Hospice Field Rn Case Manager Job at MJHS (Brooklyn)

Hospice Field RN Case Manager

Our groundbreaking hospice and palliative care programs offer a broad range of s...

Location

United States , Bronx

Salary:

112000.00 - 135600.00 USD / Year

MJHS

Expiration Date

Until further notice

Requirements

Associates/Diploma from an accredited school of Nursing
BSN preferred
At least two years experience in medical-surgical, community health, and/or oncology nursing preferred
Proficiency with Word and Excel preferred
New York State RN licensure and valid NYS driver's license required
Experience working within an interdisciplinary team environment
Effective communication, listening and teaching skills
Ability to input clinical data proficiently

Job Responsibility

Performing physical and psychosocial assessments for patients at the end-stage of life
Develops and implements a nursing plan of care and makes recommendations for care based on patients' needs
Supervises, trains and evaluates home health aides, homemakers and personal care workers in patients' homes
Requests written orders from physicians for changes in the patient plan of care as needed
Functioning in a backup On Call capacity 2-3 times per month and 2-3 holidays per year

What we offer

Sign-on Bonuses OR Student Loan Assistance for clinical staff
FREE Online RN to BSN and MSN degree programs
Tuition Reimbursement for all full and part-time staff
Dependent Tuition Reimbursement for clinical staff
Generous paid time off, including your birthday
Affordable and comprehensive medical, dental and vision coverage for employee and family members
Two retirement plans! 403(b) AND Employer Paid Pension
Flexible spending
MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Fulltime

Clinical Services Coordinator (RN) - Hospice Admissions

Location

United States , Kannapolis

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Graduate from an accredited School of Nursing
BSN preferred
BLS required per policy guidelines
One-year experience in a related field required
Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or
if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state
or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works
Must maintain current state driver's license and auto insurance at all times

Job Responsibility

Provides clinical administrative support, clinical expertise to meet patient and staff needs and functions as the liaison with physician practices and hospital case management and other referral sources
Analyzes the data to prioritize multi-issue situations to support appropriate actions based on the criticality of patient health and welfare, patient/staff safety and impact to effective, timely services
Identifies barriers to situation/complaint resolution and follows-up with the appropriate resources or leadership to address timely and effectively
Reviews and supports the development of patient specific clinical plans of care that is effectively communicated with the parties involved and supports quality patient outcomes and patient satisfaction
Supports clinical staff in the implementation of the identified plan, coordination of care delivery, and strategies to promote health and safe outcomes
Evaluates progress toward attainment of outcomes through documentation review, interdisciplinary team meetings and/or case conference
Supports billing compliance and timeliness by maintaining current knowledge of payer requirement and billing criteria, state and federal regulations, performing timely completion of CSC workflow and identifying opportunity for appropriate reimbursement
Delegates elements of care to appropriate healthcare workers in accordance with any applicable legal or policy parameters or principles
Collaborates with healthcare consumer, family, and others in the conduct of clinical practice
Utilizes appropriate resources to plan and provide clinical services that are safe, effective, and financially responsible

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

Fulltime

Clinical Services Coordinator (RN) - Hospice Inpatient Unit

Location

United States , Kannapolis

Salary:

38.20 - 57.30 USD / Hour

Advocate Aurora Health

Expiration Date

Until further notice

Requirements

Graduate from an accredited School of Nursing
BSN preferred
BLS required per policy guidelines
One-year experience in a related field required
Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or
if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state
or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works
Must maintain current state driver's license and auto insurance at all times

Job Responsibility

Provides clinical administrative support, clinical expertise to meet patient and staff needs and functions as the liaison with physician practices and hospital case management and other referral sources
Analyzes the data to prioritize multi-issue situations to support appropriate actions based on the criticality of patient health and welfare, patient/staff safety and impact to effective, timely services
Identifies barriers to situation/complaint resolution and follows-up with the appropriate resources or leadership to address timely and effectively
Reviews and supports the development of patient specific clinical plans of care that is effectively communicated with the parties involved and supports quality patient outcomes and patient satisfaction
Supports clinical staff in the implementation of the identified plan, coordination of care delivery, and strategies to promote health and safe outcomes
Evaluates progress toward attainment of outcomes through documentation review, interdisciplinary team meetings and/or case conference
Supports billing compliance and timeliness by maintaining current knowledge of payer requirement and billing criteria, state and federal regulations, performing timely completion of CSC workflow and identifying opportunity for appropriate reimbursement
Delegates elements of care to appropriate healthcare workers in accordance with any applicable legal or policy parameters or principles
Collaborates with healthcare consumer, family, and others in the conduct of clinical practice
Utilizes appropriate resources to plan and provide clinical services that are safe, effective, and financially responsible

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

Care Management Specialist II

Established in 1997, L.A. Care Health Plan is an independent public agency creat...

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
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

Job Responsibility

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
contacting and interviewing members to conduct a baseline assessment, assess self-care ability, assess knowledge and adherence deficits
conducting comprehensive clinical assessments as indicated
developing a member centric plan of care. Maintains assigned care management caseload for with a focus on the most complex, highest-risk members particularly those with advanced chronic conditions, co-occurring mental and/or substance abuse and complex social issues (e.g. homelessness, domestic violence)
Collaborates with primary care physician and other treating professionals as appropriate. Authorizes initiation of care management services and specialized program services for members and specific populations, and develops interventions designed to meet member or population desired outcomes. Provides comprehensive education and resources to members about accessing services, in-network use, national guidelines for care, community resources, and self-management skills and strategies
Employs engagement techniques to build relationships with members and their authorized representatives. Encourages participants to participate in their health care decisions and assists member with researching treatment options in order to communicate effectively with providers and to make informed decisions
Notifies Care Coordinators and CHWs 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
Performs field assessment and care coordination functions in community settings with members, such as at the L.A. Care Community Resource Centers, medical clinics, and member homes

What we offer

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

Fulltime

Hospice Clinical Liaison

Queen City Hospice is proud to be Ohio-made. Every decision we make about hospic...

Location

United States , Mason

Salary:

Not provided

Arcadia Home Care and Staffing - an Addus family company

Expiration Date

Until further notice

Requirements

Graduate from an accredited registered nursing program
Licensed as a registered nurse in the state of practice
Must possess current CPR, First Aid Certification
1 year experience, preferred
Willingness to travel 50% or more in assigned territory
Must possess the ability to make independent decisions when circumstances warrant
Must possess the ability to deal tactfully with patients, family members, visitors, agency personnel, and general public
Must be knowledgeable of quality assessment and assurance procedures
Valid driver’s license and proof of insurance is required

Job Responsibility

Respond promptly to hospice referrals and perform real-time, bedside clinical assessments
Support the admission process by assisting with initial patient intake, including explaining hospice services and benefits to patients and families in both home and clinical settings
Gather comprehensive data on physical, psychological, social, and spiritual factors that may impact the patient’s and family’s needs and coordinate appropriate interventions with the interdisciplinary team
Conduct clinical assessments and gather information to support physician determination of hospice eligibility
Build and maintain client relationships
Responds to customer needs and concerns in a timely manner
Completes required admission documentation, including consents and CTI (Certification of Terminal Illness) coordination
Facilitate and activate the admission workflow for eligible patients in collaboration with the hospice team
Coordinate and support General Inpatient (GIP) admissions in partnership with the hospice centers
Serve as an on-site clinical presence for immediate admissions or as a resource to field RNs, as needed

What we offer

Great culture and team atmosphere
Comprehensive benefits (medical, dental, vision, life/AD&D, disability)
401(k) retirement plan with a generous company match
Generous time off accruals
Paid holidays
Mileage reimbursement
Tuition Reimbursement
Employee Referral Program
Merit Increases
Employee Discount Programs

Fulltime

Hospice Clinical Liaison

JourneyCare Hospice is seeking a Hospice Clinical Liaison to join our growing te...

Location

United States , Glenview

Salary:

75000.00 - 92000.00 USD / Year

Arcadia Home Care and Staffing - an Addus family company

Expiration Date

Until further notice

Requirements

Graduate from an accredited registered nursing program
Licensed as a registered nurse in the state of practice
Must possess current CPR, First Aid Certification
1 year experience, preferred
Willingness to travel 50% or more in assigned territory
Must possess the ability to make independent decisions when circumstances warrant
Must possess the ability to deal tactfully with patients, family members, visitors, agency personnel, and general public
Must be knowledgeable of quality assessment and assurance procedures
Valid driver’s license and proof of insurance is required

Job Responsibility

Respond promptly to hospice referrals and perform real-time, bedside clinical assessments
Support the admission process by assisting with initial patient intake, including explaining hospice services and benefits to patients and families in both home and clinical settings
Gather comprehensive data on physical, psychological, social, and spiritual factors that may impact the patient’s and family’s needs and coordinate appropriate interventions with the interdisciplinary team
Conduct clinical assessments and gather information to support physician determination of hospice eligibility
Build and maintain client relationships
Responds to customer needs and concerns in a timely manner
Completes required admission documentation, including consents and CTI (Certification of Terminal Illness) coordination
Facilitate and activate the admission workflow for eligible patients in collaboration with the hospice team
Coordinate and support General Inpatient (GIP) admissions in partnership with the hospice centers
Serve as an on-site clinical presence for immediate admissions or as a resource to field RNs, as needed

What we offer

Great culture and team atmosphere
Comprehensive benefits (medical, dental, vision, life/AD&D, disability) effective on the first of the month following start date
401(k) retirement plan with a generous company match
Generous time off accruals
Paid holidays
Mileage reimbursement
Tuition Reimbursement
Employee Referral Program
Merit Increases
Employee Discount Programs

Fulltime

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

New

Account Manager, Healthcare

Location

United States , MOUNT LAUREL

Salary:

67300.00 - 112200.00 USD / Year

W. W. Grainger

Expiration Date

Until further notice

Requirements

High School Diploma/GED
3+ years direct outside sales experience
Knowledge of sales forecasting opportunity management and customer planning
Technological capabilities and understanding to communicate in today's business environment
Ability to bring to close an action, project, resolution or sales with customers
Ability to articulate business drivers, understand financial and total cost of ownership concepts with all levels of the organization
Ability to use sales process to uncover customer objections/concerns, and determine appropriate solutions
Process discipline, ability to align planning goals with a pipeline development process to grow market revenue
Ability to be in the field with customers four to five days a week

Job Responsibility

Maximize revenue for designated account package by growing sales within existing accounts, developing new accounts at a level consistent with or exceeding company expectations
Understand customer goals and remain alert and responsive to changing customer needs
Demonstrate knowledge of market data and access to resources to quickly respond to new developments in the customer's business
Responsible for support of managed inventory tasks to lead greater understanding of the customers, increase contacts within the customer group and increase sales results
Understand Grainger's Value Proposition and explain to customers, providing solutions to grow profitable sales
Establish customer and market priorities to execute a strategic course of action to accomplish sales goals
Develop and implement account strategies to include regular business reviews for customers to maximize sales
Demonstrate full compliance to company sales and pricing guidelines
Use all resources and technical support available
Document, analyze, and understand impact of customer focused activities to increase productivity and sales within assigned market

What we offer

Medical, dental, vision, and life insurance plans with coverage starting on day one of employment and 6 free sessions each year with a licensed therapist to support your emotional wellbeing
18 paid time off (PTO) days annually for full-time employees (accrual prorated based on employment start date) and 6 company holidays per year
6% company contribution to a 401(k) Retirement Savings Plan each pay period, no employee contribution required
Employee discounts, tuition reimbursement, student loan refinancing and free access to financial counseling, education, and tools
Maternity support programs, nursing benefits, and up to 14 weeks paid leave for birth parents and up to 4 weeks paid leave for non-birth parents

Fulltime

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Hospice Field Rn Case Manager

Job Description

Job Responsibility

Requirements

What we offer

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