Nurse Manager jobs at Yale New Haven Health - 141 jobs

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. As an integral member of the Yale New Haven Health System (YNHHS) healthcare team, the Registered Professional Nurse (RN) upholds the YNHHS mission, vision, values and strategic initiatives to provide the highest level of patient centered care. The RN practices professional nursing as a registered nurse within the legal and ethical framework established by the Connecticut Nurse Practice Act, American Nurses Association Scope and Standards for Nursing Practice, ANA Code of Ethics for Nurses and the YNHHS Professional Practice Model. The professional role of the RN is exemplified by the qualities of leadership, delegation, collaboration, effective communication, ensuring quality outcomes. YNHHS nurses practice in a framework outlined in our professional practice model, which states, "Achieving outcomes through Autonomy and Accountability". We value Nursing Professional Governance, and use evidence and data to support our practice with the patient and family at the center, always. The RN provides care that: * Establishes and maintains a therapeutic relationship with the patient and family encompasses an understanding and integration of cultural and diversity into practice * Includes communicating and working collaboratively with the patient, family and health care team members * Includes respecting the patient's values, preferences, expressed needs and knowledge of the healthcare situation in holistic data collection, in formulating health care outcomes and in the evaluation process. EEO/AA/Disability/Veteran Responsibilities 1. STANDARDS OF PRACTICE RN practice is guided by the ANA Scope and Standards of Practice (2015). The Standards of Practice describe a competent level of nursing care as demonstrated by utilizing the nursing process components of assessment, diagnosis, outcomes identification, planning, implementation and evaluation. Assessment: The registered nurse collects pertinent data and information relative to the healthcare consumer's health or situation Diagnosis: The RN analyzes the assessment data to determine the actual and potential diagnoses or the issues. Outcomes Identification: The RN identifies expected outcomes for a plan individualized to the healthcare consumer or the situation. Planning: The RN develops and modifies a plan of care that prescribes strategies and alternatives to attain expected outcomes. Implementation: The RN implements the identified plan. Coordination of Care: The RN coordinates care delivery and transitions in care. Health Teaching and Health Promotion: The RN employs strategies to promote health and a safe environment. Evaluation: The RN evaluates progress toward attainment of outcomes. 2. STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence-based practice and research, quality of practice professional practice evaluation, resource utilization and environmental health. The RN is expected to engage in professional role activities, including leadership, appropriate to their education and position. The RN is accountable to for their professional actions to themselves, their healthcare consumers, their peers and ultimately to society. Ethics: The RN practices ethically. Culturally congruent practice: The RN practices in a manner that is congruent with cultural diversity and inclusion principles. Communication: The RN communicates effectively in all areas of practice Collaboration: The RN collaborates with healthcare consumer and other key stakeholders in the conduct of nursing practice. Leadership: The RN leads within the professional practice setting and the profession. Education: the RN seeks knowledge and competence that reflects current nursing practice and promotes futuristic thinking. Evidence-Based Practice and Research: The RN integrates evidence and research findings into practice Quality of Practice: The RN contributes to quality nursing practice. Professional Practice Evaluation: The RN evaluates owns' and others' nursing practice. Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN practices in an environmentally safe and healthy manner. Qualifications EDUCATION Graduation from an accredited school of nursing. BSN preferred. All newly hired registered nurses must have current BCLS certification or must obtain within one month of hire. EXPERIENCE Registered Nurse is the foundational for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. LICENSURE Licensed and a currently registered nurse in the State of Connecticut. Clinical specialty certification highly encouraged. SPECIAL SKILLS Registered Nurse is the foundational job description for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. PHYSICAL DEMAND Requires prolonged standing; walking; use of sight, hearing, and touch. May be exposed to infectious diseases. Will be exposed to physical, mental and emotional illness as well as end of life conditions and death. Moderate stress and risk of injury from patient care. Standing/walking for more than half of the day. Frequently bending, reaching, pushing, pulling, twisting and lifting. Must be able to assist pushing/pulling/lifting patients ranging from five (5) to three hundred (300) pounds. Additional Information YNHH Inpatient Surgery Units: York Street Campus (YSC): EP 6.5- Inpatient post-op recovery unit. The complex patient population is primarily colorectal and comprises a multitude of other services including plastic surgery, urology, trauma, emergency general surgery and orthopedics, as well as medicine. EP 6.4- Surgical unit that has mixed acuity including both step down and floor level beds. The unit has the capacity to see a diverse population of surgical, orthopedic, neurology, neurosurgery, plastics, general surgery and trauma patients Saint Raphael Campus (SRC): Main 6- Specializing in bariatric, minimally invasive, and colo-rectal surgery. There is also exposure to medicine and general surgery overflow. SLA 2- Surgical telemetry unit caring for both medicine and surgical populations including podiatry, vascular and general medicine overflow. V3S- Diverse clinical population including urology, general surgery, OMF, ENT, plastics, vascular, and medicine overflow.

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

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. As an integral member of the Yale New Haven Health System (YNHHS) healthcare team, the Registered Professional Nurse (RN) upholds the YNHHS mission, vision, values and strategic initiatives to provide the highest level of patient centered care. The RN practices professional nursing as a registered nurse within the legal and ethical framework established by the Connecticut Nurse Practice Act, American Nurses Association Scope and Standards for Nursing Practice, ANA Code of Ethics for Nurses and the YNHHS Professional Practice Model. The professional role of the RN is exemplified by the qualities of leadership, delegation, collaboration, effective communication, ensuring quality outcomes. YNHHS nurses practice in a framework outlined in our professional practice model, which states, "Achieving outcomes through Autonomy and Accountability". We value Nursing Professional Governance, and use evidence and data to support our practice with the patient and family at the center, always. The RN provides care that: * Establishes and maintains a therapeutic relationship with the patient and family encompasses an understanding and integration of cultural and diversity into practice * Includes communicating and working collaboratively with the patient, family and health care team members * Includes respecting the patient's values, preferences, expressed needs and knowledge of the healthcare situation in holistic data collection, in formulating health care outcomes and in the evaluation process. EEO/AA/Disability/Veteran Responsibilities 1. STANDARDS OF PRACTICE RN practice is guided by the ANA Scope and Standards of Practice (2015). The Standards of Practice describe a competent level of nursing care as demonstrated by utilizing the nursing process components of assessment, diagnosis, outcomes identification, planning, implementation and evaluation. Assessment: The registered nurse collects pertinent data and information relative to the healthcare consumer's health or situation Diagnosis: The RN analyzes the assessment data to determine the actual and potential diagnoses or the issues. Outcomes Identification: The RN identifies expected outcomes for a plan individualized to the healthcare consumer or the situation. Planning: The RN develops and modifies a plan of care that prescribes strategies and alternatives to attain expected outcomes. Implementation: The RN implements the identified plan. Coordination of Care: The RN coordinates care delivery and transitions in care. Health Teaching and Health Promotion: The RN employs strategies to promote health and a safe environment. Evaluation: The RN evaluates progress toward attainment of outcomes. 2. STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence-based practice and research, quality of practice professional practice evaluation, resource utilization and environmental health. The RN is expected to engage in professional role activities, including leadership, appropriate to their education and position. The RN is accountable to for their professional actions to themselves, their healthcare consumers, their peers and ultimately to society. Ethics: The RN practices ethically. Culturally congruent practice: The RN practices in a manner that is congruent with cultural diversity and inclusion principles. Communication: The RN communicates effectively in all areas of practice Collaboration: The RN collaborates with healthcare consumer and other key stakeholders in the conduct of nursing practice. Leadership: The RN leads within the professional practice setting and the profession. Education: the RN seeks knowledge and competence that reflects current nursing practice and promotes futuristic thinking. Evidence-Based Practice and Research: The RN integrates evidence and research findings into practice Quality of Practice: The RN contributes to quality nursing practice. Professional Practice Evaluation: The RN evaluates owns' and others' nursing practice. Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN practices in an environmentally safe and healthy manner. Qualifications EDUCATION Graduation from an accredited school of nursing. BSN preferred. All newly hired registered nurses must have current BCLS certification or must obtain within one month of hire. EXPERIENCE Registered Nurse is the foundational for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. LICENSURE Licensed and a currently registered nurse in the State of Connecticut. Clinical specialty certification highly encouraged. SPECIAL SKILLS Registered Nurse is the foundational job description for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. PHYSICAL DEMAND Requires prolonged standing; walking; use of sight, hearing, and touch. May be exposed to infectious diseases. Will be exposed to physical, mental and emotional illness as well as end of life conditions and death. Moderate stress and risk of injury from patient care. Standing/walking for more than half of the day. Frequently bending, reaching, pushing, pulling, twisting and lifting. Must be able to assist pushing/pulling/lifting patients ranging from five (5) to three hundred (300) pounds. Additional Information Openings available in Labor and Birth or Maternity. New grads welcome to apply!

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. EEO/AA/Disability/Veteran Summary: As an integral member of the Yale New Haven Health System (YNHHS) healthcare team, the Registered Professional Nurse (RN) upholds the YNHHS mission, vision, values and strategic initiatives to provide the highest level of patient centered care. The RN practices professional nursing as a registered nurse within the legal and ethical framework established by the Connecticut Nurse Practice Act, American Nurses Association Scope and Standards for Nursing Practice, ANA Code of Ethics for Nurses and the YNHHS Professional Practice Model. The professional role of the RN is exemplified by the qualities of leadership, delegation, collaboration, effective communication, ensuring quality outcomes. YNHHS nurses practice in a framework outlined in our professional practice model, which states, "Achieving outcomes through Autonomy and Accountability". We value Nursing Professional Governance, and use evidence and data to support our practice with the patient and family at the center, always. The RN provides care that: * Establishes and maintains a therapeutic relationship with the patient and family encompasses an understanding and integration of cultural and diversity into practice * Includes communicating and working collaboratively with the patient, family and health care team members * Includes respecting the patient's values, preferences, expressed needs and knowledge of the healthcare situation in holistic data collection, in formulating health care outcomes and in the evaluation process. Responsibilities Responsibilities: 1. STANDARDS OF PRACTICE RN practice is guided by the ANA Scope and Standards of Practice (2015). The Standards of Practice describe a competent level of nursing care as demonstrated by utilizing the nursing process components of assessment, diagnosis, outcomes identification, planning, implementation and evaluation. Assessment: The registered nurse collects pertinent data and information relative to the healthcare consumer's health or situation Diagnosis: The RN analyzes the assessment data to determine the actual and potential diagnoses or the issues. Outcomes Identification: The RN identifies expected outcomes for a plan individualized to the healthcare consumer or the situation. Planning: The RN develops and modifies a plan of care that prescribes strategies and alternatives to attain expected outcomes. Implementation: The RN implements the identified plan. Coordination of Care: The RN coordinates care delivery and transitions in care. Health Teaching and Health Promotion: The RN employs strategies to promote health and a safe environment. Evaluation: The RN evaluates progress toward attainment of outcomes. 2. STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the professional role, including activities related to: ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence-based practice and research, quality of practice professional practice evaluation, resource utilization and environmental health. The RN is expected to engage in professional role activities, including leadership, appropriate to their education and position. The RN is accountable to for their professional actions to themselves, their healthcare consumers, their peers and ultimately to society. Ethics: The RN practices ethically. Culturally congruent practice: The RN practices in a manner that is congruent with cultural diversity and inclusion principles. Communication: The RN communicates effectively in all areas of practice Collaboration: The RN collaborates with healthcare consumer and other key stakeholders in the conduct of nursing practice. Leadership: The RN leads within the professional practice setting and the profession. Education: the RN seeks knowledge and competence that reflects current nursing practice and promotes futuristic thinking. Evidence-Based Practice and Research: The RN integrates evidence and research findings into practice Quality of Practice: The RN contributes to quality nursing practice. Professional Practice Evaluation: The RN evaluates owns' and others' nursing practice. Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN practices in an environmentally safe and healthy manner. Qualifications EDUCATION Graduate Of An Accredited School Of Nursing; BSN Preferred. Proficient In Use Of Computer Software To Include Electronic Patient Records. Must Have Ability To Use Internet For Literature Searches Regarding Care For Patients. EXPERIENCE N/A LICENSURE Valid State Of Connecticut Registered Nurse License SPECIAL SKILLS BLS Required Additional Information Ortho/Spine Unit- Treats patients before and after surgery for total joint, hip, knees, shoulder, spinal fusion, fragility hip fractures, and joint infections.

The purpose of DRG validation is to confirm that diagnostic, procedural information, and the discharge status of the beneficiary, as coded and reported by the hospital on its claim, matches both the attending physician's description and the information contained in the beneficiary's medical record. Responsible for performing quality reviews of medical records to validate correctness and appropriateness of the assigned International Classification of Diseases, 10th Revision (ICD-10-CM and ICD-10-PCS) codes and the Diagnosis Related Groups (DRG). The CRM reviews the physician documentation for specificity, completeness and quality to support coding accuracy, and to identify physician query opportunities to improve the documentation. The CRM will follow the official coding rules, guidelines and conventions to validate coded data and ensure high quality and compliance with regulatory requirements. The CRM works in conjunction with the Associate Director and Director of DRG Validation to help develop coding education and training and institutional coding policies to achieve coding excellence. **Qualifications** + A strong background in anatomy, physiology, pharmacology and working experience with ICD-10-CM and ICD-10-PCS coding is required. + Minimum of 3 to 5 years of experience coding in an acute care hospital. Validation and auditing experience preferred. + Excellent current knowledge of MS-DRGs, APR-DRGs reimbursement methodology. + CSS Certification required + Good working knowledge of electronic health records, registration and data systems. **Compensation Statement** The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $79,720.00 - $123,188.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. Non-Bargaining Unit, 618 - HSO Drg Validation - MSH, Mount Sinai Hospital **Responsibilities** + Performs SMART focused reviews on ICD-10-CM/PCS coded inpt medical records to validate accuracy of codes assigned, selection of principal diagnosis/principal procedure, & to identify missed addt'l diagnoses/procedures in accordance w/ coding guidelines. + Validates the accuracy and appropriateness of the DRG assignments flagged pre-billing. + Determines if a secondary review is required to verify assignment of Patient Safety Indicators, HAC, Clinical Documentation Improvement,Sepsis and any other charts meeting criteria for secondary review. + Initiates an MD query to clarify documentation in the medical record for documentation, integrity and accurate code assignment essential to support documentation of medical diagnoses or conditions that are clinically evident. + Reviews coder queries to determine if the query is supported and generates query to provider. + Reviews cases with coding and/or DRG changes proposed by insurers, vendors, PFS to reconcile coding and/or DRG discrepancies. + Provides feedback to coders on all coding changes thru SMART by documenting detailed rationale for change in both SMART and 3MHDM. + Updates Artifact, 3M-360 and HDM with all query responses and selects the correct response to designate impact. + Investigates reason for unbilled accounts or PFS edits due to diagnoses, procedures or DRGs, acts to combine stays, clears SPARCs edits, & provide missing dates of procedures or dialysis treatment. Resolves edits and rebills cases in 3M. + Reviews and reconciles DRG discrepancies between DRGS/APR's and the Clinical Documentation Quality Improvement (CDQI) department. Develops and maintains a close working relationship with CDQI staff. + Consistently meets established productivity and quality targets for work assignments. + Responds timely to email notifications and team messages from DRGV management. + Communicates, cooperates and maintains open communication with DRG management, CDI, Coders, and departmental staff. + Adheres and enforces all requirements related to HIPAA and confidentiality, privacy and security of patient records. **About Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. **About the Mount Sinai Health System:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. **Equal Opportunity Employer** The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. **Compensation Statement** Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $79720 - $123188 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

The purpose of DRG validation is to confirm that diagnostic, procedural information, and the discharge status of the beneficiary, as coded and reported by the hospital on its claim, matches both the attending physician's description and the information contained in the beneficiary's medical record. Responsible for performing quality reviews of medical records to validate correctness and appropriateness of the assigned International Classification of Diseases, 10th Revision (ICD-10-CM and ICD-10-PCS) codes and the Diagnosis Related Groups (DRG). The CRM reviews the physician documentation for specificity, completeness and quality to support coding accuracy, and to identify physician query opportunities to improve the documentation. The CRM will follow the official coding rules, guidelines and conventions to validate coded data and ensure high quality and compliance with regulatory requirements. The CRM works in conjunction with the Associate Director and Director of DRG Validation to help develop coding education and training and institutional coding policies to achieve coding excellence. ? A strong background in anatomy, physiology, pharmacology and working experience with ICD-10-CM and ICD-10-PCS coding is required. ? Minimum of 3 to 5 years of experience coding in an acute care hospital. Validation and auditing experience preferred. ? Excellent current knowledge of MS-DRGs, APR-DRGs reimbursement methodology. ? Good working knowledge of electronic health records, registration and data systems. Non-Bargaining Unit, 618 - HSO Drg Validation - MSH, Mount Sinai Hospital Performs SMART focused reviews on ICD-10-CM/PCS coded inpt medical records to validate accuracy of codes assigned, selection of principal diagnosis/principal procedure, & to identify missed addt'l diagnoses/procedures in accordance w/ coding guidelines. Validates the accuracy and appropriateness of the DRG assignments flagged pre-billing. Determines if a secondary review is required to verify assignment of Patient Safety Indicators, HAC, Clinical Documentation Improvement,Sepsis and any other charts meeting criteria for secondary review. Initiates an MD query to clarify documentation in the medical record for documentation, integrity and accurate code assignment essential to support documentation of medical diagnoses or conditions that are clinically evident. Reviews coder queries to determine if the query is supported and generates query to provider. Reviews cases with coding and/or DRG changes proposed by insurers, vendors, PFS to reconcile coding and/or DRG discrepancies. Provides feedback to coders on all coding changes thru SMART by documenting detailed rationale for change in both SMART and 3MHDM. Updates Artifact, 3M-360 and HDM with all query responses and selects the correct response to designate impact. Investigates reason for unbilled accounts or PFS edits due to diagnoses, procedures or DRGs, acts to combine stays, clears SPARCs edits, & provide missing dates of procedures or dialysis treatment. Resolves edits and rebills cases in 3M. Reviews and reconciles DRG discrepancies between DRGS/APR's and the Clinical Documentation Quality Improvement (CDQI) department. Develops and maintains a close working relationship with CDQI staff. Consistently meets established productivity and quality targets for work assignments. Responds timely to email notifications and team messages from DRGV management. Communicates, cooperates and maintains open communication with DRG management, CDI, Coders, and departmental staff. Adheres and enforces all requirements related to HIPAA and confidentiality, privacy and security of patient records.

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department According To Unit Policies And Procedures. Provides Supervision Of Non-Rn Personnel On The Assigned Unit. When Assuming The Charge Role, Delegates And Supervises Unit Activities. May Be Requires To Work On Other Nursing Units According To Distribution Of Staff And Patients. Performs Other Duties As Assigned Or Requested In Order To Maintain A High Level Of Service. EEO/AA/Disability/Veteran Responsibilities Assesses The Patient's Physical And Psychosocial Condition On An Ongoing Basis Throughout The Continuum Of Care. Develops, Communicates And Documents A Plan Of Care Reflecting Individualized Patient Problems And Interventions To Achieve Desired Outcomes, Involving The Patient, Family And Healthcare Team In This Process. Implements And Coordinates This Plan Of Care In Collaboration With The Healthcare Team. Evaluates The Effectiveness Of The Plan Of Care, Patient?S Response To Care, And Readiness For Discharge. Revises The Plan Of Care As Needed And Makes Referrals Where Indicated. Plans For Education After Assessing The Individual Learning Needs And Readiness Of The Patient And Family. Provides Educational Opportunities And Documents Outcomes. Functions As A Preceptor To New Staff. Functions As A Charge Nurse. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other Duties As Assigned Or Directed To Ensure Smooth Operation Of The Department/Unit. Demonstrates Competency In The Care Of The Neuro Patient Demonstrates Skill And Knowledge In Neuro Assessment Demonstrates Skill And Knowledge In The Airway Management Of The Neuro Patient Demonstrates Skill And Understanding In Caring For A Trached Patient Demonstrates Skill And Understanding In Assisting The Physician And Caring For The Patient During Special Neuro Procedures Demonstrates Knowledge And Understanding Of Our 'Tia' Teaching Program Performs Pharynaeal, Endotracheal, Tracheostomy Suctioning According To Established Policy And Procedure: Pharynaeal, Endotracheal, Tracheastomy Demonstrates Skill And Understanding In The Use Of Equipment And Care Of Patient In A Halo Brace Demonstrates Skill And Understanding Of Nursing Responsibilities And Interventions For The Patient On A Ventilator Qualifications EDUCATION Graduate Of An Accredited School Of Nursing; BSN Preferred. Proficient In Use Of Computer Software To Include Electronic Patient Records. Must Have Ability To Use Internet For Literature Searches Regarding Care For Patients. EXPERIENCE 1 Year acute nursing experience required. LICENSURE Valid State Of Connecticut Registered Nurse License SPECIAL SKILLS BLS Required Additional Information 1 Year Acute RN Experience Required. Critical Care or Emergency experience preferred.

Monday through Friday, variable D/E 10-hour shifts, no holiday *Required: CT State RN License, BSN or Advanced degree in nursing required (or completion of within 2 years)*. * 2 years of relevant clinical experience, with 1 year of leadership experience or demonstrated leadership skills*. Supports Patient Care Manager in implementation and monitoring of the patient care delivery system and related nursing practice standards in collaboration with the nursing leadership team. Responsible for the quality of patient care and provides leadership, coordination of unit, including day to day management and evaluation of nursing staff. Accountable for ensuring quality, financials, employee engagement, and patient experience in alignment with the organization's strategic goals. Responsibilities: * Assists in planning, organization, and evaluation of nursing practice standards on the unit. * Assumes accountability for the supervision of personnel and facilitates optimal patient care through the appropriate use of resources to provide safe, quality care. * Provides mentoring, coaching, feedback and fosters teamwork in a positive work environment to achieve quality services with a high level of employee engagement. Values and supports diversity. * Provides input in the interviewing, disciplinary and ongoing performance management processes for nursing staff * Re-enforces the importance of established training requirements and ensures that all team members meet all their training requirements within established timelines. * Supports Patient Care Manager and is accountable for reaching departmental goals. * Provides input to Patient Care Manager for effective fiscal management of department/departments to ensure proper utilization of financial resources. * Ensures operational and human resources are used effectively in support of departmental fiscal goals. * Facilitates interdisciplinary and interdepartmental communication for effective departmental operations. Works collaboratively with physicians and other leaders in the organization. Supports and encourages open communication to ensure that information is shared regularly for effective operations and to promote positive employee relations. * Ensures department regulatory compliance with standards through policies and practices. Is responsible for the quality of services provided including identification of performance improvement and patient safety opportunities, in addition to developing, implementing, monitoring and evaluating quality and safety initiatives. * Assumes responsibility for developing and maintaining an environment which supports service excellence, and is a role model for staff, patient, and family interactions. * Assumes responsibility for personal and professional development to ensure current knowledge in the profession/position. Demonstrates ability to translate evidence based data into practice. Collaborates with the Department of Professional Development to identify and develop educational programs to maintain the skill set of staff and foster professional growth. Holds staff accountable for regulatory and educational compliance. * In collaboration with the Department of Professional Development, supports the staff participation in the shared governance model and is an active participant. Acts as a mentor and leader for nurses in their understanding of the shared governance model. * Additional duties as assigned. Education: BACHELOR'S LVL DGRE Other Information: Education: BSN or Advanced degree in nursing required (or completion of either within 2 years). Experience: 2 years of relevant clinical experience, with 1 year of leadership experience or demonstrated leadership skills. Nursing Certification in leadership or related specialty preferred. Membership in a Healthcare/Nursing professional organization preferred. License: CT State RN License Certifications required based on unit specialties Working Conditions: Manual: significant manual skills/motor coord & finger dexterity Occupational: Some occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Some exposure to dirt, odors, noise, human waste, etc. Credentials: BLS, RN Company: Norwalk Hospital Association Org Unit: 350 Department: Emergency Department Exempt: Yes Salary Range: $52.03 - $74.00 Hourly We are an equal opportunity employer Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law. We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at ************ (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.

at Norwalk Hospital Association Monday through Friday, variable D/E 10-hour shifts, no holiday Required: CT State RN License, BSN or Advanced degree in nursing required (or completion of within 2 years). 2 years of relevant clinical experience, with 1 year of leadership experience or demonstrated leadership skills. Supports Patient Care Manager in implementation and monitoring of the patient care delivery system and related nursing practice standards in collaboration with the nursing leadership team. Responsible for the quality of patient care and provides leadership, coordination of unit, including day to day management and evaluation of nursing staff. Accountable for ensuring quality, financials, employee engagement, and patient experience in alignment with the organization's strategic goals. Responsibilities: Assists in planning, organization, and evaluation of nursing practice standards on the unit. Assumes accountability for the supervision of personnel and facilitates optimal patient care through the appropriate use of resources to provide safe, quality care. Provides mentoring, coaching, feedback and fosters teamwork in a positive work environment to achieve quality services with a high level of employee engagement. Values and supports diversity. Provides input in the interviewing, disciplinary and ongoing performance management processes for nursing staff Re-enforces the importance of established training requirements and ensures that all team members meet all their training requirements within established timelines. Supports Patient Care Manager and is accountable for reaching departmental goals. Provides input to Patient Care Manager for effective fiscal management of department/departments to ensure proper utilization of financial resources. Ensures operational and human resources are used effectively in support of departmental fiscal goals. Facilitates interdisciplinary and interdepartmental communication for effective departmental operations. Works collaboratively with physicians and other leaders in the organization. Supports and encourages open communication to ensure that information is shared regularly for effective operations and to promote positive employee relations. Ensures department regulatory compliance with standards through policies and practices. Is responsible for the quality of services provided including identification of performance improvement and patient safety opportunities, in addition to developing, implementing, monitoring and evaluating quality and safety initiatives. Assumes responsibility for developing and maintaining an environment which supports service excellence, and is a role model for staff, patient, and family interactions. Assumes responsibility for personal and professional development to ensure current knowledge in the profession/position. Demonstrates ability to translate evidence based data into practice. Collaborates with the Department of Professional Development to identify and develop educational programs to maintain the skill set of staff and foster professional growth. Holds staff accountable for regulatory and educational compliance. In collaboration with the Department of Professional Development, supports the staff participation in the shared governance model and is an active participant. Acts as a mentor and leader for nurses in their understanding of the shared governance model. Additional duties as assigned. Education: BACHELOR'S LVL DGRE Other Information: Education: BSN or Advanced degree in nursing required (or completion of either within 2 years). Experience: 2 years of relevant clinical experience, with 1 year of leadership experience or demonstrated leadership skills. Nursing Certification in leadership or related specialty preferred. Membership in a Healthcare/Nursing professional organization preferred. License: CT State RN License Certifications required based on unit specialties Working Conditions: Manual: significant manual skills/motor coord & finger dexterity Occupational: Some occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Some exposure to dirt, odors, noise, human waste, etc. Credentials: BLS, RN Company: Norwalk Hospital Association Org Unit: 350 Department: Emergency Department Exempt: Yes Salary Range: $52.03 - $74.00 Hourly

*Four ten-hour shifts a week, 11:00am to 9:00pm and flexible based on need, occasional weekends* *Required: CT State RN License* At Nuvance Health, we enjoy the benefits of a two-state system as we cultivate an inclusive culture where everyone feels welcomed, respected and supported. Together, we are a team of 15,000+ strong hearts and open minds. If you share our values of connected, personal, agile and imaginative, we invite you to discover what's possible for you and your career. Norwalk Hospital is a 366-bed academic and community medical center serving Fairfield County, Connecticut, and the surrounding New York Metro area. We are a Level II Trauma Center and Joint Replacement Center of Excellence, and we provide advanced cancer, heart, and neuroscience care. Our accolades include the following: * The Leapfrog Group - Grade A for quality and patient safety * Healthgrades - America's 50 Best Hospitals * U.S. News & World Report - high performance in heart failure treatment At Norwalk Hospital, we prioritize the health and well-being of our team, fostering a friendly and supportive culture where collaboration and compassion are at the heart of what we do. From the moment you step through our doors, you'll experience a sense of community that makes our hospital a truly special place to work. Our employees feel a deep connection here because we're not just part of the community - we are its center. Summary: Supports Patient Care Manager in implementation and monitoring of the patient care delivery system and related nursing practice standards in collaboration with the nursing leadership team. Responsible for the quality of patient care and provides leadership, coordination of unit, including day to day management and evaluation of nursing staff. Accountable for ensuring quality, financials, employee engagement, and patient experience in alignment with the organization's strategic goals. Responsibilities: 1. Assists in planning, organization, and evaluation of nursing practice standards on the unit. 2. Assumes accountability for the supervision of personnel and facilitates optimal patient care through the appropriate use of resources to provide safe, quality care. 3. Provides mentoring, coaching, feedback and fosters teamwork in a positive work environment to achieve quality services with a high level of employee engagement. Values and supports diversity 4. Provides input in the interviewing, disciplinary and ongoing performance management processes for nursing staff 5. Re-enforces the importance of established training requirements and ensures that all team members meet all their training requirements within established timelines. 6. Supports Patient Care Manager and is accountable for reaching departmental goals. 7. Provides input to Patient Care Manager for effective fiscal management of department/departments to ensure proper utilization of financial resources. 8. Ensures operational and human resources are used effectively in support of departmental fiscal goals. 9. Facilitates interdisciplinary and interdepartmental communication for effective departmental operations. Works collaboratively with physicians and other leaders in the organization. Supports and encourages open communication to ensure that information is shared regularly for effective operations and to promote positive employee relations. 10. Ensures department regulatory compliance with standards through policies and practices. Is responsible for the quality of services provided including identification of performance improvement and patient safety opportunities, in addition to developing, implementing, monitoring and evaluating quality and safety initiatives. 11. Assumes responsibility for developing and maintaining an environment which supports service excellence, and is a role model for staff, patient, and family interactions. 12. Assumes responsibility for personal and professional development to ensure current knowledge in the profession/position. Demonstrates ability to translate evidence based data into practice. Collaborates with the Department of Professional Development to identify and develop educational programs to maintain the skill set of staff and foster professional growth. Holds staff accountable for regulatory and educational compliance. 13. In collaboration with the Department of Professional Development, supports the staff participation in the shared governance model and is an active participant. Acts as a mentor and leader for nurses in their understanding of the shared governance model. 14. Additional duties as assigned. Other Information: Education: BSN or Advanced degree in nursing required (or completion of either within 2 years). Experience: 2 years of relevant clinical experience, with 1 year of leadership experience or demonstrated leadership skills. Nursing Certification in leadership or related specialty preferred. Membership in a Healthcare/Nursing professional organization preferred. License: CT State RN License (Danbury Hospital, Norwalk Hospital, New Milford Hospital, Sharon Hospital) Certifications required based on unit specialties. Working Conditions: Manual: significant manual skills/motor coord & finger dexterity Occupational: Significant occupational risk Physical Effort: Very Heavy effort. May exert up to 50 lbs. force Physical Environment: Significant exposure to dirt, odors, noise, human waste, etc. Company: Norwalk Hospital Association Org Unit: 362 Department: General Medicine 1 Exempt: Yes Salary Range: $51.31 - $73 Hourly With strong hearts and open minds, we're pushing past boundaries and challenging the expected, all in the name of possibility. We are neighbors caring for neighbors, working together as partners in health to improve the lives of the people we serve. If you share our passion for the health of our communities, advance your career with Nuvance Health! We are an equal opportunity employer Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law. We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at ************ (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.

at Norwalk Hospital Association Four ten-hour shifts a week, 11:00am to 9:00pm and flexible based on need, occasional weekends Required: CT State RN License At Nuvance Health, we enjoy the benefits of a two-state system as we cultivate an inclusive culture where everyone feels welcomed, respected and supported. Together, we are a team of 15,000+ strong hearts and open minds . If you share our values of connected, personal, agile and imaginative, we invite you to discover what's possible for you and your career. Norwalk Hospital is a 366-bed academic and community medical center serving Fairfield County, Connecticut, and the surrounding New York Metro area. We are a Level II Trauma Center and Joint Replacement Center of Excellence, and we provide advanced cancer, heart, and neuroscience care. Our accolades include the following: The Leapfrog Group - Grade A for quality and patient safety Healthgrades - America's 50 Best Hospitals U.S. News & World Report - high performance in heart failure treatment At Norwalk Hospital, we prioritize the health and well-being of our team, fostering a friendly and supportive culture where collaboration and compassion are at the heart of what we do. From the moment you step through our doors, you'll experience a sense of community that makes our hospital a truly special place to work. Our employees feel a deep connection here because we're not just part of the community - we are its center. Summary: Supports Patient Care Manager in implementation and monitoring of the patient care delivery system and related nursing practice standards in collaboration with the nursing leadership team. Responsible for the quality of patient care and provides leadership, coordination of unit, including day to day management and evaluation of nursing staff. Accountable for ensuring quality, financials, employee engagement, and patient experience in alignment with the organization's strategic goals. Responsibilities: 1. Assists in planning, organization, and evaluation of nursing practice standards on the unit. 2. Assumes accountability for the supervision of personnel and facilitates optimal patient care through the appropriate use of resources to provide safe, quality care. 3. Provides mentoring, coaching, feedback and fosters teamwork in a positive work environment to achieve quality services with a high level of employee engagement. Values and supports diversity 4. Provides input in the interviewing, disciplinary and ongoing performance management processes for nursing staff 5. Re-enforces the importance of established training requirements and ensures that all team members meet all their training requirements within established timelines. 6. Supports Patient Care Manager and is accountable for reaching departmental goals. 7. Provides input to Patient Care Manager for effective fiscal management of department/departments to ensure proper utilization of financial resources. 8. Ensures operational and human resources are used effectively in support of departmental fiscal goals. 9. Facilitates interdisciplinary and interdepartmental communication for effective departmental operations. Works collaboratively with physicians and other leaders in the organization. Supports and encourages open communication to ensure that information is shared regularly for effective operations and to promote positive employee relations. 10. Ensures department regulatory compliance with standards through policies and practices. Is responsible for the quality of services provided including identification of performance improvement and patient safety opportunities, in addition to developing, implementing, monitoring and evaluating quality and safety initiatives. 11. Assumes responsibility for developing and maintaining an environment which supports service excellence, and is a role model for staff, patient, and family interactions. 12. Assumes responsibility for personal and professional development to ensure current knowledge in the profession/position. Demonstrates ability to translate evidence based data into practice. Collaborates with the Department of Professional Development to identify and develop educational programs to maintain the skill set of staff and foster professional growth. Holds staff accountable for regulatory and educational compliance. 13. In collaboration with the Department of Professional Development, supports the staff participation in the shared governance model and is an active participant. Acts as a mentor and leader for nurses in their understanding of the shared governance model. 14. Additional duties as assigned. Other Information: Education: BSN or Advanced degree in nursing required (or completion of either within 2 years). Experience: 2 years of relevant clinical experience, with 1 year of leadership experience or demonstrated leadership skills. Nursing Certification in leadership or related specialty preferred. Membership in a Healthcare/Nursing professional organization preferred. License: CT State RN License (Danbury Hospital, Norwalk Hospital, New Milford Hospital, Sharon Hospital) Certifications required based on unit specialties. Working Conditions: Manual: significant manual skills/motor coord & finger dexterity Occupational: Significant occupational risk Physical Effort: Very Heavy effort. May exert up to 50 lbs. force Physical Environment: Significant exposure to dirt, odors, noise, human waste, etc. Company: Norwalk Hospital Association Org Unit: 362 Department: General Medicine 1 Exempt: Yes Salary Range: $51.31 - $73 Hourly With strong heart s and open minds , we're pushing past boundaries and challenging the expected, all in the name of possibility. We are neighbors caring for neighbors, working together as partners in health to improve the lives of the people we serve. If you share our passion for the health of our communities, advance your career with Nuvance Health!

GetMed Staffing is searching for a strong RN Manager to assist our traveler-friendly client. A minimum of 1-2 years of experience is required. Traveling with GetMed Staffing offers the unique opportunity to gain diverse experiences, both personally and professionally. Gain experience that matters.

at Nuvance Health FULL TIME DAY SHIFTS- VARIABLE HOURS / WEEKEND ROTATIONS REQUIREDHybrid/RemoteSummary:The purpose of the Denial Prevention Nurse is to ensure that all patient admissions are appropriately status within the first 12-24 hours and that ongoing communication (electronic and telephonic) with payers ensures timely approval of all hospital days, preventing delays in reimbursement. This role plays a critical part in preventing payment denials by providing timely and accurate clinical information to all payers, while ensuring compliance with CMS requirements, guidelines, and standardized published criteria to support the medical necessity of patient admission and continued hospital stays. This role will require specialized system skills, best practice application of investigating payer practices, successfully challenging payers as they prevent obstacles and deny claims and escalating any egregious payer behaviors to internal leadership for assistance in resolution. Responsibilities: Review all inpatient admission and observation cases using InterQual, or Milliman Care Guidelines or CMS 2 Midnight Rule (depending on payer) within 12-24 hours of admission, seven days a week for assigned shifts. Complete an initial screening review within the first few hours of decision to admit from ED and communicate with appropriate Provider if initial status is to be re-considered. Identify incomplete clinical reviews in work queues and complete them within two hours whenever possible. If clinical information is not available by the time the lack of a review may result in a denial, escalate to the appropriate Provider/VPMA. Identify and complete clinical reviews required for submission to specific payers. Validate admission orders for all new admits/observations/outpatients daily. Ensure that the patient status order documented in the chart aligns with the MCG and/or InterQual criteria, or the CMS Two- Midnight Rule, to support the appropriate status and level of care. Prioritize review of all outpatient observation and outpatient bedded cases at least every 8 hours for conversion to inpatient status or discharge opportunities. Participate in daily Observation Huddles. Conduct concurrent reviews for all payers daily for the first three days of admission, then every 2-3 days, or more frequently if criteria are waning. Submit concurrent reviews to payers to ensure authorization of all days for per diem and percentage of charge reimbursement payers. If concurrent inpatient case does not meet medical necessity review criteria during the first level review, discuss with the attending MD to obtain additional clinical information and documentation to support inpatient level of care. If the case still does not meet, send to the Physician Advisor (PA) for a second level review. Forward cases that require secondary physician review to appropriate resource (e.g., Physician Advisor). Resolve any discrepancy at the time of review. If unable to resolve, escalate to the PA and Utilization Review (UR) Leadership. Coordinate with the care team in changing patient status, as needed. ï ½ Notify the care team when patient does not meet medical necessity per InterQual or MCG guidelines or 2 MN Rule and escalate appropriately. Document and proactively communicate relevant clinical information to payers for authorizations for treatments, procedures, and Length of Stay ï ½ submit clinical information as required by payers. Ensure completion and delivery of required patient notices (by onsite team member). These include but are not limited to: HINNs, Condition Code 44, MOON, Connecticut notice of conversion, etc. Tracking and trending all appeals and communicating on a daily/regular basis with the Denials Management team. Assists with informing Managed Care contracting team with necessary contractual language to protect organization financial position specific to inpatient medical necessity requirements. Employs creative solutions with team members and leadership to prevent denials. Performs other duties as assigned. Other Information:Education Skills Experience Bachelor's Degree (BSN) is highly preferred. Minimum of Associate's Degree in Nursing required when accompanied by strong demonstrated competencies and significant experience. Minimum of 5 years experience in acute care Nursing Proficiency in Milliman and InterQual Guidelines required Minimum of 2-3 years experience as Utilization Management Nurse in an acute care setting required, minimum of 4 years experience required for Associate's Degreed individuals. PREFER: Master's Degree in related field Required: Current RN License in Connecticut and New York InterQual/MCG proficiency testing completed (preferred); required within 1 year of hire. As certification becomes available, requirement will be revisited. Knowledge of regulatory requirements for CMS Have the positive attitude and aptitude to adapt to the continuing change in payer behaviors Recognizes that education is the responsibility of the individual as well as the organization Seeks external knowledge on payers (such as free email services as Becker's) Must have analytical abilities to assist in obtaining solutions to problems Self-starter and highly motivated Must be able to work independently in a fast-paced environment, manage workload and prioritize work Must be able to manage multiple competing priorities and maintain calm professional demeanor during peak demand Must possess a high degree of prioritization skills Exceptional interpersonal skills to effectively communicate with the physicians, payers, and other members of the interdisciplinary care team Current working knowledge of utilization management, performance improvement and managed care reimbursement. Working Conditions:Manual: Some manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance HealthOrg Unit: 2092Department: Care CoordinationExempt: YesSalary Range: $45.29 - $84.11 Hourly

Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Please note that pay rate may differ for locally based candidates. Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. We look forward to speaking with you!

***$7,500 - Sign-On Bonus for Full-time externals only, pro-rated for Part-time*** * in the Nephrology department in Danbury, CT* *40 hours per week, Monday-Friday, 8 hour variable shifts between 730am-6:00pm.*Summary: The Clinical Lead RN works with the clinical staff, physicians and advanced practitioners in the coordination of assigned staff, equipment and resources to facilitate smooth daily operational flow. They optimize patient care and direct and assist the assigned staff in their daily work processes. Span of Control to include RN's, LPN's and potentially MA's (Dependent on Practice Structure). Responsibilities: * Patient check-in, document chief complaint, vital signs, history, capture charges for provision of ancillary services, assists with the completion of patient summaries, medication/allergy, history forms, and obtain appropriate treatment consents. * Administer and document injections, dispense and document medications as directed by physician/provider. Label and handle labs, paps, cultures, biopsies and other specimens, prepare laboratory and imaging requisitions. * Assist with coordination of further patient care and follow-up and carry out tasks as directed by RN and/or physician/provider. This may include communication with patient, hospital, labs, imaging centers, pharmacies, physician offices, insurance plans. * Independently manages patient triage calls and seeks out direction from providers as needed. Assists LPN's and MA's with triage disposition and assures documentation is reflective of the disposition. * Measures and monitors key performance indicators (KPIs) in conjunction with the Practice Leadership. KPIs include Growth/Financial Stability, Patient Experience, Operational Efficiency, Employee Satisfaction/Culture, Quality * Demonstrates clinical expertise and serves as a resource for the clinical staff. * Monitors inventory and orders medical supplies as requested by physicians as well as follow up on all outstanding orders. * Responsible for managing PTO requests and maintaining appropriate staff and provider schedules and levels. * Develops guidelines for prioritizing work activities, evaluates the effectiveness and modifies activities as necessary. * In collaboration with Medical Practice Nursing Education, mentors, orients, trains, educates and supervises clinical staff to improve competency and patient satisfaction using established workflows and policies. * Works in conjunction with Practice Manager, Medical Practice Nursing Leader and Human Resources for hiring, discipline, grievance management, performance evaluations, feedback and coaching to achieve optimal team performance. * Monitors all clinical workflows of office, addressing inefficiency of providers and clinical staff and formulates corrective action plans to achieve KPI's. * Holds monthly clinical meetings with providers and staff to review clinical KPI and implement/monitor process improvement plan. * Utilizes patient satisfaction data to create targeted improvement plans. * Escalates issues and concerns proactively to Manager, or clinic practice Leadership, as needed. * Performs other duties as assigned. Other Information: * Graduate from approved nursing program * Three (3) years nursing experience * Prefer: Bachelor's Degree in Nursing (BSN) * Graduation from accredited nursing program * Able to multitask in fast paced environment * Valid RN License (CT or NY based on Practice Location) * Basic Life Support (BLS) Working Conditions: Manual: Some manual skills/motor coord & finger dexterity Occupational: Some occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Med Practice CT Org Unit: 520 Department: DB Nephrology Exempt: No Salary Range: $33.66 - $67.05 Hourly We are an equal opportunity employer Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law. We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at ************ (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.

*FULL TIME DAY SHIFTS- VARIABLE HOURS / WEEKEND ROTATIONS REQUIRED* * *Hybrid/Remote* * The purpose of the Denial Prevention Nurse is to ensure that all patient admissions are appropriately status within the first 12-24 hours and that ongoing communication (electronic and telephonic) with payers ensures timely approval of all hospital days, preventing delays in reimbursement. This role plays a critical part in preventing payment denials by providing timely and accurate clinical information to all payers, while ensuring compliance with CMS requirements, guidelines, and standardized published criteria to support the medical necessity of patient admission and continued hospital stays. This role will require specialized system skills, best practice application of investigating payer practices, successfully challenging payers as they prevent obstacles and deny claims and escalating any egregious payer behaviors to internal leadership for assistance in resolution. *Responsibilities:* * Review all inpatient admission and observation cases using InterQual, or Milliman Care Guidelines or CMS 2 Midnight Rule (depending on payer) within 12-24 hours of admission, seven days a week for assigned shifts. * Complete an initial screening review within the first few hours of decision to admit from ED and communicate with appropriate Provider if initial status is to be re-considered. * Identify incomplete clinical reviews in work queues and complete them within two hours whenever possible. If clinical information is not available by the time the lack of a review may result in a denial, escalate to the appropriate Provider/VPMA. * Identify and complete clinical reviews required for submission to specific payers. * Validate admission orders for all new admits/observations/outpatients daily. * Ensure that the patient status order documented in the chart aligns with the MCG and/or InterQual criteria, or the CMS Two- Midnight Rule, to support the appropriate status and level of care. * Prioritize review of all outpatient observation and outpatient bedded cases at least every 8 hours for conversion to inpatient status or discharge opportunities. * Participate in daily Observation Huddles. * Conduct concurrent reviews for all payers daily for the first three days of admission, then every 2-3 days, or more frequently if criteria are waning. * Submit concurrent reviews to payers to ensure authorization of all days for per diem and percentage of charge reimbursement payers. * If concurrent inpatient case does not meet medical necessity review criteria during the first level review, discuss with the attending MD to obtain additional clinical information and documentation to support inpatient level of care. If the case still does not meet, send to the Physician Advisor (PA) for a second level review. * Forward cases that require secondary physician review to appropriate resource (e.g., Physician Advisor). * Resolve any discrepancy at the time of review. If unable to resolve, escalate to the PA and Utilization Review (UR) Leadership. * Coordinate with the care team in changing patient status, as needed. Notify the care team when patient does not meet medical necessity per InterQual or MCG guidelines or 2 MN Rule and escalate appropriately. * Document and proactively communicate relevant clinical information to payers for authorizations for treatments, procedures, and Length of Stay submit clinical information as required by payers. * Ensure completion and delivery of required patient notices (by onsite team member). These include but are not limited to: HINNs, Condition Code 44, MOON, Connecticut notice of conversion, etc. * Tracking and trending all appeals and communicating on a daily/regular basis with the Denials Management team. * Assists with informing Managed Care contracting team with necessary contractual language to protect organization financial position specific to inpatient medical necessity requirements. * Employs creative solutions with team members and leadership to prevent denials. * Performs other duties as assigned. *Other Information:* *Education Skills Experience* * Bachelor's Degree (BSN) is highly preferred. * Minimum of Associate's Degree in Nursing required when accompanied by strong demonstrated competencies and significant experience. * Minimum of 5 years experience in acute care Nursing * Proficiency in Milliman and InterQual Guidelines required * Minimum of 2-3 years experience as Utilization Management Nurse in an acute care setting required, minimum of 4 years experience required for Associate's Degreed individuals. * PREFER: Master's Degree in related field * *Required:* Current RN License in Connecticut and New York * InterQual/MCG proficiency testing completed (preferred); required within 1 year of hire. As certification becomes available, requirement will be revisited. * Knowledge of regulatory requirements for CMS * Have the positive attitude and aptitude to adapt to the continuing change in payer behaviors * Recognizes that education is the responsibility of the individual as well as the organization * Seeks external knowledge on payers (such as free email services as Becker's) * Must have analytical abilities to assist in obtaining solutions to problems * Self-starter and highly motivated * Must be able to work independently in a fast-paced environment, manage workload and prioritize work * Must be able to manage multiple competing priorities and maintain calm professional demeanor during peak demand * Must possess a high degree of prioritization skills * Exceptional interpersonal skills to effectively communicate with the physicians, payers, and other members of the interdisciplinary care team * Current working knowledge of utilization management, performance improvement and managed care reimbursement. Working Conditions: Manual: Some manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Org Unit: 2092 Department: Care Coordination Exempt: Yes Salary Range: $45.29 - $84.11 Hourly We are an equal opportunity employer Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law. We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at ************ (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.

at Nuvance Health Med Practice CT in the Thoracic Surgery department covering the offices in Danbury, CT and Norwalk, CT. Full Time, 40 hours per week, Monday-Friday between 8:00am-5:00pm. Summary: The RN Clinical Case Coordinator-Patient Navigator assists cancer patients and their families in maintaining the continuum of care by utilizing internal and community-based resources. Collaborates with other members of the interdisciplinary healthcare team to provide uninterrupted and integrated medical, financial, psychosocial, and vocational care of the patient in accordance with the patient's wishes, through a process of assessment, planning, implementation, and evaluation. Responsibilities: 1. Conducts case findings. Screens cancer patients to identify support, education, discharge planning & referral. Comprehensive assessment of patient's physical, functional, psychosocial & financial status in cooperation with the health care team. 2. Develops, implements, and evaluates the plan of care and support through an interdisciplinary process in conjunction with the patient and family, linking the patient to appropriate institutional or community resources. 3. Procures services; serves as an advocate for patients and families with scarce resources. Facilitates referrals to state and local financial assistance agencies or programs. 4. Functions as a liaison between the hospital, physicians, patient, and community resources to achieve maximum communication between all parties so that care is coordinated and all needs of the patient are met. 5. Identifies quality issues related to cancer diagnosis, treatment and follow-up, risk management issues, and reimbursement issues with prompt referral to appropriate committee/personnel for action or resolution. 6. Assesses and evaluates cancer care through interaction with patients and surveys, and implements quality improvement projects as needed. 7. Serves as a representative of the cancer program/service line and lead person for coordination of care for patients. 8. Representing the cancer program provides education through health fairs and presentations to the community. 9. Supervises the volunteers within the cancer program, assuring compliance with appropriate patient interaction and confidentiality of information. 10. Participates as a member of the Cancer Committee; achieves the organization's established expectations with regard to customer service, teamwork, safety, and self-development. 11. Fulfills all compliance responsibilities related to the position. 12. Performs other duties as assigned. Other Information: Required: RN License. Experience in oncology nursing/case management. Excellent verbal and written skills, ability to conduct education programs. Minimum Experience: five years Oncology certification or eligible. Candidate will be expected to have taken the GW Navigation program training, and if not, it will be expected within the first 6 months of employment. Education Requirement: Bachelor's preferred, Associates. Desired: Certification in Case Management and Oncology nursing. Working Conditions: Manual: Some manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Med Practice CT Org Unit: 583 Department: DB Thoracic Surgery Exempt: Yes Salary Range: $45.93 - $85.29 Hourly

at Nuvance Health Med Practice CT ***$7,500 - Sign-On Bonus for Full-time externals only, pro-rated for Part-time***Medical Practice Clinical Lead RN position in the Nephrology department in Danbury, CT 40 hours per week, Monday-Friday, 8 hour variable shifts between 730am-6:00pm. Summary: The Clinical Lead RN works with the clinical staff, physicians and advanced practitioners in the coordination of assigned staff, equipment and resources to facilitate smooth daily operational flow. They optimize patient care and direct and assist the assigned staff in their daily work processes. Span of Control to include RN's, LPN's and potentially MA's (Dependent on Practice Structure). Responsibilities: Patient check-in, document chief complaint, vital signs, history, capture charges for provision of ancillary services, assists with the completion of patient summaries, medication/allergy, history forms, and obtain appropriate treatment consents. Administer and document injections, dispense and document medications as directed by physician/provider. Label and handle labs, paps, cultures, biopsies and other specimens, prepare laboratory and imaging requisitions. Assist with coordination of further patient care and follow-up and carry out tasks as directed by RN and/or physician/provider. This may include communication with patient, hospital, labs, imaging centers, pharmacies, physician offices, insurance plans. Independently manages patient triage calls and seeks out direction from providers as needed. Assists LPN's and MA's with triage disposition and assures documentation is reflective of the disposition. Measures and monitors key performance indicators (KPIs) in conjunction with the Practice Leadership. KPIs include Growth/Financial Stability, Patient Experience, Operational Efficiency, Employee Satisfaction/Culture, Quality Demonstrates clinical expertise and serves as a resource for the clinical staff. Monitors inventory and orders medical supplies as requested by physicians as well as follow up on all outstanding orders. Responsible for managing PTO requests and maintaining appropriate staff and provider schedules and levels. Develops guidelines for prioritizing work activities, evaluates the effectiveness and modifies activities as necessary. In collaboration with Medical Practice Nursing Education, mentors, orients, trains, educates and supervises clinical staff to improve competency and patient satisfaction using established workflows and policies. Works in conjunction with Practice Manager, Medical Practice Nursing Leader and Human Resources for hiring, discipline, grievance management, performance evaluations, feedback and coaching to achieve optimal team performance. Monitors all clinical workflows of office, addressing inefficiency of providers and clinical staff and formulates corrective action plans to achieve KPI's. Holds monthly clinical meetings with providers and staff to review clinical KPI and implement/monitor process improvement plan. Utilizes patient satisfaction data to create targeted improvement plans. Escalates issues and concerns proactively to Manager, or clinic practice Leadership, as needed. Performs other duties as assigned. Other Information: Graduate from approved nursing program Three (3) years nursing experience Prefer: Bachelor's Degree in Nursing (BSN) Graduation from accredited nursing program Able to multitask in fast paced environment Valid RN License (CT or NY based on Practice Location) Basic Life Support (BLS) Working Conditions: Manual: Some manual skills/motor coord & finger dexterity Occupational: Some occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Med Practice CT Org Unit: 520 Department: DB Nephrology Exempt: No Salary Range: $33.66 - $67.05 Hourly

in the Thoracic Surgery department covering the offices in Danbury, CT and Norwalk, CT. Full Time, 40 hours per week, Monday-Friday between 8:00am-5:00pm. The RN Clinical Case Coordinator-Patient Navigator assists cancer patients and their families in maintaining the continuum of care by utilizing internal and community-based resources. Collaborates with other members of the interdisciplinary healthcare team to provide uninterrupted and integrated medical, financial, psychosocial, and vocational care of the patient in accordance with the patient's wishes, through a process of assessment, planning, implementation, and evaluation. Responsibilities: 1. Conducts case findings. Screens cancer patients to identify support, education, discharge planning & referral. Comprehensive assessment of patient's physical, functional, psychosocial & financial status in cooperation with the health care team. 2. Develops, implements, and evaluates the plan of care and support through an interdisciplinary process in conjunction with the patient and family, linking the patient to appropriate institutional or community resources. 3. Procures services; serves as an advocate for patients and families with scarce resources. Facilitates referrals to state and local financial assistance agencies or programs. 4. Functions as a liaison between the hospital, physicians, patient, and community resources to achieve maximum communication between all parties so that care is coordinated and all needs of the patient are met. 5. Identifies quality issues related to cancer diagnosis, treatment and follow-up, risk management issues, and reimbursement issues with prompt referral to appropriate committee/personnel for action or resolution. 6. Assesses and evaluates cancer care through interaction with patients and surveys, and implements quality improvement projects as needed. 7. Serves as a representative of the cancer program/service line and lead person for coordination of care for patients. 8. Representing the cancer program provides education through health fairs and presentations to the community. 9. Supervises the volunteers within the cancer program, assuring compliance with appropriate patient interaction and confidentiality of information. 10. Participates as a member of the Cancer Committee; achieves the organization's established expectations with regard to customer service, teamwork, safety, and self-development. 11. Fulfills all compliance responsibilities related to the position. 12. Performs other duties as assigned. Other Information: Required: RN License. Experience in oncology nursing/case management. Excellent verbal and written skills, ability to conduct education programs. Minimum Experience: five years Oncology certification or eligible. Candidate will be expected to have taken the GW Navigation program training, and if not, it will be expected within the first 6 months of employment. Education Requirement: Bachelor's preferred, Associates. Desired: Certification in Case Management and Oncology nursing. Working Conditions: Manual: Some manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Med Practice CT Org Unit: 583 Department: DB Thoracic Surgery Exempt: Yes Salary Range: $45.93 - $85.29 Hourly Share: Share with Email Share on Twittershare to twitter Share on Facebookshare to facebook Share on LinkedInshare to linkedin