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Utilization review nurse jobs in Louisiana

- 300 jobs
  • NP/PA - Cardiovascular Surgery

    Christus Health 4.6company rating

    Utilization review nurse job in Lake Charles, LA

    Read all the information about this opportunity carefully, then use the application button below to send your CV and application. Experienced CTS PA/NP - CHRISTUS Ochsner Health, Lake Charles, LA Salary Range: $140,000 - $150,000 - commensurate with years of experience The Division of Cardiothoracic Surgery at Christus Ochsner Health in Southwest Louisiana, located at St. Patrick Hospital in Lake Charles, is actively seeking an Advanced Practice Provider (NP/PA) to join our dedicated team. This represents an excellent opportunity to collaborate with two other NPs and Ochsner Health's highly skilled board-certified cardiothoracic surgeons, who utilize state-of-the-art technology and innovative approaches for patients diagnosed with heart, lung, and foregut/esophageal diseases. The John & Sylvia Stelly Regional Heart Center at CHRISTUS Ochsner St. Patrick features a new Hybrid OR suite and conducts TAVR procedures. Additionally, we perform Robotic Da Vinci thoracic surgery along with minimally invasive cardiac surgeries. Christus Ochsner Health in SWLA: The region boasts a comprehensive and expanding cardiology, electrophysiology, and structural heart program, all housed within the ACC-designated Heart Center. Our cardiac surgery program has the longest-standing history in the area. Post-operative care is enhanced by Impella support, UF/Aquadex technology, and advanced hemodynamic monitoring systems, including Hemosphere, Flo Trac, and ClearSight. Throughout the year, numerous opportunities for research, teaching, and community engagement are available. Additionally, the program features a robust multidisciplinary thoracic oncology initiative and a growing thoracic robotic surgery program. This is supported by the Christus Ochsner Foundation and Board, a faith-based, not-for-profit organization. Enjoy a balanced professional and personal lifestyle: Paid CME Paid Time Off Paid Malpractice Insurance Matched 401K EPIC EMR Competitive compensation and benefits package Responsibilities: Assisting in surgery, endo vein harvesting, in-patient rounding, and outpatient clinic. Shared call 1 in 3 calls Rotating shifts, 24/7 service coverage with night shifts and weekends. xevrcyc Surgical Assist in cardiovascular and thoracic cases Outpatient Ambulatory Visits & Hospital Rounding Assess new consults in the clinic and hospital admissions Assist with vein harvesting; CABG and valve surgeries ICU and Telemetry experience is preferred Perform comprehensive history and physical exams Diagnose and treat conditions, providing follow-up care as needed Assist in surgeries, including first and second assisting Manage inpatient care, preoperative, and postoperative evaluations Perform invasive procedures (will train), including: Central vascular access Swan-Ganz insertion Chest tube insertion Endoscopic vessel harvesting Must be able to interact positively with all members of a multidisciplinary care team, patients and their families and possess the emotional intelligence to work collaboratively in a fast paced, high-acuity environment where quality and caring come first. Requirements: Current BLS and ACLS certifications Must have an active Louisiana PA license or be eligible to be licensed Cardiac Surgical Experience (Minimum 5 years) Hospital & Ambulatory experience preferred Experience with robotic surgery is a plus, but we will train if not experienced with robotic surgery Recruiter: Richelle Howell
    $43k-57k yearly est. 1d ago
  • Behavioral Health Utilization Management Review

    Amerihealth Caritas Health Plan 4.8company rating

    Utilization review nurse job in Louisiana

    Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and experience, the clinician reviews provider requests for inpatient and outpatient services, working closely with members and providers to collect all information necessary to perform a thorough medical necessity review. It is within the BH UM Reviewer's discretion to retain requests for additional information and/or request clarification. The BH UM Reviewer will use his/her professional judgment to evaluate the request to ensure that appropriate services are approved and recognize care coordination opportunities and refer those cases to integrated care management as needed. The BH UM Reviewer will apply medical health benefit policy and medical management guidelines to authorize services and appropriately identify and refer requests to the Medical Director when indicated. The BH UM Reviewers are responsible to ensure that treatment delivered is appropriately utilized and meets the member's needs in the least restrictive, least intrusive manner possible. The BH UM Reviewer will maintain current knowledge and understanding of the laws, regulations, and policies that pertain to the organizational unit's business and uses clinical judgment in their application. Responsibilities * Apply the appropriate medical necessity criteria to authorize services and appropriately identify and refer requests to the Medical Director when indicated * Ensure the treatment delivered is appropriately utilized and meets the member's needs in the least restrictive, least intrusive manner possible * Maintain current knowledge and understanding of the laws, regulations, and policies that pertain to the organizational unit's business and uses clinical judgment in their application Work Arrangement * Remote position * Monday through Friday 8:00 AM to 5:00 PM during Central Standard Time * Candidates must be willing to work 4 out of 10 recognized company holidays and 1 to 2 weekends per year Education & Experience * Registered Nurse candidates: Associate Degree in Nursing (required) or Bachelor Degree in Nursing (preferred) * Licensed Social Work candidates: Master Degree in Social Work * Minimum of 2 years of behavioral health experience and substance use disorder experience in a clinical setting. Licensure * LMSW candidates must have active and unencumbered professional licensure in Louisiana: LPC, LMSW, LCSW, LISW * RN candidates must have active and unencumbered Louisiana license and/or compact state license * Ability to obtain additional licensure in OH, NC, DC, and NH within 12 months of employment. Skills and Abilities * Proficiency using InterQual and American Society of Addiction Medicine (ASAM) criterion * Utilization management experience within a managed care organization desired * Proficiency in Microsoft Office to include Teams, Word, Excel and Outlook is required. Ability to type with speed and accuracy Your career starts now. We're looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we're passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at *************************** Our Comprehensive Benefits Package Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
    $52k-64k yearly est. 26d ago
  • Utilization Management Nurse

    Centerwell

    Utilization review nurse job in Baton Rouge, LA

    **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 *************************************************************
    $71.1k-97.8k yearly Easy Apply 33d ago
  • Nursing Coordinator

    State of Louisiana 3.1company rating

    Utilization review nurse job in Louisiana

    Salary $0.00 Monthly Job Type Unclassified Job Number 121476 Department Central LA Technical Community College Opening Date 10/31/2019 Closing Date Continuous * Description * Benefits About this Job CLTCC serves ten parishes (Avoyelles, Catahoula, Concordia, Grant, LaSalle, Rapides, Vernon, Winn, Natchitoches and Sabine) in central Louisiana and has seven sites: 1) the Main Campus in Alexandria; 2) the Avoyelles Site in Cottonport; 3) the Huey P. Long Site in Winnfield; 4) the Rod Brady Site in Jena; 5) the Lamar Salter Site in Leesville; 6) 7) the Sabine Site in Sabine; the Natchitoches Site in Natchitoches and 8) the Ferriday Site in Ferriday. Additionally, CLTCC provides instruction in one state prison and one federal correctional institution. SUMMARY: Reporting to the Campus Dean will coordinate nursing instruction for a specific campus for which they are assigned. The Lead Practical Nurse Coordinator will supervise nursing employees, acting as a link between nursing staff and the dean of Allied Health Programs and responding to questions or complaints from students or campus administration as needed. The Nurse Coordinator will interview applicants and assist in hiring decisions for nursing instructors and Patient Care Tech in conjunction with CLTCC's Dean of Allied Health Programs. The Nursing Coordinator also evaluates employee performance, monitoring nurses' instruction closely to ensure they fulfill their job duties, approve time sheets and employee leave. If a nurse instructor behaves inappropriately or fails to meet his or her obligations, it's usually the Nurse Coordinator who contacts the CLTCC Dean Allied of Health Programs. In addition, the Nurse Coordinator provides instruction for PN-level nursing courses within the PN program curriculum, as assigned by the Dean of Allied Health. The Instructor will be responsible, in cooperation with other program instructors, for providing students with a complete syllabus containing course objectives. The Nurse Coordinator is also responsible for presenting enthusiastic, well prepared, organized, and clear lectures and classroom activities consistent with the course syllabus as well as labs and clinical experiences compatible with course content. The lecture, labs, and clinical experiences will be designed to continually promote the development and effective use of skills in areas such as critical and analytical thinking, evaluation, communication, computation, problem solving, and decision-making; providing the student with timely information and feedback on his/her academic progress relative to quizzes, tests, homework, and projects; maintaining accurate, up-to-date records of student academic performance; and possessing a thorough knowledge and understanding of all college policies. Duties and Responsibilities: * The Nurse Coordinator will provide instruction for PN-level nursing courses within the PN program curriculum, as assigned by the Dean of Allied Health Programs. * The Nurse Coordinator will be responsible, in cooperation with other program instructors, for providing students with a complete syllabus containing course objectives. * The Nurse Coordinator is also responsible for presenting enthusiastic, well prepared, organized, and clear lectures and classroom activities consistent with the course syllabus as well as labs and clinical experiences compatible with course content. * The lecture, labs, and clinical experiences will be designed to continually promote the development and effective use of skills in areas such as critical and analytical thinking, evaluation, communication, computation, problem solving, and decision-making; providing the student with timely information and feedback on his/her academic progress relative to quizzes, tests, homework, and projects; maintaining accurate, up-to-date records of student academic performance; and possessing a thorough knowledge and understanding of all college policies. * Establish and adhere to learning objectives as stated in course syllabi. * In conjunction with the Dean of Allied Health Programs create evaluation methods that fairly measure student progress toward objectives. * Evaluate and utilize student work to promote maximum learning. * Effectively administer assessment of student learning and technical objectives. * Maintain accurate, complete, and correct records as required by law and administrative guidelines. * (These are intended only as illustrations of the various types of work performed. The omission of specific duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.) Required Knowledge, Skills and Abilities: Skills: * Excellent written, oral presentation and interpersonal communication skills. * Management, organizational, and supervisory skills. * Superior team-building skills to build trust with others in a rapidly changing environment. * Excellent organization, planning, and prioritization skills are essential. Required Minimum Qualifications: * Registered Nurse (current Louisiana license in good standing with no disciplinary action pending). * Possess a Bachelor's degree in nursing. * Minimum of three (3) years' nursing experience. * At least one of the three years experience must have been as a medical-surgical hospital staff nurse providing direct patient care. * Must have practiced as a nurse for a minimum of six full-time months during the three years immediately preceding application. * Experience or education as nurse educator or trainer preferred. * Effective oral and written communication skills. * Ability to interact effectively and professionally with students, staff, and faculty. * Display a student-centered approach. * Willingness to reinforce all lecture lessons with hands-on experiences when resources permit. * Consistently demonstrate the highest levels of integrity and professionalism. * Physical and emotional qualifications (the incumbent may be required to use the following requirements during any part of the working day): speaking, hearing, walking, visual observation of student performance, hand/eye coordination to perform computer applications, and consistency of temperament. * Computer literate. * Commitment to staff diversity, learning and development. Preferred (Desired) Qualifications: * Experience, education as nurse educator, trainer, Master's Degree in nursing. * Work constantly to instill in students the technical and academic competencies and employment behavior expected within the career of nursing. * Work effectively with healthcare representatives to ensure that current skills and techniques are provided in the classroom and lab settings. * Collaborate with nursing faculty members to prepare for class and lab instruction and show written evidence of preparation upon request. * Employ a variety of instructional techniques and instructional media consistent with the physical limitation of location provided and the needs and capabilities of the individual or student groups involved. * Develop and maintain a classroom and lab environment conducive to effective learning with the limits of the resources provided. * Develop and enforce appropriate rules and expectations of students in the classroom and lab settings that are in compliance with CLTCC policies/procedures and that result in a safe, effective learning environment. * Effectively use technology tools including, but not limited to, e-mail, MS Office, Internet. Compensation: Compensation will be commensurate with education and work experience. Application Instructions: * A cover letter of no more than two pages indicating how the qualifications and employment standards listed in this position announcement are met. * A detailed résumé that summarizes educational preparation and professional experience for the position. * Candidates selected for an interview must provide: o College and university transcripts showing the awarded/conferred degree to meet required educational qualifications. Unofficial transcripts are acceptable at the time of application. o The names, home and cell telephone numbers, and e-mail addresses of three references. Applicants will be notified before references are contacted. * The selected candidate will be required to undergo a background check. Submit documents to: *********************** Positions will remain open until filled. Central Louisiana Community College is an Equal Opportunity Employer in compliance with Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, and Section 504 of the Rehabilitation Act of 1973, this Educational Agency upholds the following policy: Central Louisiana Community College campuses assure equal opportunity for all qualified persons without regard to race, color, national origin, gender, religion, age, disability, marital status, veteran status or sexual orientation in admission to participation in, or employment in the program and activities of this system. Each campus welcomes handicapped individuals and has made buildings accessible to them. Title IX Coordinator/ADA/Section 504 Coordinator: ************** 516 Murray Street Alexandria, LA 71302 Benefits for unclassified employees are determined by the individual hiring authority.
    $67k-84k yearly est. Easy Apply 5d ago
  • Nurse Case Manager - Touro

    LCMC Health 4.5company rating

    Utilization review nurse job in New Orleans, LA

    Your job is more than a job You overthink every care option and scenario because, as a Care Manager, you're the hub of your patient's case management and care plan. You assure quality through the continuum of care, collaborate with members of the care team, and implement the plan of care and transition strategies. Achieving the best possible patient outcomes, appropriate length of stay, efficient utilization of resources, coordination of patient, family, and staff communication and education is the center of your nursing universe. You give new meaning to a 9 to 5 schedule because caring doesn't stop just because you've punched a clock and neither does your innovative brain. If it were your loved one, you'd expect nothing less, so you give so much more. Gatekeeper, facilitator and decision-maker, and hand-holder, you apply nursing knowledge, logic, and a little "extra" heart into everything you do. We love that about you. Your experiences, knowledge, skills, empathy, compassion, and your "little something extra" all add up to you. And we're excited to get to know you and find out what you'll bring to this case management nursing role. Your Everyday Develop individualized care plans, including prioritized goals, that consider the patient's and caregivers' goals, preferences and desired level of involvement in the care management plan. Make outbound calls to assess patient's current health status. Identify gaps or barriers in treatment plans. Coordinate care for members and makes referrals to outside sources. Ensure members discharging from hospital or emergency department receive the necessary services and resources, including medication reconciliation. Triage symptom-based calls per approved protocols for a wide range of patients. Enroll patients and manage alerts for various home monitoring programs. Provide approved general health information and guidance to public caller from approved sources by assessing needs of the caller. Document all workflows in EPIC system for purposes of tracking and quality assessment. Provide patient education to assist with self-management of wellness and disease. Educate enrolled members on chronic and acute disease processes. Interact with LCMC Health care partners, leadership and/or physicians to discuss clinical questions, concerns, strategies, and care plans to achieve quality and cost management objectives. Demonstrate energy, excitement, and a passion for quality work. The Must-Haves Minimum: Current nursing license to practice in Louisiana and as defined by the Louisiana State Board of Nursing. 2 years of professional nursing or care management experience. WORK SHIFT: Days (United States of America) LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary Your extras * Deliver healthcare with heart. * Give people a reason to smile. * Put a little love in your work. * Be honest and real, but with compassion. * Bring some lagniappe into everything you do. * Forget one-size-fits-all, think one-of-a-kind care. * See opportunities, not problems - it's all about perspective. * Cheerlead ideas, differences, and each other. * Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.
    $64k-81k yearly est. 24d ago
  • Preceptorship Nurse - Rmn / Rnld

    Dev 4.2company rating

    Utilization review nurse job in Louisiana

    Jobs for Humanity is dedicated to building an inclusive and just employment ecosystem. Therefore, we have dedicated this job posting to individuals coming from the following communities: Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Ethnic Minority, and the Previously Incarcerated. If you identify with any of the following communities do not hesitate to register, even if you feel that this particular opportunity is not the right fit for you. Company Name: Colten Care Job Description Cygnet Health Care have been providing a national network of high quality specialist mental health services for more than 30 years. In this role you'll have the chance to make a real impact on patients, service users & their families. We are looking for a professional, ambitious & confident newly qualified (or soon to be qualified) Registered Mental Health Nurse (RMN)/Registered Learning & Disability Nurse (RNLD) A rewarding role with excellent career prospects, your focus on quality of care will help us achieve our goals. RMNs with interests in leadership, research & risk assessment are encouraged to apply. At Cygnet, our perks go way beyond pension schemes and excellent professional development. You'll also enjoy shopping, travel and leisure discounts - as well as a range of healthcare and financial benefits - to support you to be happy both in and out of work. If you're passionate about what you do, we want to talk to you! Your Day-to-Day… You'll be working 42 hours a week iwith Cygnet Aspen Clinic. Produce outstanding written reports based on your nursing assessments and observations Work closely with the management team to develop the service, audit, and improve quality Attend all training and engage in CPD to further knowledge & promote nursing Under NMC guidelines, ensure that individual care plans are complete & maintained collectively with residents, relatives and other healthcare professionals. Administer prescribed medicines with Healthcare procedure and Healthcare Commission guidelines. You are… Open, compassionate, honest & resilient Newly Qualified (or soon to be qualified) RMN / RNLD with a current valid registration Capable to maintain documentation and undertake audits Well informed of the Mental Health Act 1983 & have an understanding of latest nursing practices Able to deputise in a clinical lead role Focused on patient recovery to monitor, manage & reduce risk Helping to empower & support service user independence. Why Cygnet? We'll offer you… Strong career progression opportunities within the region, including into management roles RCNi membership Monthly reflective practice, support with revalidation & CPD opportunities Expert clinical supervision & peer support Employee referral scheme Pension scheme “Cycle to Work” scheme & employee discount savings. Please note: successful candidates will be required to undergo an enhanced DBS check. Ready to make a positive change? Please click on the ‘apply now' link below Join us! In this role you'll have the chance to make a real impact on patients, service users & their families.
    $42k-55k yearly est. 22h ago
  • Nurse Case Manager

    Recruit Staff Hire

    Utilization review nurse job in Metairie, LA

    DirectHire The Nurse Case Manager (NCM) will be expected to effectively collaborate with the interdisciplinary team on a regular basis in both a verbal and written capacity. They must be adept in their abilities to assess, plan, implement, coordinate, monitor, and evaluate clinical options and services to promote optimal patient/injured worker outcomes. They should have a strong capability to comprehend and facilitate cost-effective care to ensure medical services are provided in an optimal clinical setting as well as in a timely manner. The NCM will assist claims specialists and the medical management team in ensuring compliance with evidence-based guidelines, organization clinical protocols, and Medicare Secondary Payer Act. KNOWLEDGE AND SKILL REQUIREMENTS Fluent in English and Spanish required Advanced clinical knowledge Minimum of 5 years of nursing and nurse case management experience Minimum of 1 year of experience in the workers' compensation industry preferred Musculoskeletal and/or trauma experience a plus Track record and comfort in collaborating with interdisciplinary teams and providers Ability to lead and coordinate activities with a diverse group of individuals Conversant knowledge and experience with case management care coordination and/or utilization review Demonstrated ability to critically think and effectively problem solve Exceptional communication skills Basic knowledge and experience in Microsoft Office programs Excellent time-management skills Salary is 85,000- 95,000
    $51k-74k yearly est. 60d+ ago
  • Nurse (Administration/Ambulatory) GS-0610-11

    DHA 3.8company rating

    Utilization review nurse job in Louisiana

    is located at Bayne Jones Army Community Hospital in Fort Polk, Louisiana. Salary negotiation may be available for those candidates who are new to Federal service. This is an employed civilian Nurse (Inpatient Clinical/OB/GYN) position that affords job security, a competitive base salary, bonuses, moving expenses, full malpractice coverage, up to 26 days paid vacation, 11 days paid Federal Holidays, a sick leave benefit, CME opportunities, and a first-class health and retirement benefit package. Responsibilities As a Nurse (Adminstration/Ambulatory you will: Assist with standardizing Disease Management across the patient care continuum. Conduct specific quality improvement (QI) studies to assist in process improvement related to population health. Apply epidemiological methods to describe the population and its risks, identifying and employing evidence-based interventions and managing information. Conduct population health and medical management program evaluation and feedback, interprets data and makes evidence-based recommendations. Promotes and optimizes medical readiness of active-duty members. Qualifications Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education or experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for Nurse (Administration/Ambulatory): Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.). Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Foreign Degree: Graduates of foreign nursing schools must have completed the Commission on Graduates of Foreign Nursing Schools Certification Program. The certification program consists of a credentials evaluation, the CGFNS Qualifying Exam, and evidence of passing one of the approved English Language Proficiency examinations. A copy of the CGFNS Certificate is required. Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Education/Experience: A diploma, associate degree, or bachelor's degree in Nursing from a professional nursing program and possession of at least one full year of professional nursing experience (equivalent to the GS-9 grade level or above) which includes providing comprehensive nursing care to patients, collecting or reviewing medical data, and providing education to patients or medical staff. OR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field. Exemption: You are exempt from the qualification requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.
    $41k-56k yearly est. Auto-Apply 11d ago
  • Nurse (Administration/Ambulatory) GS-0610-11

    Civilian Corps

    Utilization review nurse job in Louisiana

    is located at Bayne Jones Army Community Hospital in Fort Polk, Louisiana. * Salary negotiation may be available for those candidates who are new to Federal service. This is an employed civilian Nurse (Inpatient Clinical/OB/GYN) position that affords job security, a competitive base salary, bonuses, moving expenses, full malpractice coverage, up to 26 days paid vacation, 11 days paid Federal Holidays, a sick leave benefit, CME opportunities, and a first-class health and retirement benefit package. Responsibilities As a Nurse (Adminstration/Ambulatory you will: * Assist with standardizing Disease Management across the patient care continuum. * Conduct specific quality improvement (QI) studies to assist in process improvement related to population health. * Apply epidemiological methods to describe the population and its risks, identifying and employing evidence-based interventions and managing information. * Conduct population health and medical management program evaluation and feedback, interprets data and makes evidence-based recommendations. * Promotes and optimizes medical readiness of active-duty members. Qualifications Qualifications Who May Apply: US CitizensIn order to qualify, you must meet the education or experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.Basic Requirement for Nurse (Administration/Ambulatory):Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.).Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination.Foreign Degree: Graduates of foreign nursing schools must have completed the Commission on Graduates of Foreign Nursing Schools Certification Program. The certification program consists of a credentials evaluation, the CGFNS Qualifying Exam, and evidence of passing one of the approved English Language Proficiency examinations. A copy of the CGFNS Certificate is required.Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below:Education/Experience: A diploma, associate degree, or bachelor's degree in Nursing from a professional nursing program and possession of at least one full year of professional nursing experience (equivalent to the GS-9 grade level or above) which includes providing comprehensive nursing care to patients, collecting or reviewing medical data, and providing education to patients or medical staff.OREducation: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field.Exemption: You are exempt from the qualification requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.
    $37k-60k yearly est. Auto-Apply 10d ago
  • Nurse Auditor 2

    Humana 4.8company rating

    Utilization review nurse job in Baton Rouge, LA

    **Become a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical documentation to ensure capture of all relevant coding. Applies clinical and coding experience to conduct a clinical validation review of the inpatient medical record to validate billed diagnoses. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. **Use your skills to make an impact** **WORK STYLE:** Remote/Work at Home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **WORK HOURS:** Typical business hours are Monday-Friday, 8 hours/day, 5 days/week. Associates are expected to start each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse (RN) license in the state they reside. + Minimum of 2 consecutive years acute inpatient hospital care experience in critical, intensive care setting within the last 5 years (Not pediatrics or neonatal). For example: ICU, CCU, PCU, med-surg/adult units or a minimum of 2 years DRG Inpatient auditing. NOTE: Inpatient experience does **not** refer to any other levels of care such as ER, OR, Pre-op, PACU,L&D, mother-baby, behavioral health, SNF, care manager/discharge manager, LTC, rehab, outpatient or office/clinic visits such as wound care, oncology, radiology, interventional radiology, lab, hospice, or home health. + In depth knowledge and critical understanding of complex medical diagnoses including, but not limited to, Sepsis (including end-organ failure), Pneumonia, Acidosis, Renal Failure, Encephalopathy, CVA, DKA, MI, etc. + Advanced knowledge of MS Office (Word, Excel, etc) + Excellent writing, editing, interpersonal, planning, teamwork, and communications skills + Demonstrated ability to exercise solid judgment and discretion in handling and disseminating information + Ability to work independently and manage workload + Customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession **Preferred Qualifications** + Bachelor's Degree in relevant field preferred + Inpatient coding certification (AHIMA or AAPC - ex: RHIA, RHIT, CCS, CIS, CIC) + Inpatient coding claim experience + Prospective payment methodologies, DRG auditing experience + Clinical documentation improvement knowledge (CDE, CDEI certification) **Additional Information** **Work at Home Requirements** - 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 - Associates 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 associates 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 **Interview Format** As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire 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. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. 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. $78,400 - $107,800 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. **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **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. 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 ***************************************************************************
    $78.4k-107.8k yearly 60d+ ago
  • Treatment Nurse

    Pierremont Healthcare Center

    Utilization review nurse job in Shreveport, LA

    Registered Nurse (required) Experience Preferred Starting Wage:$35.00 / hr. based on experience experience differential $.25 per hour up to 20 years INDNUR Nexion is a "Great Place to Work" because we provide: Free employee and family telehealth immediately upon hire Medical / Dental / Vision Care Early Pay FSA / HSA / 401k Educational Advancement / increased pay with competency levels Scholarship for employees and dependents Emergency Relief Requirements:RN/LVN/LPN license required Learn more about Nexion at ********************* EOE M/F/D/V
    $35 hourly 10d ago
  • Locum Tenens NP - Neonatology Position in Louisiana

    Weatherby Healthcare

    Utilization review nurse job in New Orleans, LA

    Enjoy the locum tenens lifestyle knowing Weatherby is here to support you every step of the way. Call and speak to one of our consultants today for available dates and details. 8, 16 and 24 hour shifts available 10 babies per day Level III NICU Procedures: intubation, central line insertion, chest tubes, PICC placement Attend HR deliveries NRP certification required Health, vision, dental, and 401(k) retirement benefits offered Competitive compensation Paid malpractice insurance 24-hour access to your Weatherby Healthcare consultant and support team Covered transportation and housing expenses " Since 1995, Weatherby Healthcare has established itself as an expert in locum tenens staffing for physicians, physician assistants, and nurse practitioners. The company employs nearly 600 employees committed to filling locum tenens assignments in large-scale healthcare networks, hospitals, and clinics nationwide. Learn more at ******************************
    $36k-60k yearly est. 11d ago
  • Regional Nurse Consultant

    Carroll Pointe Skilled Nursing

    Utilization review nurse job in Bossier City, LA

    Full job description Our company is looking for a Regional Nurse Consultant to join our team. As a Regional Clinical Director/Regional Nurse Consultant, you will manage and ensure clinical and regulatory compliance within centers. Your role will include developing and implementing performance improvement initiatives. You will also monitor and report on 5-Star outcomes, Best Practices, Standards of care, Risk Management, and other quality-related measures. Work directly with Administrators, DONs, and other stakeholders to develop standard operating procedures and action plans and educate staff. In this position, you will have a competitive salary commensurate and experience and extensive benefits. We offer an incredible culture with sincere appreciation for everyone. You will be critical in ensuring our centers provide the best care for out residents and patients. Responsibilities: Auditing facility documentation and makes recommendations for improvement Revising protocols as needed to keep pace with emerging clinical best practices Monitoring clinical advancements within the industry Managing nursing competency validation programs Providing clinical guidance to ensure optimal quality of care in the region Participating in the quality assurance process Providing clinical training and education Implementing protocols to keep up with current innovations ensuring optimal reimbursement rates in assigned facilities Developing policies to mitigate risk Conducting operational reviews to assess regulatory compliance, operational efficiency, and quality improvement opportunities Maintaining impeccable regulatory compliance in the region Communicating effectively with staff, doctors, and corporate leadership, utilizing diplomacy and discretion ensuring quality clinical outcomes in assigned regions Education: Bachelor's or Master's Degree in Nursing a plus. RN Licensure in the state of LA required 5+ years of nurse management experience in a long-term care or skilled nursing center required 2+ years experience as a Director of Nursing, Clinical Director, or Regional Nurse Consultant in a SNF/LTC setting required Prior LTC or SNF experience in the state of La. required Prior clinical quality, performance and process improvement, regulatory and compliance, and risk management experience are required Must be PC proficient with the ability to navigate Windows and Microsoft Office programs, Internet-based Applications, and EMR Software
    $49k-70k yearly est. 17d ago
  • New Graduate Nurse

    Fresenius Medical Care North America 4.3company rating

    Utilization review nurse job in Slidell, LA

    **PURPOSE AND SCOPE:** Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** **STAFF RELATED:** + Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. + Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. + Assesses daily patient care needs and develops appropriate patient care assignments. + Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. + Participates in staff training and orientation of new staff as assigned + Participates in all required staff meetings as scheduled. **PATIENT RELATED:** Education: + Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). + Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. + Discusses with patient, and records education related to diet/fluid and medication compliance. + Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). + Ensures transplant awareness, modality awareness, and drive catheter reduction. + Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. Dialysis Treatment: + Provides safe and effective delivery of care to patients with ESRD. + Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. + Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. + Identifies and communicates patient related issues to Team Leader or physician. + Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. + Actively participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. + Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. + Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. + Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. + Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. Laboratory-related: + Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. + Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. + Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. + Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. + Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. + Ensures that all labs are directed and delivered to appropriate labs. + Reports alert/panic and abnormal labs results to appropriate physician. + Ensures lab results are forwarded to physicians as requested. General duties: + Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. + Maintains overall shift operation in a safe, efficient, and effective manner. + Act as a resource for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. + Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. + Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. + Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. + Oversees all documentation of patient information. + Maintains facility drug list for all required stock medications. + Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. + Ensures verification and availability of adequate emergency equipment. + Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. + Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. + Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. + Maintains appropriate recording of controlled substances as required by law. + Assists with the coordination of patient transportation if necessary. **MAINTENANCE/TECHNICAL:** + Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. + Ensures competency in the operation of all dialysis-related equipment safely and effectively. + Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. + Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. **MEDICAL RECORDS & DOCUMENTATION:** General + Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. + Ensures all appropriate patient related treatment data is entered into the Medical Information System. + Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. + Ensures and verify accuracy of Patient Care Technician documentation. Daily + Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. + Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. Monthly + Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. + Completes monthly nurses' progress note. + Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). + Reviews transplant status and follows established procedure regarding appropriate action to be taken. + Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. + Completes any long-term programs that are due. Annually + Completes initial and annual Nursing History and Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. **OTHER:** + As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately. + Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs. + Maintain regular and punctual attendance. + Perform other related duties as assigned. **_Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions._** **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical demands and 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. + The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. **SUPERVISION:** + None **EDUCATION** **:** + Graduate of an accredited School of Nursing. + Current appropriate state Temporary Permit. + Must meet the practice requirements in the state in which he or she is employed. **EXPERIENCE AND REQUIRED SKILLS** **:** + 0 - 1 year's related experience. **ACKNOWLEDGEMENT:** I acknowledge that I have read and accepted this . I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative. **ADDENDUM:** Managers in each state must determine if their state regulations permit employees to operate in this capacity, as well as the allowable duties and practice restrictions if permitted. Managers should consult their state-specific regulations at: ********************************************************************************************************************************************************** . For additional information please contact your Regional Education Coordinator. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $38.00-$55.36 for the Denver, CO locations. Other locations outside the state of CO will vary from this range. Benefits Overview: This position offers a comprehensive benefits package, including medical, dental, and vision insurance, a 401(k) with company match, paid time off, and parental leave. **Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**
    $38-55.4 hourly 60d+ ago
  • Nurse Practioner

    Natchitoches Medical Specialists, LLC 4.0company rating

    Utilization review nurse job in Natchitoches, LA

    Job DescriptionWe are seeking a compassionate Nurse Practitioner to join our family practice. You will provide direct patient care, managing a wide range of acute and chronic conditions, and promoting optimal health through preventative care and patient education. Duties & Responsibilities: Conduct physical exams and provide preventative health measures for patients of all ages. Diagnose and treat a variety of acute and chronic medical conditions. Prescribe medications and order diagnostic tests, such as laboratory tests and X-rays. Develop individualized treatment plans and coordinate care with other healthcare professionals and specialists. Educate patients and their families on health management, medication compliance, and healthy lifestyle choices. Utilize electronic health records (EHR) to document patient encounters, progress, and treatment plans. Collaborate with physicians and other members of the healthcare team to ensure holistic and coordinated patient care. Maintain patient confidentiality and adhere to all healthcare laws and ethical standards. Qualifications & Skills: Master's or Doctorate degree in Nursing from an accredited program. Current and unrestricted Nurse Practitioner (NP) license in the state of Louisiana. Board certification in a relevant specialty (e.g., Family Nurse Practitioner) by a recognized certifying body (e.g., AANP, ANCC). Proficiency in performing clinical procedures and strong diagnostic skills. Excellent interpersonal, communication, and problem-solving skills. Ability to work independently and as part of a multidisciplinary healthcare team. Proficiency with Electronic Health Record (EHR) systems. Compassionate and empathetic approach to patient care. What We Offer: Competitive salary. Opportunity for professional growth and development. A supportive and collaborative work environment with an expert team of providers.
    $41k-60k yearly est. 14d ago
  • Nurse (Clinical)

    Department of Defense

    Utilization review nurse job in Fort Polk South, LA

    Apply Nurse (Clinical) Department of Defense Military Treatment Facilities under DHA Apply Print Share * * * * Save * This job is open to * Requirements * How you will be evaluated * Required documents * How to apply About the Position: This position is located at the Bayne Jones Army Community Hospital at Fort Polk, Louisiana. * Non-Federal work experience may be creditable for leave purposes. This is a Direct Hire Solicitation Medical malpractice liability insurance is not required for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 U.S.C. § 1346(b)) while acting within the scope of their employment. Summary About the Position: This position is located at the Bayne Jones Army Community Hospital at Fort Polk, Louisiana. * Non-Federal work experience may be creditable for leave purposes. This is a Direct Hire Solicitation Medical malpractice liability insurance is not required for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 U.S.C. § 1346(b)) while acting within the scope of their employment. Overview Help Accepting applications Open & closing dates 12/13/2025 to 12/22/2025 Salary $73,939 to - $96,116 per year Pay scale & grade GS 11 Location Fort Polk, LA 1 vacancy Remote job No Telework eligible No Travel Required Occasional travel - Up to 5% Business Travel required. Relocation expenses reimbursed No Appointment type Permanent Work schedule Full-time Service Competitive Promotion potential None Job family (Series) * 0610 Nurse Supervisory status No Security clearance Not Required Drug test Yes Position sensitivity and risk Non-sensitive (NS)/Low Risk Trust determination process * Credentialing * Suitability/Fitness Financial disclosure No Bargaining unit status Yes Announcement number HSJW-26-12849335-DHA Control number 852261200 This job is open to Help The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Duties Help * Provide a broad spectrum or Registered Nursing care and treatment from newborn to geriatric patients, as well as, from minor care to the Very Seriously Ill (VSI) patient due to illness, disease or incident. * Administer oxygen, IV fluid, blood/ blood products transfusion and prescribed oral, subcutaneous, intramuscular medications and intravenous infusions. * Set up, operate and monitor specialized equipment such as cardiac monitors, respirators, defibrillators, patient controlled analgesia (PCA) pumps, infusion pumps, continuous passive motion (CPM). * Manage nasal -pharyngeal and gastric suction as well as a variety of other drainage tubes. * Oversee nursing and other paraprofessional staff, monitoring their duty performance to ensure appropriate protocols, standards, policies, regulations and documentation requirements are met. * Conduct ongoing assessment of department operations throughout the shift and make adjustments in staffing as necessary for seamless patient care. Requirements Help Conditions of employment * Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation. * A Personnel Security Investigation is required. * This position has specific initial background investigation and periodic re-verification requirements since its duties require interaction with children and youth under the age of eighteen (18) years of age on a recurring basis. * Selectees will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption. * This position is a Testing Designated Position subject to pre-employment screening and random drug testing. Selectees will be required to consent to participation in random drug urinalysis testing. * A pre-placement medical examination is required. * Moderate to heavy lifting up to 40 pounds may be required. * Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position. * Must be able to obtain and maintain current Basic Life Support (BLS) certification through the American Red Cross or American Heart Association. Advanced certification (e.g., ALS) does not supersede BLS. * Must be able to obtain and maintain certification in Pediatric Advanced Life Support (PALS). * Must be able to obtain and maintain certification in Advanced Cardiac Life Support (ACLS). * Applicants must be able to fulfill non-privileged professional credential requirements. * This position may require rotating shifts (i.e. work schedule that requires employees to continuously rotate from one shift to another at predetermined intervals). * This position may require the incumbent to work on call during irregular work hours which may include evenings, weekends, holidays, and/or varying work schedules. * This position may require the incumbent to work weekends and/or holidays. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for Nurse (Clinical): Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.). Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Foreign Degree: Graduates of foreign nursing schools must have completed the Commission on Graduates of Foreign Nursing Schools Certification Program. The certification program consists of a credentials evaluation, the CGFNS Qualifying Exam, and evidence of passing one of the approved English Language Proficiency examinations. A copy of the CGFNS Certificate is required. Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Education/Experience: A diploma, associate degree, or bachelor's degree in Nursing from a professional nursing program and possession of at least one full year of professional nursing experience (equivalent to the GS-9 grade level or above) which includes operating specialized medical equipment, administering medications, and providing patient or staff education. OR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field. Exemption: You are exempt from the qualification requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status. Education See Qualifications section for education requirements. Additional information * Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration. * You will be required to provide proof of U.S. Citizenship. * One year trial/probationary period may be required. * Direct Deposit of Pay is required. * Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees. * Multiple positions may be filled from this announcement. * Salary includes applicable locality pay or Local Market Supplement. * If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet. * Position is designated as Inclement Weather Essential. The incumbent must make every attempt to report for work on time and/or remain on duty during severe weather conditions. * Position is designated as Mission Essential. The incumbent will be required to report to work during times of contingency operations, natural disasters, extreme weather or other emergency situations. * Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest. Expand Hide additional information Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. Benefits Help Review our benefits How you will be evaluated You will be evaluated for this job based on how well you meet the qualifications above. Once the announcement has closed, a review of your application package (resume, supporting documents, and responses to the questionnaire) will be used to determine whether you meet the qualification requirements listed on this announcement. Please follow all instructions carefully when applying, errors or omissions may affect your eligibility. If, after reviewing your resume and/or supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position. Veterans and Military Spouses will be considered along with all other candidates. Benefits Help Review our benefits Required documents Required Documents Help The documents you are required to submit vary based on whether or not you are eligible for preference in federal employment. A complete description of preference categories and the associated required documents is in the Applicant Checklist for Public Announcements. As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply. If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further. 1. Your resume: * Your resume must be two pages or less and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration. * For each relevant work experience, make sure you include the employer's name, job title, start and end dates (include month and year), for qualifications purposes, the number of hours worked per week, and a brief description that show you can perform the tasks at the required level listed in the job announcement. If your resume does not contain this information, your application may be marked as incomplete, and you may not receive consideration for this position. * Use plain language. Avoid using acronyms and terms that are not easily understood. The hiring agency will not make assumptions about what's in your resume. * If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations, and you may not be considered for this vacancy. * For additional information, to include formatting tips, see: What to include in your resume. 2. Other supporting documents: * Cover Letter, optional * Most recent Performance Appraisal, if applicable * Transcripts: This position has an individual occupational requirement for education. You MUST submit a copy of your transcript with your application package or you may be rated ineligible. See: Transcripts and Licenses. * License/Certification: This position has a license/certification requirement. You MUST submit a copy of your current, active, valid, unrestricted license/certification with your application package or you may be rated ineligible. See: Transcripts and Licenses. NOTE: Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office. Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you. You may sanitize these documents to remove another person's personal information before you submit your application. You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating. How to Apply Help To apply for this position, you must complete the online questionnaire and submit the documentation specified in the Required Documents section below. * The complete application package must be submitted by 11:59 PM (EST) on 12/22/2025to receive consideration. * To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application (********************************************************** * Follow the prompts to select your resume and/or other supporting documents to be included with your application package. As a reminder, your resume must be two pages or less and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration. For additional information, refer to the 'Required Documents' section. * You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process. * After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and click to continue with the application process. * You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application. Your resume selected in USAJOBS will be included, but you must re-select other documents from your USAJOBS account or your application may be incomplete. * It is your responsibility to verify that your application package (resume, supporting documents, and responses to the questionnaire) is complete, accurate, and submitted by the closing date. Uploaded documents may take up to one hour to clear the virus scan. * Additional information on how to complete the online application process and submit your online application may be found on the USA Staffing Applicant Resource Center. To verify the status of your application, log into your USAJOBS account (****************************************************** all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: *************************************************** Agency contact information Army Applicant Help Desk Website ************************************************* Address JT-DD83CH WEST DHN - BAYNE DO NOT USE Fort Johnson, LA 71459 US Next steps If you provided an email address, you will receive an email message acknowledging receipt of your application. Your application package will be used to determine your eligibility, qualifications, and quality ranking for this position. If you are determined to be ineligible or not qualified, your application will receive no further consideration. Fair and transparent The Federal hiring process is set up to be fair and transparent. Please read the following guidance. Criminal history inquiries Equal Employment Opportunity (EEO) Policy Financial suitability New employee probationary period Privacy Act Reasonable accommodation policy Selective Service Signature and false statements Social security number request Required Documents Help The documents you are required to submit vary based on whether or not you are eligible for preference in federal employment. A complete description of preference categories and the associated required documents is in the Applicant Checklist for Public Announcements. As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply. If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further. 1. Your resume: * Your resume must be two pages or less and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration. * For each relevant work experience, make sure you include the employer's name, job title, start and end dates (include month and year), for qualifications purposes, the number of hours worked per week, and a brief description that show you can perform the tasks at the required level listed in the job announcement. If your resume does not contain this information, your application may be marked as incomplete, and you may not receive consideration for this position. * Use plain language. Avoid using acronyms and terms that are not easily understood. The hiring agency will not make assumptions about what's in your resume. * If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations, and you may not be considered for this vacancy. * For additional information, to include formatting tips, see: What to include in your resume. 2. Other supporting documents: * Cover Letter, optional * Most recent Performance Appraisal, if applicable * Transcripts: This position has an individual occupational requirement for education. You MUST submit a copy of your transcript with your application package or you may be rated ineligible. See: Transcripts and Licenses. * License/Certification: This position has a license/certification requirement. You MUST submit a copy of your current, active, valid, unrestricted license/certification with your application package or you may be rated ineligible. See: Transcripts and Licenses. NOTE: Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office. Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you. You may sanitize these documents to remove another person's personal information before you submit your application. You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
    $73.9k-96.1k yearly 2d ago
  • Np - 20319616

    Children's Hospital New Orleans Emergency Room 4.5company rating

    Utilization review nurse job in New Orleans, LA

    The Nurse Practitioner Inpatient provides advanced health care to individuals, families or groups as an advanced or expert clinician. Performs assessment of individual health, analyzes data to determine medical and nursing care needed, plans a treatment strategy to meet identified needs, evaluates responses to nursing and medical interventions. This job description is intended to describe the general nature and level of work performed by employees assigned to this department. This is not an exhaustive list of all duties and responsibilities, and LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. GENERAL DUTIES Assessment: Assesses the complex acute, critical and chronically ill patients for urgent and emergent conditions. Uses relevant data to evaluate for any physiologic instability and utilizes data to formulate plan of care. Clinical Interventions: Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice and approved as a part of the credentialing/privileging process. Analyzes the indications, contradictions, risk of complications and cost-benefits of therapeutic interventions. Plan of Care: Manages the plan of care through evaluation, modification and documentation according to the patient's response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes. Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness. Facilitates the patients transition between and within health care settings. Education: Serves as an educational resource to the patient/family, nursing staff and provider team. Acts as a consultant to multidisciplinary health care team members. Professional Development: Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Acts as a preceptor and mentor to support the development of nurses, APPs, students and other health care providers. Patient Safety and Quality: Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Demonstrates shared accountability for safe practice. Shares errors or potential errors through system reporting mechanisms. EDUCATION QUALIFICATIONS • Master's degree from an approved NP program - required. LICENSES AND CERTIFICATIONS • Basic Life Support (BLS) from American Heart Association • Nurse Practitioner Certification • For CHNOLA ED and CICU hires only: Advanced Cardiac Life Support (ACLS) from American Heart Association must be obtained within 6 months from the date of hire. • Registered Nursing License (RN) from the Louisiana State Board of Nursing • Advanced Practice Registered Nurse (APRN) from the Louisiana State Board of Nursing SKILLS AND ABILITIES • Medical Skills • Computer Software Skills • ICD-10 and CPT-4, working knowledge • Communication and guest relation skills ties.
    $49k-68k yearly est. 12d ago
  • Treatment Nurse

    Meadowview Health and Rehab Center 3.5company rating

    Utilization review nurse job in Minden, LA

    RN Treatment Nurse / Full time Monday-Friday Starting wage: $32 - $36 / hr. based on experience INDNUR Nexion is a "Great Place to Work" because we provide: Free employee and family telehealth immediately upon hire Medical / Dental / Vision Care Early Pay FSA / HSA / 401k Educational Advancement / increased pay with competency levels Scholarship for employees and dependents Emergency Relief Requirements:RN/LVN/LPN license required Learn more about Nexion at ********************* EOE M/F/D/V
    $32-36 hourly 6d ago
  • New Nurse Graduate (RN)

    001-Dialysis Clinic-Nashville, Tn-Corporate Office

    Utilization review nurse job in Crowley, LA

    NO EXPERIENCE NECESSARY! WE WILL TRAIN!!! Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off and a strong culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. The New Nurse Graduate provides specialized nursing care at one of DCI's in-center hemodialysis or hospital services units as part of a patient care team. Our RNs are integral in ensuring safe care and the highest quality outcomes are prioritized for every patient. Schedule: Potential fulltime shifts vary from four 10-hour shifts or three 12-hour shifts and are set upon hiring. Sundays off; no overnight shifts. Benefits: Up to 12-weeks' paid training with preceptor Comprehensive medical, dental and vision benefits Life and long-term care insurance provided at no additional expense to employee Paid time off (PTO) including holidays Extended Sick Bank (ESB) in addition to PTO - paid time for doctor appointments, sickness or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education reimbursement Employee assistance program Wellness program Among others Responsibilities What You Can Expect: DCI provides a 3-month comprehensive education program, including classroom group sessions, job shadowing, and one-on-one skills training Monitor patients during dialysis, assessing and communicating changes with physician and families Prepare dialysis machine and treatment supplies and ensure quality standards are met Perform hemodialysis treatments per facility policies and procedures Ongoing patient education, training and health coaching, including relevant documentation Administer and chart all prescribed medications under supervision of registered nurse Participate in patient care conferences, rounds and chart reviews Facilitate continuity of care with local hospitals Assist in medication inventory maintenance Contribute to training new staff members as directed Additional tasks as requested Qualifications Successful Candidates Bring: Excellent communication skills Desire to collaborate with care teams Ability to problem solve Education/Training: Accredited nursing degree required (PASSED NCLEX OR SCHEDULED NCLEX) Dialysis experience not required, job shadow opportunities available New graduates encouraged to apply DCI's Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation's largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we're hiring in a clinic near you! *************** DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or ************. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: ****************************************************************** ************************************************************************************************* *************************************************************** and **********************************************************************************************************
    $36k-60k yearly est. Auto-Apply 8d ago
  • HEDIS Nurse

    Healthcare Support Staffing

    Utilization review nurse job in Baton Rouge, LA

    HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Title: HEDIS RN/LPN Location: Baton Rouge, LA Daily Responsibilities: Performs provider/practitioner medical record reviews, abstraction and data entry for HEDIS and HEDIS-like measures Reviews assigned medical records in order to abstract clinical data elements for HEDIS reporting Integrates data collected from a variety of electronic and paper sources Documents abstraction findings in HEDIS database tool Is responsible for meeting daily abstraction production goal Is responsible for meeting and maintaining quality requirement of 95% abstraction accuracy Hours for this Position: Mon-Fri daytime Advantages of this Opportunity: Competitive salary, negotiable based on relevant experience Benefits offered, Medical, Dental, and Vision Fun and positive work environment Qualifications Requirements: Clinical degree highly preferred, including, but not limited to: RN, LVN, LPN Experience working with HEDIS software (data entry, reporting) at least one year Experience in medical record review (vendor or health plan; onsite or fax/mail) Experience working in EMR systems Additional Information Are you an experienced Registered Nurse or Licensed Practical Nurse looking for a new job opportunity with a prestigious healthcare company? Are you interested in a project / contract job? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the position for you! If you are interested in being considered for this position, please click the apply button below.
    $36k-60k yearly est. 60d+ ago

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