RN Utilization Review Coordinator
Utilization review nurse job in Homestead, PA
Work From Home Work From Home Work From Home, Indiana 46544 The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for appropriateness of setting and utilization. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
* Schedule: Monday - Friday, 8am - 4:30pm CST
* Perform concurrent reviews for appropriateness of utilization to optimize clinical and financial outcomes.
* Communicate with physicians, patients, members of the Healthcare team, Coordinated Business Office staff, Denial Management staff, and third-party payors to justify the admission or continued stay.
* Notify appropriate staff members of any admission, service, length of stay, lack of medical necessity criteria, as well as denials/appeals and issuing of letters to patients.
* Provide Physician, Patient, Family, Staff and Student education.
* Act as a resource person for the case management department regarding payer rules, regulations, policies and procedures, and utilization issues.
* Perform admission necessity screening using criteria as established by the various federal, state and private sector programs.
QUALIFICATIONS
* Associate degree in nursing/patient care required
* Bachelor's Degree in nursing/patient care preferred
* Registered Nurse (RN - Indiana AND Illinois licensure) required
* 3 years of nursing/patient care experience required
* 2 years of Utilization or Case Management experience preferred
* Must reside within one hour of a Franciscan facility - required
TRAVEL IS REQUIRED:
Never or Rarely
JOB RANGE:
Utilization Review Coordinator $56971.20-$84749.60
INCENTIVE:
Not Applicable
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
Workers' Compensation Nurse Case Manager
Utilization review nurse job in Pittsburgh, PA
Job Description
Workers' Compensation Nurse Case Manager (RN)
Salary range:
Absolute Staffing is searching for a Workers' Compensation Nurse Case Manager on behalf of our client.
About Our Client:
Our client has grown from its Pennsylvania base since 1979 to become one of the largest private workers' compensation management firms in America. They help insurance carriers, self-insured employers, government entities, and TPAs manage workplace injuries, control costs, and maintain productivity, while building valuable and lasting service partnerships.
Salary Range: $68,000-$70,000
Requirements:
Must be an RN with at least one year of clinical nursing experience
Located in or reasonably near Pittsburgh, PA
Valid PA driver's license and vehicle for transportation
Valid Pennsylvania RN license/certification
Responsibilities:
Coordinate medical care, recovery, and return-to-work of injured workers
This is a work-from-home position requiring daily car travel using a personal vehicle (Mileage/travel expenses reimbursed.)
Scope and Responsibilities:
Conduct intake interviews with injured/disabled, limited individual, head trauma, and spinal-cord injured persons and their families
Coordinate medical/psychological care by developing, initiating, and instituting a rehabilitation plan for the disabled individual, which includes addressing safety issues. Periodically review all plans for effectiveness to assure that desired outcomes and goals are met
Case staffing with other relevant rehabilitation professionals in order to provide appropriate and adequate physical care for the injured individual as prescribed by the physician
Monitor care being provided and obtain independent medical opinions when indicated to obtain necessary medical clarification, and apprise involved parties of medical status and care being rendered
Facilitate case management activities leading to vocational readiness
Provide assistance for home modification, vehicle modifications, PT/OT services, medication regimen, procuring orthotic devices, prescribed healthcare equipment, and coordinating home healthcare services
Perform employer interviews with employer representatives to ascertain relevant job duties and essential functions of pre-injury jobs; may assist in job restructuring; determine the availability of alternate, modified, and light duty positions with pre-injury employers, as specified by the physician; conduct job analysis (when appropriate)
Act as liaison, coordinating efforts with the injured individual, physicians, medical and psychological care providers, attorneys, employers, and insurance professionals
Assist insurance professionals in determining and projecting future care, needs, and expenses; provide pertinent information to assist life care plan specialists
Adhere to the policies and standards set forth by URAC accreditation as well as jurisdictional legislative and regulatory requirements
May serve on the QI Committee to identify areas of improvement and future quality improvement initiatives
May attend meetings with various departments to coordinate case management efforts
Reports directly to a medical services supervisor
Expected Professional Competencies:
Analyze current health status of injured workers to determine nursing care needs
Professional level of verbal and written communication skills
Minimal computer competency
Basic level of understanding of procedural and legislative rules and regulations
Qualifications and Experience:
Current and unrestricted RN license in the state/jurisdiction for which the nurse is being hired
One year of direct clinical care experience
The following are not required; however, individuals possessing any of the following will receive preference:
Certification as a case manager (CCM, CDMS, CRC)
Bachelor's Degree (or higher) in a health-related field and/or licensed or certified as a health care professional
Benefits:
Full benefits package includes 401K
OP Nurse Coordinator I (Department of Radiology)
Utilization review nurse job in Pittsburgh, PA
We are seeking a dedicated Outpatient Nurse Coordinator to join our Radiology team located at 203 Lothrop Street. This full-time role follows a Monday-Friday, 8:00 a.m.-5:00 p.m. schedule, with the flexibility to work remotely several days per week. The Outpatient Nurse Coordinator will provide clinical and coordination support for the Office of Radiology, ensuring seamless patient care and operational efficiency. Key responsibilities include triaging patient phone calls, scheduling and managing outpatient follow-ups, assisting with prior authorizations, and coordinating imaging and procedural scheduling. Travel to UPMC Shadyside is required to support clinical needs across sites. The ideal candidate is organized, compassionate, and skilled in managing patient flow, communication, and multidisciplinary collaboration.
Responsibilities:
* Demonstrates accountability for professional development that improves the quality of professional practice and the quality of patient care. Actively participates in practice-based shared governance, goal setting and supports the change and transition process to improve quality of care and the practice environment. Serves as a highly engaged and full partner on the care team and responds willingly to care team member needs for assistance and partnership. Participates in work that improves patient care and the professional practice environment.Adapts to change and demonstrates flexibility with the change process.Provides oversight and supervision to the overall practice environment, assisting all other disciplines and directing clinical/administrative activity as need arises. Demonstrates leadership capabilities with new nursing staff, patient information coordinators, medical assistants and office assistant staff in the daily management of the patient process.
* Formulates goals and a plan of care for patients that involves the patient as partner and considers the individual needs of the patient in a holistic manner. Triages patient situations and coordinates care with physician.Assist physician with all aspects of patient care including assessment, evaluation and education.Provides care for patients in a global, holistic method-responsibility for the patient is viewed in a continual manner, not simply at the time of office/procedural visit.Accountable for outpatient treatment follow up necessary for patient to maintain health in between outpatient visits.Serves as primary nursing resource to patient caseload.Facilitates necessary services outside of the healthcare facility, interacts with homecare and other support services.
* Develops and maintains productive working relationships internally and externally by demonstrating accountability for actions, enthusiasm, motivation and commitment to patients and colleagues. Demonstrates an understanding of cultural differences and holds peers accountable for healthy relationships. Maintains a conscious balance between work and personal life. Models safe work hours, time management and healthy lifestyle. Communicates with peers and management any safety hazards identified in the workplace.Assists the departmental manager (Practice Coordinator or Practice Manager) in patient care planning, operations and innovations.
* Actively participates in department or practice-specific quality improvement efforts. Identifies opportunity for quality improvement to colleagues and management. Takes personal responsibility in improving patient satisfaction with the quality of care and service. Utilizes research and evidence-based practice to support improvement in clinical care: identifies research issues or articles related to clinical specialty or areas of interest Actively assists and participates in all preparation and maintenance activities for regulatory agency reviews and quality audits.Becomes the patient advocate and voice to the physicians and physician extenders within the practice.
* Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families.Ability to work productively and effectively within a complex environment, handle multiple/changing priorities and specialized equipment.Good clinical judgment with critical thinking, analytical and problem solving abilities required as related to various aspects of patient care.Critical thinking skills necessary to exercise and to lead others in application of the nursing process.Communication skills that designate the Professional Nurse Coordinator as the voice/advocate for the patient.Mobility and visual manual dexterity. Physical stamina for frequent walking, standing, lifting and positioning of patients.
* Demonstrates critical thinking in the identification of clinical, social, safety, psychological and spiritual issues for the patient care within an episode of care. Practices solid communication skills, and is able to articulate and translate the patient's condition to other care providers and to negotiate and make recommendations for changes in patient care and office practices. Patient documentation is comprehensive and promotes communication between caregivers. Incorporates national professional organization as well as business unit and health system's goals to improve patient safety, quality and satisfaction.Creates a caring and compassionate patient focused experience by building healing relationships with patients, families and colleagues.
* Demonstrates knowledge of adult learning principles (and/or teaching children if applicable) and applies in teaching of patients, families, students and new staff. Provides detailed and appropriate teaching to patients and families to effectively guide them through the episode of care both in the office setting and via phone/written communication when at home. Serves as the primary nursing liaison for the development of a total care plan to patient and family.Supports the development of students, new staff and colleagues May serve as a preceptor for newly acquired staff. May be responsible for coordination of staff training and educational activities. Functions as the senior nursing level assisting in the professional development and maturity of new staff members and ancillary support. Creates an environment of open dialogue, inquiry and continuous development by asking for feedback and improving practice.
* Minimum 3 years nursing experience
* BSN preferred.
* The individual must be able to demonstrate the knowledge and skills necessary to provide care and/or interact appropriately to the ages of the patients served by his/her assigned unit as specified below. They must also demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patients status and interpret the appropriate information needed to identify each patients requirements relative to his/her age-specific needs and to provide the care needs as described in the department policy and procedures.
Licensure, Certifications, and Clearances:
Current licensure as a Registered Professional Nurse in practicing state. CPR Certification UPMC approved national certification preferred. CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire
* Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR)
* Registered Nurse (RN)
* Act 34
* Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.
UPMC is an Equal Opportunity Employer/Disability/Veteran
Intake Nurse Coordinator
Utilization review nurse job in Aliquippa, PA
Requirements
RN licensure
CPR certified
Preferred Requirements
2 years nursing experience
Critical Care experience
Other Requirements
Pass PA Criminal Background Check
Obtain PA Child Abuse and FBI Fingerprinting Clearances
Pass Drug Screen
TB Test
Work Conditions
Extended care facility treating those with substance use disorders.
Able to lift upwards of 20 lbs.
GRC IS AN EQUAL OPPORTUNITY EMPLOYER M/F/D/V
OP Nurse Coordinator I- Magee Womens Surgical Associates
Utilization review nurse job in Pittsburgh, PA
University of Pittsburgh Physicians is hiring a full-time OP Nurse Coordinator I to join their team at Magee Women's Surgical Associates. Hours: Monday-Friday, daylight hours Position Specifics: This position will work at both the Magee and West Mifflin Offices. There will be the possibility of remote work after the first 6 months.
What Can UPMC Do for You?
* A career path that provides you with the right experience to be successful in the position you want to obtain now and, in the future
* Health and welfare benefits like medical, vision, dental, and life and disability, and an exceptional retirement program
* Work life balance to help manage other important aspects of your life such as: PTO, wellness programs, paid parental leave
* Competitive pay for the work that you do
* Sign-on Bonus available if applicable
Responsibilities:
* Demonstrates accountability for professional development that improves the quality of professional practice and patient care. Actively participates in practice-based shared governance, goal setting and supports the change and transition process to improve quality of care and the practice environment. Serves as a highly engaged and full partner on the care team and responds willingly to care team member needs for assistance and partnership. Participates in work that improves patient care and the professional practice environment. Adapts to change and demonstrates flexibility with the change process. Provides oversight and supervision to the overall practice environment, assisting all other disciplines and directing clinical/administrative activity as need arises. Demonstrates leadership capabilities with new nursing staff, patient information coordinators, medical assistants and office assistant staff in the daily management of the patient process.
* Formulates goals and a plan of care for patients that involves the patient as partner and considers the individual needs of the patient in a holistic manner. Triages patient situations and coordinates care with physician. Assist physician with all aspects of patient care including assessment, evaluation and education. Provides care for patients in a global, holistic method. Accountable for outpatient treatment follow up necessary for patient to maintain health in between outpatient visits. Serves as primary nursing resource to patient caseload. Facilitates necessary services outside of the healthcare facility, interacts with homecare and other support services.
* Develops and maintains productive working relationships internally and externally by demonstrating accountability for actions, enthusiasm, motivation and commitment to patients and colleagues. Demonstrates an understanding of cultural differences and holds peers accountable for healthy relationships. Maintains a conscious balance between work and personal life. Models safe work hours, time management and healthy lifestyle. Communicates with peers and management any safety hazards identified in the workplace. Assists the departmental manager (Practice Coordinator or Practice Manager) in patient care planning, operations and innovations.
* Actively participates in department or practice-specific quality improvement efforts. Identifies opportunity for quality improvement to colleagues and management. Takes personal responsibility in improving patient satisfaction with the quality of care and service. Utilizes research and evidence-based practice to support improvement in clinical care. Identifies research issues or articles related to clinical specialty or areas of interest. Actively assists and participates in all preparation and maintenance activities for regulatory agency reviews and quality audits. Becomes the patient advocate and voice to the physicians and physician extenders within the practice.
* Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families. Ability to work productively and effectively within a complex environment, handle multiple/changing priorities and specialized equipment. Good clinical judgment with critical thinking, analytical and problem-solving abilities required as related to various aspects of patient care. Critical thinking and communication skills necessary to exercise and to lead others in application of the nursing process. Mobility and visual manual dexterity. Physical stamina for frequent walking, standing, lifting and positioning of patients.
* Demonstrates critical thinking in the identification of clinical, social, safety, psychological, and spiritual issues for the patient care within an episode of care. Practices solid communication skills and is able to articulate and translate the patient's condition to other care providers and to negotiate and make recommendations for changes in patient care and office practices. Patient documentation is comprehensive and promotes communication between caregivers. Incorporates national professional organization as well as business unit and health system's goals to improve patient safety, quality and satisfaction.
* Demonstrates knowledge of adult learning principles (and/or teaching children if applicable) and applies in teaching of patients, families, students and new staff. Provides detailed and appropriate teaching to patients and families to effectively guide them through the episode of care both in the office setting and via phone/written communication when at home. Serves as the primary nursing liaison for the development of a total care plan to patient and family. Supports the development of students, new staff, and colleagues. May serve as a preceptor for newly acquired staff. May be responsible for coordination of staff training and educational activities. Functions as the senior nursing level assisting in the professional development and maturity of new staff members and ancillary support. Creates an environment of open dialogue, inquiry, and continuous development by asking for feedback and improving practice.
Qualifications:
* Minimum 3 years nursing experience
* BSN preferred
Licensure, Certifications, and Clearances:
Current licensure as a Registered Professional Nurse in practicing state. CPR Certification UPMC approved national certification preferred. CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire.
* Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR)
* Registered Nurse (RN)
* Act 34
* Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.
UPMC is an Equal Opportunity Employer/Disability/Veteran
Intake Nurse Coordinator- Home Infusion
Utilization review nurse job in Oakdale, PA
CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.
Job Details:
Coordinates referrals with the Liaison, or MD office and Home health as well as internally with the Insurance verifier and pharmacist to achieve a positive outcome.
Case manages the existing patients with troubleshooting pumps and all related infusion problems.
Responsibilities
Assess patient's appropriateness for admission in accordance with company policies and SOP's for admission criteria. Identify issues and concerns that the patient, referral source or Pharmacist may have which could affect the planned date of admission.
Coordinate patient admissions by prioritizing to assure that the intake process is completed timely. Act as a liaison between the patient, referral source, home health agency, appropriate internal departments.
Provide ongoing case management support to all patients, physicians and nurses including but not limited to troubleshooting pump problems, evaluating supply concerns and needs, transitioning patients to another agency or infusion company, and providing education as needed.
Answer routine questions regarding company policies, operations and procedures.
Focus on customer service and continually strives to perform the duties of the job in a manner that will result in optimal patient satisfaction as well as internal and external relationships. Utilize appropriate communication lines in relaying problems, concerns, questions and ideas. Handle client complaints in a fair and empathetic manner.
Demonstrate support and willingness to help sales representatives as needed.
Take initiative to present ideas/suggestions to management.
Carry out all job responsibilities according to the company's core values and provide quality, comprehensive services to all customers through a team approach.
Mentoring new staff and supporting them through orientation.
Performs other duties as assigned.
Knowledge & Abilities
Excellent written and verbal communication
Strong organizational and prioritization skills
Ability to assume a flexible work schedule
Home infusion/home health care experience
Qualifications
Completion of accredited school of professional nursing is required
Bachelor of Science in Nursing (BSN) is preferred
Registered Nurse (RN) licensure is required
Proficiency in the Microsoft Suite
CarepathRx offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire
.
CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.
Auto-ApplyAesthetic Nurse Injector
Utilization review nurse job in Pittsburgh, PA
Aesthetic Nurse Injector | Renuva Medspa - Pittsburgh, PA
Schedule: 25+ hours/week, flexible shifts
Current: Mon-Thurs 10 AM - 7 PM, Fri & Sat 9 AM - 4 PM
Future: Mon-Thurs 8 AM - 8 PM, Fri-Sun 9 AM - 4 PM
Compensation: $40-$60/hr (DOE)
Benefits:
PTO: 2 weeks (full-time)
Complimentary laser treatments
40% off retail products
Discounts on all other treatments
Monthly manicure/pedicure at affiliated salon
About Us
At Renuva Medspa, education comes first, patient experience second. Our culture is built on teamwork, collaboration, and professional growth. We elevate each other while delivering exceptional care and “unreasonable hospitality” to every patient.
We are seeking an Aesthetic Nurse Injector who is passionate about aesthetics, thrives on continuous learning, and wants to grow with a thriving, expanding practice.
Responsibilities
Cosmetic Injections & Treatments
Perform neuromodulator and filler injections, biostimulators, hyaluronidase, and other aesthetic procedures
Conduct patient assessments, treatment planning, and follow-ups
Perform skin treatments: laser hair removal, IPL, microneedling, chemical peels, resurfacing
Consultation & Patient Care
Educate patients on treatments and products
Provide personalized, ethical recommendations
Maintain detailed SOAP notes within 24 hours
Sales & Growth
Drive revenue through patient education and service recommendations
Stay current with industry trends, techniques, and products
Professional Presence
Maintain reliable attendance and flexibility for evenings/weekends as needed
Engage with marketing initiatives and post 2+ times weekly on clinic social media
Qualifications
Active RN, NP, or PA license
Minimum 1 year full-time injecting experience (2 years if part-time)
Completion of basic Botox & filler course with experience beyond basics
Laser certification or dermatology/plastics experience a plus
Self-motivated, continuously learning, and passionate about aesthetics
Ideal Candidate
Thrives in a collaborative, non-micromanaged environment
Excited about professional growth and training
Delivers excellent patient care with enthusiasm and hospitality
Apply today to join the Renuva Medspa team and grow your career in medical aesthetics!
RNAC/ MDS Nurse
Utilization review nurse job in Pittsburgh, PA
Job Description
Highland Hills Post Acute is a 200-bed post-acute care facility located at 1105 Perry Highway, Pittsburgh. Our dedicated staff members are ready to welcome you to our team. Here, we believe that showing appreciation is key in creating an environment where our staff members feel valued and seen. In a world full of handshakes, we're a high five!
What we offer:
$90,000-$96,000
PTO for your birthday
nursing school loan repayment program
gym, activity, and weight loss program discounts
employee appreciation events & prizes monthly
multiple healthcare plans to fit your budget
free telehealth visits
HSA & FSA available
401k w/ match
PRN opportunities within our network
Successful candidates will have the following:
ability to maintain all required continuing education/licensing and remain in good standing with the State Board of Nursing
current, unencumbered license to practice as a nurse in PA
extensive knowledge of reimbursements
experience with PCC preferred
Your day to day:
You'll perform assessments for our residents to ensure their care plans meet their needs. You'll work with insurers to obtain the highest possible reimbursements for care. You'll work under supervision of our DON to ensure compliance with current state, federal, and local standards.
More about us:
As a member of the PACS network, you'll be part of America's fastest-growing network of post-acute care facilities. We pride ourselves on redefining healthcare through love, excellence, trust, accountability, mutual respect, and fun.
Once onboarded, you'll have the opportunity to work PRN within our network (8 facilities regionally). Share your interest in this option at your interview.
Dream of pursuing a degree or specialty? We want to hear about it! Be sure to share your goals with us as we value helping our staff members grow.
Job Posted by ApplicantPro
OP Nurse Coordinator I
Utilization review nurse job in Pittsburgh, PA
University of Pittsburgh Physicians Department of Neurological Surgery is hiring a full-time Outpatient Nurse Coordinator I to join their team at Presbyterian Hospital ( _200 Lothrop Street, Suite B400, Pittsburgh, PA 15213_ ). In this position, you will work Monday-Friday from 8:00am-4:30pm. This role provides opportunity to work from home 1 day per week after successfully completing an orientation period/6 month of employment.
Are you ready to make a meaningful impact in one of the most dynamic and innovative Neurosurgery Departments in the country? We're seeking a dedicated and compassionate Registered Nurse to join our outpatient care team. This role offers a unique opportunity to contribute to groundbreaking research, support patient-focused initiatives, and gain valuable experience in coordinating care and facilitating support groups.
Purpose: The Outpatient Nurse Coordinator plays a vital role in delivering high-quality, holistic care to patients across the continuum of outpatient services. This position requires independent clinical judgment, strong communication skills, and a commitment to patient advocacy. You'll collaborate closely with physicians, families, and community resources to ensure patients receive comprehensive support both during and between visits.
Key Responsibilities:
+ Patient-Centered Care:
+ Develop individualized care plans in partnership with patients and families.
+ Triage patient needs and coordinate care with physicians and external services.
+ Serve as the primary nursing resource for a designated patient caseload.
+ Provide education and guidance to patients and families throughout their care journey.
+ Clinical Leadership:
+ Supervise and support nursing staff, medical assistants, and office personnel.
+ Lead daily clinical and administrative operations within the practice.
+ Mentor new staff and contribute to their professional development.
+ Professional Practice:
+ Engage in continuous learning and shared governance initiatives.
+ Participate in quality improvement efforts and regulatory preparation.
+ Apply evidence-based practices to enhance patient outcomes and satisfaction.
+ Collaboration & Communication:
+ Foster positive relationships with interdisciplinary teams and external partners.
+ Advocate for patients and communicate effectively across all levels of care.
+ Maintain thorough and accurate documentation to support care coordination.
+ Education & Teaching:
+ Provide patient and family education using adult learning principles.
+ Support training and educational activities for staff and students.
+ Serve as a preceptor and role model for clinical excellence.
+ Minimum 3 years nursing experience
+ BSN preferred
**Licensure, Certifications, and Clearances:**
+ Current licensure as a Registered Professional Nurse in practicing state.
+ CPR Certification UPMC approved national certification preferred.
+ CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire
+ Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR)
+ Registered Nurse (RN)
+ Act 34
*Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.
**UPMC is an Equal Opportunity Employer/Disability/Veteran**
Nursing - PEDS
Utilization review nurse job in Pittsburgh, PA
Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details.
Ventura MedStaff benefits represent the care and compassion we provide for our clients.
• Health, dental, vision, life, disability benefits and 401k
• Tax free stipends when applicable
• Gym discounts
• Weekly pay
• $750.00 referral bonus
Please apply or contract us at: *********************** or ************
Hiring NP - PA - Sign On Bonus
Utilization review nurse job in Pittsburgh, PA
You're more valuable than ever - And that's just how we'll make you feel.
You're more valuable than ever - And that's just how we'll make you feel.
Sign-On Bonus of up to $15,000
Join Our UPMC-GoHealth Team!
We are seeking experienced Physician Assistants and Nurse Practitioners to join UPMC-GoHealth Urgent Care in the greater Pittsburgh area, and locations across Pennsylvania and West Virginia.
At GoHealth Urgent Care, we go above and beyond for our patients, communities, and team members to ensure effortless, personal, and connected experiences. Partnering with UPMC Health System, one of the most respected healthcare networks in the country, we've built a substantial network of urgent care centers across Pennsylvania and West Virginia.
What We Offer:
Clinical Excellence:
Be challenged with clinical complexity and a wide variety of concerns. Engage in the shared decision-making and problem-solving that enlivens your work.
Enjoy the flow of seeing patients at regular intervals with scheduling programs that promote wellness, efficiency, and safe care.
Our state-of-the-art centers are equipped with advanced technology, including an integrated EPIC EMR, POC testing, and on-site X-ray to maximize your efficiency and clinical success.
Work in one of the cleanest, quietest, and well-maintained healthcare settings in the nation.
Be the professional you envision. Collaborate with an on-site Rad Tech and Medical Assistants as a clinical team leader.
Share your experience and training with other clinicians and staff.
Scheduling flexibility to accommodate vacations and wellness days Monday through Friday. Weekend shifts and limited on-call availability are required. Each team member is assigned a primary anchor/home center, with secondary centers nearby.
Minimum Qualifications:
Comfortable with minor procedures (sutures, casts, splints, etc.), and preliminary reads on EKGs and X-rays required.
Experience treating patients ages 6 months and up in an acute care setting required.
Physician Assistants: Master's degree and NCCPA Certification is required.
Nurse Practitioners: Master's degree and ANCC or AANP Certification is required.
Preferred Qualifications:
One (1) year of full-time experience in Emergency Medicine or two (2) years of Urgent Care setting experience. Will consider 2 years of Family Medicine experience.
Apply Now and Take Your Career to the Next Level!
If you are a dynamic, flexible, and experienced clinician ready to make a difference, we would love to hear from you. Do not miss this opportunity to join our collaborative team and practice urgent care medicine with the support of a fast-growing healthcare network.
Eligible individuals may be entitled to a Sign On Bonus. Apply now and unlock your full potential!
Sign On Bonus available to eligible candidates upon hire; subject to program terms
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All qualified persons are granted an equal opportunity for employment without regard to race, color, religion, sex, sexual orientation and gender identity or expression, age, national origin, citizenship status, disability, genetic information, medical condition, family care leave status, pregnancy or pregnancy-related condition, otherwise qualified disabled or veteran status. The company will comply with all fair employment laws in each of the jurisdictions where we conduct business.
For applicants in California, please review our California Consumer Privacy Statement here. *****************************************
Auto-ApplyNurse - Weekends
Utilization review nurse job in Pittsburgh, PA
Job DescriptionBenefits:
Employee discounts
Wellness resources
Benefits/Perks
A competitive salary
Flexible Schedules
Casual Dress-code
Fun, wellness-focused work environment
Company Overview
Restore Hyper Wellness is the leading retail provider of alternative health and wellness modalities in the United States. Our goal is to make Hyper Wellness widely accessible, affordable, and fun. This means helping people from all walks of life feel better and perform at a higher level so they can do more of what they love in life. Inc. 5000 ranked Restore as the #113 Fastest Growing Company in America, the #17 Fastest Growing Company in Texas, and the #1 Hottest Franchise in America.
Job Summary
Do you have a passion for nursing but are tired of the hectic, high-stress environment of a clinic or ER? This is your chance to take your career in an exciting, new direction.
Restore is seeking an outgoing, experienced Nurse to join our team of wellness professionals on a mission to help people feel better so they can do more of what they love. Were the antithesis of a traditional medical office or clinic, offering innovative wellness services in a fun, comfortable environment. Our nurses have described working for Restore as the most fun you can have at a nursing job while still helping people in a meaningful way. This is your opportunity to take an active role in assisting individuals on their health and wellness journey and leading a team of nurses to support the Restore mission.
Responsibilities
Medical Operations & Clinical Duties
Administer IV Drip Therapy and Intramuscular (IM) Shots to deliver our menu of vitamins, minerals, and antioxidants.
Educate clients on the qualities and benefits of our IV Drip and Intramuscular (IM) Shot ingredients.
Administer Hyperbaric Oxygen Therapy sessions.
Utilize blood test offerings to help clients optimize their wellness.
Promote memberships and medical services based on client needs.
Document client visits via electronic medical records.
Address and answer client questions using the Restore Nursing Reference Guide under the supervision of the Medical Director and network of licensed Advanced Practice Providers.
Communicate to the medical compliance team any issues or adverse effects clients experience.
Provide therapeutic communication along with exceptional customer service
Assist staff with store services.
Assist with off-site nursing events and special projects.
This position reports to the Lead Nurse.
Maintain a safe and clean working environment.
Qualifications
Youre a licensed Registered Nurse (RN).
You have at least two years of experience as a nurse in an acute care setting (ER, ICU, Med-Surg, or similar).
You are BLS (Basic Life Support) certified
You have at least one year of experience administering injections.
Youre comfortable using electronic medical records to document client details.
You maintain a non-judgemental outlook and have a demonstrated ability to work with a diverse clientele.
Your verbal and written communication skills are on point.
You value ethics and integrity.
You embrace a team environment and also excel at working independently.
Youre willing to adhere to all policies and procedures and understand the importance of maintaining medical compliance.
Quality Implementation Nurse
Utilization review nurse job in Pittsburgh, PA
Job Details Pittsburgh, PADescription
Metro Community Health Center extends great benefits to our eligible employees.
MCHC current benefits are:
MCHC pays 100% of the employee premium for UPMC Medical, United Concordia dental, STD, LTD
Life insurance ($100,000)
VBA vision coverage is offered as voluntary coverage that paid for by the employee
Medical and Dependent Care FSA and HRA
2 weeks of paid parental leave
20 days (4 weeks) of PTO for your 1st two years
12 paid holidays
401k with a 4% match
Competitive Wages
JOB SUMMARY:
The Quality Implementation Nurse will facilitate the mission of Metro Community Health Center to ensure the delivery of quality patient care and coordination of supportive services within the health center. The Registered Nurse will provide direct clinical support to an assigned provider, function as an EMR champion, and implement a patient-centered approach to all care given whether face to face or telephonic. The individual will administer to the needs of the patients by following the scope of practice and standards of care accurately while demonstrating a broad, comprehensive knowledge base in the theory and practice of nursing. This position utilizes the nursing process to ensure quality and cost-effective health care to patients in all stages of the lifecycle. The Quality Implementation Nurse will work independently as well as part of a team and requires a working knowledge of clinical applications.
ESSENTIAL FUNCTIONS:
• Provide and facilitate competent health care of patients and families
• Competently telephone triage for ages 0-150 (e.g., remote assessment, medication management, community resource management, chronic disease education, plan-of-care reinforcement, discharge follow-up, etc.)
• Initiate care coordination support within the scope of Pennsylvania nursing licensure when necessary
• Use computers for accessing electronic health records for data retrieval, data entry, charting updates, etc.
• Provide health and wellness education to individuals and groups
• Provide support for initiatives designed to improve the quality of care or clinical outcomes
• Assist providers with direct patient care and procedures
• Provide in-office education for patients with newly diagnosed chronic disease
• Administer immunizations and injectable medications to patients ages 0-150
• Provide face-to-face and telephonic care to patients as assigned and qualified to perform
• Assess, review, and develop nursing plans to ensure maximum patient outcomes
• Provide patient/family/caregiver teaching, education, training, and counseling as needed relative to disease processes, health maintenance, ordered procedures, and counseling regarding medication and nutrition
• Complete all patient documentation and ensure all patient records are current and complete
• Provide direct care to patients as assigned and qualified to perform
• Coordinate care for patients with chronic diseases
• Assist the clerical and clinical teams with the coordination and scheduling of patients
• Assist in the education and training of staff
• Provide counsel, support, advice, and support to patients, their families, and fellow employees
• Perform duties including, but not limited to, vital signs, assisting the providers with procedures, providing patient education, conduct in-office testing to include urine pregnancy screen, urine dip, rapid strep,
laboratory tests, pregnancy tests, medication refills, fecal occult blood, and HIV screening, lead testing, immunizations, and other injections, as required
• Act as a resource for patients, clinical staff and CHNs
• Explore existing patient barriers of health access, healthful behavior, and ability to successfully self-manage chronic disease if present
• Provide patient/family/caregiver teaching, education, and counseling as needed
• Attend meetings, patient conferences, planning sessions, related to quality assurance, patient care, and other related topics as required by the health center
• Attend off-site tabling events or seminars to provide support or health education
• Attend seminars and maintain all licensure requirements for continuing education and best practices
• Participate in quality strategies to evaluate compliance with standards and to identify opportunities to improve patient outcomes
• Perform duties including, but not limited to, vital signs, assisting the clinician with procedures, providing patient instructions, and conducting in-office testing and procedures
• Support the clinical team with education and training
• Lead and drive the quality improvement/quality assurance quarterly meetings (under the management of the Clinical Director & COO) by facilitating quarterly meetings and maintaining standards by ensuring the metrics for clinical outcomes are consistently reviewed and the organization is provided clear guidance and direction affecting ongoing improvements in the quality of care. Assist the clinical team as necessary to standardize these quality assurance standards and measures
• Provide informal leadership and direction related to clinical collaborative, grant, study, program, or research related initiatives that improve the lives of our patients as well as the communities in which they live
• Provide patient education teaching and training relative to disease processes, health maintenance, ordered procedures, and counseling regarding medication and nutrition
• Other duties as assigned
EXPECTATIONS OF THE POSITION:
• Balance complex clinical scenarios
• Effectively communicate using excellent verbal, non-verbal, and written communication skills
• Utilize decision-making skills and tools to complete tasks including but not limited to, administering or refilling medications and immunizations, performing diagnostic testing, assessing patient/family psychological issues, managing patient telephone triage, and interpreting/recording lab values/diagnostic test results
• Ensure all tasks provided and associated with patient care, patient administrative processes, and related duties comply with all regulatory and accreditation standards, as well as clinic policies and procedures
• Ensure that regulatory (HRSA, VFC, OSHA, CLIA, HIPAA) standards are maintained according to policies and procedures
• Use problem-solving skills to serve the health center's patient population
• Seek out self-learning activities and have a general desire to expand current clinical knowledge and skills
• Complete all patient charting and ensure all patient records are current and complete
• Communicate in a professional manner (verbal, nonverbal, electronic, written communication, etc.)
• Maintain a clean work environment (exam rooms, desk space, etc.) at all times
• Build customer and staff relationships and provide excellent customer service to not only customers, but vendors, partnering liaisons, potential clients and fellow employees
• Adhere to established standards of care and scope of practice
Qualifications
PERFORMANCE SKILLS:
• Adaptability • Decision making and problem solving
• Communications • Respecting diversity
• Composure • Collegiality/teamwork
• Client /patient focus
• Quality driven • Work standards
• Coachable
REQUIRED CREDENTIALS:
• Graduation from an accredited nursing program
• Bachelor's degree preferred
• Current, state RN license
• 3-5 years acute and/or outpatient medical nursing experience preferred
• Demonstrated success in providing clinical care and nursing support within an organization of comparable pace and complexity
• Demonstrated success in managing difficult patient/customer situations
• Significant knowledge of medical practices and procedures within in a primary care environment
• Significant understanding of local health care systems and access
• Demonstrated success and familiarity with tools, technology, and systems typically found within most progressive health care environments
PHYSICAL REQUIREMENTS:
While performing the duties of this job, the employee is regularly required to sit; use hands to manipulate objects, tools or controls; reach with hands and arms; and talk and hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus. Noise level in the work environment is usually quiet.
#LP
Dialysis Nurse - MWF
Utilization review nurse job in Pittsburgh, PA
Job Details Squirrel Hill Wellness & Rehab - Pittsburgh, PADescription
Why Work at Concerto? What is in it for you?
Three (3) day work week
Competitive pay
Nurse to patient's ratio
Clinical/Corporate Career Advancement
Medical, dental, vision, short- and long-term disability benefits
Pet Insurance
401k match of 50% up to 6% of salary
PTO
Paid Holidays
Discounts through Nectar
Employer Paid Employee Assistance Program
Who Are We?
Concerto Renal Services is an industry leader in sub-acute hemodialysis within a skilled nursing facility and/or long-term care facility. We are a rapidly expanding business with a simple mission: reimagining dialysis care, one community at a time. Our model focuses on ensuring those with end-stage renal disease receive the best possible care through a more convenient, centralized, continuous care model.
Why is this Role Essential?
Concerto is seeking a Dialysis Nurse to join its team! The Dialysis Nurse supervises dialysis care in accordance with policy, procedure and training and in compliance with state and federal regulations. Assures responsibility for the unit and works collaboratively with members of the hemodialysis healthcare team. Supervises care given by dialysis technicians while assuming a ‘hands on' role and fostering a team approach to patient care.
What Will You Do?
Patient Care & Education
Provides direct hemodialysis care, performs assessments, administers medications, and educates patients on renal health, treatment, and self-care.
Team Leadership & Supervision
Delegates tasks to dialysis technicians, supervises their performance, and ensures compliance with clinical standards and regulations.
Treatment Monitoring & Adjustment
Monitors patient response to dialysis, adjusts treatment plans as needed, and ensures accurate documentation of interventions and outcomes.
Collaboration & Communication
Works closely with physicians and healthcare team members to coordinate care, report critical lab results, and ensure continuity of treatment.
Documentation & Compliance
Maintains accurate electronic medical records, ensures timely completion of care plans, and adheres to safety and regulatory protocols.
Qualifications
You Might Be a Good Fit If You are...
Compassionate and Empathetic
A Critical Thinker and Problem-Solver
An Individual who Thrives in a Team Environment
An Individual with Excellent Communication Skills
Purpose-driven
What's Required?
Graduate of an accredited school of Nursing
Current State appropriate or Compact RN License
Minimum of one (1) year of nursing experience in any practice area
Minimum of three (3) months of Dialysis experience required
BLS Provider certification
Physical Requirements & Work Environment
This role requires successful completion of the Ishihara Color Blindness Test to ensure accurate color perception in a clinical setting. It also involves prolonged walking, standing, stooping, and bending, with the ability to lift up to 25 lbs. Strong focus and attention to detail are essential. The work environment includes temperature control, moderate noise levels, and potential exposure to infectious materials.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Wellness Nurse
Utilization review nurse job in Turtle Creek, PA
Serenity at LGAR, a new Personal Care/Memory Care unit located in Turtle Creek, is currently seeeking a Full time Wellness Nurse. The ideal candidate will be responsible for safe administration of all perscribed medications and treatments as listed on the Medication Administration Record (MAR) and Treatment Administration Record (TAR), provides personal care services and general nursing care to residents as needed and allowable under PA Code 2600, ensures delivery of care and services to all residents in the community to include Activities of Daily Living (ADLs), room cleanliness, scheduled activities and dining services, and individual service plan needs of each assigned resident.Generous PTO, excellent benefits, 403B with match.
Licensed Required.
EOE
New Graduate Nurse
Utilization review nurse job in Pittsburgh, PA
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.
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
Auto-ApplyReslife Weekend Nurse Am
Utilization review nurse job in Pittsburgh, PA
Job Details Shady Side Academy Senior School - Pittsburgh, PA Seasonal Negligible Health CareDescription
Reporting to the Director of Nursing the Residential Life Weekend Nurse is the primary caregiver and point of contact for our boarding students. There are approximately 80 students who reside on campus. The Residential Life Weekend Nurse will be responsible for the overall health of the boarding students. This includes providing medications to the students (over the counter and prescription), caring for any acute illness or injury, scheduling appointments, including follow-up appointments, and making parent phone calls.
Hours
1-2 weekends/month- as needed
Saturday 8:00am-4:00pm and on-call overnight (10:00pm-8:00am)
Sunday 8:00am-4:00pm
Qualifications
Primary Responsibilities
Hold office hours for boarding students throughout the course of the weekend.
Attend to sick and injured children.
Schedule any appointments, including follow-up appointments.
Contact and advise parents regarding illnesses and injuries, if a student needs to leave school or in case of medical emergency.
Maintain a daily medical log describing symptoms, medical treatment, etc.
Maintain and administer medication and treatments to students as requested by families.
Be available and serve as first responder in any emergency illness/injury situations, and perform first aid to sick or injured persons following protocol established by the Director of Nursing.
Communicate the Director of Nursing and with the Counselor as needed.
Communicate with Dorm Parents/Dean of Student and Residential Life regarding any concerns/events with students.
Keep electronic records.
Comply with PA State guidelines and Academy policy.
Other duties as deemed appropriate by the Director of Nursing.
Requirements
Candidates must have a current PA license, CPR certification, and Act 33/34 clearances.
Ideal candidates will have:
three to five years of experience as a pediatric or acute care nurse
a positive and warm bedside manner
a demonstrated passion for working with and teaching adolescents
superior interpersonal and communication skills
Compensation
Compensation is competitive with area independent schools and commensurate with qualifications and experience. Brunch is provided when school is in session.
New Graduate Nurse
Utilization review nurse job in Pittsburgh, PA
**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.
**Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**
Substitute Nurse
Utilization review nurse job in Pittsburgh, PA
The Environmental Charter School is seeking candidates for the position of Substitute Nurse. OUR PHILOSOPHY AND MISSION As the world changes and becomes increasingly more complex, global citizens will need to be equipped with skills that allow them to be flexible thinkers, creative problem solvers, and effective leaders.
ECS offers a program that develops students into critical thinkers, thoughtful innovators, and well-rounded scholars. We provide students the tools and educational foundation to become tomorrow's global citizen, and we strive to teach students how their choices impact the world around them. By using environmental content as a lens for instruction, ECS provides students a context in which to explore ideas and observations, to practice inquiry and to actively problem solve. Throughout their academic career at ECS, students build core skills across all disciplines, and then actively apply these skills to support the impact of learning. WORKING AT THE ENVIRONMENTAL CHARTER SCHOOL
The Environmental Charter School's faculty and staff are passionate, talented, and uncompromising with a mission to make sure all students succeed at a high level. Every aspect of our organization and program is designed-and continually refined-to ensure that goal. Our work is student centered, constantly improving, and reflective. ECS's progressive approach to education challenges faculty to take risks. We strongly value collaboration and recognize the power of systems thinking. Our high achievement scores, long waiting list, and unique location in the city of Pittsburgh, serve as a model in environmentally focused education. Position Overview The Substitute Nurse will work closely with the Certified School Nurse, teachers, support staff, and administration providing health services to the school community. Candidates should be an RN or LPN, energetic and progressive minded, with a willingness to work collaboratively with the school community. The substitute nurse will be responsible to administer aid to students who are ill or injured, administer medications as ordered by physician, and provide other health services as ordered by physician.
Compensation
$130.00/day plus participation in a generous 403(b) retirement program after 400 hours employment.
To Apply: Please submit a cover letter, resume, copy of license, and PA certification (if applicable) to: ************************** Clearances current within one year of hire date will be required. This includes Arrest/Conviction Disclosure, Pennsylvania Child Abuse History Clearance (Act 151), Pennsylvania State Police Criminal Record Clearance (Act 114), and FBI Criminal Background Check. Mandated Reporter Training and Commonwealth of PA Sexual Misconduct/Abuse Disclosure Release (Act 168) also will be required. ECS is an equal opportunity employer
Graduate Nurse - Heritage Valley Beaver
Utilization review nurse job in Beaver, PA
Benefits for our full-time GNs/RNs Starting Rate: $34.37/hr * $10K sign on / retention bonus * $10K RN to BSN reimbursement program * $4,000/year Educational Assistance Program * $1.00/hour BSN differential * $1.50/hour shift differential for evenings and nights
* 19 days PTO accrual in first year
* FREE scrub allowance annually
* FREE onsite parking at Heritage Valley Beaver
* Incentive Pay available
* Part-time opportunities also available with pro-rated benefits
Departments/ Units Currently Available at Heritage Valley Beaver
Adult Psychiatric
Cardiopulmonary/Telemetry
Critical Care
Emergency
Medical/Surgical
Work Hours: Various 8 &/or 12 hour shifts available with weekend and holiday rotations. Full Time or Part Time
Heritage Valley Beaver
1000 Dutch Ridge Road
Beaver, PA 15009
Provides professional nursing care practicing legal nursing responsibilities as indicated by the Nurse Practice Act. For a Graduate Nurse this will be under the supervision of an experienced registered nurse.
Requirements Graduate of an accredited professional school of nursing, valid Pennsylvania temporary practice permit. Basic Cardiac Life Support. Within six months of hire date, the Graduate Nurse must complete the licensing examination. Successful completion of applicable clearances as required within 90 days of commencing employment. Must obtain ACLS within 6-month introductory period.
HVHS Nurse Residency: A Transition to Professional Practice
All new graduate hires are enrolled into the program which consists of the following:
* 8-12 week individualized New Graduate HVHS Orientation
* Personalized HVHS Clinical Progress Support
* Complimentary NCLEX Review Sessions
* 12 month Nurse Residency: Transition to Professional Practice (TPP) Program
Followed by:
* 24 months of guidance in Professional Development and Career Path Planning