Medical Review Nurse (RN)
Utilization review nurse job in Benton, AR
Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care.
Job Duties
* Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing.
* Reevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions.
* Validates member medical records and claims submitted/correct coding, to ensure appropriate reimbursement to providers.
* Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues.
* Identifies and reports quality of care issues.
* Assists with complex claim review including diagnosis-related group (DRG) validation, itemized bill review, appropriate level of care, inpatient readmission, and any opportunities identified by the payment integrity analytical team; makes decisions and recommendations pertinent to clinical experience.
* Prepares and presents cases representing Molina, along with the chief medical officer (CMO), for administrative law judge pre-hearings, state insurance commissions, and judicial fair hearings.
* Reviews medically appropriate clinical guidelines and other appropriate criteria with medical directors on denial decisions.
* Supplies criteria supporting all recommendations for denial or modification of payment decisions.
* Serves as a clinical resource for utilization management, CMOs, physicians and member/provider inquiries/appeals.
* Provides training and support to clinical peers.
* Identifies and refers members with special needs to the appropriate Molina program per applicable policies/protocols.
Job Qualifications
REQUIRED QUALIFICATIONS:
* At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.
* Registered Nurse (RN). License must be active and unrestricted in state of practice.
* Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC).
* Experience working within applicable state, federal, and third-party regulations.
* Analytic, problem-solving, and decision-making skills.
* Organizational and time-management skills.
* Attention to detail.
* Critical-thinking and active listening skills.
* Common look proficiency.
* Effective verbal and written communication skills.
* Microsoft Office suite and applicable software program(s) proficiency.
PREFERRED QUALIFICATIONS:
* Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care certifications.
* Nursing experience in critical care, emergency medicine, medical/surgical or pediatrics.
* Billing and coding experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $29.05 - $67.97 / HOURLY
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Utilization Management Nurse
Utilization review nurse job in Little Rock, AR
**Become a part of our caring community and help us put health first** 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.
**Use your skills to make an impact**
**Required Qualifications**
+ Active unrestricted RN license with the ability to obtain Compact Nursing License
+ A minimum of three years clinical RN experience;
+ Prior clinical experience, managed care experience, **OR** utilization management experience
+ Demonstrates Emotional Maturity
+ Ability to work independently and within a team setting
+ 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
**Preferred Qualifications**
+ Education: BSN or bachelor's degree in a related field
+ Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures
+ Previous experience in utilization management within Insurance industry
+ Previous Medicare Advantage/Medicare
+ Current nursing experience in Hospital, SNF, LTAC, DME or Home Health.
+ Bilingual
**Alert**
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
**Interview Format - HireVue**
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
**Work-At-Home Requirements**
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 recommended; 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.
**Benefits**
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
+ Health benefits effective day 1
+ Paid time off, holidays, volunteer time and jury duty pay
+ Recognition pay
+ 401(k) retirement savings plan with employer match
+ Tuition assistance
+ Scholarships for eligible dependents
+ Parental and caregiver leave
+ Employee charity matching program
+ Network Resource Groups (NRGs)
+ Career development opportunities
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: 12-25-2025
**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 *************************************************************
Easy ApplyUtilization Review Pharmacist
Utilization review nurse job in Little Rock, AR
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
Home Infusion Field Nurse - Little Rock
Utilization review nurse job in Little Rock, AR
BHI helps you manage your TDD patients. And your practice.
Today's targeted drug delivery and infusion needs require confident coordination among physicians, provider staff, and patients. BHI helps connect all three to allow doctors to extend care beyond the office, provider staff to centralize management for greater efficiency, and patients to receive TDD right in their own home with experienced nurses. BHI helps bring physicians, provider staff, and patients together for Better Home Infusion.
Basic Home Infusion is hiring for a Home Infusion Nurse in the Little Rock, AR area. This role involves providing high-quality, patient-centered care to individuals receiving intrathecal pain or spasticity management therapy in the comfort of their homes, or in a clinic setting.
You will have the ability to maintain your own schedule while traveling within the area (up to, but not limited to 180 miles). This is a full-time, permanent position that operates Monday-Friday, that operates in the home & in a clinic setting.
Key Responsibilities
· Administer and manage intrathecal pump therapy for patients with chronic pain or spasticity.
· Perform pump refills, reprogramming, and troubleshooting in coordination with prescribing providers.
· Educate patients and caregivers on medication regimens, pump function, and signs of adverse reactions or infection.
· Collaborate with physicians, pharmacists, and other healthcare team members to ensure continuity and quality of care.
· Document all care activities, assessments, and communications accurately and in a timely manner in electronic medical records.
Qualifications
Registered Nurse (RN) with an active, unencumbered license in the state of practice.
Additional licensure or compact status preferred
Minimum 2 years of nursing experience with at least 1 year in home infusion or pain management.
Home health experience preferred
Current BLS certification (ACLS preferred).
Current TB Skin test or QuantiFERON blood test (within the past 12 months)
Excellent clinical judgment, problem-solving, and communication skills.
Comfortable working independently in a home setting and managing a mobile work schedule.
Valid driver's license and reliable transportation
What We Offer:
7 weeks paid, comprehensive training
Classroom training in our newly built Simulation Lab and field training with an assigned Preceptor
Competitive salary and mileage reimbursement.
Comprehensive benefits package (for full-time employees).
Supportive and collaborative clinical team environment.
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 perform one-person CPR continuously, according to American Heart/Red Cross standards.
The employee is frequently required to travel via car, train or plane, stand, sit, walk, see, hear; use hands and fingers regularly, handle, or feel objects, tools, or controls, reach with hands and arms, bend at the knees and waist - such as to access supplies, equipment and patients and administer medications with precision (e.g. using syringes)
The employee must frequently lift and/or move, push and pull equipment, up to 5 pounds and occasionally lift and/or move up to 40 pounds.
Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time. This job description reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned.
At Basic Home Infusion, we are deeply committed to promoting diversity, equity, and inclusion in our provision of intrathecal infusion pain management services. We recognize that these core values are essential for achieving optimal patient outcomes and creating a supportive and inclusive environment for our team members.
MICU Nurse
Utilization review nurse job in Little Rock, AR
Job Summary and Responsibilities As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will leverage your expertise to provide individualized, comprehensive care, making critical assessments, performing skilled procedures, and meticulously implementing patient care plans. You'll collaborate seamlessly within an interdisciplinary team, contributing to a dynamic environment focused on optimal patient outcomes.
To thrive in this vital role, you will possess keen assessment skills, acute critical thinking, and a patient-first mindset, driven by a profound enthusiasm to help others. Your sense of urgency and dedication to excellence in a fast-paced environment will not only support patient recovery but also fuel your own career advancement.
* Assesment
* Performs complete patient assessment.
* Recognizes significant changes in patient status and seeks appropriate resources.
* Coordinates or collects physiologic monitoring data: vital signs, monitor results, lab and diagnostic test results. Performs ongoing assessment according to unit policy.
* Documents assessment in compliance with hospital policy.
* Maintaining plan of care
We are offering a sign on bonus up to $25,000 depending on shift to hires who meet the eligibility requirements. We also offer additional pay for participation in our clinical ladder as well as referral bonuses, excellent benefits, and relocation assistance.
Job Requirements
* Unencumbered license to practice in the State of Arkansas
12 months of acute care experience is required (new graduates or nurses who have never worked in an acute care setting are hired through our residency training program)
* Previous critical care experience is required
* BLS through the American Heart Association is required
* ACLS is required for critical care units
Where You'll Work
CHI St. Vincent, a regional health network serving Arkansas, is part of CommonSpirit Health. We have served Arkansas since 1888 with a history of many firsts. Together with more than 4500 coworkers, 1000 medical staff and 500 volunteers we consistently receive praise for care advancements. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. CHI St. Vincent provides you with the same level of care you provide to others. We care about our team member well-being and offer benefits that complement and support your work/life balance.
MICU Nurse
Utilization review nurse job in Little Rock, AR
Where You'll Work
As a critical care nurse at CHI St Vincent Infirmary you'll monitor patients who are critically ill and unstable following extensive injury, surgery, or life-threatening disease.
You'll begin each shift by taking report from a nursing teammate before making your rounds. You'll provide continued care and perform procedures as detailed in the care plan. This could mean assisting a physician with a chest tube or central line, providing wound care, ensuring patients MRI or CT, or administering medications.
To thrive in this role, you'll heavily depend on your ability to multitask and react. You'll clinically care for your patients- remaining focused and attentive as you continuously monitor your patients throughout your shift. You also serve as their advocate- supporting their best interests when they cannot. However, your sound judgment during an emergency and rapid response are impressive, putting you on the radar for advancement.
About Us:
CHI St Vincent Infirmary is a 600 bed faith-based, non-profit, acute care facility providing quality health care to patients and communities from all over the State of Arkansas. Our level II trauma center is a regional referral center for cardiology, trauma, behavioral health, cancer care, neurosciences, and other specialties. We have been consistently named by US News & World Report as one of the State's best hospitals, with high performance in heart care, colorectal surgery, and joint replacement.
If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us.
Job Summary and Responsibilities
Assesses, plans, and implements nursing care while ensuring patient comfort
Anticipates, identifies, and responds to informational and emotional needs of patients and families
Guides and directs healthcare personnel (i.e., Patient Care Technicians) in caring for patients
Maintains knowledge of equipment setup, maintenance, and use (i.e., IV pumps, monitoring equipment, and drainage devices) Utilizes safeguards such as IV pump drug library and monitor alarms with necessary
Initiates emergency support measures (i.e., cardiopulmonary resuscitation, protecting patient from injury)
Assists with patient care duties/tasks (i.e., emptying drainage devices, ambulating, and hygiene)
We are offering a
sign on bonus up to $25,000 depending on shift
to hires who meet the eligibility requirements. We also offer additional pay for participation in our clinical ladder as well as referral bonuses, excellent benefits, and relocation assistance.
Job Requirements
Unencumbered license to practice in the State of Arkansas
12 months of acute care experience is required (new graduates or nurses who have never worked in an acute care setting are hired through our residency training program)
Previous critical care experience is preferred, but not required
BLS through the American Heart Association is required
ACLS is required for critical care units
Auto-ApplyMechanical Circulatory Support Nurse
Utilization review nurse job in Little Rock, AR
**Job Summary and Responsibilities** + Proficiently cares for and assists in the patient and MCS device in which the patient is currently on. + Proficiently performs safety checks on MCS devices and understands the appropriate steps when an unexpected or emergency situation occurs.
+ Monitors pump functioning throughout patient therapy and maintains pump integrity; monitors circuit volume and administers products, medications and/or volumes as ordered; monitors anticoagulation, electrolyte acid-base balance and blood gas composition volumes and adjusts MCS device to maintain physician orders.
+ With the MCS coordinator, Intensivist APRN or perfusion sets up and primes ECMO circuits; initiates and maintains extracorporeal life support according to protocols.
+ With the MCS coordinator, Intensivist APRN or perfusion assists with logistics of cannulation, decannulation, and in-house transport of patients on MCS.
+ With the MCS Coordinator, Intensivist APRN and perfusion department manages planned and emergent disruption of MCS. Assists with the replacement of components under normal and emergent conditions.
+ Proficiently and Safely recovers and takes care of open heart surgeries, vascular and thoracic surgeries
**Job Requirements**
+ Active RN license to practice in the state of Arkansas
+ 1 year of experience as an RN/Charge RN in a CVICU/MCS setting
+ Must be competent in the following roles: charge nurse & preceptor Must be proficient in the following device/surgeries: ECMO, LVAD, impella, CRRT, IABP, swan ganz, and recovery of open heart surgery
+ BLS through the American Heart Association is required
+ ACLS through the American Heart Association is required
**Where You'll Work**
As our Mechanical Circulatory Support Nurse at CHI St Vincent Infirmary, you'll monitor patients who are critically ill and unstable following extensive injury, surgery, or life-threatening disease. You'll provide continued care and perform procedures as detailed in the care plan. CVICU Nurses deliver care to patients in critical condition who are suffering heart problems. These patients are often coming out of cardiac surgery and require a very specialized level of care.
To thrive in this role, you'll heavily depend on your ability to multitask and react. You'll clinically care for your patients- remaining focused and attentive as you continuously monitor your patients throughout your shift. You also serve as their advocate- supporting their best interests when they cannot. However, your sound judgment during an emergency and rapid response are impressive, putting you on the radar for advancement.
**About Us:**
**CHI St Vincent Infirmary** is a 600 bed faith-based, non-profit, acute care facility providing quality health care to patients and communities from all over the State of Arkansas. Our level II trauma center is a regional referral center for cardiology, trauma, behavioral health, cancer care, neurosciences, and other specialties. We have been consistently named by US News & World Report as one of the State's best hospitals, with high performance in heart care, colorectal surgery, and joint replacement.
If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us.
**Pay Range**
$35.42 - $46.72 /hour
We are an equal opportunity/affirmative action employer.
Preschool Nurse
Utilization review nurse job in Little Rock, AR
Summary: Provides quality medical treatment and training and participates as part of multidisciplinary team to ensure that medical care services are provided according to Medicaid and Child Care licensing standards and in congruence with the nurse practice act.
Essential Duties and Responsibilities: include the following: other duties may be assigned.
Care of Children
Collects admission data to determine nursing care needs. Provides nursing care to children.
Contacts parents and other medical providers regarding the medical care and/or condition of child as necessary.
Develops/Implements a nursing care plan, documents nursing services provided per established policies and/or procedures and bills for nursing services provided for children who are medically fragile or have complex medical needs or both where nursing services are prescribed by the child's primary care physician in accordance with the Arkansas Medicaid Early Intervention Day Treatment (EIDT) regulations. Nursing services are defined as the following, or similar, activities:
Assisting ventilator-dependent beneficiaries
Tracheostomy: suctioning and care
Feeding tube: feeding, care and maintenance
Catheterizations
Breathing treatments
Monitoring of vital statistics, including diabetes sugar checks, insulin, blood draws, and pulse ox
Administration of medication when combined with another nursing service above or similar activity.
Ensures current (in the last 12 months) action plans are in place for children with a history of allergies, seizures, or asthma. Ensures classroom staff are knowledgeable of action plans for each child, as applicable, and are trained on appropriate measures of response. Ensures rescue medications are available and current.
Performs and documents completion of technical nursing tasks and interventions, including medication administration, according to Easterseals Arkansas (ESA) policy or procedure and Arkansas State Board of Nursing (ARSBN) guidelines.
Assesses and documents response of the child to nursing interventions.
Trains preschool staff on various topics and tasks including, but not limited to signs and symptoms of distress, seizure management, allergies, use of thickening agents, and other delegable tasks including, but not limited to tube feeding, colostomy, ileostomy management, trach management, etc. Documents training and ensures a copy of documentation is sent to Human Resources for inclusion in the employee file.
Delegates tasks within scope of nursing license with regular and documented monitoring to ensure strict adherence to policies and procedures.
Follows Easterseals emergency procedures including, but not limited to a medical emergency, fire, tornado, earthquake, power outage and evacuation.
Ensures emergency medical equipment (suction, pulse ox, vital signs monitor, thermometer, AED where applicable, etc.) is available and in good working order daily.
Records and Files
Prepares and maintains a file for each child. Records weight and height measures and medical history.
Reviews and maintains immunization history and alerts preschool director if immunizations are delinquent.
Counts and records daily the number and type of controlled drugs present. Ensures expired medications are returned to the parent or disposed of following ESA policy or procedure. Ensures as children are discharged from preschool that medications are returned to the parent or disposed of following ESA policy or procedure.
Requests authorization for nursing services from payer sources as needed and ensures no lapse in approval time frame.
Maintains inventory of supplies. Notifies preschool director or preschool administrative assistant when additional supplies are needed.
Attends training as requested by the preschool director. Completes initial and annual training required by Department of Human Services (DHS) Division of Disability Services (DDS) or Division of Provider Services and Quality Assurance (DPSQA), Child Care Licensing and Commission on Accreditation of Rehabilitation Facilities (CARF). Completes initial and annual training required by Easterseals Arkansas.
Organizes the workload or assignments to ensure completion.
Nursing Program
Identifies any medical needs of new children prior to enrollment to ensure staff are trained and equipment is available to meet the medical care needs of the child.
Attends team meetings as needed for enrollment decision-making and for the development and review of the Individualized Treatment Plan (ITP).
Reviews policies and procedures and makes recommendations for revision or for new procedures where clear documentation does not exist or a new process is implemented.
Quality Assurance
Assists in any audit or investigation by a regulatory, licensing, or accrediting body (DDS, DPSQA, CARF, etc.) or by law enforcement.
Assists in formal or informal health and safety audits in preschool as requested.
Multidisciplinary Team
Participates in the development and review of the initial Individual Treatment Plan (ITP) and attends multidisciplinary team meetings as needed.
Ensures consistent communication with parents and/or advocates of children relative to medical care including obtaining needed consultations, discussing recommendations with parents/guardians/advocates, and developing and evaluation/treatment plans as indicated.
Discusses program expectations and program changes with Preschool Director. Communicates medical care expectations and/or changes for a child to team members for consistency and reinforcement throughout disciplines.
Completes paperwork and other documentation required by ESA or preschool policy and procedure, licensing agencies, and funding sources, e.g. progress notes, medication administration records, assessments, flow sheets, etc.
Supervisory Responsibilities:
None.
Compliance/HIPAA:
While performing the duties of this job, employee will comply with all federal, state and local laws and regulations pertaining to Easterseals Arkansas.
Employee has access to all children's protected health information within his/her program. Employee will not attempt to access any other protected health information unless otherwise approved by Supervisor or Privacy Officer.
Qualifications:
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.
Education and/or Experience:
Must be a licensed nurse (LPN or RN) in the state of Arkansas. Registered nurse preferred.
Language Skills:
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, customers, and the general public.
Mathematical Skills:
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.
Reasoning Ability:
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills:
Moderate work process, database, and spreadsheet skills required.
Basic Internet and email skills
Certificates, Licenses, Registrations:
Licensed as a Registered Nurse or Licensed Practical Nurse in the state of Arkansas
Other Skills and Abilities:
CPR Certification
First Aid Certification
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.
While performing the duties of this Job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; stoop, kneel, crouch, or crawl and talk or hear. The employee is frequently required to sit. The employee is occasionally required to reach with hands and arms; climb or balance and taste or smell. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
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.
While performing the duties of this Job, the employee is occasionally exposed to moving mechanical parts and outside weather conditions. The noise level in the work environment is usually moderate.
EEO Statement:
Easterseals Arkansas is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate in employment opportunities and practices on the basis of race, color, citizenship status, national origin, ancestry, gender, sexual orientation, creed, physical or mental disability, age, religion, marital status, veteran status, genetic information or any other characteristic protected by law.
Easterseals Arkansas has designated this position as a “safety sensitive” position under the Arkansas Medical Marijuana Amendment.
Requirements:
Appeals Nurse
Utilization review nurse job in Little Rock, AR
**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures while complying with timeliness guidelines. Our team values collaboration, continuous learning, and a customer-centric approach, ensuring that every team member contributes to providing better health outcomes for the Clients and Members we serve.
**Collaboration Opportunities:**
The Specialty Appeal nurses work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators who set up the appeal, Physicians and other Clinicians who review the appeal, and managers for direction and leadership. The Appeals teamwork strategies and opportunities for collaboration include all-team and individual team meetings, Teams chats, and monthly communication on team metrics and accomplishments.
**What You Will Be Doing:**
+ Practices and maintains the principles of utilization management and appeals management by adhering to company policies and procedures.
+ Documents communications with medical office staff and/or MD provider as required.
+ Interfaces with other departments to satisfactorily resolve issues related to appeals and retrospective reviews.
+ Provides optimum customer service through professional and accurate communication while maintaining accreditation and health plan's required timeframes.
+ Refers cases to appropriate internal reviewers according to the business needs of the particular health plan.
+ Reviews requests for Urgent appeals compared to expedited criteria for downgrade to Standard processing, documenting accordingly.
+ Works closely with the appeals-dedicated Clinical Reviewers to ensure timely adjudication of processed appeals.
+ Other duties as assigned.
**Qualifications Required and Preferred:**
+ 1-3 years' experience and as an RN - **Required**
+ Minimum of 5 years in Utilization Management, health care Appeals, compliance and/or grievances/complaints in a quality improvement environment- **Required**
+ Able to work in a rotation to work 10:30am to 7pm CST (which includes 30-minute unpaid lunch break) 3 days/week, to meet the business needs of nurses providing coverage until 7:00pm CST. - **Required**
+ Must be able to exercise independent and sound judgment in clinical decision making. - **Preferred**
+ Able to navigate through internal and external computer systems. Working knowledge of Microsoft Office Product Suit - **Preferred**
+ Strong organizational and effective time management skills; demonstrated ability to manage multiple priorities. - **Preferred**
+ Outstanding interpersonal and negotiation skills to effectively establish positive relationships both internally and externally, including strong written and verbal communication skills. - **Preferred**
To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration.
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.**
The expected base salary/wage range for this position is $37- $42/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
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Np - 20308940
Utilization review nurse job in Little Rock, AR
• Advanced Practice Registered Nurse (APRNs)/Physician Assistant (PA) collaborates with physicians and works with other healthcare providers as needed to individualize the healthcare needs of their patients. APRN/PA provides diagnosis and treatment of health problems; focus on the effects health problems have on the patient and the family; explain health problems and the effects of medications; emphasize wellness and self-care; and manage their own case load.
• APRN/PAs with prescriptive authority maintain a current collaboration agreement with a physician (as well as a physician who is available in their absence) who contractually agrees to be available for consultation and referral while maintaining the appropriate contracts as required by the Arkansas State Board of Nursing/State Medical Board.
• APRN/PAs perform physical exams; order/ interpret lab and radiologic studies; diagnose and treat acute and chronic health problems; provide health maintenance; and promote healthy lifestyles for patients.
Work Schedule
• Work schedules are agreed upon by the collaborative physician, Chief Clinical Officer (CCO) and APRN/PA to meet the needs of the patients.
Primary Duties:
• Conducts comprehensive patient assessments according to patients presenting symptoms, progress and age-specific parameters.
• Documents findings and communicates all pertinent information to interdisciplinary team members and collaborative physician(s) as appropriate.
• Coordinates with interdisciplinary team members in the development, evaluation, and revision of the plan of care as appropriate to meet the patients needs and goals.
• Provides competent care and ensures the provision of a safe and comforting environment resulting in a high level of patient satisfaction.
• Provides education to patients/families/significant others, incorporating age-specific criteria and assessment of readiness to learn.
• Maintains patient confidentiality.
• Maintains standard universal precautions.
• Prescribes and administers medications as outlined by prescriptive authority contract and completes treatments according to policies and within age-specific parameters.
• Maintains and completes all required patient record documentation.
• Directs admission and discharge planning in conjunction with interdisciplinary team identifying discharge medications, writing prescriptions, outlining dietary restrictions, discharge activities and follow up appointments to facilitate discharge process.
• Utilizes critical thinking skills and decision making at an advanced level, i.e., lab, diagnostic test interpretation, etc.
Qualifications/Specifications
• Education: Graduate of an accredited Masters level program of nursing education that fulfills completion requirements for Advanced Practice Registered Nursing. Will consider grandfathered BSN graduates that have fulfilled educational requirements to obtain Advanced Practice licensure as required by the Arkansas State Board of Nursing or Physician Assistant (PA) degree from a school accredited by the Arkansas State Medical Board (ASMB) required.
• Licensure/Certification: Possession of an active current Arkansas Registered Nurse license and an Arkansas Advanced Practice Nurse license, active current certification by a nationally certifying body or Possession of an active current PA license issued by the ASMB and current Certified Physician Assistant (PAC), as issued by the National Commission on Certification of Physician Assistants (NCCPA) required. Current BLS and ACLS certifications. Eligible for or has current Medicare provider number and DEA registration. Certification(s) is to be renewed by recommended renewal date on certification card.
• Experience: Minimum of one-year experience as an Acute Care Nurse Practitioner or Physician Assistant preferred.
Cath Lab Nurse
Utilization review nurse job in Little Rock, AR
Where You'll Work
CHI St. Vincent, a regional health network serving Arkansas, is part of CommonSpirit Health. We have served Arkansas since 1888 with a history of many firsts. Together with more than 4500 coworkers, 1000 medical staff and 500 volunteers we consistently receive praise for care advancements. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. CHI St. Vincent provides you with the same level of care you provide to others. We care about our team member well-being and offer benefits that complement and support your work/life balance.
Job Summary and Responsibilities
As our Cardiac Cath Lab Nurse at CHI St Vincent Infirmary, you'll care for patients who may have life-threatening cardiac events or conditions while helping their families navigate daily care and the long-term plan for healing and maintenance outside of the hospital.
Your success in this role comes from your enthusiasm to go the extra mile for your patients and your strong assessment skills. To further support your nursing career, we offer continuing education opportunities to help you advance your clinical nursing skills.
Monitoring patients' conditions and assessing their needs
Collaborating with physicians and nurses to devise individualized care plans for patients
Administering patients' medications and providing treatments according to physicians' orders
Fostering a supportive and compassionate environment to care for patients and their families
Job Requirements
Unencumbered license to practice in the State of Arkansas
1 year of cath lab experience is required for PRN
BLS through the American Heart Association is required
Must be able to participate on a rotating call schedule and report to the hospital within 30 minutes of call
Not ready to apply, or can't find a relevant opportunity?
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Auto-ApplyProcedure Nurse
Utilization review nurse job in Little Rock, AR
Description:
Job Title: Procedure Nurse
Supervisor: Clinical Director
Employment Type: Full-Time
FLSA Classification: Non-Exempt
Requirements:
SUMMARY OF RESPONSIBILITIES
The position of Procedure Nurse is responsible for assisting the physician and other staff with caring for the patient before, during and after procedures.
ESSENTIAL FUNCTIONS
During procedures, the essential functions of the Procedure Nurse position can be divided into the following three categories - (a) Circulating, (b) Moderate Sedation, and (c) Pre/Post-Operative. On any given day, the Procedure Nurse may be responsible for performing some or all of these functions, depending on the nature of the procedure, the direction of the Provider and the number and qualifications of other nurses present during the procedure.
Circulating - In the procedure room, the Circulating Nurse manages all necessary care, assisting the team in maintaining and creating a comfortable, safe environment, for the patient and observing the team from a wide perspective. The Circulating Nurse uses critical thinking and assessment to direct care and activities for the team for the patient's best interest. The essential functions of this role include, but are not limited to, the following:
(1) Understanding principles of asepsis and sterile technique.
(2) Must be knowledgeable about how to separate specialized equipment used in the procedure room.
(3) Inventories all items both pre-post procedure.
(4) Prepares procedure room for patient/procedure.
(5) Ensures that the correct procedure is performed on correct patient using at least two patient identifiers.
(6) Response to life-saving situations based on nursing standard and protocol.
(7) Must be knowledgeable about how to position a patient to prevent complications and injury.
(8) Opening sterile supplies and overseeing/maintaining a sterile field.
(9) Follows facility's OSHA safety rules and procedures.
(10) Assisting patient in transferring patient from stretcher to procedure table and vice versa.
(11) Assisting the sedation nurse with record, timekeeping and monitoring vital signs.
(12) Applying appropriate monitors before each procedure.
(13) Reporting any pertinent information to pre/post op nurse.
(14) Other related duties as assigned.
Moderate Sedation -- The Moderate Sedation Nurse is responsible for administering moderate sedation within the RN Scope of Practice in compliance with the Arkansas State Board of Nursing and the Arkansas Nurse Practice Act. The essential functions of this role include, but are not limited to, the following:
(1) Demonstrating knowledge of anatomy, physiology, pharmacology, cardiac arrhythmia recognition and complications related to sedation/analgesia medications.
(2) Observes and checks all monitors prior to procedure to ensure proper function and patient safety.
(3) Assessing total patient care requirements before, during and after administration of sedation/analgesic medication.
(4) Understanding principles of oxygen delivery, respiratory physiology, transport/uptake. And demonstrating the ability to use oxygen delivery devices.
(5) Recognizing potential complications of sedation/analgesia for each type of agent being administered.
(6) Possessing the required knowledge and skills to assess, diagnose and intervene in the event of complications or undesired outcomes to institute nursing interventions in compliance with orders (including standing orders) and institutional protocols.
(7) Follows facility's OSHA safety rules and procedures.
(8) Other related duties as assigned.
Pre/Post-Operative -- The Pre/Post-Operative Nurse provides quality care to the perioperative patient. Responsible for clinical partnering with physicians and other staff so that patients achieve their desired outcome. The essential functions of this role include, but are not limited to, the following:
(1) Assessing patients prior to and after procedures.
(2) Ensuring operative consents are signed, dated and timed.
(3) Obtaining and recording vital signs before and after procedure.
(4) Initiating intravenous therapy when applicable.
(5) Responsible for educating the perioperative patient about the risks and benefits associated with procedures as well as what to expect after procedures.
(6) Assessing patients' post-operative condition to ensure that all discharge criteria have been met.
(7) Recording findings in patient record.
(8) Monitoring patient for condition changes and reporting any changes to physician.
(9) Performing intervention duties in case of emergency.
(10) Other related duties as assigned.
CORE COMPETENCIES
Excellent oral and written communication skills
Strong telephone communication skills
Knowledge of current medical terminology to communicate with physician, staff, and patients
High level of attention to detail
Strong organization, filing, and time management skills
Basic computer literacy and typing
Patient focused
REQUIRED EDUCATION, EXPERIENCE, AND/OR CERTIFICATIONS
The position requires a valid, unrestricted Arkansas Registered Nurse license, ACLS and BLS certification, current influenza vaccination, proof of current TB skin test. One (1) year of prior relevant experience is preferred.
WORKING ENVIRONMENT AND PHYSICAL DEMANDS
This is a full-time position. Days and hours of work are expected to include 7:00 a.m. to 5:00 p.m. Occasional overtime may be required. The position operates in a professional office environment and the incumbent, in the course of performing this position, spends time writing, typing, speaking, listening, driving, seeing (such as close, color and peripheral vision, depth perception and adjusted focus), sitting, walking, standing, and reaching. The incumbent may operate any or all of the following standard office equipment including but not limited to multi-line telephone system, postage mater, facsimile machines, calculator, photocopy machine, computer/printer, and coffee maker. The incumbent may operate medical equipment. The work environment characteristics and physical demands described here are representative of those an employee encounters while performing the essential functions of this job.
OTHER
Employee performance, in part, is evaluated based upon completion of the tasks listed herein. PTCOA/ISI reserves the right to change this job description at any time according to business needs and/or assign tasks that it may deem appropriate. This document does not represent a contract of employment, and employment with PTCOA/ISI may be terminated by the employee or employer at any time, for any reason.
Injection & Diagnostic Testing Nurse
Utilization review nurse job in Jacksonville, AR
Primary Function: Provide professional nursing assistance to the physicians and staff at Jacksonville medical Care by working as a team to provide quality healthcare to patients. Heishe should maintain the proper skills, knowledge, licensure, and supplies to provide these services
Reports to: Clinic Supervisor/Administration
Supervises: None
Typical Duties:
Provide professional assistance to physician and staff, working as a team to provide quality healthcare to patients.
Maintains responsibilities of injection and diagnostic room functions.
Prepares the injection and diagnostic rooms with the proper equipment and supplies necessary for daily operation.
Maintains a clean and organized work environment.
Prints immunization records daily to the nurses to help prepare the nurses and physicians for any minor aged patients that may have appointments that day.
Provides an abundant number of patients with maintenance injections, post office visit ordered injections (le. antibiotics, steroids, etc.) or post visit diagnostic testing, immunizations and immunization records. Performs diagnostic testing such as vision, audiometry and spirometry and provides the results of those testing to the physicians and nurses. Returns any and all messages and phone calls from staff and patients.
Enters all pertinent injection information into the EMR such as medication, lot and expiration information, date, site and any notes that may apply to the injection or patient.
Conducts urine drug screen collections for our industrial accounts as well as prescription monitoring drug screen collections for the physicians. Sees that the collections are shipped out to the proper processing laboratories. Reports the results in a professional and timely manner to the perspective recipients. Maintains organized and detailed records of urine drug screen chain of custody and requisition forms and the results of those screenings.
Orders and maintains an adequate inventory of vaccines (private, VFC & Schip) and routine medications used daily throughout the clinic.
Vaccine For Children and Schip administrator. Responsible for VFC/Schip vaccine ordering, correct temperature vaccine storage, updating immunizations in the VVebli for all immunizations given for children aged 0 months to 22 years. Prepares for annual audit of the VFC and Schip program within the clinic.
Provides nursing assistance to the physicians, physician's nurses and administration. This includes medication research, research of medication costs, ordering of medications that are atypical in daily clinic use, providing Updated medication and/or vaccine information and pharmacology to the physicians, nurses and staff as well as injection and vaccine guidance and any physical h011that may be requested.
Orchestrates the annual flu vaccine, flu shot forms and necessary paperwork distribution to the nurses and pods to begin the annual clinic flu shot season.
Responsible for all physician and staff annual TB skin test application or OM and reporting of results to HR.
Conforms to the clinic handbook and follows office guidelines set forth in the Policy and Procedure Manuel.
Conveys the clinic purpose to patients, physicians, and staff.
Attends and participates in all in-service, department, and clinic meetings.
Supports management decisions and makes recommendations for improvements.
Co-operates with management, physicians and other staff members
Meets attendance standards.
Performs other duties as assigned by administration.
Requirements
Prerequisites:
Must hold a valid nursing or medical assistant license.
Must be familiar with basic medical office procedures.
Must have a working knowledge of OSHA and HIPPA regulations.
Physical Requirements
Must be able to stand 6-8 hours daily
Must be able to assist a patient standing, walking, and getting on/off exam tables and equipment
Must be able to multitask and work in stressful situations
Travel Nurse Clinical Instructor
Utilization review nurse job in Little Rock, AR
Please read before applying: * This is NOT a remote or classroom teaching role. * To be considered, candidates must be willing to travel up to 100% of the time to various locations across the US during clinical rotations. Nightingale faculty are required to work all three 15-week semesters (spring, summer, fall). Clinical rotations take place during at least 11 of these weeks.
* This is NOT a state-specific travel position. Assignments can be located across the country in any of the Supervised On-Ground Field Experience (SOFE) Areas (click the hyperlink to see a map of all of our SOFE Areas).
* The organization will provide travel and lodging accommodations.
Travel Nurse Clinical Instructor
Position Summary:
The Travel Nurse Clinical Instructor (internally referred to as Assistant Professor, Nursing Education) facilitates on-ground education instruction by incorporating innovative teaching methodologies, cutting-edge technologies, and other industry trends reflecting advancements in the discipline by promoting an interdisciplinary approach to advanced practice nursing education and healthcare delivery within and outside the College. The incumbent will be accountable for delivering the nursing curriculum in accordance with the Program's mission, vision, values, and purposes. The Assistant Professor will engage with learners in all aspects of the nursing education process, including evaluating the potential for achievement in the program, and is accountable for Nursing Education Services' successful attainment of key performance indicators, program and functional outcomes, and the success of the College's mission. The Assistant Professor functions as a valued team member within the nursing faculty.
Role and Responsibilities:
* Facilitates learning in the various supervised on-ground focused education (SOFE) sites, including clinical, simulation, or skills labs across the United States.
* Responsible for teaching and evaluating learners in the Practical Nursing, Baccalaureate, and Master's Degree Nursing Programs.
* Monitors, engages, and maintains open communication with learners in all aspects of the nursing education process, including attendance, performance, comprehension, and evaluation in accordance with course outcomes, and submits required reports according to published deadlines.
* Adheres to and holds learners accountable for partner facilities' expectations.
* Attends nursing faculty meetings, participates in committees, engages in shared decision-making, and other faculty activities as required.
* May be assigned to various modalities, including experiential, didactic, evaluations, and NCLEX coaching based on the needs of the College.
* May carry additional teaching load outside of primary assignment.
* Participates in the successful implementation of other functional projects as they arise.
* Other duties as assigned.
Qualifications and Education Requirements:
* Earned Graduate degree with a major in nursing from an accredited institution supplemented by 0-1 year of relevant experience.
* Active, unencumbered RN or APRN license from state of residence and ability to obtain RN and NP licensure in any jurisdiction required by the College, including a valid multi-state license.
* Either has an earned Certified Nurse Educator (CNE) credential or commits to obtaining this certification within a one-year period.
* Maintains current knowledge in multiple areas of nursing practice.
* Two (2) years of experience in clinical nursing, within the past five (5) years.
* Two (2) years of experience supervising clinical education activities preferred.
* Maintains immunizations and certification records as required by accreditation, facility, or state board of nursing.
* Additional Contributions: Annual Professional Development, Service as SME, Service on Committees, and learner load will be congruent with current faculty matrix for the assigned course(s).
* One (1) year of experience in delivery of Concept-Based Nursing Education is preferred.
* One (1) year of distance education experience preferred.
* Familiarity with learning management software, Canvas preferred.
* Proficiency in modern technology platforms and ability to quickly adapt to various software.
Reminder:
* This is NOT a remote or classroom teaching role.
* This position requires 100% travel to help facilitate on-ground clinical experiential learning.
* This is NOT a state-specific travel position; assignments can be located across the U.S. at any of the Nightingale SOFE Areas.
COMPENSATION & FACULTY LADDER: Nightingale College utilizes a faculty ladder with five levels to determine salary and position title. Nursing Education has the following levels: Instructor, Assistant Professor I, Assistant Professor II, Associate Professor, and Professor. Placement on the faculty ladder is determined at the time of an offer and is based on degree level and years of nursing academia experience.
Budgeted Hiring Range
$93,500-$102,850 USD
All new hires are required to attend New Collaborator Orientation (NCO) in Salt Lake City, Utah. The College will cover travel, lodging, and other accommodations.
Nightingale's commitment to diversity and inclusion is reflected both in our learners and collaborators because we believe the best outcomes for learners from underserved and diverse populations are achieved through collaborators with similar backgrounds and cultures. Nightingale Education Group is an equal opportunity employer.
Our Mission (not just words on the wall, we live it, love it, and daily contribute to it): With the primary focus on higher learning in healthcare professions, Nightingale Education Group contributes to elevating education, health, and employment systems through facilitation of academic achievement, personal growth, and professional development of its learners, alumni, and collaborators, while serving diverse communities.
At Nightingale Education Group, our Innovative Education model helps transform rural health landscapes through our blended-distance learning platform. Every person involved with Nightingale Education Group helps to change the lives of our learners, our communities, and ultimately the world by adding to the quality of healthcare. We are proud to have graduated nearly 5,000 nurses serving communities in need. We are serious about our outcomes and have a little bit of fun getting there.
The professional and personal development of our learners and our collaborators is our company's foundation. Not only do we develop strategies that promote a positive work-life integration, but we also create an environment that invites you to become an expert in your field, be it through higher education or professional development. Put simply, we elevate employment, elevate health, and elevate education. We're so happy that you've found us!
Employment is contingent upon successful completion of a background check and drug screen.
Auto-ApplyMed Pass Nurse (LPN/RN)
Utilization review nurse job in Jacksonville, AR
Job Description
Works under the direction of the Program Administrator, their designee or the RN Consultant. Prepares and provides assistance to Pathfinder Registered Nurses, staff, individuals served, parents, and/or legally responsible person of the consumers we serve. Administers medication and renders first aid and subsequent treatment to injured or ill clients as needed and qualified to perform. Is responsible for recording and charting of all medication during duties related to nursing.
MONDAY-FRIDAY, 5:15AM-8:00AM; EOW
ESSENTIAL DUTIES AND RESPONSIBILITIES
Insures that the facility is in compliance with ICF/DD regulations as it pertains to nursing care.
Administers prescribed and treatment medications.
Follows Individual Client's Self-Administer Program as outlined in the client's IPP.
Responsible for ordering and receiving medications and other documentation required by ICF/DD regulations in regards to the medicine program.
Ensures accurate count and documentation of controlled medications/substances and prepares the return of unused controlled drugs to the Health Department as required by law.
Documents in client medical record as required by facility.
Sterilizes, disinfects, anoints, and bandages minor cuts and burns.
Administers medications, such as aspirin or antiseptic solution, to relieve pain or prevent infection until patient can receive professional care, and gives prescribed medicines and treatments for illness.
Visits residents three to four times a day to administer/monitor and chart medications.
Trains residents in self-medication (SAM).
Gives tube feedings as necessary.
Notifies families of infectious diseases.
Maintains client medical control file.
Performs any other related duties as required or assigned.
EDUCATION AND EXPERIENCE
Equivalent of four years in high school, plus night, trade extension, or correspondence school and/or specialized training, equal to two years of college
Must have a current Arkansas State License as a Licensed Practical Nurse or Registered Nurse License.
Must possess current Arkansas driver's license, have current auto liability insurance and registration, and be physically able to drive to various locations in Arkansas.
MUST BE ABLE TO PASS APPLICABLE BACKGROUND CHECKS AND DRUG SCREEN. ANY OFFER OF EMPLOYMENT WILL BE BASED ON THE RESULTS OF BACKGROUND CHECKS AND DRUG SCREEN.
Substitute Nurse - Jacksonville North Pulaski
Utilization review nurse job in Jacksonville, AR
**We are hiring substitute school nurses in Jacksonville North Pulaski School District.** Remember that school district employee who made a difference in your life? Now it's your turn! Substitutes nurses are essential in ensuring students continue to learn and grow every day. A substitute school nurse may also be referred to as Registered Nurse (RN) or Licensed Practical Nurse (LPN).
**Working in a school district is rewarding. We would love for you to join our team.**
**Minimum Requirements:**
- 18+ years of age
- High school diploma or GED
- Licensed Practical Nurse or Registered Nurse
- Arkansas Division of Elementary & Secondary Education background clearance
**Substitute School Nurse Pay Rates:**
- Licensed Practical Nurse: $20 per hour
- Registered Nurse: $30 per hour
**Responsibilities:**
- Provides health care services to students by performing the following essential duties and responsibilities:
- Participates in medical examinations and reviews findings to evaluate health status of pupils and progress of program.
- Cooperates with school personnel in identifying and meeting social, emotional, and physical needs of school children.
- Administers immunizations, provides first-aid, and maintains health records of students.
- Counsels students in good health habits.
- Assists in maintaining a healthy, safe, learning environment by promoting OSHA Standards relevant to bio-hazardous materials, hepatitis, and first aid-CPR training.
- Monitors and follows all aspects of dispensing medication (prescription or over-the-counter) to students at school, according to school protocol and policies and procedures to include proper provider authorization, parental request, proper administration, and timely documentation.
- Verifies the identity of each student and dosage instructions with office administration before medicine (prescription or over-the-counter) is dispensed to a student.
- Collaborates with school office staff, principal, and/or parents regarding students identified for exclusion due to medical reasons.
**Perks you'll enjoy with Kelly Education:**
- Free online classroom management training to help you become a capable, confident classroom leader
- Free ongoing professional development to keep your skills sharp
- Paid orientation on district policies and procedures
- Weekly pay
- Kelly benefits: MyKelly (************************
- Ability to build a work schedule that works for you
- Ability to select your preferred school locations
**Next steps:**
Apply Now! We will reach out shortly with your next steps.
**About Kelly **
At Kelly, we're always thinking about what's next and advising job seekers on new ways of working to reach their full potential. In fact, we're a leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live (plus, did we mention we provide a ton of benefits (***************************************** ?). Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.
Kelly is an equal opportunity employer committed to employing a diverse workforce and providing accommodations for people with disabilities in all parts of the hiring process as required under its Employment Accommodation Policy. Kelly will work with applicants to meet accommodation needs that are made known to Kelly in advance.
As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here (********************************************************************* for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.
Why Kelly Education?
Looking for meaningful work that enriches the lives of students? At Kelly Education, we connect passionate people with great jobs in schools all across the country. Whether you're looking to work a few days a week or every day, want to work in a teaching or non-teaching role-we'll connect you with flexible work you can feel good about. Even if you're new to the education field, our thorough training and orientation will prepare you to be successful.
About Kelly
Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life-just ask the 300,000 people we employ each year.
Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly's Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment.
Nursing - Medsurg
Utilization review nurse job in Hot Springs, AR
Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details.
Ventura MedStaff benefits represent the care and compassion we provide for our clients.
• Health, dental, vision, life, disability benefits and 401k
• Tax free stipends when applicable
• Gym discounts
• Weekly pay
• $750.00 referral bonus
Please apply or contract us at: *********************** or ************
ER Nurse
Utilization review nurse job in Little Rock, AR
Where You'll Work
CHI St. Vincent, a regional health network serving Arkansas, is part of CommonSpirit Health. We have served Arkansas since 1888 with a history of many firsts. Together with more than 4500 coworkers, 1000 medical staff and 500 volunteers we consistently receive praise for care advancements. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. CHI St. Vincent provides you with the same level of care you provide to others. We care about our team member well-being and offer benefits that complement and support your work/life balance.
Job Summary and Responsibilities
As an ER Nurse at CHI St Vincent Infirmary, now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, you'll be the first touchpoint to the people in our community during health emergencies.
No two days in emergency nursing are ever the same. You're a multitasker who can react quickly as you'll prioritize patients based on their medical necessity while you're providing emergency triage to others. As part of our ER team, you'll partner with an experienced clinical team to deliver stabilizing care to our patients by performing IV starts, foley catheter insertions, or aiding providers with chest tube insertions.
To thrive as an ER nurse, you should exhibit teamwork, professionalism, critical thinking skills, and a willingness to take on additional projects such as patient experience initiatives. More than anything, you should be energetic and motivated to provide quality care to all of our patients, maintaining their dignity at every step.
Use emergency triage protocol to intake, discharge or admit patients.
Deliver stabilizing care to emergency patients of all ages as part of the larger ER team, adapting care to changes in patient's condition as needed.
Use knowledge of cultural differences to provide patient care that is sensitive to and consistent with cultural values, beliefs, and customs. Document the nursing care plan and changes in the patient's condition.
Engage in other activities that will benefit patient outcomes, such as patient experience initiatives, mentoring, etc.
Job Requirements
Unencumbered license to practice in the State of Arkansas
1 year of ER experience is required for PRN
BLS through the American Heart Association is required
ACLS, PALS, and TNCC are required for Emergency Department
Auto-ApplyCardiovascular Surgery Nurse
Utilization review nurse job in Little Rock, AR
Job Summary and Responsibilities * Assesses, plans, and implements nursing care in the CVOR while ensuring patient comfort * Anticipates, identifies, and responds to informational and emotional needs of patients and families * Guides and directs healthcare personnel (i.e., Patient Care Technicians) in caring for patients
* Maintains knowledge of equipment setup, maintenance, and use (i.e., IV pumps, monitoring equipment, and drainage devices) Utilizes safeguards such as IV pump drug library and monitor alarms with necessary
* Initiates emergency support measures (i.e., cardiopulmonary resuscitation, protecting patient from injury)
* Assists with patient care duties/tasks (i.e., emptying drainage devices, ambulating, and hygiene)
We are offering a sign on bonus up to $25,000 depending on shift to hires who meet the eligibility requirements. We also offer additional pay for participation in our clinical ladder as well as referral bonuses, excellent benefits, and relocation assistance.
Job Requirements
* Unencumbered license to practice in the State of Arkansas
* 6 months of acute care experience is required (new graduates or nurses who have never worked in an acute care setting are hired through our residency training program)
* 1 year of experience is required for all PRN positions.
* Previous CVOR experience is strongly preferred, but not required.
* BLS through the American Heart Association is required
While you're busy impacting the healthcare industry, we'll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, and more!
Where You'll Work
As a CVOR Nurse at CHI St Vincent, you will prepare patients for surgical procedures and assist in the operating room to ensure they receive excellent nursing when they are at their most vulnerable.
Every day you will go over consent forms, answer questions about the procedure, do preoperative assessments, make sure the equipment is ready to go, and update family members on the surgery status during the operation. You will be expected to directly assist the surgeon during the actual surgery.
To be successful in this role you must have the ability to maintain focus while multitasking, remain calm under pressure, and exercise good judgment in emergency situations.
While you're busy impacting the healthcare industry, we'll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, and more.
About Us:
CHI St Vincent Infirmary is a 600 bed faith-based, non-profit, acute care facility providing quality health care to patients and communities from all over the State of Arkansas. Our level II trauma center is a regional referral center for cardiology, trauma, behavioral health, cancer care, neurosciences, and other specialties. We have been consistently named by US News & World Report as one of the State's best hospitals, with high performance in heart care, colorectal surgery, and joint replacement.
If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us.
Preschool Nurse
Utilization review nurse job in Little Rock, AR
*****SIGN-ON BONUS: $1,600*****
Summary: Provides quality medical treatment and training and participates as part of multidisciplinary team to ensure that medical care services are provided according to Medicaid and Child Care licensing standards and in congruence with the nurse practice act.
Essential Duties and Responsibilities: include the following: other duties may be assigned.
Care of Children
Collects admission data to determine nursing care needs. Provides nursing care to children.
Contacts parents and other medical providers regarding the medical care and/or condition of child as necessary.
Develops/Implements a nursing care plan, documents nursing services provided per established policies and/or procedures and bills for nursing services provided for children who are medically fragile or have complex medical needs or both where nursing services are prescribed by the child's primary care physician in accordance with the Arkansas Medicaid Early Intervention Day Treatment (EIDT) regulations. Nursing services are defined as the following, or similar, activities:
Assisting ventilator-dependent beneficiaries
Tracheostomy: suctioning and care
Feeding tube: feeding, care and maintenance
Catheterizations
Breathing treatments
Monitoring of vital statistics, including diabetes sugar checks, insulin, blood draws, and pulse ox
Administration of medication when combined with another nursing service above or similar activity.
Ensures current (in the last 12 months) action plans are in place for children with a history of allergies, seizures, or asthma. Ensures classroom staff are knowledgeable of action plans for each child, as applicable, and are trained on appropriate measures of response. Ensures rescue medications are available and current.
Performs and documents completion of technical nursing tasks and interventions, including medication administration, according to Easterseals Arkansas (ESA) policy or procedure and Arkansas State Board of Nursing (ARSBN) guidelines.
Assesses and documents response of the child to nursing interventions.
Trains preschool staff on various topics and tasks including, but not limited to signs and symptoms of distress, seizure management, allergies, use of thickening agents, and other delegable tasks including, but not limited to tube feeding, colostomy, ileostomy management, trach management, etc. Documents training and ensures a copy of documentation is sent to Human Resources for inclusion in the employee file.
Delegates tasks within scope of nursing license with regular and documented monitoring to ensure strict adherence to policies and procedures.
Follows Easterseals emergency procedures including, but not limited to a medical emergency, fire, tornado, earthquake, power outage and evacuation.
Ensures emergency medical equipment (suction, pulse ox, vital signs monitor, thermometer, AED where applicable, etc.) is available and in good working order daily.
Records and Files
Prepares and maintains a file for each child. Records weight and height measures and medical history.
Reviews and maintains immunization history and alerts preschool director if immunizations are delinquent.
Counts and records daily the number and type of controlled drugs present. Ensures expired medications are returned to the parent or disposed of following ESA policy or procedure. Ensures as children are discharged from preschool that medications are returned to the parent or disposed of following ESA policy or procedure.
Requests authorization for nursing services from payer sources as needed and ensures no lapse in approval time frame.
Maintains inventory of supplies. Notifies preschool director or preschool administrative assistant when additional supplies are needed.
Attends training as requested by the preschool director. Completes initial and annual training required by Department of Human Services (DHS) Division of Disability Services (DDS) or Division of Provider Services and Quality Assurance (DPSQA), Child Care Licensing and Commission on Accreditation of Rehabilitation Facilities (CARF). Completes initial and annual training required by Easterseals Arkansas.
Organizes the workload or assignments to ensure completion.
Nursing Program
Identifies any medical needs of new children prior to enrollment to ensure staff are trained and equipment is available to meet the medical care needs of the child.
Attends team meetings as needed for enrollment decision-making and for the development and review of the Individualized Treatment Plan (ITP).
Reviews policies and procedures and makes recommendations for revision or for new procedures where clear documentation does not exist or a new process is implemented.
Quality Assurance
Assists in any audit or investigation by a regulatory, licensing, or accrediting body (DDS, DPSQA, CARF, etc.) or by law enforcement.
Assists in formal or informal health and safety audits in preschool as requested.
Multidisciplinary Team
Participates in the development and review of the initial Individual Treatment Plan (ITP) and attends multidisciplinary team meetings as needed.
Ensures consistent communication with parents and/or advocates of children relative to medical care including obtaining needed consultations, discussing recommendations with parents/guardians/advocates, and developing and evaluation/treatment plans as indicated.
Discusses program expectations and program changes with Preschool Director. Communicates medical care expectations and/or changes for a child to team members for consistency and reinforcement throughout disciplines.
Completes paperwork and other documentation required by ESA or preschool policy and procedure, licensing agencies, and funding sources, e.g. progress notes, medication administration records, assessments, flow sheets, etc.
Supervisory Responsibilities:
None.
Compliance/HIPAA:
While performing the duties of this job, employee will comply with all federal, state and local laws and regulations pertaining to Easterseals Arkansas.
Employee has access to all children's protected health information within his/her program. Employee will not attempt to access any other protected health information unless otherwise approved by Supervisor or Privacy Officer.
Qualifications:
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.
Education and/or Experience:
Must be a licensed nurse (LPN or RN) in the state of Arkansas. Registered nurse preferred.
Language Skills:
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, customers, and the general public.
Mathematical Skills:
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.
Reasoning Ability:
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills:
Moderate work process, database, and spreadsheet skills required.
Basic Internet and email skills
Certificates, Licenses, Registrations:
Licensed as a Registered Nurse or Licensed Practical Nurse in the state of Arkansas
Other Skills and Abilities:
CPR Certification
First Aid Certification
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.
While performing the duties of this Job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; stoop, kneel, crouch, or crawl and talk or hear. The employee is frequently required to sit. The employee is occasionally required to reach with hands and arms; climb or balance and taste or smell. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
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.
While performing the duties of this Job, the employee is occasionally exposed to moving mechanical parts and outside weather conditions. The noise level in the work environment is usually moderate.
EEO Statement:
Easterseals Arkansas is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate in employment opportunities and practices on the basis of race, color, citizenship status, national origin, ancestry, gender, sexual orientation, creed, physical or mental disability, age, religion, marital status, veteran status, genetic information or any other characteristic protected by law.
Easterseals Arkansas has designated this position as a “safety sensitive” position under the Arkansas Medical Marijuana Amendment.