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Salary Range:&nbsp;&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. <h4>Job Summary</h4>The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for receiving/reviewing admission requests and higher level of care (HLOC) transfer requests from inpatient facilities within regular timelines. Reviews clinical data in real-time and post admission to issue a determination based on clinical criteria for medical necessity. Assures timely, accurate determination and notification of admission and inter-facility transfer requests. Generates approval, modification, and denial communications for inpatient admission requests. Actively monitors for appropriate level of care (inpatient vs. observation) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests where determination requires extended review. Collaborates with the inpatient care team for facilitation/coordination of patient transfers between acute care facilities. Acts as a department resource for medical service requests/referral management and processes. Actively participates in the discharge planning process, including providing clinical review and authorization for alternate levels of care, home health, durable medical equipment, and other discharge needs. Provides support to the inpatient review team as necessary to ensure timely processing of concurrent reviews.<h4>Duties</h4> Provides the primary clinical point of contact for inpatient acute care hospitals requesting Inpatient care/post-stabilization admission requests, Higher level of care transfers and other emergent transfers or needs. Ensures appropriate determination for admission requests/HLOC transfers based on clinical data presented and established criteria/guidelines, escalating to the medical director if needed. &nbsp;Triages and assesses members for admission needs, including, but not limited to, bed and accepting physician availability. (40%)Establishes and maintains ongoing communication with internal stakeholders and external customers while securing the L.A. Care member's admission or inter-facility transfer. &nbsp;Interfaces with physicians, house supervisors, and other hospital delegates to ensure that telephone triage results in appropriate patient placement. (10%)Applies clinical expertise and the nursing process to triage and prioritize admission acuity, servicing as an expert clinical resource for patient placement while utilizing medical knowledge and experience to facilitate consensus-building and development of satisfactory outcomes (10%)Continually seeks new ways to improve processes and increase efficiencies. Takes the initiative to communicate recommendations to UM Leadership. (5%)Completes all inpatient and discharge planning requests appropriately and timely including, but not limited to: &nbsp;Skilled nursing facility, outpatient needs (home health, physical therapy, infusion), and case management referrals (5%) Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement, independent analysis, critical-thinking skills, detailed knowledge of medical policies, clinical guidelines and benefit plans to complete reviews and determinations within required turnaround times specific to the case type. Identifies requests needing medical director review or input and presents for second level review (20%)Performs other duties as assigned. (10%)<h4>Duties Continued</h4><h4>Education Required</h4>Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's Degree in Nursing<h4>Experience</h4>Required: Minimum of 7 years of clinical experience in an acute hospital setting.&nbsp;Previous experience to have a strong understanding of Utilization Management/Case Management practices including, but not limited to, placement (with level of care) criteria (MCG, InterQual), concurrent review, and discharge planning.Preferred: Consistent Critical Care experience (Emergency Department, Intensive Care, Labor &amp; Delivery) background highly desirable.Experience in bed placement decision-making highly desirable.<h4>Skills</h4>Required: Must be computer literate, with expertise in Outlook, Word, Excel, PowerPoint. &nbsp;Provision of excellent customer service required due to frequent communication with providers and other members of the interdisciplinary team &nbsp;Knowledge of personal computer, keyboarding, and appropriate software to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Prepare clear, comprehensive written and oral reports and materials.&nbsp;Excellent time management and priority-setting skills.Maintains strict member confidentiality and complies with all HIPAA requirements.Strong verbal and written communication skills. &nbsp; &nbsp;Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or CM.&nbsp;Knowledge of Department of Health Care Services (DHCS) or Centers for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM.<h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4>Certified Case Manager (CCM)American Case Management Association (ACM)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4>Required: Attend mandatory department trainings as scheduledFinancial Impact: Management of all medical services has a tremendous potential impact on the cost of health care and budget. This position manages determinations to ensure services requested are medically appropriate and provided in the most cost effective manner without compromising quality healthcare delivery.Types of Shift: &nbsp;Day (7:00am - 3:30pm), Evening (3:00pm -11:30 pm), Night (11:00pm -7:30am).&nbsp; Float (Varies)* *All possible shifts.Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul> Nearest Major Market: Los Angeles Job Segment: Nursing, Registered Nurse, Emergency Medicine, Physical Therapy, Rehabilitation, Healthcare

L.A. Care Health Plan

Utilization Management Admissions Liaison RN II

Come care with us at West Coast University! As a Nursing Faculty member for a certified Great Place to Work, you will guide nursing students to do more than change their own lives – you will help change the lives of every patient they treat throughout their career in healthcare. &nbsp;At West Coast University you will have the opportunity to share your success story with the next generation of nurses as a key member of our student-centered, innovative community!Typical class is 6PM - 10PM some days availableYou will make an impact by: &nbsp;<ul><li>Serving as a mentor, role model and facilitator who provides guidance and academic support for students. </li><li>Demonstrating enthusiasm for teaching, the teaching/learning process and for individual students.</li><li>Applying your skills and experience to your assigned teaching schedule.</li><li>Participating in and contributing to assessment activities of courses/curriculum and programs via a continuous improvement plan set forth by the University.</li><li>Regularly contributing to improvement of class materials and syllabi within prescribed shared governance culture.</li><li>Utilizing a variety of teaching methodologies to instruct students, always with intent to facilitate observable evidence of student fulfillment of prescribed learning outcomes.</li><li>Maintaining scholarly activities.</li><li>Participating in professional growth and service in accordance with university policies.</li><li>Advancing our commitment and focus on the students we serve, and their success as healthcare professionals.</li><li>Fully leveraging our innovative technologies and resources, such as our Simulation and Innovation Labs.</li><li>*If working with students in a Clinical setting you will:<ul><li>Assume complete responsibility for students in clinical facilities. </li><li>Clarify clinical expectations with students.</li><li>Clarify student placement and expectations with clinical facility staff.</li><li>Utilize care planning time to direct students to available resources needed for clinical preparation. </li><li>Assess student knowledge and skill level to ensure safety and optimal care to patients.</li><li>Utilize pre- and post- conference to allow students an opportunity to share learned experiences, ensuring clarity of the correlation between &nbsp;weekly theory content with clinical objectives and experiences.</li><li>Provide feedback of clinical performance immediately after observation of event and of overall performance at midterm and end of semester.</li></ul></li></ul>Your Experience Includes: &nbsp;<ul><li>Working knowledge of Microsoft Office Suite Products, especially Outlook, Word, PowerPoint and other MS office products as needed.</li><li>Working with online learning management systems to further engage the student learning process.</li><li>Compliance with state, federal and local laws/regulations relating to programs, governmental compliance, and other regulatory standards such as state Board of Nursing.</li><li>Clinical RN - Must have a minimum of two (2) year’s prior experience as a registered nurse providing direct patient care and have a minimum of one year experience in the field in which they teach.</li></ul>Education: Education and experience must align with state regulations and comply with the rules and regulations of state authorization agencies.<ul><li>Master’s degree in nursing</li><li>Professional nurse licensure required.</li></ul>Do you want a career that allows you to make a difference in other people’s lives? Discover what it means to truly believe in the work that you do at West Coast University.At West Coast University, we have the privilege of educating students seeking careers in healthcare and guide them through their transformational journey from student to caregiver. Our associates are united behind that purpose and share a deep commitment to our values of teamwork, collegiality, transparency, and a student-centric approach to all we do. This focus creates an aligned, nimble, and consensus-driven culture that is solution-oriented and supports our associates’ professional growth.West Coast University is proud to be an equal opportunity employer. We embrace diversity and are dedicated to creating an inclusive environment for all associates.

West Coast University

Adjunct Nursing Pediatrics Faculty - Simulation

Come care with us at West Coast University! As a Nursing Faculty member for a certified Great Place to Work, you will guide nursing students to do more than change their own lives – you will help change the lives of every patient they treat throughout their career in healthcare. &nbsp;At West Coast University you will have the opportunity to share your success story with the next generation of nurses as a key member of our student-centered, innovative community!Days and evenings available.You will make an impact by: &nbsp;<ul><li>Serving as a mentor, role model and facilitator who provides guidance and academic support for students. </li><li>Demonstrating enthusiasm for teaching, the teaching/learning process and for individual students.</li><li>Applying your skills and experience to your assigned teaching schedule.</li><li>Participating in and contributing to assessment activities of courses/curriculum and programs via a continuous improvement plan set forth by the University.</li><li>Regularly contributing to improvement of class materials and syllabi within prescribed shared governance culture.</li><li>Utilizing a variety of teaching methodologies to instruct students, always with intent to facilitate observable evidence of student fulfillment of prescribed learning outcomes.</li><li>Maintaining scholarly activities.</li><li>Participating in professional growth and service in accordance with university policies.</li><li>Advancing our commitment and focus on the students we serve, and their success as healthcare professionals.</li><li>Fully leveraging our innovative technologies and resources, such as our Simulation and Innovation Labs.</li><li>*If working with students in a Clinical setting you will:<ul><li>Assume complete responsibility for students in clinical facilities. </li><li>Clarify clinical expectations with students.</li><li>Clarify student placement and expectations with clinical facility staff.</li><li>Utilize care planning time to direct students to available resources needed for clinical preparation. </li><li>Assess student knowledge and skill level to ensure safety and optimal care to patients.</li><li>Utilize pre- and post- conference to allow students an opportunity to share learned experiences, ensuring clarity of the correlation between &nbsp;weekly theory content with clinical objectives and experiences.</li><li>Provide feedback of clinical performance immediately after observation of event and of overall performance at midterm and end of semester.</li></ul></li></ul>Your Experience Includes: &nbsp;<ul><li>Working knowledge of Microsoft Office Suite Products, especially Outlook, Word, PowerPoint and other MS office products as needed.</li><li>Working with online learning management systems to further engage the student learning process.</li><li>Compliance with state, federal and local laws/regulations relating to programs, governmental compliance, and other regulatory standards such as state Board of Nursing.</li><li>Clinical RN - Must have a minimum of two (2) year’s prior experience as a registered nurse providing direct patient care and have a minimum of one year experience in the field in which they teach.</li></ul>Education: Education and experience must align with state regulations and comply with the rules and regulations of state authorization agencies.<ul><li>Master’s degree in nursing</li><li>Professional nurse licensure required.</li></ul>Do you want a career that allows you to make a difference in other people’s lives? Discover what it means to truly believe in the work that you do at West Coast University.At West Coast University, we have the privilege of educating students seeking careers in healthcare and guide them through their transformational journey from student to caregiver. Our associates are united behind that purpose and share a deep commitment to our values of teamwork, collegiality, transparency, and a student-centric approach to all we do. This focus creates an aligned, nimble, and consensus-driven culture that is solution-oriented and supports our associates’ professional growth.West Coast University is proud to be an equal opportunity employer. We embrace diversity and are dedicated to creating an inclusive environment for all associates.

Adjunct Nursing Med-Surg Faculty - Simulation

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Role: The Librus APRN is a key clinical leader in the delivery of person-centered, value-based care to Institutional Special Needs Plans (ISNP), ACOs, and high-risk payors residing in Skilled Nursing Facilities, communities, or private homes. Working in alignment with the payor's model of care and under the Librus program, the APRN performs comprehensive clinical assessments, closes care gaps, participates in IDT meetings, ensures accurate HCC coding, reduces unneeded hospitalizations, and delivers high-quality primary and supportive care to medically complex patients. This role also includes providing end-of-life services, including comfort and symptom-focused care without formal hospice enrollment, ensuring quality of life and dignity are prioritized during serious illness and advanced aging.Qualifications: Required:<ul><li>Licensed APRN with active certification (Adult/Geriatric NP, FNP, or similar) in the state of Florida.</li><li>DEA license with prescriptive authority.</li><li>Minimum 3 years of experience as a nurse practitioner, preferably in geriatrics, SNF, hospice, palliative care, or complex care management.</li><li>Demonstrated experience with HCC coding and risk adjustment models.</li><li>Familiarity with Medicare Advantage care gap closure metrics.</li></ul>Preferred:<ul><li>Experience with ISNPs, D-SNPs, or other value-based Medicare models.</li><li>Knowledge of SNF workflows and interdisciplinary care teams.</li><li>Comfort and skill in end-of-life conversations and palliative approaches.</li></ul>Schedule &amp; Travel:<ul><li>Full-time, Monday–Friday with flexibility for urgent needs</li><li>On-site presence in designated SNFs with occasional local travel</li><li>Minimal on-call rotation, shared with other advanced practice providers</li></ul>Competencies:<ul><li>Advanced clinical assessment and diagnostic skills</li><li>Coding and documentation proficiency (HCC, SOAP, risk adjustment)</li><li>Compassionate care mindset with emotional intelligence</li><li>Collaborative leadership across multiple teams</li><li>Strategic time and case management abilities</li></ul>Responsibilities of all employees:<ul><li>Represent the Company professionally at all times through care delivered and/or services provided to all clients.</li><li>Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.</li><li>Comply with Company policies, procedures and standard practices.</li><li>Observe the Company's health, safety and security practices.</li><li>Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.</li><li>Use resources in a fiscally responsible manner.</li><li>Promote the Company through participation in community and professional organizations.</li><li>Participate proactively in improving performance at the organizational, departmental and individual levels.</li><li>Improve own professional knowledge and skill level.</li><li>Advance electronic media skills.</li><li>Support Company research and educational activities.</li><li>Share expertise with co-workers both formally and informally.</li><li>Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.</li></ul>Job Responsibilities: Clinical Care Delivery:<ul><li>Serve as the primary advanced practice provider for assigned ISNP members, High-Needs ACO patients, and similar settings, delivering direct, evidence-based care in collaboration with facility and plan/payor staff.</li><li>Perform routine and urgent clinical assessments, diagnose and manage chronic and acute conditions, and adjust care plans.</li><li>Provide palliative and hospice-like care interventions focused on comfort, dignity, and patient-centered goals.</li></ul>HCC Coding &amp; Gap Closure:<ul><li>Conduct comprehensive annual and episodic assessments to ensure accurate capture of chronic conditions per CMS HCC guidelines.</li><li>Close quality gaps related to screenings, labs, immunizations, and chronic disease management per ISNP, Payor and plan metrics.</li><li>Maintain thorough, compliant documentation to support both care delivery and risk adjustment requirements.</li></ul>Model of Care Alignment:<ul><li>Operate as a clinical champion of the Librus Model of Care, emphasizing proactive interventions, interdisciplinary collaboration, and reduced avoidable hospitalizations.</li><li>Partner with the RN Care Coordinator and facility teams to ensure service continuity, integration, and alignment.</li></ul>Advanced Illness Management:<ul><li>Lead or participate in goals-of-care discussions, advance directive review, and shared decision-making with patients and families.</li><li>Support members through end-of-life transitions with empathy and skill, even without formal hospice enrollment.</li><li>Utilize comfort-focused prescribing and symptom management protocols.</li></ul>Collaboration &amp; Reporting:<ul><li>Attend IDT meetings and collaborate regularly with payor physicians, SNF staff, and Librus leadership.</li><li>Communicate care plans effectively with patients, caregivers, and staff.</li><li>Submit timely and accurate clinical documentation, coding, and quality reporting.</li></ul>This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

Chapters Health System

Nurse Practitioner CareNu

Title: Practical Nursing Instructor CMA to PN-Evening/Weekend Position- Brownsville Campus
Employee Classification:&nbsp;Faculty
Institution:&nbsp;TCAT-Jackson
Department: Practical Nursing
Campus Location: TCAT Jackson
Job Summary
Develop course of study and conduct training program in specialty area. • Confer with administration to gain knowledge and better understand changes in policies, procedures, and technologies. • Formulate teaching outline and determine instructional methods utilizing knowledge of specific training needs and effectiveness of such methods as individualized and group instruction, lecture, demonstration, and conference. • Select or develop teaching aids, demonstration models, multimedia visual aids, and reference materials. • Maintain student records and reports. • Responsible for student placement and assist with studentfollow-up. • Cooperate with outside agencies; work with program advisory committees; conduct visits to business and industry; establish and maintain good public relations with the institution’s general public. • Participate in recruitment of students. • Supervise students’ clinicalexperience as scheduled. • Actively seek potential clinical sites for the provision of clinical training. • Demonstrate a commitment to staying current in the nursing field. 
Job Duties
Minimum Qualifications
Associate Degree in Nursing required. Must hold active licensure as a Registered Nurse in the State of Tennessee, B.S.N. preferred. Must have a minimum of three (3) years of clinical experience as a Registered Nurse within the last five (5) years. Teaching experience preferred. This position will report directly to the Director of Nursing and Allied Health. This position requires evening and weekend availability.
Preferred Qualifications
Knowledge, Skills, and Abilities
Teaching experience preferred. This position will report directly to the Director of Nursing and Allied Health. This position requires evening and weekend availability.
Physical Demands / Working Conditions 
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Motlow State Community College


      Practical Nursing Instructor -Evening/Weekend Position- (Grant-Funded) Brownsville Campus
    

POSITION SUMMARY: The Nursing Clinical Adjunct is responsible for the general effectiveness of the clinical experiences.He/she has primary responsibility for preparing and teaching clinical and/or laboratory nursing courses. The Nursing Clinical Adjunct works with the Lead Clinical Faculty, the Clinical Coordinator, and the Program Director. This position is campus-based.&nbsp;KEY JOB ELEMENTS:<ul><li>The Nursing Clinical Adjunct is an adjunct clinical faculty member who:</li><li>Supervises students in clinical practice, internships, observations, field experiences, nursing labs, and other similar course and graduation requirements </li><li>Counsels or refers students with identified clinical performance problems.</li><li>Maintains the highest moral and ethical standards as an educator, as a nursing professional, and as a responsible member of the community.</li><li>Debriefs and evaluates students in clinical practice, observations, and field experiences.</li><li>Teaches the number of hours and courses stated in the employment contract for the stated time periods.</li><li>Meets all clinicals and other scheduled responsibilities such as office hours and meetings at the designated time.</li><li>Articulates course learning outcomes or objectives to ensure student understanding of course learning objectives and expectations.</li><li>Assists the Lead Clinical Faculty with the creation of the course/clinical syllabus </li><li>Creates course materials required to deliver course information in an understandable and interesting manner to ensure students are engaged with the course material to facilitate achievement of the course learning outcomes. </li><li>Adheres to identified office hours and be available to assist students to understand course content and/or clinical scenarios to facilitate the comprehension of materials through one-to-one meeting or in assists students to master course material by being available through “office hours” and or small group sessions</li></ul>REQUIREMENTS:<ul><li>Bachelor’s degree with a master’s degree in nursing preferred</li><li>Two years’ experience in the clinical specialty area </li><li>Membership in a professional association related to area of instruction preferred. </li><li>Current knowledge in area of clinical practice.</li><li>Excellent verbal and written communication skills including the ability to build successful relationships with student populations.</li><li>Outstanding conflict resolution skills. </li><li>Demonstrated time management and detail-oriented skills</li><li>Computer based skills (i.e., software, analytical, and report writing skills) </li><li>Demonstrated clinical competency and professional standards of practice. </li></ul>ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. The term "qualified individual with a disability" means an individual with a disability who, with or without reasonable accommodation, can perform the essential functions of the position.While performing the duties of this job, the employee is regularly required to communicate professionally in person, over the telephone, through email and other electronic means, move about the office or school, handle various types of media and equipment, and visually or otherwise identify, observe and assess. In the clinical facility, the employee may be required to perform considerable amount of walking or standing, along with operation of complex equipment. The employee may be exposed to chemicals, fumes, and odors and other potentially unsafe conditions. The employee is occasionally required to lift up to 50 pounds unless otherwise specified in the job description and may required to pass health status clearance by the affiliated agency.&nbsp; South University is an Equal Opportunity Employer and embraces diversity as a critical step in ensuring employee, student and graduate success. We are committed to building and developing a diverse environment where a variety of ideas, cultures and perspectives can thrive.JobFamilyAll PositionsEducationLevelBachelor’s Degree

South University

Adjunct Faculty, Clinical Nursing - BSN

Holyoke Community College invites applications for anticipated vacancies for the following areas:&nbsp;<ul><li>Acute/Subacute Care Medical Surgical Clinical/Simulation Laboratory Instructors&nbsp;</li></ul>The individual appointment to an adjunct nursing faculty position will provide quality learning experiences for Holyoke Community College Associate in Science in Nursing and Practical Nursing students on a semester to semester basis. Follows the policies and regulations of the governing institutions, Holyoke Community College, Massachusetts Board of Registration in Nursing, and the Accreditation Commission of Nursing Education standards for the ASN and PN programs.&nbsp;Under the direction of the Dean of Health, Education, Culinary Arts and Human Services and Director of Nursing, works collaboratively and collegially with department chairs, faculty and staff to provide instruction in nursing clinical practice, and simulation laboratory settings. Provides students with opportunities to acquire knowledge, develop clinical reasoning to make sound judgments, perform safe psychomotor skills, and demonstrate competency in the end-of-program student learning outcomes. The relationship of the adjunct faculty member to the students is one of educator, evaluator, and facilitator of student-centered learning and safe nursing practice. Fosters a culture of respect, understanding, and collaboration by promoting a learning environment of inclusion, belonging and caring.&nbsp;<ul><li>Participate in College-wide, Department of Nursing and Clinical Practice Learning Environment orientations, working closely with a department mentor in the clinical onboarding processes.&nbsp;</li><li>Performs instructional-related duties and responsibilities in a timely manner in accordance with the mission, policies, and procedures of the Holyoke Community College, Department of Nursing and Practice Learning Environment.&nbsp;</li><li>Meet and maintain faculty requirements upon hire and annually. To include, but not limited to, MA RN license in good standing; clearance of CORI/SORI check; drug screening; and fingerprinting; maintains health insurance; meets MA DPH Health requirements; completes a physical exam on hire; remains fit-for-duty; demonstrates evidence of professional development/scholarship, CPR certification; recommendation to carry liability insurance.&nbsp;</li><li>Maintain clinical expertise in the area of specialization and nursing education in evidence-based practices through ongoing professional development and fieldwork.&nbsp;</li><li>Participate as a team member to distribute and review the course syllabus,sim lab manual and/or clinical guidelines. The adjunct nursing faculty shall forward course materials to the DON no later than the end of the first (1st ) week of classes in each semester.&nbsp;</li><li>Be prompt and accurate in the recording and reporting of student data including course attendance, assessment of student performance in the clinical/sim lab evaluation tool, and reporting of plans for success, warnings or grades.&nbsp;</li><li>Facilitate active learning methods and instructional strategies for students designed to assist the learner in meeting the student learning outcomes of the course while promoting critical thinking and sound clinical judgment initiatives.&nbsp;</li><li>Assign, supervise, and plan practice experiences, and evaluation of up to ten (10) students in clinical/sim lab learning environments based on student learning outcomes.&nbsp;</li><li>Work effectively as a team member with the overall department and clinical practice environment, demonstrating positive interpersonal relations, communication, collaboration with the administration, other faculty and healthcare members to meet department and student needs.&nbsp;</li><li>Complete a clinical practice collaborative review at the beginning and end of each semester.&nbsp;</li><li>Instruct in various learning environments such as face to face on campus, in community practice areas, and simulation, remote briefing/debriefing and evaluations and virtual learning environments.&nbsp;</li><li>Model professional behaviors for student learners including and enhance nursing student success.&nbsp;</li><li>Promote working relationships with practice learning environments to enhance student learning experiences.&nbsp;</li><li>Assure students a safe learning environment and provide safe nursing care for all individuals or groups of individuals.&nbsp;</li><li>Follow created simulation laboratory learning experiences, to include high quality simulation, for student demonstration and evaluation of competent nursing skills based on student learning outcomes.&nbsp;</li><li>Be available to promote student success, incorporate retention strategies, and assist a group of diverse students in achieving learning goals.&nbsp;</li><li>Attend all scheduled clinical teaching experiences and/or simulation laboratory sessions and assigned curriculum meetings. Adjunct faculty follow the MCCC DCE contract.&nbsp;</li><li>If it is necessary for the adjunct faculty member to miss a clinical/simulation/lab, the proper procedure is to notify the Department Secretary, Course Coordinator, and the assigned practice learning environment or the supervisor's designee.&nbsp;</li><li>Participate in the systemic evaluation of the program through data collection and analysis for informed decision making.&nbsp;</li><li>Maintain confidentiality in college and student matters.&nbsp;</li><li>Follow the current HCC College Catalog; HCC Student Handbook, Nursing Student Handbook, and Practice Learning Environment policies and procedures.&nbsp;</li><li>Other duties as assigned and needed for program and student learning.</li></ul>REQUIRED:&nbsp; <ul><li>BORN 244 CMR 6.00 Hold a current unencumbered Massachusetts Registered Nurse license;&nbsp;</li><li>Possess a Master's degree in Nursing or a related graduated degree; or a Minimum of a Bachelor's Degree in Nursing with the following: &nbsp;Minimum of five years full-time Registered Nurse experience within the last eight years (and) one of the following: i: Be matriculated in a graduate nursing program within one year of appointment with an expected &nbsp;graduation date within five years of the date of matriculation; orii: Obtain a current Nurse Education certification by a Board recognized certifying organization within &nbsp; three years of appointment;</li><li>Ongoing demonstration of evidence of clinical competence in the area of clinical instruction;&nbsp;</li><li>Acute-care medical surgical nursing experience;&nbsp;</li><li>Ability to demonstrate teaching skills in the clinical and/or simulation lab area including the use of interactive and varied pedagogical strategies;&nbsp;</li><li>Confident and comfortable with technology-based instruction including online course work;&nbsp;</li><li>Commitment to support underrepresented students in nursing;&nbsp;</li><li>Ability to work effectively with diverse faculty, staff and students.</li></ul>Adjunct Faculty, MCCC Unit Position Compensation:&nbsp; DCE Continuing Education scale salary; no benefits NOTE: Copy of official transcript must be sent with the application with degree obtained.- All candidates must have legal authorization to work in the United States. HCC is not sponsoring H1B Visa.&nbsp; &nbsp;- Pre-Employment Background check, including Criminal History will be conducted for all positions.

Holyoke Community College

Adjunct Faculty - Clinical/Laboratory Nursing Faculty

Salary Range:&nbsp;&nbsp;$117,509.00&nbsp;(Min.) -&nbsp;$152,762.00&nbsp;(Mid.) -&nbsp;$188,015.00&nbsp;(Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. <h4>Job Summary</h4>The Manager, Appeals &amp; Grievances (A&amp;G) &amp; General Operations (Clinical) is responsible for the daily oversight of clinical appeals and grievances functions within the Appeals &amp; Grievances Department to ensure clinical grievances, complaints, appeals and complex issues are investigated and resolved using regulatory guidance across all lines of business. Provides direct supervision to the A&amp;G clinical team and the unit that supports them in order to assure operational effectiveness which includes the implementation and adherence to L.A. Care's Policies &amp; Procedures that meet Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care Services (DHCS), the California Department of Managed Health Care (DMHC), the Managed Risk Medical Insurance Board (MRMIB), National Committee for Quality Assurance (NCQA) and other rules/ regulations/ standards. The Manager is responsible for establishing and monitoring processes to oversee and coordinate the identification, documentation, reporting, investigation and resolution of all member appeals and grievances in a timely and culturally-appropriate manner. Coordinates, tracks, and resolves internal and external appeal and grievance complaints for L.A. Care Plan Partners, including identifying opportunities for improvement.This position will be a role model for integrity and will establish and maintain effective professional work relationships, working collaboratively with all levels of management and business owners to help guide the discipline of planning, organizing, securing, managing, leading, and controlling resources to achieve specific goals.Manages all aspects of running an efficient &nbsp;team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.&nbsp;<h4>Duties</h4>Manage and oversee the handling of clinical grievances and appeals, for L.A. Care and Plan Partner members. Establishes and oversees processes and all relevant member correspondence for accuracy, clarity, and cultural appropriateness and sensitivity. Review and monitor procedures for identifying quality of care issues and work collaboratively with cross-functional departments to appropriately address and resolve member grievances. Serve as the Key Contact for State Fair Hearings, internal and external audits, DMHC and DHCS inquiries. Review and monitor procedures for identifying quality of care issues and work collaboratively with cross-functional departments to appropriately address and resolve member and provider grievances.Responsible for timely daily operations in the A&amp;G Clinical Services Unit and other general operations units. &nbsp;Ensures timely appeal and grievance reporting to regulatory agencies, internal Regulatory Affairs and Compliance Department, internal Quality Oversight Committee, etc. Collaborates with cross-functional departments &nbsp;to ensure the use of appropriate appeal and grievance issue codes, timely resolution, and refers to community partners as appropriate. &nbsp;Lead, participate and provide representation of the A&amp;G Team at Internal and External meetings/ workgroups and acts as the point person for A&amp;G Programs especially the Clinical Programs.Develop and execute on strategic opportunities to improve the overall appeals &amp; grievance process. Create a best in clinical appeals process that is efficient and effective in managing member appeals.Work cross functionally and collaboratively within Appeals and Grievances with key internal partners to build a high functioning, results oriented environment and organization.&nbsp;<h4>Duties Continued</h4>Partner with internal and external stakeholders to build and maintain collaborative relationships and partnerships. Identify areas of connection to leverage and create added value for L.A. Care.Provide input into the development of automation to guide the team to process efficiencies for all lines of business while maintaining compliance and manageable workloads for staff.Responsible for maintaining and updating on an annual basis, or as necessary, appeal and grievance policies and procedures, member correspondence, etc., consistent with regulatory changes. &nbsp;Develop and maintain inventory reports for the appeals process ensuring appropriate productivity, compliance, and inventory management. &nbsp;Identify and implement continuous business process improvement recommendations to leverage organizational added value to the Appeals and Grievances Department. &nbsp;Develop and implement short and long-term strategies to improve team results, reducing administrative expenses.Manage staff , including, but not limited to: monitoring of day to day activities of staff, monitoring of staff performance, mentoring, training, and cross-training of staff, handling of questions or issues, etc. raised by staff, encourage staff to provide recommendations for relevant process and systems enhancements, among others. Supervision of the Clinical Services unit and general operations within Appeals and Grievances. Maintain a team of top talent, providing a culture of teamwork and collaboration.&nbsp;Perform other duties as assigned<h4>Education Required</h4>Bachelor's Degree in Nursing<h4>Education Preferred</h4><h4>Experience</h4>Required:6 years of clinical acute care experience with at least 3 years of experience with health care grievance and/or appeals issues, preferably in a managed care or Medicaid Health Plan environment and/or public services or public benefits programs.At least 3 years of management level operations leadership experience.Experience working with firm deadlines, regulators, detail oriented with the ability to interpret and apply regulationsExperience building relationships with organizations and business partners.Equivalency:&nbsp; Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.Preferred:&nbsp; Managed care experience.<h4>Skills</h4>Required: Excellent analytical, problem solving, planning and implementation skills.Demonstrated strong writing and communication skills.Demonstrates excellent leadership, communication, and negotiation skills with the ability to interact and influence all levels of the organization including executive management and key decision -makers.Demonstrates professional judgement, and critical thinking, to promote the delivery of quality, cost-effective care.Time management and priority setting skills.Excellent understanding of NCQA, DMHC, DOI, DHCS, and CMS regulatory requirements.Knowledge of Coordination of Care, Medicare and Medi-Cal regulations, prior authorization, level of care and length of stay criteria sets.Able to work effectively with various internal departments/service areas, L.A. Care's plan partners, participating provider groups, and other external agencies.Able to operate PC-based software programs including proficiency in Word, Excel and PowerPoint presentations.Excellent verbal, written communication and presentation skills.<h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4>This position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical situations and work on-call.This position requires handling various caseloads and flexibility to adapt to changing priorities which may include but not limited to redistributed work assignments, team projects, and other priorities as assignedSalary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul> Nearest Major Market: Los Angeles Job Segment: Nursing, Registered Nurse, Nurse Management, Medicaid, Medicare, Healthcare

Registered Nurse (RN) Manager, Appeals and Grievances General Operations (Clinical)

Title: Associate Instructor of Practical Nursing
Employee Classification:&nbsp;Faculty
Institution:&nbsp;TCAT-Knoxville
Department: Practical Nursing
Campus Location: TCAT Knoxville
Job Summary
We are thrilled to invite applications for the position of Associate Instructor of Practical Nursing at the Tennessee College of Applied Technology Knoxville. Located at our main campus in Knoxville, with assignments at off-site locations including clinicals, this role offers you the chance to impact the lives of aspiring nursing professionals. Enjoy a supportive work environment with a schedule of 7.5 hours per day, 37.5 hours per week, Monday through Friday, from 7:30 AM to 3:30 PM, including a 30-minute lunch break. As the Associate Instructor, you will deliver high-quality instruction that fosters student learning and creates a positive classroom atmosphere, emphasizing effective teaching and assessment in both classroom and laboratory settings to ensure every learner receives the support they need to thrive. Join our dedicated team and help shape the future of nursing! PRACTICAL NURSING PROGRAM: The Practical Nursing Program is approved by the Tennessee Board of Nursing. Graduates will obtain a diploma in Practical Nursing and may then be eligible to take the National Council Licensing Exam for Practical Nursing (NCLEX-PN) used to obtain nursing licensure in Tennessee. Practical Nursing is entry-level nursing. Graduates are prepared with the background and skills to give knowledgeable, basic nursing care to patients with varying degrees of physical needs. Licensed Practical Nurses (LPNs) work under the supervision of registered nurses and doctors. Positions are available in hospitals, long-term care facilities, physicians' offices, home health agencies, and various other healthcare settings.
Job Duties
<ul>
<li>Instruction: Facilitate the classroom instructional process: evaluate and monitor student progress; assign grades; provide academic assistance to students; maintain attendance and grade records; counsel and advise students on career goals; work to retain students; maintain required classroom and office hours. Ability to understand which teaching methods best serve the student’s needs, interests, and ability to learn. - (Essential)</li>
<li>Course and Curriculum Development: Select texts, equipment, supplies, and other learning resources; participate in the purchase of needed program supplies and equipment; develop instructional materials; create and revise courses and/or curricula as needed; maintain updated course syllabi. - (Essential)</li>
<li>Professional Growth: Remain current within the instructional field and technologies; acquire, maintain, and apply knowledge of current instructional methodologies and materials; attend scheduled college and division professional development and in-service activities; support related professional organizations; participate in the annual faculty evaluation process. - (Essential)</li>
<li>Service to Students: Comply with FERPA laws; participate in advising, recruitment, admissions, and orientation of potential students; assist students with job placement upon graduation; support student activities, including SkillsUSA and NTHS. - (Essential)</li>
<li>Service to the College and Community: Assist in the recruitment and selection of college personnel as assigned; participate in accreditation, assessment, and performance funding processes; support and participate in the College’s decision-making processes; provide input and assistance with budgets; attend convocation and commencement exercises and participate in mandatory college programs; develop and maintain positive and cooperative relationships with colleagues; maintain an active program advisory committee; complete the annual Council on Occupational Education (COE) report for the program job placement of students as well as other accreditation requirements. - (Essential)</li>
<li>Perform other duties as assigned. - (Essential)</li>
</ul>
Minimum Qualifications
ASN and current licensure are in good standing as a registered nurse in the State of Tennessee. Three (3) years of clinical practice as a Registered Nurse within the past five (5) years.
Preferred Qualifications
BSN; Prior post-secondary nursing curriculum teaching experience. 
Knowledge, Skills, and Abilities
KNOWLEDGE, SKILLS AND ABILITIES: Knowledge of college policies, procedures, and practices; and other applicable laws pertaining to employment and education; ability to plan, organize and implement assigned responsibilities and to work well under pressure to meet deadlines; excellent organizational, analytical and planning skills; ability to participate as a team member, ability to understand and interpret rules and regulations, and ability to adjust to change; ability to handle confidential material judiciously; understanding of education programs and tools related to community colleges. LEADERSHIP AND COMMUNICATION SKILLS: Ability to exchange ideas, facts, information, and opinions effectively and accurately with others; arrive at decisions, develop conclusions, or develop solutions; ability to communicate effectively with a diverse workforce and student population; ability to prioritize and delegate projects; ability to meet timelines and follow-through; ability to present materials effectively to individual students or groups; ability to manage interpersonal conflict situations requiring tact, diplomacy and discretion; demonstrate ethical conduct and professionalism; establish and maintain effective working relationships with faculty, staff, other departments, students, and the public; excellent customer service skills; comply with policies, procedures, and instructions. EQUIPMENT AND SOFTWARE: Utilize current College and/or department information technology, including but not limited to Microsoft Office, Teams, Outlook, Ellucian Banner, etc.; office machines such as telephones, fax machines, and copiers. 
Physical Demands / Working Conditions 
<ul>
<li>
Environment: Work is performed in a classroom and shop setting with frequent interruptions and distractions. The majority of work performed (30 hours per week) will be instructing and training students, with the remaining 7.5 hours utilized for grading, recording attendance, and individual student meetings.&nbsp;</li>
<li>
Physical: Primary functions require sufficient physical ability and mobility to work in a classroom and clinical health care setting.</li>
</ul>
SALARY: Commensurate with education and experience according to Tennessee Board of Regents guidelines within the ranges of $55,983 - $67,181.
APPLICATION SUBMISSION &amp; REVIEW: To be considered for a position at TCAT Knoxville, you must create and submit an online application that includes your required documents. Your skills, abilities, qualifications, and years of experience will be evaluated using what is recorded on your application. Please be sure to include the complete beginning and end dates under your employment history. Scan and attach the required documents to the online application in Word or PDF format. Review of applicants will begin immediately and continue until the position is filled.
REQUIRED DOCUMENTS: Resume Educational transcripts/diploma Industry licensure and certifications
EMPLOYMENT DOCUMENTS: Current federal law requires identification and eligibility verification prior to employment. Only U.S. citizens and aliens authorized to work in the United States may be employed. An offer of employment is contingent upon a successful background check.


      Associate Instructor of Practical Nursing
    

Come care with us at West Coast University! As a Nursing Faculty member for a certified Great Place to Work, you will guide nursing students to do more than change their own lives – you will help change the lives of every patient they treat throughout their career in healthcare. &nbsp;At West Coast University you will have the opportunity to share your success story with the next generation of nurses as a key member of our student-centered, innovative community!Typical class is 6PM - 10PMYou will make an impact by: &nbsp;<ul><li>Serving as a mentor, role model and facilitator who provides guidance and academic support for students. </li><li>Demonstrating enthusiasm for teaching, the teaching/learning process and for individual students.</li><li>Applying your skills and experience to your assigned teaching schedule.</li><li>Participating in and contributing to assessment activities of courses/curriculum and programs via a continuous improvement plan set forth by the University.</li><li>Regularly contributing to improvement of class materials and syllabi within prescribed shared governance culture.</li><li>Utilizing a variety of teaching methodologies to instruct students, always with intent to facilitate observable evidence of student fulfillment of prescribed learning outcomes.</li><li>Maintaining scholarly activities.</li><li>Participating in professional growth and service in accordance with university policies.</li><li>Advancing our commitment and focus on the students we serve, and their success as healthcare professionals.</li><li>Fully leveraging our innovative technologies and resources, such as our Simulation and Innovation Labs.</li><li>*If working with students in a Clinical setting you will:<ul><li>Assume complete responsibility for students in clinical facilities. </li><li>Clarify clinical expectations with students.</li><li>Clarify student placement and expectations with clinical facility staff.</li><li>Utilize care planning time to direct students to available resources needed for clinical preparation. </li><li>Assess student knowledge and skill level to ensure safety and optimal care to patients.</li><li>Utilize pre- and post- conference to allow students an opportunity to share learned experiences, ensuring clarity of the correlation between &nbsp;weekly theory content with clinical objectives and experiences.</li><li>Provide feedback of clinical performance immediately after observation of event and of overall performance at midterm and end of semester.</li></ul></li></ul>Your Experience Includes: &nbsp;<ul><li>Working knowledge of Microsoft Office Suite Products, especially Outlook, Word, PowerPoint and other MS office products as needed.</li><li>Working with online learning management systems to further engage the student learning process.</li><li>Compliance with state, federal and local laws/regulations relating to programs, governmental compliance, and other regulatory standards such as state Board of Nursing.</li><li>Clinical RN - Must have a minimum of two (2) year’s prior experience as a registered nurse providing direct patient care and have a minimum of one year experience in the field in which they teach.</li></ul>Education: Education and experience must align with state regulations and comply with the rules and regulations of state authorization agencies.<ul><li>Master’s degree in nursing</li><li>Professional nurse licensure required.</li></ul>Do you want a career that allows you to make a difference in other people’s lives? Discover what it means to truly believe in the work that you do at West Coast University.At West Coast University, we have the privilege of educating students seeking careers in healthcare and guide them through their transformational journey from student to caregiver. Our associates are united behind that purpose and share a deep commitment to our values of teamwork, collegiality, transparency, and a student-centric approach to all we do. This focus creates an aligned, nimble, and consensus-driven culture that is solution-oriented and supports our associates’ professional growth.West Coast University is proud to be an equal opportunity employer. We embrace diversity and are dedicated to creating an inclusive environment for all associates.

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