Utilization review nurse jobs in Connecticut - 272 jobs

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. SUMMARY As an integral member of the Yale New Haven Health System (YNHHS) healthcare team, the Registered Professional Nurse (RN) upholds the YNHHS mission, vision, values and strategic initiatives to provide the highest level of patient centered care. The RN practices professional nursing as a registered nurse within the legal and ethical framework established by the Connecticut Nurse Practice Act, American Nurses Association Scope and Standards for Nursing Practice, ANA Code of Ethics for Nurses and the YNHHS Professional Practice Model. The professional role of the RN is exemplified by the qualities of leadership, delegation, collaboration, effective communication, ensuring quality outcomes. YNHHS nurses practice in a framework outlined in our professional practice model, which states, "Achieving outcomes through Autonomy and Accountability". We value Nursing Professional Governance, and use evidence and ata to support our practice with the patient and family at the center, always. The RN provides care that: * Establishes and maintains a therapeutic relationship with the patient and family encompasses an understanding and integration of cultural and diversity into practice * Includes communicating and working collaboratively with the patient, family and health care team members * Includes respecting the patient's values, preferences, expressed needs and knowledge of the healthcare situation in holistic data collection, in formulating health care outcomes and in the evaluation process. EEO/AA/Disability/Veteran. Responsibilities 1. STANDARDS OF PRACTICE RN practice is guided by the ANA Scope and Standards of Practice (2015). The Standards of Practice describe a competent level of nursing care as demonstrated by utilizing the nursing process components of assessment, diagnosis, outcomes identification, planning, implementation and evaluation. Assessment: The registered nurse collects pertinent data and information relative to the healthcare consumer's health or situation. Diagnosis: The RN analyzes the assessment data to determine the actual and potential diagnoses or the issues. Outcomes Identification: The RN identifies expected outcomes for a plan individualized to the healthcare consumer or the situation. Planning: The RN develops and modifies a plan of care that prescribes strategies and alternatives to attain expected outcomes. Implementation: The RN implements the identified plan. Coordination of Care: The RN coordinates care delivery and transitions in care. Health Teaching and Health Promotion: The RN employs strategies to promote health and a safe environment. Evaluation: The RN evaluates progress toward attainment of outcomes. 2. STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the rofessional role, including activities related to: ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence-based practice and research, quality of practice professional practice evaluation, resource utilization and environmental health. The RN is expected to engage in professional role activities, including leadership, appropriate to their education and position. The RN is accountable to for their professional actions to themselves, their healthcare consumers, their peers and ultimately to society. Ethics: The RN practices ethically. Culturally congruent practice: The RN practices in a manner that is congruent with cultural diversity and inclusion principles. Communication: The RN communicates effectively in all areas of practice Collaboration: The RN collaborates with healthcare consumer and other key stakeholders in the conduct of nursing practice. Leadership: The RN leads within the professional practice setting and the profession. Education: the RN seeks knowledge and competence that reflects current nursing practice and promotes futuristic thinking. Evidence-Based Practice and Research: The RN integrates evidence and research findings into practice Quality of Practice: The RN contributes to quality nursing practice. Professional Practice Evaluation: The RN evaluates owns' and others' nursing practice. Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence -based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN practices in an environmentally safe and healthy manner Qualifications EDUCATION: Graduation from an accredited school of nursing. BSN preferred. All newly hired registered nurses must have current BCLS certification or must obtain within one month of hire. EXPERIENCE: Registered Nurse is the foundational for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. SPECIAL SKILLS: Registered Nurse is the foundational for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. ACCOUNTABILITY : Accountable to practice within the Scope and Standards of Practice within the Nurse Practice Act of their state of practice. RNs at YNHH are accountable to YNHHS standards of professional behavior. Nursing practice is overseen by the Chief Nursing Officer (CNO) in each delivery network, and RNs are accountable to their chain of command . RNs are accountable to team members and upholding standards of professional behavior. COMPLEXITY ): In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right thing), patient-centered (putting patients and families first), respect (valuing all people and embracing all differences), accountability (being responsible and taking action), and compassion (being empathetic). Accountable to the Scope and Standards of practice noted in this job description. LICENSURE/CERTIFICATION: Licensed and a currently registered nurse in the State of Connecticut. Clinical specialty certification highly encouraged.

Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members. At Connecticut Children's, treating children isn't just our job - it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team. Connecticut Children's Center for Care Coordination (The Center) is dedicated to the integration of care coordination through the delivery of innovative programs, providing technical assistance, disseminating best practices, and building inclusive partnerships to strengthen families and build stronger communities. The Center utilizes a universal, evidence based, research informed, and policy driven approach to enhanced care coordination that not only meets the interrelated medical, developmental, behavioral, and social needs of children, but enhances the care giving capacity of families. Education and/or Experience Required: * Education: Bachelor of Science in Nursing (BSN). * Experience: 3 years' nursing in a healthcare setting. Education and/or Experience Preferred: * Pediatric nursing experience. * Previous experience in Utilization Review. * Previous experience in Case Management or Discharge planning. * Preferred education & experience. Previous UR, case management or care coordination preferred. License and/or Certification Required: * State if Connecticut Nursing License. License and/or Certification Preferred: * Case Management Certification. Knowledge, Skills, and Abilities: Knowledge of: * Demonstrate working knowledge of how to interpret and apply medical care criteria. Knowledge of community resources, treatment options, home health availability, funding options and special programs. Skilled at: * Coordinates management of care for a specified patient population; follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with hospital standards * Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. * Skilled in the operation of the computer including proficiency in Microsoft Office Word, ability to use/update Excel spreadsheets and ability to navigate EPIC. Ability to: * Self-directed/motivated, organized, diplomatic and team-oriented. * Function in a high energy, fast moving environment. * Maintain flexibility as determined by acuity of medical unit. * Prioritize case load. * Collaborate with various disciplines. * Communicate effectively and efficiently. * Prioritize and manage multiple tasks. * Excellent written and verbal communication skills. * Performs chart review of assigned patients to identify quality, timeliness, and appropriateness of patient care. Conducts hospitalization reviews for Medicaid beneficiaries, as well as other insurers and self-pay patients, based on appropriate guidelines. Uses these criteria to screen for appropriateness of level of care based on medical record documentation. * Gathers clinical information to conduct continued stay utilization review activities with payers pursuant to department policies and procedures and the Utilization Review Plan. * Escalates cases as appropriate for secondary review. * Performs concurrent and retrospective clinical reviews utilizing the appropriate guidelines as demonstrated by compliance with all applicable regulations, policies, and timelines. * Adheres to CMS guidelines for utilization reviews as evidenced by utilization of the relevant guidelines and appropriate referrals for secondary review. Identifies, develops, and implements strategies to reduce length of stay and resource consumption in conjunction with discharge planning staff. * Identifies and consistently documents information on any progression of care or patient flow barriers using the designated electronic tool used to track avoidable days/delays. * Engages hospital case management and care team colleagues in collaborative problem solving regarding appropriate utilization of resources. * Represents Utilization Management at various committees, as needed. * Identifies and records episodes of preventable delays or avoidable days due to failure of progression-of-care processes. * Maintains appropriate documentation in the Utilization software system on each patient to include specific information of all resource utilization activities. * Provides consultation and education to physicians and other qualified practitioners regarding medical record documentation necessary to support the ordered level of care. * Conveys benefit data and options, programs and other forms of assistance that may be available to the patient, and negotiates for services as indicated * Communicates pertinent reimbursement information to healthcare team while observing patient right to confidentiality Verifies in-network verses out-of-network benefits and communicates data to the patient and healthcare team as indicated Position Specific Responsibilities: * Keeps current on all regulatory changes that affect delivery or reimbursement of acute care services. * Uses knowledge of national and local coverage determinations to appropriately advise physicians. * Promotes the use of evidence-based protocols and/or order sets to influence high-quality and cost-effective care. * Ability to apply industry accepted level of care criteria while utilizing clinical critical thinking skills to advocate for appropriate utilization of hospital resources. * Demonstrated ability to be self-directed, organized, diplomatic and team-oriented * Facilitate effective communication within the health care team to promote continuity of care. * Skilled in the operation of computer systems including proficiency in Microsoft Office applications Word, Excel and Access. * Demonstrates support for the mission, values and goals of the organization through behaviors that are consistent with the Connecticut Children's standards. * Ability to prioritize and manage multiple tasks. * Demonstrated written and verbal communications skills. Additional Responsibilities: * Collaborates with other members of The Center team to coordinate the right care, in the right setting, at the right time for CT Children's patients. * Identify gaps in care/resources and address issues that negatively impact access to care, services, and resources * Function as a change agent, advocate, and resource person for family and healthcare team to identify and resolve performance improvement issues within the system. * Commitment to ONE TEAM Culture. * Performs other job-related duties as assigned.

**Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others. **Preferred Locations:** Daytona, FL, Louisville, KY, San Antonio, TX **Use your skills to make an impact** **Role Essentials** + Active Unrestricted RN license + Possession of or ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work independently and within a team setting + Valid driver's license and/or dependable transportation necessary + Travel for offsite Orientation 2 to 8 weeks + Travel to offsite meetings up to 6 times a year as requested + Willing to work in multiple time zones + Strong written and verbal communication skills + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced environment + Ability to form positive working relationships with all internal and external customers + Available for On Call weekend/holiday rotation if needed **Role Desirables** + Education: BSN or bachelor's degree in a related field + Experience with Florida Medicaid + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid Experience a plus + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Additional Information** We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life balance, growth, a positive and fun culture and much more. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-18-2026 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective DUR and prepare stakeholder reports. Qualifications: PharmD with managed care, DUR, or pharmacy benefit experience. Strong Excel/data analytics background preferred. Understanding of clinical guidelines and P&T processes. Why Join Us? Join a top-tier managed care team Hybrid flexibility Strategic and data-driven focus

Nurse Care Coordinator - CT80 Ferry Blvd Nurse Care Coordinator Stratford, CT Full Time, Monday through Friday (RN) KenCrest is seeking a Nurse Care Coordinator (RN) to provide comprehensive care coordination and management services to an assigned caseload of individuals with intellectual and developmental disabilities in a residential setting. This role focuses on optimizing health outcomes, improving quality of life, and reducing healthcare costs for supported individuals by ensuring those individuals receive appropriate, timely, and efficient care. The Nurse Care Coordinator acts as a liaison between the supported individuals, families, healthcare providers, and community resources, and acts as an educator and mentor for Direct Support Staff in the homes. As our Nurse Care Coordinator, you will collaborate with Program Managers to coordinate and manage all treatment, care, appointments, and follow up for an assigned caseload, complete all required Health Assessments on supported individuals, document FOCUS nursing notes in EMR system, manage hospitalizations, conduct biweekly home visits, provide education and training to direct care providers to uphold continuity of care, and are accountable for completion of all assigned tasks. Offering a competitive salary, $5,000 sign on bonus, opportunities for professional growth and development, and a chance to make a difference in the lives of individuals with intellectual and developmental disabilities. Qualifications: Valid Registered Nurse (RN) license in the State of Connecticut DDS nursing orientation upon hire or 6 months after hire Certified in Health care provider CPR (BLS) 3 years' nursing experience working with people with developmental disabilities, preferred Basic computer knowledge (i.e. Outlook, Microsoft Office) Valid Driver's License Clear criminal record and other background checks in accordance with state requirements IND124 Job DetailsPay Type:

Health Services/Substitute Nurse SUBSTITUTE NURSE Guilford Public Schools - Guilford, CONNECTICUT Guilford Public Schools is seeking substitute nurses at all grade levels to add to our substitute pool. Substitute nurses must hold a current RN license from the Connecticut State Department of Health Services, current CPR and AED certification, and have one year of work experience during the last five years (preferably pediatrics, adolescent medicine, or emergency room). Computer knowledge (Word/Excel) preferred. Current 2025-2026 Nurse BSN/RN substitute pay is $37.38 per hour. No benefits.

NURSE Date Available: ASAP Attachment(s): #1723 Substitute School Nurse-WPS.pdf

Schedule: Mon-Fri 8a-4p Requirements: Connecticut Registered Nurse License Deadline: N/A The Group Home Nurse Coordinator works 40 hours/week, Monday-Friday 8a-4p and ensures the provision of all health services for program participants and monitors the implementation of physicians' and dentists' orders to maintain their health and well-being, in keeping with the Oak Hill's mission. Minimum Requirements: Current Connecticut Registered Nurse license Current Connecticut driver's license Responsibilities Assesses and monitors the health status of program participants on an on-going basis, following the orders of the physician, with the assistance of the Manager, Program Supervisor, and direct care staff, as a means of ensuring proper health maintenance. Interacts with program participants on an on-going basis to better understand their needs, likes, dislikes, and personalities, while developing familiarity with their individual health issues, thereby providing better, personalized service. Writes quarterly and annual health care summaries and submits these to the Program Supervisor upon request, before OPS/IDT meeting, to ensure input on health related issues. Trains staff and program participants in health-related issues including safe storage, handling and administration of medications; health care needs, seizure control, and hygiene; in order that they have the information and training required to ensure that program participants maintain good health. Checks medication log and medication cabinets regularly; notes and acts on any errors, notes labels, expiration dates and discontinued meds, to ensure that correct procedures regarding meds are being followed. Reviews and initials all incoming medical/health related information including physicians'/dentists' notes; lab reports, and any special tests, to maintain awareness regarding such information. Administers the practical portions, (Lab Practicum and On-Site med passes) of the med certification program, provides any training mandated by DDS in the CUP recertification process, and provides any additional training, to ensure that staff are properly prepared for dispensing medication to program participants. Reviews medical records and takes appropriate action when errors are found, to ensure that medication administration and recordkeeping are being handled in the required manner. Assists in developing and monitoring self-administration of meds program as addressed by the physician, to ensure that program participants are allowed the opportunity to develop self-reliance in the taking of their medication.

Brandywine by Monarch leads the revolution of contemporary person-centric wellness senior living, designed for the next generation. A highly customized, curated, and an organic approach to wellness inspires everything we do. All members of our communities - residents, their families, and Monarch team members - influence the way we think, design, and create. Our vision and culture embody and celebrate those we serve. Job Description Led by the community's Health and Wellness Director (RN), our Wellness Nurse is a Licensed Practical Nurse (LPN) who provides direct nursing care to the Residents with an emphasis on holistic wellness. They also help supervise the day-to-day nursing activities performed by care staff of Home Health Aides (HHAs). Apply now for consideration and/or to learn more. Schedule: The Wellness Nurse (LPN) is a full-time (at least 30-37.5 hours per week) or part-time (less than 29 hours) non-exempt, position that will be scheduled weekdays and alternating weekends. This position is a 3-11PM position. We are also looking for per-diem for all shifts. Salary Range: $32-35/hr. Responsibilities and Duties Monitors the health, safety, and well-being of all residents Assisting in training and monitoring of medication administration Supervise care staff in accordance with current state regulations and community policies Maintaining clinical quality assurance in accordance with federal, state and local standards Promote the highest degree of service to our residents while leading and demonstrating the mission of the company Conduct thorough resident assessments Qualifications Graduation from an accredited School of Nursing, with current LPN license At least 2 years' experience with long-term care, assisted living, home health or hospital setting preferred Experience working with residents with Alzheimer's or other related dementias Ability to handle multiple tasks Knowledge of federal and state regulations, and of nursing practices, techniques and methods applied to health and wellness resident Proficiency in computer skills, Microsoft Office (Windows, Outlook, Excel) with the ability to learn new applications While performing the duties of this job, the associate is often required to stand, walk, sit, use fine and gross motor skills, reach with hands and arms, balance, stoop, kneel, crouch, talk, hear, and smell. An individual in this position will be required to lift or carry weight in up to 50 lbs. Intermittent physical activity includes lifting and supporting residents. The associate must use proper body mechanics. Additional Information Benefits Offered (Full Time): Health Insurance: Medical/Rx, Dental, and Vision Ancillary Benefits: Life Insurance/AD&D, Short Term Disability and Long-Term disability Basic Life & Accidental Death & Dismemberment (AD&D) Insurance FSA (Commuter/Parking) Employee Assistance Program (EAP) 401(k) Retirement with Company Match Paid Time Off (PTO) and Holidays Tuition Reimbursement Other Compensation Programs: Employee Referral Bonus Resident Referral Bonus Benefits Offered (for Part-Time Employees): Paid Time Off (PTO) Flexible Schedule On the job training Employee Assistance Program (EAP) Free Parking Other Compensation Programs: Employee Referral Bonus Resident Referral Bonus Benefits Offered (Per Diem Employees): Flexible Schedule On the job training Free Parking Equal Opportunity Statement: Monarch Communities and Brandywine Senior Living is an Equal Opportunity Employer. We comply with all applicable federal, state, and local laws. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Join our Dream Camp team in Hartford as a Nurse and inspire young minds at camp! Are you ready for an unforgettable summer adventure? At ESF Camps, we are on a mission to create an extraordinary summer experience for campers from 1st grade to 12th grade, and we are looking for energetic, passionate people to join us and make a positive impact while having a blast! The Camp Nurse ensures the health and safety of all on-site campers, Team members, and visitors; obtains and maintains health records and documents; administers basic first aid and medications and responds to emergencies as necessary. Why ESF? Inspire Young Minds: Make a meaningful difference in the lives of children while receiving comprehensive training and support. Unleash Your Potential: We offer opportunities for internships, fieldwork, and continuing education credits. Become a Leader: Gain valuable leadership experience as you supervise and mentor children. Positive Environment: Experience being part of a team guided by ESF Core Values. Extra Perks: Convenient Summer Schedule: Enjoy nights and weekends off. Employee Referral Bonus Program: Increase your earnings through referrals from your network. Free Certifications: Reimbursements available for qualified roles. Camp Tuition: Enjoy a significantly discounted tuition rate exclusively for Team members' children. Requirements: Education & Certifications: Valid license as a professional Registered Nurse or Licensed Practical Nurse. CPR/AED Certification is required. Graduation from an NLN accredited program - BS in Nursing (preferred) Basic Life Support, Pediatric Advanced Life Support, Advanced Cardiovascular Life Support Certifications (preferred) Experience: Pediatric nursing experience or other experience working with children. Proven success in working with children and young adults with medical conditions, including food allergies, diabetes, and seizure disorders. Proven success in working with children and young adults with special needs and/or disabilities. Hours: Typically, between 8:00 am-5:20 pm, Monday - Friday. Hours may vary. Schedule Commitment: Any schedule changes must be pre-approved by the site director. Required Training: Complete all required ESF and state-mandated training and onboarding. Dress Code: Maintain the "ESF Look" (camp uniform) and embody the spirit of the camp. Essential Job Responsibilities: Provide Care: Provide medical care for campers as needed. Administer appropriate care in compliance with ESF Standards, Policies, Guidelines, and Procedures. Teach & Inspire: Educate Team members on health and safety policies and procedures, including but not limited to, basic first aid, Epi-Pen, and rescue inhaler administration, and serve as a resource for emergency response procedures. Nurse's Office & Health Forms: Collect and maintain camper and team member health records in accordance with ESF Policies Manage Camp Nurse's office/area and ensure the office/area is clean and organized - Maintain supply inventory and order as necessary. Teamwork: Work effectively with co-workers, typically one other Nurse on site, as a team and collaborate on various responsibilities Be the Ultimate Role Model: Supervise campers, while fostering a positive and safe environment. Demonstrate ESF Core Values & Code daily, from “Gratitude” to “Bring It” daily. Model the ESF Virtues of Character (Gratitude, Respect, Trustworthiness, Effort, Kindness, Positivity, Resilience, Community) in camp daily. Adhere to all company policies. Communication: Maintain clear, concise, and engaging communication with campers, families, peers, and our leadership team. Serve as a liaison between ESF Camps and parents/guardians - Assist parents and Team members with medical and health questions. Reporting Relationships: Reports directly to and takes direction from the Site Director and Assistant Site Director regarding daily camp operations. Reports directly to and takes direction from the Director of Nursing and Camp Medical Doctor regarding nursing practice. Additional Responsibilities: Push/pull, lift, and carry a minimum of thirty-five (35) pounds across campus. Work outside, upright, and mobile for six (6) to eight (8) hours per day Respond to emergencies, including running (up to 1 mile in some cases) and ascending stairs without undue exertion. This job description is subject to change at any time.

We Did It Again! InterCommunity is a 2025 Healthcare Top Workplaces Winner! VOTED by our incredible staff a TOP WORKPLACE for 12 YEARS - including 2025! Join a Mission That Matters InterCommunity, Inc. is a Federally Qualified Health Center Look-Alike (FQHC LA) committed to providing accessible, compassionate care to everyone - regardless of life situation or ability to pay. We offer same-day primary care and a wide range of behavioral health services across our community health centers in: 281 Main St., East Hartford 40 Coventry St., Hartford 828 Sullivan Ave., South Windsor Our Addiction Services Division provides a full continuum of care, including: Primary care integration Residential detox and treatment Outpatient mental health and substance use services for adults and children Intensive outpatient programs Employment and community support Mobile crisis evaluations Judicial support services Social rehabilitation Why Work With Us? At InterCommunity, we believe your well-being matters - at work and beyond. That's why we offer a comprehensive benefits package designed to support your health, financial security, and work-life balance.All benefit- eligible employees of InterCommunity are eligible for Medical, Dental, Voluntary Vision, Group Life, Supplemental Life, Short-Term Disability and Long-Term Disability. (A benefit -eligible employee is one who is schedule to work a minimum of 30 hours per week.). In addition, all employees may contribute to our 401k and those who meet eligibility and service requirements will receive the company contribution. Benefits are effective on the first day of the month following date of hire. Our Benefits Include: Work Life-Balance-Flexibility, generous Paid PTO, and paid holidays. Health & Dental insurance - flexible contribution options that includes 2 HDHP w/ HSA enrollment option or non-HDHP at a minimal cost to employees. Voluntary vision coverage. Employer-paid Short-Term Disability, Long-Term Disability, and Basic Life & AD&D. Supplemental Life Insurance available. 401(k) with 3% employer match + 3% employer contribution after 12 months and 1,000 hours worked Career advancement opportunities in a supportive, mission-driven environment. Accountable for providing a full range of administrative and medical support responsibilities in a community health setting. Escort patients to exam room, perform vital signs, blood sugar testing, EKG's, urinalysis, phlebotomy, spirometry etc as instructed by provider. Ensures lab results are reviewed and signed by provider and disseminated as needed. as directed by provider. Will participate as a member of an interdisciplinary treatment team in the assessment, development, implementation and evaluation of client's treatment or health/mental health care plans. Maintains medical office instruments, equipment, and supplies and ensures cleanliness of equipment and environment. Performs all other duties as required. Summary: We are seeking a highly organized and proactive individual to join our team as a Visiting Nurse Association (VNA) Coordinator. In this role, you will be responsible for performing all coordination between InterCommunity HealthCare external visiting nurse agencies and other community patient support personnel. Essential Duties & Responsibilities: Ensure that all VNA orders are correct and that medications are reconciled. Coordinate home care services for patients, including, but not limited to, coordinating with healthcare providers. Monitor patients' progress and adjust care plans in collaboration with healthcare team members. Be the point of contact for all VNA-related matters. Provide education and support to patients and providers on home care procedures and eligibility. Assist in evaluating patients' home care needs and developing individualized care plans. Communicate with VNA nurses and supervisors to coordinate care. Maintain accurate up-to-date documentation of patient assessments, care plans and progress notes. Collaborate with other healthcare providers to ensure seamless care. Maintain accurate and up-to-date patient records. Set up hospice care for patients as needed. Ensure compliance with regulatory requirements and healthcare policies and procedures. Always maintain patient confidentiality. Perform other duties and assigned. *All agency staff are required to attend all mandatory department/agency meetings and trainings. *All Residential Support Staff Employees MUST show proof of CPR Certification within 60 days of official start date. *This position may require travel to each outpatient clinical sites, but will be based out of 281 Main St, East Hartford. Schedule: Monday - Friday, 8:30 AM to 5:00 PM Requirements High School diploma or equivalent. Completing a Medical Assistant Program, Board Certification (CCMA, RMA) preferred or completing and pharmacy technician program, Certified Pharmacy Technician (CPhT, PTCB). At least 2-3 years' experience working in a medial or pharmacy setting. • Strong organizational and communication skills. • Ability to work well in a team-oriented environment. • Knowledge of medical terminology, procedures, and medications. • Proficiency in using electronic medical records and other healthcare software. Salary Description Wage Range: $21.25 - $25.00 Hourly

Substitute/Substitute Nurse Date Available: Immediately Closing Date: 06/30/2026 JOB OPPORTUNITY Substitute Nurses District wide Registered Nurses (RN) Per diem rate is $245.00 per day Licensed Practical Nurses (LPN) Per diem rate is $175.00 per day Duties/Responsibilities: The District is seeking Substitute Nurse candidates who demonstrate the personal, professional, and organizational skills necessary to manage a diverse workload and work cooperatively and collaboratively with the district's interdisciplinary team. Responsibilities include, but are not limited to, Health supervision of students in grades Pre-K to 12; Administration of medication; Delivery of treatments; Other duties as assigned. Education/Certification Required: - Current Connecticut license as a Registered Nurse or LPN; School nurse and/or pediatric nurse experience preferred. Physical Demands: The physical demands described here are representative of those that are typically met by an employee in order to successfully perform the essential functions of the job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, employees often stand, walk, sit, bend, lift, stoop and kneel. The employee may be required to reach with hands and arms. Specific vision abilities typically include vision, distance vision, and the ability to adjust focus.

Job Title: RN Nurse Designee Department: Resident Care Date Revised: July 2024 Reports To: Resident Care Director FLSA Status: Non-Exempt The Nurse Designee manages the successful operation of the Resident Care Department, under the leadership of the Resident Care Director (RCD). The Nurse Designee is responsible for the oversight, coaching, and direct supervision of all resident care service providers in the community. The Nurse Designee's management scope includes direct supervision of resident care positions, resident assessment, and management as defined by the Resident Care Director. The Nurse Designee fills in as the leader for the Resident Care Department in the absence of the RCD. Principal Duties/Responsibilities: Demonstrates expertise in clinical skills and nursing judgement within their scope of practice. Completes a thorough assessment of potential residents. Obtains the medical information release form from primary care physician as needed Develops a plan of care (in collaboration with the RCD) based on the identified physical and psychological problems of the resident including: the identified problems; resident specific goals and planned program interventions Develops a service plan (in collaboration with the RCD) according to the requirements outlined in the state regulations. Accurately assesses, communicates, and documents residents' status. Coordinates care needs with community providers via an effective case management process Measures and accurately records vital signs (temperatures, pulse, respiration, blood pressure weight and height) where appropriate as per state regulations Observes and reports any significant changes in resident behavior and health to the RCD, physician, family, RCAs, and Executive Director per state regulations Recognizes and assists in the prevention of elder abuse, neglect, and exploitation (financial and other) and reports to appropriate sources per state regulations Directs and supervises the daily work assignments of the Resident Care Assistants. Serves as first point of contact for the care associates regarding assignment questions or concerns Participates in the hiring and termination processes as they relate to resident care associates. Sources and screens new candidates and facilitate/co-facilitates terminations. Provides direct input into performance reviews, merit increases, and any necessary disciplinary documentation for care associates and presents reviews with the RCD Closely mentors, guides and directs the Lead Resident Care Assistants in all aspects of their job Ensures compliance with all resident care related regulations (e.g. medication management) Demonstrates infection prevention and control Demonstrates personal and resident safety Ensures physician and family notification per state regulations Actively participates in the QA process per assignment Provides ongoing supervision of residents' health related activities: complying with health care instructions explained by health care professionals; promptly and appropriately seeking and obtaining medical attention when needed. Conducts documentation audits as required. Functions as Resident Care Director as required. Participates in training/ in-service as required by Benchmark and state regulations. Education/Experience/Licensure/Certification: Graduate of an approved RN program (per state requirements). Minimum 1 to 2 years of experience working as a nurse in a Home Health, SNF and/or Assisted Living facility. Previous experience working with the elderly in a paid or volunteer position highly desirable. Valid, unrestricted RN state license Current CPR, First Aid, and Heimlich certification, if required Required Skills/Abilities: Understands advanced directives and end-of-life care Understands nursing function in assisted living and memory care Understands quality of care and life objectives Demonstrates knowledge of Benchmark Standards and Practices Demonstrates working knowledge of state regulations Possess knowledge of policies in the resident handbook Excellent verbal communication skills and the ability to relate in a positive and professional way to a diverse resident and employee population. Ability to maintain the highest level of confidentiality regarding residents, staff and the Community. Proficient using MS office and electronic health records PHYSICAL JOB ANALYSIS JOB TITLE: Nurse The principal duties and responsibilities are listed in the formal . This form is intended to provide a summary of the physical demands of the job. Frequency Frequency Unanticipated Seldom (1-5% of time) Occasional (6-33% of time) Frequent (34-66% of time) Constant (67-100% of time) Unanticipated Seldom (1-5% of time) Occasional (6-33% of time) Frequent (34-66% of time) Constant (67-100% of time) LIFT/CARRY (OBJECTS) EQUIPMENT Objects up to 10 lbs. X Transfer Devices/Gait Belts X Objects 11-20 lbs. X Kitchen Equipment X Objects 21-35 lbs. X Ladders X Objects 36-75 lbs.* X Maintenance Equipment X Objects 76-100lbs.* X Tablets/Computers/Office X *Weights in excess of 35 lbs. will be reviewed for 2-person or mechanical assist Vehicles/Driving X PUSH/ PULL FORCE ** ENVIRONMENTAL EXPOSURES Wheelchair with Resident 10-50lbs. X Indoors X Resident Lift Equipment 10-60 lbs. X Outdoors X 2 Wheel Dolly/ 4 Wheel Cart 5-35lbs. X Extreme Heat X Floor Cleaning Equipment 5-25 lbs. X Extreme Cold X **Push/pull force is measured as the peak force required to start object moving Dusty X POSTURES Excessive Noise X Sitting X RESIDENT MOBILITY ASSISTANCE Standing X One/two person manual transfer (up to 35 lbs. lifting force per person) X Walking on even surface X Bed positioning (lateral movement of resident in bed) X Walking on uneven surface X Chair boosting (assisting resident to sit up in a chair) X Climbing/Stairs X Assist Walking with Gait Belt X Bend/Stoop/Twist X ADDITIONAL CONSIDERATIONS Crouching/Squatting X Physical Exams or Health Screenings (as required by state) Kneel/Crawling X TB Test Reach Above Shoulders X Annual Flu Shot Reach Waist to Shoulders X COVID Vaccinations and Boosters Reach Below Waist X Personal Protective Equipment (nitrile gloves, gown, mask, etc.) Repetitive Arm Use X N95 Respirator (must be clean shaven such that any facial hair does not impact the respirator seal) Repetitive Wrist/Hand Use X Exposure to House Pets Hand grasping (power grip) X Exposure to Needles and Sharps Fine manipulation hands/fingers X When working with our resident population, you may on occasion be exposed to certain risks related to medical conditions or progressive diseases such as Alzheimer's disease. These risks include communicable diseases as well as agitation and/or aggressive behaviors which may be verbal or physical. Because you are working so closely with the resident, you may be the target of this aggression. Understanding that these behaviors are related to a medical condition and/or disease process and are not in any way personal, is key to maintaining dignity and respect for our residents in all avenues of care. Benchmark is committed to workplace safety, and to the extent there is any concern relating to safety hazards in the performance of the job, you should immediately report your concerns as directed in the Employee Handbook. Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. I ______________________________ have read this job description and understand the duties and responsibilities of the position of Nurse Designee. I further understand that it is my responsibility to perform my duties consistent with the highest standards of Benchmark Senior Living. ________________________________ _______________ Employee Signature Date ________________________________ _______________ Supervisor's Signature Date

Job Description With two decades of excellence, Kalologie Medspa stands as a premier destination for aesthetic and wellness treatments. Our team of highly trained experts is renowned for their personalized approach, providing safe, effective, and medically-proven treatments that achieve exceptional results. We are proud of our team based culture, with a genuine focus on well-being. As we continue to expand, we remain committed to our core values and a passionate pursuit of excellence. Position Overview: We are seeking experienced Registered Nurses(RN) to perform IV Infusion Therapy at our location inside Club Studio in South Windsor. You thrive working in a fast-paced environment and are always willing to learn more and strengthen your skills to deliver the best service and results. The ideal candidate would have specialized training in infusion therapy. Key Responsibilities: Prepare and set up the IV infusion. Foster a calming atmosphere and closely monitor the IV administration process. Conduct client consultations to create customized treatment plans and deliver services that meet individual needs and goals. Educate clients on treatment processes, including detailed pre- and post-care instructions. Address client inquiries, respond to their needs, and manage expectations effectively. Ensure client safety and satisfaction throughout all treatments. Promote and suggest relevant retail products and additional services offered by the company. Maintain and sanitize equipment and manage inventory of products. Adhere to established treatment protocols. Keep detailed records, including client charts. Build and maintain a strong client base. Participate in training sessions and meetings as needed. Perform other assigned duties as required. Occasionally travel to other locations for training purposes. Qualifications: Active license as a Registered Nurse (RN), Nurse Practitioner (NP), Physician Assistant (PA) in the state of employment. Minimum of 2 years of relevant experience preferred. Experience in a clinical setting is a plus. Exceptional interpersonal and communication skills, with the ability to effectively interact with clients, colleagues, and managers. Ability to multitask, stay attentive to client needs, and adapt to business requirements. Strong team player with the ability to take initiative and work independently. Availability to work evenings and weekends is required. Kalologie offers a competitive salary with flexible schedules, generous service discounts, and ongoing training opportunities on new techniques, equipment and products. We promote continued growth and development through our rapidly expanding medical aesthetic clinics.

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department According To Unit Policies And Procedures. Provides Supervision Of Non-Rn Personnel On The Assigned Unit. When Assuming The Charge Role, Delegates And Supervises Unit Activities. May Be Requires To Work On Other Nursing Units According To Distribution Of Staff And Patients. Performs Other Duties As Assigned Or Requested In Order To Maintain A High Level Of Service. EEO/AA/Disability/Veteran Responsibilities Assesses The Patient's Physical And Psychosocial Condition On An Ongoing Basis Throughout The Continuum Of Care. Develops, Communicates And Documents A Plan Of Care Reflecting Individualized Patient Problems And Interventions To Achieve Desired Outcomes, Involving The Patient, Family And Healthcare Team In This Process. Implements And Coordinates This Plan Of Care In Collaboration With The Healthcare Team. Evaluates The Effectiveness Of The Plan Of Care, Patient?S Response To Care, And Readiness For Discharge. Revises The Plan Of Care As Needed And Makes Referrals Where Indicated. Plans For Education After Assessing The Individual Learning Needs And Readiness Of The Patient And Family. Provides Educational Opportunities And Documents Outcomes. Functions As A Preceptor To New Staff. Functions As A Charge Nurse. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other Duties As Assigned Or Directed To Ensure Smooth Operation Of The Department/Unit. Demonstrates Competency In The Care Of The Neuro Patient Demonstrates Skill And Knowledge In Neuro Assessment Demonstrates Skill And Knowledge In The Airway Management Of The Neuro Patient Demonstrates Skill And Understanding In Caring For A Trached Patient Demonstrates Skill And Understanding In Assisting The Physician And Caring For The Patient During Special Neuro Procedures Demonstrates Knowledge And Understanding Of Our 'Tia' Teaching Program Performs Pharynaeal, Endotracheal, Tracheostomy Suctioning According To Established Policy And Procedure: Pharynaeal, Endotracheal, Tracheastomy Demonstrates Skill And Understanding In The Use Of Equipment And Care Of Patient In A Halo Brace Demonstrates Skill And Understanding Of Nursing Responsibilities And Interventions For The Patient On A Ventilator Qualifications EDUCATION Graduate Of An Accredited School Of Nursing; BSN Preferred. Proficient In Use Of Computer Software To Include Electronic Patient Records. Must Have Ability To Use Internet For Literature Searches Regarding Care For Patients. EXPERIENCE N/A LICENSURE Valid State Of Connecticut Registered Nurse License SPECIAL SKILLS BLS Required Additional Information Med/Surg RN experience required.

Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members. At Connecticut Children's, treating children isn't just our job - it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team. Portal of Entry (ED) Utilization Management Nurse: The Portal of Entry Utilization Management Nurse (POE) has strong clinical skills and a well-developed knowledge of utilization management, with a focus on medical necessity determinations. Education and/or Experience Required: * Education: Bachelor of Science in Nursing (BSN) * Experience: 3 years of nursing experience in a healthcare setting Education and/or Experience Preferred: * Experience: * Pediatric nursing experience * Previous experience in Utilization Review * Previous experience in Case Management or Discharge planning License and/or Certification Required: * State if Connecticut Nursing License. License and/or Certification Preferred: * Case Management Certification. Knowledge, Skills and Abilities: Knowledge: * Demonstrate working knowledge of how to interpret and apply medical care criteria. * Knowledge of community resources, treatment options, home health availability, funding options and special programs. Skills: * Coordinates management of care for a specified patient population; follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with hospital standards * Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. * Skilled in the operation of the computer including proficiency in Microsoft Office Word, ability to use/update Excel spreadsheets and ability to navigate EPIC. Abilities: * Self-directed/motivated, organized, diplomatic and team-oriented. * Function in a high energy, fast moving environment. * Maintain flexibility as determined by acuity of medical unit. * Prioritize case load. * Collaborate with various disciplines. * Communicate effectively and efficiently. * Prioritize and manage multiple tasks. * Excellent written and verbal communication skills. * Performs chart review of assigned patients to identify quality, timeliness, and appropriateness of patient care. Conducts hospitalization reviews based on appropriate guidelines. Uses these criteria to screen for defensible level of care based on medical record documentation. Escalates cases as appropriate for secondary review. -15% * Adheres to CMS guidelines for utilization reviews as evidenced by utilization of the relevant guidelines and appropriate referrals for secondary review. Identifies, develops, and implements strategies to reduce length of stay and resource consumption in conjunction with discharge planning staff. -15% * Provides consultation and education to physicians and other qualified practitioners regarding medical record documentation necessary to support the ordered level of care. -10% * Performs and documents initial / admission medical necessity review for all points of entry. -10% * Communicates initial medical necessity review results with emergency department and admitting providers as necessary to support defensible admission status orders. -10% * Proactively collaborates with emergency department providers and staff to identify patients likely to require hospitalization. -10% * Works in conjunction with emergency department social workers and other staff to identify and secure available and necessary services to support clinically appropriate hospital admission avoidance. -3.0% * Obtains information from patient, caregivers, providers of services, insurance company, benefits administrators and others as necessary. - .5% * Conveys benefit data and options, programs and other forms of assistance that may be available to the patient, and negotiates for services as indicated. -.5% * Communicates pertinent reimbursement information to healthcare team while observing patient right to confidentiality. -.5% * Verifies in-network verses out-of-network benefits and communicates data to the patient and healthcare team as indicated. -.5% * Pre-Admission Reviews -15% * Performs prospective medical record review of patients scheduled for outpatient/inpatient procedures scheduled in the hospital setting. * Works in collaboration with Finance to identify the appropriate setting for scheduled admissions, procedures, and medication administration by reviewing pertinent clinical information and collaborating to obtain prior authorization when necessary. * Screens scheduled patients to ensure that they are scheduled in a defensible utilizing industry-accepted level of care criteria. * Is able to review and interpret the patient's medical record to supply appropriate information to third-party payers as necessary. Additional Responsibilities -5% * Collaborates with other members of The Center team to coordinate the right care, in the right setting, at the right time for CT Children's patients. * Assist with discharge planning as necessary to coordinate the right care, in the right setting and the right time for CT Children's patients. * Identify gaps in care/resources and address issues that negatively impact access to care, services, and resources * Function as a change agent, advocate, and resource person for family and healthcare team to identify and resolve performance improvement issues within the system. * Commitment to ONE TEAM Culture. -2.5% * Performs other job-related duties as assigned. -2.5%

Brandywine by Monarch leads the revolution of contemporary person-centric wellness senior living, designed for the next generation. A highly customized, curated, and an organic approach to wellness inspires everything we do. All members of our communities - residents, their families, and Monarch team members - influence the way we think, design, and create. Our vision and culture embody and celebrate those we serve. Job Description Led by the community's Health and Wellness Director (RN), our Wellness Nurse is a Licensed Practical Nurse (LPN) who provides direct nursing care to the Residents with an emphasis on holistic wellness. They also help supervise the day-to-day nursing activities performed by care staff of Home Health Aides (HHAs). Apply now for consideration and/or to learn more. Schedule: The Wellness Nurse (LPN) is a full-time (at least 30-37.5 hours per week) or part-time (less than 29 hours) non-exempt, position that will be scheduled weekdays and alternating weekends. This position is a 3-11PM position. We are also looking for per-diem for all shifts. Salary Range: $32-35/hr. Responsibilities and Duties Monitors the health, safety, and well-being of all residents Assisting in training and monitoring of medication administration Supervise care staff in accordance with current state regulations and community policies Maintaining clinical quality assurance in accordance with federal, state and local standards Promote the highest degree of service to our residents while leading and demonstrating the mission of the company Conduct thorough resident assessments Qualifications Graduation from an accredited School of Nursing, with current LPN license At least 2 years' experience with long-term care, assisted living, home health or hospital setting preferred Experience working with residents with Alzheimer's or other related dementias Ability to handle multiple tasks Knowledge of federal and state regulations, and of nursing practices, techniques and methods applied to health and wellness resident Proficiency in computer skills, Microsoft Office (Windows, Outlook, Excel) with the ability to learn new applications While performing the duties of this job, the associate is often required to stand, walk, sit, use fine and gross motor skills, reach with hands and arms, balance, stoop, kneel, crouch, talk, hear, and smell. An individual in this position will be required to lift or carry weight in up to 50 lbs. Intermittent physical activity includes lifting and supporting residents. The associate must use proper body mechanics. Additional Information Benefits Offered (Full Time): Health Insurance: Medical/Rx, Dental, and Vision Ancillary Benefits: Life Insurance/AD&D, Short Term Disability and Long-Term disability Basic Life & Accidental Death & Dismemberment (AD&D) Insurance FSA (Commuter/Parking) Employee Assistance Program (EAP) 401(k) Retirement with Company Match Paid Time Off (PTO) and Holidays Tuition Reimbursement Other Compensation Programs: Employee Referral Bonus Resident Referral Bonus Benefits Offered (for Part-Time Employees): Paid Time Off (PTO) Flexible Schedule On the job training Employee Assistance Program (EAP) Free Parking Other Compensation Programs: Employee Referral Bonus Resident Referral Bonus Benefits Offered (Per Diem Employees): Flexible Schedule On the job training Free Parking Equal Opportunity Statement: Monarch Communities and Brandywine Senior Living is an Equal Opportunity Employer. We comply with all applicable federal, state, and local laws. We celebrate diversity and are committed to creating an inclusive environment for all employees.

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department According To Unit Policies And Procedures. Provides Supervision Of Non-Rn Personnel On The Assigned Unit. When Assuming The Charge Role, Delegates And Supervises Unit Activities. May Be Requires To Work On Other Nursing Units According To Distribution Of Staff And Patients. Performs Other Duties As Assigned Or Requested In Order To Maintain A High Level Of Service. EEO/AA/Disability/Veteran Responsibilities Assesses The Patient's Physical And Psychosocial Condition On An Ongoing Basis Throughout The Continuum Of Care. Develops, Communicates And Documents A Plan Of Care Reflecting Individualized Patient Problems And Interventions To Achieve Desired Outcomes, Involving The Patient, Family And Healthcare Team In This Process. Implements And Coordinates This Plan Of Care In Collaboration With The Healthcare Team. Evaluates The Effectiveness Of The Plan Of Care, Patient?S Response To Care, And Readiness For Discharge. Revises The Plan Of Care As Needed And Makes Referrals Where Indicated. Plans For Education After Assessing The Individual Learning Needs And Readiness Of The Patient And Family. Provides Educational Opportunities And Documents Outcomes. Functions As A Preceptor To New Staff. Functions As A Charge Nurse. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other Duties As Assigned Or Directed To Ensure Smooth Operation Of The Department/Unit. Demonstrates Competency In The Care Of The Neuro Patient Demonstrates Skill And Knowledge In Neuro Assessment Demonstrates Skill And Knowledge In The Airway Management Of The Neuro Patient Demonstrates Skill And Understanding In Caring For A Trached Patient Demonstrates Skill And Understanding In Assisting The Physician And Caring For The Patient During Special Neuro Procedures Demonstrates Knowledge And Understanding Of Our 'Tia' Teaching Program Performs Pharynaeal, Endotracheal, Tracheostomy Suctioning According To Established Policy And Procedure: Pharynaeal, Endotracheal, Tracheastomy Demonstrates Skill And Understanding In The Use Of Equipment And Care Of Patient In A Halo Brace Demonstrates Skill And Understanding Of Nursing Responsibilities And Interventions For The Patient On A Ventilator Qualifications EDUCATION Graduate Of An Accredited School Of Nursing; BSN Preferred. Proficient In Use Of Computer Software To Include Electronic Patient Records. Must Have Ability To Use Internet For Literature Searches Regarding Care For Patients. EXPERIENCE N/A LICENSURE Valid State Of Connecticut Registered Nurse License SPECIAL SKILLS BLS Required Additional Information Med/Surg RN experience required.

Connecticut Children's Center for Care Coordination (The Center) is dedicated to the integration of care coordination through the delivery of innovative programs, providing technical assistance, disseminating best practices, and building inclusive partnerships to strengthen families and build stronger communities. The Center utilizes a universal, evidence based, research informed, and policy driven approach to enhanced care coordination that not only meets the interrelated medical, developmental, behavioral, and social needs of children, but enhances the care giving capacity of families. Portal of Entry Utilization Management Nurse: The Portal of Entry Utilization Management Nurse (POE) has strong clinical skills and a well-developed knowledge of utilization management, with a focus on medical necessity determinations. The candidate should possess a working knowledge of medical necessity tools such as InterQual and Milliman Care Guidelines and be proficient in medical record reviews. This individual supports the Care Management program by developing and/or maintaining effective and efficient processes for determining the defensible hospitalization status based on regulatory and reimbursement requirements of various commercial and government payers. The purpose of the POE is to support the physician and other qualified practitioners in determination of defensible patient class at the time of admission. The POE serves as a resource to all members of the health care team on defensible patient status and promotes effective utilization of hospital resources. This individual maintains current and accurate knowledge regarding commercial and government payers including regulatory requirements. The UM nurse will function in accordance with facility policies and processes. This individual will support process improvement activities and report key metrics to facility leadership as requested. audiences. The UM Nurse effectively and efficiently manages a diverse workload in a fast-paced, rapidly changing regulatory environment. The UM Nurse is a member of and provides support to the hospital's UM Committee. He/she collaborates with multiple leaders at various levels throughout the organization. This is an on-site role interfacing with the admitting physician on cases to support industry-accepted level of care criteria. Education and/or Experience Required: Education: Bachelor of Science in Nursing (BSN) Experience: 3 years' nursing in a healthcare setting Education and/or Experience Preferred: Experience: Pediatric nursing experience Previous experience in Utilization Review Previous experience in Case Management or Discharge planning License and/or Certification Required: State if Connecticut Nursing License. License and/or Certification Preferred: Case Management Certification. Knowledge, Skills and Abilities: Knowledge: Demonstrate working knowledge of how to interpret and apply medical care criteria. Knowledge of community resources, treatment options, home health availability, funding options and special programs. Skills: Coordinates management of care for a specified patient population; follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with hospital standards Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Skilled in the operation of the computer including proficiency in Microsoft Office Word, ability to use/update Excel spreadsheets and ability to navigate EPIC. Abilities: Self-directed/motivated, organized, diplomatic and team-oriented. Function in a high energy, fast moving environment. Maintain flexibility as determined by acuity of medical unit. Prioritize case load. Collaborate with various disciplines. Communicate effectively and efficiently. Prioritize and manage multiple tasks. Excellent written and verbal communication skills. Performs chart review of assigned patients to identify quality, timeliness, and appropriateness of patient care. Conducts hospitalization reviews based on appropriate guidelines. Uses these criteria to screen for defensible level of care based on medical record documentation. Escalates cases as appropriate for secondary review. -15% Adheres to CMS guidelines for utilization reviews as evidenced by utilization of the relevant guidelines and appropriate referrals for secondary review. Identifies, develops, and implements strategies to reduce length of stay and resource consumption in conjunction with discharge planning staff. -15% Provides consultation and education to physicians and other qualified practitioners regarding medical record documentation necessary to support the ordered level of care. -10% Performs and documents initial / admission medical necessity review for all points of entry. -10% Communicates initial medical necessity review results with emergency department and admitting providers as necessary to support defensible admission status orders. -10% Proactively collaborates with emergency department providers and staff to identify patients likely to require hospitalization. -10% Works in conjunction with emergency department social workers and other staff to identify and secure available and necessary services to support clinically appropriate hospital admission avoidance. -3.0% Obtains information from patient, caregivers, providers of services, insurance company, benefits administrators and others as necessary. - .5% Conveys benefit data and options, programs and other forms of assistance that may be available to the patient, and negotiates for services as indicated. -.5% Communicates pertinent reimbursement information to healthcare team while observing patient right to confidentiality. -.5% Verifies in-network verses out-of-network benefits and communicates data to the patient and healthcare team as indicated. -.5% Pre-Admission Reviews -15% Performs prospective medical record review of patients scheduled for outpatient/inpatient procedures scheduled in the hospital setting. Works in collaboration with Finance to identify the appropriate setting for scheduled admissions, procedures, and medication administration by reviewing pertinent clinical information and collaborating to obtain prior authorization when necessary. Screens scheduled patients to ensure that they are scheduled in a defensible utilizing industry-accepted level of care criteria. Is able to review and interpret the patient's medical record to supply appropriate information to third-party payers as necessary. Additional Responsibilities -5% Collaborates with other members of The Center team to coordinate the right care, in the right setting, at the right time for CT Children's patients. Assist with discharge planning as necessary to coordinate the right care, in the right setting and the right time for CT Children's patients. Identify gaps in care/resources and address issues that negatively impact access to care, services, and resources Function as a change agent, advocate, and resource person for family and healthcare team to identify and resolve performance improvement issues within the system. Commitment to ONE TEAM Culture. -2.5% Performs other job-related duties as assigned. -2.5%