 6:30p). Located in St. Clairsville (OH), this 100-bed facility thrives on passionate and dedicated personnel, while incorporating innovative technology and therapies for the betterment of our patients. Here at Fox Run, we encourage our employees and patients to work towards a brighter future, empower them to accomplish their goals, and by doing so, enrich our own lives as well as those of others in our communities.
Benefits
This opportunity provides the following:
$7,000.00 Sign-On Bonus
Full Benefits Package
Challenging and rewarding work environment
Growth and development opportunities within UHS and its subsidiaries
Competitive Compensation
Retirement plan with Company match
Responsibilities and Duties
Delivers, coordinates, and evaluates patient care through collaborative efforts with health team members in accordance with the nursing process and the standards of care and practices
Demonstrates the knowledge and skills necessary to provide care, based on physical, psychosocial, educational, safety and related criteria, appropriate to the age of the patients served
Qualifications
Qualifications and Skills
Graduate from an accredited program of professional nursing required;
Bachelor's Degree preferred
A minimum of two (2) years experience in a psychiatric health-care facility preferred
Currently licensed to practice by the Ohio State Board of Nursing or have a State Compact License.
Apply at ********************
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************.
$83k-115k yearly est. 36d ago
RN
Universal Health Services 4.4
Nurse job at Universal Health Services
Responsibilities $10,000 Sign on Bonus Base Rate + shift differential up to $5 depending on shift. Excellent Benefits Join Our Team! in our Youngtown Acute and Residential units for children. Must be available one weekend a month, a summer and winter holiday.
The Registered Nurse (i.e. Charge Nurse) prescribes, delegates, coordinates, and evaluates patient care through collaborative efforts with health team members and in accordance with the nursing process and the standards of care and practices. Oversee and directs Licensed Practical Nurses and Behavioral Counseling Technicians assigned to unit.
Qualifications
Education: Graduate from an accredited program of professional nursing required. Bachelor's Degree in Nursing preferred.
Experience: A minimum of one (1) year experience as a registered nurse in a psychiatric health care facility preferred.
Licensure: Currently licensed to practice by the Ohio State Board of Nursing. Must have a valid driver's license.
Additional Requirements: CPR certification and successful completion of Crisis Intervention Training (CPI), including appropriate use of Seclusion and Restraint, immediately following employment and prior to performing patient care. Must pass a medication administration exam and complete a basic developmental and age specific training.