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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!RN Case Manager- Monday- Friday 8am-5pm No call or weekends! No ad hoc calls or visits outside of case managing your patients! SIGN ON BONUS AVAILABLE! &amp; BENEFITS DAY 1! The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care to the patient/family unit in order to keep the participant in their home environment as long as possible.Job DescriptionQualifications: • Current license as RN in the state where the employee will be working • Minimum of one (1) year nursing experience; hospice or hospital experience preferred • Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system • Mobile Driver - Valid driver’s license and automobile insurance per Company policy • Reliable transportation to meet visit schedule • Ability to use equipment with visual and auditory mechanisms • Ability to effectively communicate in English (verbal and written) • Ability to visit Participant in their homes to assessments • Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation•&nbsp;Active BLS for healthcare professionals from the American Heart Association or Red Cross.Some locations may require:<ul><li>Provides reassurance on the phone to patients and families. Assists in finding solutions to their questions and/or recognizes the need for an in person visit. Coordinates in person visit when needed/or requested.</li><li>Utilizes appropriate support/expert resources or personnel to resolve complex or difficult situations.</li><li>Documents patient/family contact information in the EMR and communicates with the Interdisciplinary Team (IDT).</li><li>Completes initial and semi-annual assessment for all Company services including, but not limited to:<ul><li>Explains services to patients/families and addresses questions regarding patient needs, fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner&nbsp;</li><li>Provides information to Physicians and other IDT members and initiates Plan of Care to address patient’s immediate needs</li><li>Initiates skilled nursing interventions to enhance prevention, prevent complications, alleviate symptoms and maximize physical and emotional comfort</li><li>Obtains Physician orders</li><li>Completes documentation per Company policy</li></ul></li></ul><ul><li>Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.</li><li>Communicates frequently with other members of the IDT.</li><li>Provides all necessary clinical communication timely using SBAR.</li><li>Discusses any potential needs with after-hours staff.</li><li>Develops strong relationships with case managers, physicians, etc. at facilities.</li></ul> Competencies: • Satisfactorily complete competency requirements for this position. Responsibilities of all employees: • Represent the Company professionally at all times through care delivered and/or services provided to all clients. • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. • Comply with Company policies, procedures and standard practices. • Observe the Company's health, safety and security practices. • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company. • Use resources in a fiscally responsible manner. • Promote the Company through participation in community and professional organizations. • Participate proactively in improving performance at the organizational, departmental and individual levels. • Improve own professional knowledge and skill level. • Advance electronic media skills. • Support Company research and educational activities. • Share expertise with co-workers both formally and informally. • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Job Responsibilities: • Provides and manages direct care to patients and families as part of Interdisciplinary Team (IDT), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up. • Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs. • Educates patient, family, caregivers and other health professionals about disease process and decline, prevention, palliative interventions, care giving, dying process and safety practices.- Participant visit frequency dependent on risk score/needs to be determined- Home visits to assess home safety, medication compliance, nutritional compliance, DME compliance- ability to live safely in the community. • Reports changes in the patient’s condition to appropriate members of the IDT or other health professionals. • Participates with the IDT to evaluate hospice referrals/admissions for level of care appropriateness.- Attends daily IDT collaboration meetings • Presents concise and pertinent oral and written reports to IDT; respects and encourages input from all disciplines. • Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others. • Supervises patient care provided by Community Health Workers and Home Health Aides as requested.• During times of emergencies (i.e. Hurricanes, etc.), the RN, Case Manager may be required to report to work at a location designated by the company, to ensure continuity of services. This may include reporting to work ahead of your scheduled date/time due to planned lock down of unit, and staying overnight(s) based on duration of emergency. • Performs other duties as assigned. Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.): While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel. Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance. Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs.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

RN, Case Manager LifePath Hospice

Commitment to MissionThis job carries with it the obligation to uphold the Mission of Lone Star College (LSC) in carrying out the duties of the position. A commitment to positive interpersonal behaviors, professional communication, integrity, leadership, stewardship, respect and accountability to LSC students and employees is essential.Cultural Beliefs<ul><li>One LSC</li><li>Student Focused</li><li>Own It</li><li>Foster Belonging</li><li>Cultivate Community</li><li>Choose Learning</li></ul>The Chronicle of Higher Education's "Great Colleges to Work For®" is designed to recognize colleges that have been successful in creating great workplaces and to further research and understanding of the factors, dynamics and influences that have the most impact on organizational culture at higher education institutions.Lone Star College has been recognized in multiple categories.Qualities of ExcellenceAs faculty members of Lone Star College, we strive to create a nation of world citizenry in our students. In that pursuit, we model ways of thinking and being that incorporate diversity, equality, and equity. Our culture, then, requires the possession of transcendent qualities that, while immeasurable, are evident in global citizens. We are compassionate with our students, colleagues, and ourselves. We are innovative in the pursuit of learning. Ultimately, we create a culture where learning thrives, people are safe, and we mirror the qualities of world citizenry.Lone Star College faculty are dedicated to four qualities of excellence:<ul><li>Student Invested</li><li>Content Expert</li><li>Pedagogically Excellent</li><li>Institutionally Dedicated</li></ul>Campus Marketing StatementLone Star College-Health Professions BuildingLone Star College offers high-quality, low-cost academic transfer and career training education to 80,000+ students each semester. LSC has been named a 2023 Great Colleges to Work For® institution by the Chronicle of Higher Education. LSC consists of eight colleges, seven centers, eight Workforce Centers of Excellence and Lone Star Corporate College.The Health Professions Building is home to many of the college's health care training programs, including nursing and medical assisting. The facility's state-of-the-art technology and location near Houston Northwest Medical Center create an unmatched experienced for students. Its amenities, combined with our top-notch faculty, prepare students for a successful career in health care.Location address is 17200 Red Oak Dr. Houston, TX 77090.Job DescriptionPURPOSE AND SCOPE:It is the responsibility of the teaching faculty to provide the learning activities and support that will lead to the achievement of the course objectives and contribute to the educational environment of the college and the community. Primary responsibilities are to plan, develop and teach courses within the curriculum in a manner that facilitates student learning.Adjunct faculty are hired in a part-time capacity on a semester-by-semester basis, contingent upon the needs of the System. Lone Star College accepts application material year-round from qualified applicants willing to teach on a part-time basis. Adjunct (part-time) faculty hiring is based on student demand. We offer day, evening, and weekend classes. Classes are offered at various times and locations during the academic year. As a rule, adjunct faculty may teach a maximum of five classes per academic year.ESSENTIAL JOB FUNCTIONS:<ul><li>Teaches Nursing courses at a variety of times and locations</li><li>Creates engaging lessons that promote student involvement and application of the material.</li><li>Submits required college reports and forms in a timely manner</li><li>Utilizes a course syllabus for each course, following established institutional guidelines</li><li>Meets with and advises students either before or after class or by appointment, electronic communication, or other appropriate methods</li><li>Evaluates students to measure their progress in achieving course objectives and informs students in a timely manner of their progress</li><li>Maintains professional relationships with students, colleagues, and the community</li><li>Attends meetings, trainings, and orientations as required</li><li>Responsible for other reasonable related duties as assigned</li></ul>KNOWLEDGE, SKILLS, AND ABILITIES:<ul><li>Mastery of course content</li><li>Demonstrated leadership skills; Style that emphasizes collaboration, teamwork, and facilitation</li><li>Excellent oral and written communication skills and interpersonal skills</li><li>Ability to appreciate alternative viewpoints; Ability to work effectively with a wide variety of people</li><li>Demonstrates interest in interdisciplinary teaching, service learning, learning technologies, course development, and adult learning methodologies including collaborative learning, learning communities and distance learning</li><li>Commitment to academic excellence, exceptional service and providing a dynamic climate for life-long learning</li><li>Demonstrated ability to develop and implement instructional approaches such as service learning/civic engagement, learning communities, and the effective use of technology</li><li>Ability to use effective strategies to engage students in their learning</li></ul>PHYSICAL ABILITIES:The work is sedentary. Typically, the employee sits comfortably to do the work. However, there may be some walking; standing; bending; carrying of light items, such as papers, books, or small parts; or driving an automobile. No special physical demands are required to perform the work.WORK SCHEDULE AND CONDITIONS: <ul><li>Equipment used includes, PC workstation running on a LAN in a Microsoft Windows environment, calculator, phone and other general office equipment, and any specialized equipment standard within the discipline/industry</li><li>Interface with internal and external contacts as needed to carry out the functions of the position</li><li>Work is performed in a climate-controlled classroom and/or lab environment with minimal exposure to safety hazards</li><li>Hours will vary depending on class time; Instructors are required to meet with classes at all scheduled times and be available to students outside of class instruction</li></ul>REQUIRED QUALIFICATIONS:<ul><li>Master's degree or higher in nursing OR Master's degree or higher in any field, with a bachelor's degree in nursing from an approved or accredited baccalaureate program in nursing and at least six (6) graduate semester hours in nursing appropriate to assigned teaching responsibilities.</li><li>3 years nonteaching work experience in the field.</li><li>Current license or privilege to practice as a registered nurse in the State of Texas. (22 Tex. Admin. Code § 215.7 (2005))</li></ul>Salary$59.80 per contact hour.Benefits Marketing StatementBy joining our top-notch institution, you will enjoy being a part of an organization that offers a supportive, collegial work environment, excellent work/life balance, tuition waiver, participation in a tax deferred retirement plan, professional development opportunities and more.Special InstructionsGo to the Job Search page, click on ‘My Activities’ at the top of the page. Under My Cover Letters and Attachments you will click on ‘Add Attachment.’ Please be sure to put the Job ID# in the title once you name your file for cover letters only, unless you attached your cover letter with your resume.If you are applying for an Instructional position (i.e. Faculty, Adjunct Faculty, Instructor), please ensure you include the following to be considered: Resume/CV, Cover Letter, Teaching Philosophy, and unofficial transcripts. You must limit your file name for any attachment to 40 characters or less.How to ApplyALL APPLICANTS MUST APPLY ONLINE ONLYWe will not accept application material received via fax, email, mail, or hand delivered.Postings for part-time and adjunct positions are active for the academic year. By selecting the option to receive notifications on your profile, you will begin receiving electronic communication regarding new opportunities with Lone Star College (LSC).If selected for an interview, a recruiter will contact you by phone, or email to schedule an interview.Lone Star College participates in the E-Verify program, under which Lone Star College provides the federal government with information from each new employee's Form I-9 to confirm that the employee is authorized to work in the United States.More information on the E-Verify program is available at <a href="http://www.dhs.gov/E-Verify" target="_blank">www.dhs.gov/E-Verify</a>.Lone Star College is an EEO Employer. All positions are subject to a criminal background check.

Adjunct Faculty, Associate Degree Nursing

Our Per Diem&nbsp;requirements are one weekend shift per month as well as one holiday per year.&nbsp;Duties and Responsibilities:<ul><li>Assume the charge nurse role if applicable and/or unit nurse role by:</li><li>Receiving and giving accurate and thorough shift reports</li><li>Keeping the physicians informed of patient’s conditions, change of conditions, LOC and triage information and needs</li><li>Correctly entering and taking off physician orders</li><li>Oversight of the care of patients by auxiliary personnel</li><li>Organizing and delegating patient care activities</li><li>Monitoring and/or performing diagnostic screening tests as ordered by physician</li><li>Providing thorough and accurate patient information during shift exchange for end of shift report</li><li>Assess individual patient care needs, initiate medical treatment plan and competently implement/instruct all care in the appropriate nursing practice to all staff.</li><li>Serve as a resource to treatment team members.</li><li>Perform nursing assessments, LOC, and review patient histories to document all necessary information in the Electronic Medical Record on all patients admitted to Caron.</li><li>Prepare patients for examinations: height/weight, vitals, collect and process lab specimens including UDS, UA, Chem Sticks, etc. following proper infection control procedures.</li><li>Utilize safe and effective practices of medication management as defined by policy including the oversight of self-administration observation of medication.</li><li>Administer and monitor the effects of medications, ensure accurate medication is ordered and administered for controlled substances and conduct accurate med counts.</li><li>Provide appropriate patient education as determined by patient assessments/needs and treatment plans.</li><li>Conduct 14-day, 25-day and PRN meetings with patients for assigned units when in unit nurse role.</li><li>Monitor and/or perform withdrawal assessments and appropriately implement/instruct the necessary nursing interventions.</li><li>Accurately and thoroughly document in the medical record utilizing approved medical record language and abbreviations adhering to the medical record policies and procedures.</li><li>Schedule all patient appointments related to their medical treatment.</li><li>Work a flexible schedule based upon service demands and work mandatory overtime as needed.</li><li>Attend all mandatory trainings as identified by Caron policies.</li><li>Attend multi-disciplinary treatment team meetings when in unit nurse role.</li><li>Maintain the quality control logs.</li><li>Provide support services for patient care issues to staff at other Caron facilities.</li><li>Maintain adequate staffing for each shift.</li><li>Ensure the highest level of professionalism for self and staff and maintain a clean and organized work environment.</li><li>Complete yearly training requirements and mentor new employees.</li><li>This job description reflects management’s assignment of essential functions and does not prescribe or restrict the tasks that may be assigned.</li></ul>Physical Requirements:The physical and mental demands described here are representative of those that must be met to successfully perform the essential functions of this job.&nbsp; Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Lifting: up to 50 pounds on occasion.</li><li>Standing: up to several hours at a time, this may include walking, climbing steps, and descending steps.</li><li>Walking: must be able to ambulate throughout the assigned facilities on campus or Caron properties.</li><li>Sitting: up to several hours at a time for data entry into the computer or medical record documentation.</li></ul>EDUCATION/EXPERIENCE QUALIFICATIONS:<ul><li>Currently licensed as RN or LPN in Pennsylvania.</li><li>Current Certified Addiction Registered Nurse (CARN) certification preferred.</li><li>1-3 years’ experience working as an RN or LPN preferably in ER, acute care or mental health setting</li><li>Current CPR/First Aid training/certification.</li><li>21 years of age or older is required</li><li>Requires a current, valid, unrestricted driver’s license</li><li>Two years continuous sobriety preferred if in recovery.</li><li>Previous hospital/chemical dependency rehabilitation treatment program experience desired.</li><li>Possess a working knowledge of addictions with age specific patient populations preferred.</li><li>Working knowledge of electronic medical record and charting.</li></ul>

Caron Treatment Centers

Registered Nurse (RN) - Per Diem

DescriptionSt. Francis is NOW HIRING a Per Diem RN- Case Manager to join the Case Management/Discharge Planning Team!This is a PRN position to cover weekend shifts across the hospital. Looking for some extra money, this is the position for you!POSITION SUMMARY:&nbsp;The goal of hospital Case Management is resource coordination along a continuum to help patients to achieve optimal health, access to care and appropriate utilization of resources. Case managers work collaboratively with patients, nurses, physicians and other practitioners, caregivers and community resources and agencies to provide cost effective care that reflects a patient’s preferences and values. Healthcare is a right, and patients have choices. Our services should reflect that concept. Responsibilities of the floor case manager are as follows: PRIMARY (ESSENTIAL) DUTIES:&nbsp;<ul><li>Manage census for DC planning for the floor you are assigned</li><li>Review every status order and ensure accuracy. Handle inappropriate status orders per protocol</li><li>Review all observation cases minimally twice daily</li><li>Review all new admissions and provide UR to insurance companies per regulations</li><li>Perform and submit continued stay reviews daily</li><li>Perform continued stay reviews every 48 hours for payor not requiring submission</li><li>Organize and plan discharges for the day</li><li>Daily rounding with treatment team</li><li>Perform high risk assessment on all patients when admitted</li><li>Perform discharge screen/assessment on day one. Reassess every 48 hours</li><li>Have patients sign choice letters, when needs are identified</li><li>Make post-acute care referrals as need is identified</li><li>Issue Important Message from Medicare letters initially if needed, and within 48hours prior to discharge</li><li>Issue MOON to observation patients</li><li>Issue HINNs as needed</li><li>Complete Code 44’s as necessary</li><li>Identify and review 30 day readmits. Collaborate with treatment team to prevent further readmissions</li><li>Understand DRG/GMLOS to appropriately discharge plan in collaboration with physicians</li><li>Avoidable days management</li><li>Responsible for knowing and practicing the Utilization Management Plan</li></ul>The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the position.&nbsp;ORGANIZATIONAL RELATIONSHIPS <ul><li>A direct reporting relationship is established to the Case Management department director. Interacts with medical center personnel, patients, and providers on a daily basis</li></ul> QualificationsEducation:&nbsp;<ul><li>completion of an accredited schooling for LPN, ADN or BSN, required</li></ul>Licenses/Certification:&nbsp;<ul><li>Active Georgia State RN or LPN License OR Compact License</li></ul>Experience:&nbsp;<ul><li>3+ years’ experience in discharge planning, case management or acute care nursing is also preferred</li><li>Case management certifications preferred.</li></ul>

St. Francis-Emory Healthcare

RN Case Manager - Per Diem

DescriptionAt ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job Summary<ul><li>The Registered Nurse (RN) - ICU provides comprehensive nursing care to critically ill patients in the Intensive Care Unit. The RN monitors hemodynamic status, administers medications, performs assessments, and collaborates with the interdisciplinary care team. The RN ensures optimal patient outcomes through adherence to clinical protocols, safety guidelines, and effective communication with patients and families.</li></ul>Essential Functions<ul><li>Provides direct and indirect patient care in a critical care setting, including hemodynamic monitoring and management of critically ill patients</li><li>Administers medications, monitors for side effects, and responds to adverse events</li><li>Performs comprehensive assessments, including head-to-toe assessments, pain assessments, and reassessments</li><li>Develops and implements individualized care plans based on patient condition and response to treatment</li><li>Collaborates with physicians, respiratory therapists, and other healthcare providers to optimize patient care</li><li>Educates patients and families on treatment plans, medication regimens, and discharge instructions</li><li>Participates in emergency response and crisis management, including code blue and rapid response situations</li><li>Assists in invasive procedures, including central line insertions and arterial line placements</li><li>Adheres to infection control protocols and maintains a safe environment for patients and staff</li><li>Documents patient care activities, assessments, and interventions accurately and timely in the electronic medical record (EMR)</li></ul>Knowledge/Skills/Abilities/Expectations<ul><li>Advanced clinical knowledge in critical care nursing and emergency response</li><li>Strong communication and interpersonal skills</li><li>Ability to prioritize tasks and manage multiple responsibilities effectively</li><li>Proficiency in electronic medical records (EMR) and medical equipment operation</li><li>Demonstrates professionalism, integrity, and a commitment to patient-centered care</li><li>Ability to lift up to 50 lbs and perform extended periods of standing, walking, and physical activity</li></ul> QualificationsEducation<ul><li>Associate Degree in Nursing (ADN) required</li><li>Bachelor of Science in Nursing (BSN) preferred</li></ul>License/Certification<ul><li>Current RN license in the state of practice or compact state required</li><li>Basic Life Support (BLS) Certification within timeframe specified by facility policy</li><li>Advanced Cardiovascular Life Support (ACLS) Certification within timeframe specified by facility policy</li><li>Pediatric Advanced Life Support (PALS) Certification preferred</li><li>De-escalation Training required</li></ul>Experience<ul><li>Minimum of six (6) months of experience in an acute care setting preferred</li></ul>

CVICU RN Full Time Nights

The hiring range for this role is: &nbsp;$103,676.95 - $159,759.88This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.&nbsp;This job is also eligible for annual bonusincentivepay.We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.Responsible for overseeing all Utilization Management (UM) and Medical Policy deliverables within the organization. This includes identification, implementation, oversight, management, and evaluation of UM and Medical Policy program functions and initiatives. Serves as a clinical and technical expert, provides technical guidance and education to internal and external business partners regarding UM and Medical Policy clinical criteria and industry standards. Conducts systematic analysis to evaluate evidence-based clinical guidelines to develop and update medical policies. Additionally, reviews and evaluates new benefits, participate in complex projects, and ensures medical policy documentation aligns with benefit design and contractual obligations, supporting program performance assessment and accreditation.<li>Act as a liaison, resource, and clinical subject matter expert to internal and external business partners. Provide guidance on utilization management and medical policy activities, ensuring the development and implementation of required strategies, programs, and products. Promote and reinforce Plans’ accountability for achieving business outcomes, while providing ongoing monitoring, evaluation, and revision of guidelines as needed 25%</li><li>Conduct systematic reviews of evidence-based reference policy documents and current clinical literature to develop and update medical policies. Ensure consistency with benefit design, contractual obligations, and program/accreditation requirements. Adhere to the medical policy review cycle schedule, lead content development for draft documents, and prepare and present medical policy content and review procedures to the Pharmacy and Medical Policy Committee for approval 25%</li><li>Manage critical escalations that have external visibility and impact member and provider satisfaction. Evaluate options and work with BCBS Plans for resolution. Identify and manage risks, resolve conflicts, and remove barriers that impede Plans’ ability to achieve goals and performance expectations 25%</li><li>Contribute to cross-functional teams by interpreting utilization data, medical coding, and policy research. Translate trend information into strategic action plans, resulting in value-added resources and programs that address business needs and support program strategic initiatives 15%</li><li>Lead background clinical research on current and emerging technology areas, including the FDA approval or clearance status of FDA-regulated products. Synthesize, summarize, and present information to internal and external business partners as the evidence basis for medical necessity and experimental/investigational determinations 10%</li> Job Overview: Responsible for overseeing all Utilization Management (UM) and Medical Policy deliverables within the organization. This includes identification, implementation, oversight, management, and evaluation of UM and Medical Policy program functions and initiatives. Serves as a clinical and technical expert, provides technical guidance and education to internal and external business partners regarding UM and Medical Policy clinical criteria and industry standards. Conducts systematic analysis to evaluate evidence-based clinical guidelines to develop and update medical policies. Additionally, reviews and evaluates new benefits, participate in complex projects, and ensures medical policy documentation aligns with benefit design and contractual obligations, supporting program performance assessment and accreditation. Essential Functions<ul><li>Act as a liaison, resource, and clinical subject matter expert to internal and external business partners. Provide guidance on utilization management and medical policy activities, ensuring the development and implementation of required strategies, programs, and products. Promote and reinforce Plans’ accountability for achieving business outcomes, while providing ongoing monitoring, evaluation, and revision of guidelines as needed</li><li>Conduct systematic reviews of evidence-based reference policy documents and current clinical literature to develop and update medical policies. Ensure consistency with benefit design, contractual obligations, and program/accreditation requirements. Adhere to the medical policy review cycle schedule, lead content development for draft documents, and prepare and present medical policy content and review procedures to the Pharmacy and Medical Policy Committee for approval</li><li>Manage critical escalations that have external visibility and impact member and provider satisfaction. Evaluate options and work with BCBS Plans for resolution. Identify and manage risks, resolve conflicts, and remove barriers that impede Plans’ ability to achieve goals and performance expectations</li><li>Contribute to cross-functional teams by interpreting utilization data, medical coding, and policy research. Translate trend information into strategic action plans, resulting in value-added resources and programs that address business needs and support program strategic initiatives</li><li>Lead background clinical research on current and emerging technology areas, including the FDA approval or clearance status of FDA-regulated products. Synthesize, summarize, and present information to internal and external business partners as the evidence basis for medical necessity and experimental/investigational determinations</li></ul>QualificationsEducation <ul><li>Required Bachelor's Degree in nursing or related field from an accredited university; or equivalent work experience</li><li>Preferred Master's Degree</li><li>Experience </li><li>5+ Years of experience with Utilization Management and Medical Policy development in a managed care setting Required</li><li>Knowledge Skills and Abilities </li><li>Excellent written and verbal communication skills Ability to translate complex, technical and/or quantitative information in clear, concise, and understandable documents of presentation Advanced project management skills for planning and executing multiple projects and a detail orientation to ensure compliance with accreditation standards and accuracy of statistics Demonstrated ability to identify and create strategies that support initiatives and translate these into strategic action plans Ability to work well in an interdisciplinary clinical team environment Demonstrated ability to foster strong working relationships with customers and business stakeholders and contact Demonstrated ability to handle multiple projects, prioritizing critical aspects/tasks, working under pressure and meeting deadlines Ability to lead independent research Technical proficiency with information technologies (e.g. Microsoft Office) and literature-search databases Demonstrated abilities in data analysis, synthesis, and reporting, including systematic analysis of clinical literature Ability to conduct comparative analysis of external medical policies, with detailed analysis of specific clinical indications Demonstrated ability to understand complex medical technology assessments and detailed analysis of specific clinical indications in medical policies</li><li>Certifications &amp; Licenses </li><li>Required: RN-CS - RN Certified Clinical Specialist -</li><li>Preferred: CPHM - Certified Professional in Healthcare Management - AIHM</li><li>Preferred: Certified Professional Coder (CPC) - AAPC</li><li>Preferred: Accredited Case Manager (ACM) - ACMA</li></ul> Extra Posting information: A minimum of four years of experience with Utilization Management and Medical Policy development in a managed care setting. Experience with URAC/NCQA accreditation requirements. Experience presenting information to large audiences (town hall calls, professional conferences, etc.), both virtually and in-person. Experience in leading cross-functional work Experience related business experience which demonstrates knowledge and understanding of PPO operations, business practices and processes, as well as knowledge of corporate goals.#LI-Hybrid

Blue Cross Blue Shield Association

Utilization Senior Program Manager (Registered Nurse)

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 RN, Hospice House is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient/family unit.Qualifications: • Current license as RN in the state providing care, current active single-state out-of-state nurse license, or current active multistate/compact nurse license • Minimum one (1) year in-patient nursing or hospice experience for external candidates; for internal applicants, minimum of 6-months of LPN experience with hospice/home health within an affiliate. New grads may be considered in IPU only. • Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system preferred • Ability to use equipment with visual and auditory mechanisms • Ability to effectively communicate in English (verbal and written) • Flexible schedule to meet the needs of Hospice House patients • Ability to manage the emotional stress of working with and caring for terminally ill patients and their families • Ability to physically access patient rooms, other areas of the Hospice House/Hospital/ALF, etc., and any home (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) within any part of the service area • Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation•&nbsp;Active BLS for healthcare professionals from the American Heart Association or Red Cross. Employees hired prior to 12/31/2022 must obtain certificate prior to 3/31/2023- Intermittent Driver – Valid driver’s license and automobile insurance per Company policy. Ability to travel off-site to meet business needs Competencies: • Satisfactorily complete competency requirements for this position. Responsibilities of all employees: • Represent the Company professionally at all times through care delivered and/or services provided to all clients. • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. • Comply with Company policies, procedures and standard practices. • Observe the Company's health, safety and security practices. • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company. • Use resources in a fiscally responsible manner. • Promote the Company through participation in community and professional organizations. • Participate proactively in improving performance at the organizational, departmental and individual levels. • Improve own professional knowledge and skill level. • Advance electronic media skills. • Support Company research and educational activities. • Share expertise with co-workers both formally and informally. • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Job Responsibilities: • Provides and manages direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up. • Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs. • Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process and safety practices. • Reports changes in the patient’s condition to appropriate members of the IDG or other health professionals. • Participates with the IDG to evaluate hospice referrals/admissions for level of care appropriateness. • Attends patient deaths; prepares body for transport; oversees disposal of medications. • Provides appropriate bereavement interventions to the family and caregiver in conjunction with psychosocial staff. • Presents concise and pertinent oral and written reports to IDG; respects and encourages input from all disciplines. • Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others. • Supervises patient care given by other nursing team members (i.e., LPNs, Hospice Aides, and contract nurses). • Performs other duties as assigned.Some locations may require:<ul><li>Cross training to field (home/facility/admission) positions of equal licensure/certification and scope when hospice house census calls for flexible staffing.</li></ul> Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.): While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel. Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance. Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs.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.

Registered Nurse Days - In Patient Unit - Sign On Bonus

The RN Charge Nurse is responsible for overseeing nursing services each shift and functions as a nursing supervisor. This position provides daily supervision of staff on duty during operational hours.Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.<ul><li> Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments.</li><li> Demonstrate effective use of supplies and staff labor hours.</li><li> Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician.</li><li> Assist physician during patient rounds and transcribe and implement physician orders timely.</li><li> Assist with the implementation of anemia management and medication protocols as requested.</li><li> Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements.</li><li> Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations.</li><li> May give direct patient care to the extent of performing efficient, safe dialysis, if allowed by state regulations.</li><li> Responds to all emergencies in clinic.</li><li> Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.</li><li> Maintain collaborative working relationship with Medical Director and physicians.</li><li> Participate as a member of the Interdisciplinary team in all required patient assessment and care planning activities.</li><li> Assist in orientation of new staff as a preceptor or in assigning a preceptor.</li><li> Acts as resource person and participates in implementing and evaluating dialysis services and assures that policies and procedures are updated.</li><li>Assists Administrator in interviewing, hiring, evaluating, and disciplinary actions of center staff</li></ul>

U.S. Renal Care

Dialysis Registered Nurse - Charge

Imagine&nbsp;doing&nbsp;the&nbsp;best&nbsp;work&nbsp;of&nbsp;your&nbsp;career&nbsp;in&nbsp;a place where your efforts advance lives and empower communities. Where a shared passion for education and student achievement guides every decision. And where the lives you change today literally become tomorrow’s life-savers. That’s what awaits when you join the West Coast University team.&nbsp;Get ready to transform futures, including your own.How you can impact:As the Associate Director/Dean, Nursing you will:<ul><li>Responsible for the campus clinical component of the BSN program.</li><li>Collects evaluation feedback from students, staff and clinical sites.&nbsp;</li><li>Ensure that clinical partner satisfaction ratings are maintained or improved over time.</li><li>Ensure student clinical experience satisfaction ratings maintained or improved over time.</li><li>Conduct comprehensive clinical faculty observations and provide appropriate feedback or intervention in accordance with approved schedule.</li><li>Oversight of all student and faculty clinical schedule/assignments processes.&nbsp;</li><li>Oversight of the MCO process for students’ clinical orientation to include clinical packets; health and safety requirements.</li><li>Oversight of accurate/timely student clinical grids submission to clinical partners.</li><li>Responsible for the oversight of student clinical placements with identified facilities.&nbsp;</li><li>Oversight of process for Manager of Clinical Operations attestation forms for student placements.</li><li>Develops a process with the Manager Clinical Operations to ensure clinical placement requests are completed in an accurate and timely manner, either online or manually and confirmed.</li></ul>EDUCATION:<ul><li>Master’s or higher degree from an accredited college or university which includes course work in education, business, or administration required.</li><li>Master’s or higher degree from an accredited college or university which includes course work in nursing or nursing administration preferred.</li></ul>LICENSES/CERTIFICATIONS:<ul><li>Current Registered Nurse License required in state of employment.</li><li>Approval by the Board of Registered Nursing to assume the role of Nursing Instructor preferred. Remediation available to obtain approval.</li><li>Current CPR Certification</li><li>Current Driver's License</li></ul>KNOWLEDGE/EXPERIENCE:<ul><li>Typically requires advanced practical knowledge of concepts, principles, and practices of a single professional discipline or a broad understanding of multiple related disciplines.</li><li>Experience leading a team, project, program, or function is typically required.</li><li>Traditionally requires a minimum of 5 years of related work and educational experience.</li><li>Leadership knowledge in the program field to cultivate a learner-centered environment and to foster excellence.&nbsp;</li><li>Knowledge in technological support and delivery of program area and services.&nbsp;</li><li>Knowledge and evidence of strong supervisory and management skills in a higher education setting overseeing clinical relationships.</li><li>Knowledge of state, federal and local laws/regulations relating to programs, governmental compliance and other regulatory standards such as Board of Registered Nursing (BRN) or other nursing accrediting agencies, e.g., CCNA, CCNE,ACEN, and other accreditation standards.&nbsp;</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

Associate Dean of Nursing, Clinical Education

DescriptionAt ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job SummaryThe Registered Nurse (RN) - ICU provides comprehensive nursing care to critically ill patients in the Intensive Care Unit. The RN monitors hemodynamic status, administers medications, performs assessments, and collaborates with the interdisciplinary care team. The RN ensures optimal patient outcomes through adherence to clinical protocols, safety guidelines, and effective communication with patients and families.Essential Functions<ul><li>Provides direct and indirect patient care in a critical care setting, including hemodynamic monitoring and management of critically ill patients</li><li>Administers medications, monitors for side effects, and responds to adverse events</li><li>Performs comprehensive assessments, including head-to-toe assessments, pain assessments, and reassessments</li><li>Develops and implements individualized care plans based on patient condition and response to treatment</li><li>Collaborates with physicians, respiratory therapists, and other healthcare providers to optimize patient care</li><li>Educates patients and families on treatment plans, medication regimens, and discharge instructions</li><li>Participates in emergency response and crisis management, including code blue and rapid response situations</li><li>Assists in invasive procedures, including central line insertions and arterial line placements</li><li>Adheres to infection control protocols and maintains a safe environment for patients and staff</li><li>Documents patient care activities, assessments, and interventions accurately and timely in the electronic medical record (EMR)</li></ul>Knowledge/Skills/Abilities/Expectations<ul><li>Advanced clinical knowledge in critical care nursing and emergency response</li><li>Strong communication and interpersonal skills</li><li>Ability to prioritize tasks and manage multiple responsibilities effectively</li><li>Proficiency in electronic medical records (EMR) and medical equipment operation</li><li>Demonstrates professionalism, integrity, and a commitment to patient-centered care</li><li>Ability to lift up to 50 lbs and perform extended periods of standing, walking, and physical activity</li></ul> QualificationsEducation<ul><li>Associate Degree in Nursing (ADN) required</li><li>Bachelor of Science in Nursing (BSN) preferred</li></ul>License/Certification<ul><li>Current RN license in the state of practice or compact state required</li><li>Basic Life Support (BLS) Certification within timeframe specified by facility policy</li><li>Advanced Cardiovascular Life Support (ACLS) Certification within timeframe specified by facility policy</li><li>Pediatric Advanced Life Support (PALS) Certification preferred</li><li>De-escalation Training required</li></ul>Experience<ul><li>Minimum of six (6) months of experience in an acute care setting preferred</li></ul>

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