Area Account Manager - Acute Care Job at werfen

Care Management Specialist II, D-SNP Team

The Care Management Specialist II utilizes clinical skills and training to perfo...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing for Registered Nurses OR Master's Degree in Social Work for Licensed Clinical Social Workers
Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
Experience providing care management with complex/catastrophic conditions
Current knowledge of clinical standards of care and disease processes
Critical thinking skill
Excellent customer service skills
Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
Ability to triage immediate member health and safety risks
Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping
Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders

Job Responsibility

Utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines
Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases
Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner
Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit
Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team
Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines
Uses claims processing and care management software to look up member information, document contacts, and track member progress
Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs
Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
reviewing member claims histories and identifies intervention opportunities through the professional standards of practice

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Assistant Nurse Manager (RN) - Acute Care for Elderly - Evenings

Location

United States , Winston Salem

Salary:

44.15 - 66.25 USD / Hour

Advocate Aurora Health

Expiration Date

Until further notice

Requirements

Graduation from an accredited school of nursing
BSN or BS in related field with two years' experience in nursing required
MSN Preferred
Registered Nurse licensure from the State of applicable state
Basic Cardiac Life Support (BCLS) required
Advanced Cardiac Life Support (ACLS) required within 1 year of hire for Adult Critical Care, Adult ED
Pediatric Advanced Life Support (PALS) required within 1 year of hire for Network ED, Peds ED, PICU and NICU, and other areas per unit guidelines
Nationally Recognized Certification in Nursing Specialty required within one year for HPRH
Excellent and effective written and verbal communication skills
Ability to work effectively with the team

Job Responsibility

Provides leadership in collaboration with the Nurse Manager to staff to ensure short and long-term goals are met by developing and monitoring standards of performance and capitalizing on employee strengths, supporting the Mission, Vision, Core Values and Evidence-based practice
Facilitates appropriate orientation, education, credentialing, and continuing professional development for personnel
Collaborates effectively by developing collegial relationships and communicating information effectively
Encourages communication and serves as a resource to staff and other departments
Assists the Nurse Manager in coordinating nursing care with other healthcare disciplines and assists in integrating services across the continuum of care
Accountable for the quality and appropriateness of health care delivery and for the environment in which clinical nursing is practiced
Promotes a culture of safety for patients, self, co-workers, and facility in conjunction with the Nurse Manager
Ensures care is delivered with respect for patient's rights and preferences
Maintains privacy, confidentiality, and security for patients and staff
Facilitates resolution of conflicts, collaborates with Service Excellence to promote service recovery, and empowers staff in decision-making through shared governance

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Assistant Nurse Manager (RN) - Acute Care for Elderly - Evenings

Assistant Nurse Manager (RN) position for the Acute Care for Elderly Program on ...

Location

United States , Winston Salem

Salary:

44.15 - 66.25 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Graduation from an accredited school of nursing
BSN or BS in related field with two years' experience in nursing required
MSN Preferred
Registered Nurse licensure from the State of applicable state
Basic Cardiac Life Support (BCLS) required
Advanced Cardiac Life Support (ACLS) required within 1 year of hire for Adult Critical Care, Adult ED
Pediatric Advanced Life Support (PALS) required within 1 year of hire for Network ED, Peds ED, PICU and NICU, and other areas per unit guidelines
Nationally Recognized Certification in Nursing Specialty required within one year for HPRH
Excellent and effective written and verbal communication skills
Ability to work effectively with the team

Job Responsibility

Provides leadership in collaboration with the Nurse Manager to staff to ensure short and long-term goals are met by developing and monitoring standards of performance and capitalizing on employee strengths, supporting the Mission, Vision, Core Values and Evidence-based practice
Facilitates appropriate orientation, education, credentialing, and continuing professional development for personnel
Collaborates effectively by developing collegial relationships and communicating information effectively
Encourages communication and serves as a resource to staff and other departments
Assists the Nurse Manager in coordinating nursing care with other healthcare disciplines and assists in integrating services across the continuum of care
Accountable for the quality and appropriateness of health care delivery and for the environment in which clinical nursing is practiced
Promotes a culture of safety for patients, self, co-workers, and facility in conjunction with the Nurse Manager
Ensures care is delivered with respect for patient's rights and preferences
Maintains privacy, confidentiality, and security for patients and staff
Facilitates resolution of conflicts, collaborates with Service Excellence to promote service recovery, and empowers staff in decision-making through shared governance

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Triage Nurse, Outpatient Urology

Triage Nurse position in Outpatient Urology, providing patient/family centered c...

Location

United States , High Point

Salary:

34.90 - 52.35 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Graduation from an accredited School of Nursing with two years of acute care experience required
BSN preferred
Prefer acute care experience within the last 10 years
Previous experience in Telephone Triage and with Health Insurance and Managed Care concepts preferred
Current license as a Registered Nurse (RN) in the State of applicable state
Basic Cardiac Life Support (BCLS) certification required
Licensure in other states as required by law or client contract
Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS) or Pediatric Emergency Assessment, Recognition and Stabilization (PEARS) may be required within one year in select areas
Ability to assess nursing needs of acute and chronically ill patients through technology methods
Ability to seek out resources independently and work collaboratively

Job Responsibility

Provides patient/family centered care, acting as partner and adviser assists and supports patients and families to manage optimally their health care, respecting their culture and values, individual needs, health goals and treatment preferences
Applies critical reasoning and astute clinical judgment in order to expedite appropriate care and treatment, especially given that the patient may present with complex problems or potentially life threatening conditions that the nurse will assess through use of telecommunication technologies i.e. telephone, fax, email, internet, or patient portal technology
Ensures proper scheduling and follow up on test results for providers. Uses active listening skills, approved protocols, and evidence based practice in explaining test results and medications to patients
Applies the provisions of the American Nurses Association Code of Ethics for Nurses to professional obligations and for the patients entrusted to their care
Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Demonstrates the ability to function in a professional setting through active participation in a professional practice model. Includes participating in shared governance, adherence to standards of care, participation in peer review and professional development promoting leadership and clinical excellence, effective team skills, autonomous practice and acknowledgment of accountability for actions and critical thinking. Pursues lifelong learning that updates and expands clinical, organizational, professional roles and responsibilities
Focuses on patient safety and the quality of nursing care by applying appropriate nursing interventions, such as identifying and clarifying patient needs, conducting health education, promoting patient advocacy, coordinating nursing and other health services, assisting the patient to navigate the health care system, and evaluating patient outcomes
Maintains knowledge of care teams for coordination of patient care, self-management, population management and communication skill
Adapts personal communication style to meet the needs of the patient in diverse personal, professional, cultural, and socio-economic backgrounds
Demonstrates exceptional assessment, critical thinking, and customer service skills
Performs other related duties incidental to the work described herein

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Chief Executive Officer

Chief Executive Officer – New Behavioral Health Hospital in Jacksonville, FL. Le...

Location

United States , St. Augustine

Salary:

Not provided

Acadia Healthcare

Expiration Date

Until further notice

Requirements

Bachelor's degree in Business Administration, Healthcare Administration, Public Health, Marketing, Clinical Discipline, or related discipline is required
A Master's degree in health care administration, business administration, Clinical Discipline or related field is preferred
Minimum of three to five years of experience in senior leadership or CEO role in a behavioral health, acute care, and/or managed care environment
Demonstrates thorough knowledge of facility administration and clinical operations
Experience in turning around an organization as well as the ability to direct crisis and inpatient behavioral health services
Must be able to manage multiple tasks/projects simultaneously within inflexible timeframes
Ability to adapt to frequent priority changes
Initiative-taking and self-directed with effective communication and problem-solving skills
Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality
Excellent people skills including the ability to interact effectively and professionally with individuals at all levels

Job Responsibility

Lead all facets of hospital operations—clinical, financial, and administrative—with integrity, accountability, and a commitment to excellence
Cultivate a strong and compassionate leadership team that prioritizes patient safety, staff engagement, and service delivery
Engage the local community and stakeholders to enhance awareness, strengthen referral relationships, and build lasting trust
Be instrumental in developing a culture that emphasizes high quality care and patient safety
Manages day-to day operations and staff so that the facility achieves its objectives in all of the following key performance areas: effective patient care outcomes
appropriate fiscal management
maintenance of licensure, accreditation and other regulatory criteria
implementation of focused business development processes
medical staff compliance with regulatory and accreditation guidelines
Organizes the day-to-day management and operation of the Facility through departmentalization, delegation and alignment of responsibilities to meet the facility’s patient care and business objectives

What we offer

Competitive compensation package including performance-based incentives
Comprehensive medical, dental, and vision insurance
401(k) plan with company match through Acadia Healthcare
Equity/stock-based incentive awards for long-term financial growth
Generous paid time off including vacation, holidays, and sick days
Executive onboarding and support, leveraging Acadia’s national infrastructure
Growth opportunities within Acadia’s expansive network of 250+ behavioral health facilities

Fulltime

New

Nursing Site Manager

Blackrock Health Hermitage Clinic is a private hospital providing a full range o...

Location

Ireland , Lucan, Co. Dublin

Salary:

Not provided

Blackrock Health Hermitage Clinic

Expiration Date

Until further notice

Requirements

Be registered in the general division of the Register of Nurses maintained by NMBI
5 years’ experience in an acute hospital setting
Demonstrate knowledge and understanding of the development and delivery of a comprehensive service, meeting a full range of key targets and making significant improvements
Worked with a diverse range of stakeholders internal and external to achieve successful outcomes
A proactive hands on ‘can do’ attitude
Demonstrated capability in change management
Hold an up to date ACLS course or a willingness to undertake same.
A health care management qualification is desirable at third level/ or level 9 on the National Qualification Authority of Ireland (NQAI.)
Previous Management Experience

Job Responsibility

Be responsible for the safe and effective operations of Nursing services towards ensuring patients have safe and timely access to services, expertise and support on a 24-hour basis.
Provide clinical leadership, support, expertise and managerial advice to all staff in the clinical area
Ensure that the day-to-day activities and resources of the hospital are managed and co-ordinated throughout, so that a first-class patient focused service is delivered.
Coordinates patient admissions, transfers, and discharges to ensure smooth and efficient patient flow throughout the hospital.
Be aware of all policies in relation to fire prevention, moving and handling, major emergency, waste management and risk management and implement these.
Promote and maintain a high standard of nursing care, to ensure the safety and wellbeing of all patients and staff and maintain an excellent hospital image at all times. Support service areas in day to day operational delivery of services and manage any professional or operation issues that required action and escalation.
Provide leadership and support to the nurse managers to enable and empower them to deliver high quality safe patient care and ensure agreed objectives and policies set are achieved.
Provide continuous improvement recommendations to the Director of Nursing & Transformation and wider executive team where necessary.
Develop effective workforce planning in conjunction with CNM’s. Be able to forecast trends regarding skill/case mix to ensure effective short and long term workforce planning.
Ensure that all nursing and support services are managed to optimise effectiveness, quality, safety and efficiency.

What we offer

Competitive salary
Onsite parking
Pension
Annual bonus*
Discounted café
Sports and Social club
Employee Assistance Programme
Discounted onsite pharmacy

Fulltime

Revenue Analytics Manager

This job description indicates the general nature and level of work expected of ...

Location

United States , Charlotte

Salary:

51.05 - 76.60 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Bachelor's Degree in Finance, Accounting or related field
Typically requires 7 years of experience in healthcare financial or data analysis
Highly analytical and possess a strong grasp of revenue and finance concepts such as cost accounting, payor contract management, data analyses and scenario analysis
Knowledge of government reimbursement and managed care contracting, including the terms and conditions of payer contracts and their impact on the revenue cycle and operations
Ability to effectively manage a complex, dynamically changing schedule around the needs of customers in providing exceptional customer service to network clients
Ability to communicate and collaborate effectively with all levels of employees, management, executives, and other organizations and to address difficult issues
Ability to work and function in a complex corporate system environment
Works effectively in a team environment and be a supportive contributor or leader in team matters
Ability to work independently and with minimal supervision
Proficiency using Microsoft Office (Word, Excel, Access and Powerpoint), or similar products

Job Responsibility

Performs financial analyses related to the change in volume and pricing impact and support the development of payer strategy and discussions on managed care contracting innovation, future directions and the needed coordination between acute care, ambulatory and Physician groups. Synthesize analyses, deliver key insights and recommendations
Collaborates cross-functionally with key members of Accounting, Decision Support, Strategic Financial Planning, Advocate Aurora Contracting, Business Development, Reimbursement, Marketing, Advocate Medical Group and Aurora Medical Group to identify revenue gaps and yield improvement opportunities
Partners with internal and external resources to determine key revenue strategies, analyze revenue initiatives and identify, share, and implement “best practices”. Processes should be aligned / coordinated through discussions with leadership from Aurora in like areas
Assist in determining, coordinating and communicating Advocate Aurora’s pricing strategy directly with business leaders
Directs research, review and assimilation of industry and competitive data to maintain an effective revenue optimizing strategy in the marketplace
Continually evaluates, identifies and implements opportunities for revenue optimization through leveraging integrated system solutions
Assist and monitor the contract load process for various Advocate Aurora analytical tools

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions

Fulltime

RN Clinical Nurse Lead - TMCH Cancer Center Wilmot

The clinical nurse leader is responsible for the assessment, coordination, imple...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

One (1) year of nursing experience in an acute care setting required
Two (2) years of nursing experience in an acute care setting preferred
Knowledge of critical care techniques, tools and responses required to ensure optimal patient care
Knowledge of processes and procedures to follow during a rapid response, code, or stroke call
Some Positions: Knowledge of electrophysiology and cardiac cath lab procedures and best practices
Some Positions: Knowledge of surgery specialties and how to prepare, assess and provide post-operation patient care to ensure best practices are followed
Some Positions: Knowledge of chart abstraction, education and marketing for the Chest Pain, CHF and Stroke programs
Skill in evaluating performance and recommending improvements
Skill in developing training materials and educating staff in the proper responses for critical care issues
Skill in the use and maintenance of computer systems and programs, especially NRCPR, PC File and Folder, Word, EXCEL, e-mail and attachment capabilities, Outlook, and PowerPoint

Job Responsibility

Responsible for the assessment, coordination, implementation, and evaluation of the delivery of safe and effective patient-centered care
Facilitate and mentor others to grow professionally and advance their knowledge and skills
Continuously assess unit needs to ensure adequate resources for current and upcoming shifts by collaborating with other departments, clinical and nonclinical, to coordinate admissions, transfers, and discharges of patients in a timely manner
Demonstrate professionalism at all times and will uphold standards of practice by holding team members accountable for continued compliance
Comply with legal, hospital and departmental policies, procedures and position requirements
Report significant events such as near misses, adverse events, patient/family complaints, and any situation that affects the safe delivery of patient-centered care in a timely manner
Be proactive, rounds with team members on the unit, and identifies opportunities for improvement
completes real time correction
Ensure that handoff communication occurs any time there is a change in caregivers on the unit during shift and at start/end of shifts
Assign and delegate patient care tasks as appropriate, considering staff members’ level of nursing experience, competency, and knowledge

Fulltime

Area Account Manager - Acute Care

werfen

Location:
United Kingdom

Category:
Sales

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
March 22, 2026

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Care Management Specialist II, D-SNP Team

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