Hospice RN Clinical Management Specialist Job at Aveanna Healthcare (Pelham)

Care Management Specialist II (RN or LCSW)

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

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
Ability to use a personal computer, and knowledge of medical information systems

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

What we offer

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

Fulltime

Managed Long Term Services And Supports Nurse Specialist Rn Ii

The Managed Long-Term Services and Supports (MLTSS) Nurse Specialist RN II appli...

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
At least 3 years of clinical nursing experience in direct patient care, such as ambulatory care, home care, palliative care, hospice care OR experience in Utilization Review or Care Management will be considered in lieu of direct patient care that may include at least 2 years of relevant Licensed Vocational Nurse (LVN) experience in a UM or CM capacity substituted for 1 year of RN experience
Clinical experience working with individuals with chronic illnesses, comorbidities, and/or disabilities in a UM/CM environment
Excellent verbal and written communication skills
with effective charting practices
Excellent organizational, time-management and priority-setting skills
Strong clinical skills with a knowledge of care needs for elderly, disabled, and/or frail populations and has applied knowledge of End-of-Life care
Customer Service Skills: Provision of excellent customer service required due to frequent communication with providers, members and interdisciplinary team
Technical Skills: Must be computer literate and proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint, Teams)
Ability to effectively utilize computer and appropriate software and interacts as needed with L.A. Care Information System

Job Responsibility

Responsible for performing assessments and clinical review of medical records to determine appropriate care including physical health, behavioral health, and social determinants of health needs for members referred to
MLTSS administered programs
Responsible for UM authorization functions for services requiring prior authorizations in a timely manner with adherence to regulatory requirements
Identify and address gaps in care or overutilization, including overlapping services
Engages with members by conducting telephonic nursing follow up and care coordination when necessary, including transitions of care for Long Term Care (LTC) and ICF/DD populations
Provides direction to non-clinicians who assist members with accessing services and arranges for all services required while coordinating with the health care team to eliminate duplication of services
Interfaces with Medical Directors, social workers, and interdisciplinary care team (ICT)
Participates in ICT meetings and makes recommendations for MLTSS and other programs
Establishes relationships with referral sources and community resources, such as external providers and care coordinators, while maintaining strict member confidentiality and complying with all Health Insurance Portability and Accountability Act (HIPAA) requirements
Performs oversight and monitoring of provider performance for adherence to regulatory standards and contractual agreements

What we offer

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

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 Admission Nurse - RN

We’re looking for a dedicated Hospice Admission Nurse - RN to support patients a...

Location

United States , Lansdowne

Salary:

34.00 - 48.00 USD / Hour

Blue Ridge Hospice

Expiration Date

Until further notice

Requirements

Active RN license in the state of Virginia
Graduate of an NLN-accredited nursing program
At least one year of clinical experience
Strong assessment, communication, and documentation skills
Ability to work independently and collaboratively
Ability to stand, walk, lift, bend, kneel, and assist patients for extended periods
Visual and hearing acuity to monitor patient condition and use medical equipment
Ability to manage multiple tasks and interruptions in a dynamic environment
Capability to handle emotional stress and support patients and families
Ability to travel to patient homes in varying conditions

Job Responsibility

Lead hospice admissions, ensuring a timely and compassionate transition into care
Perform initial hospice eligibility and comprehensive RN assessments
Assess medical, physical, emotional, and social needs
develop nursing diagnoses
Initiate and coordinate individualized care plans with the interdisciplinary team
Educate patients and families on hospice services, expectations, and symptom management
Facilitate informed consent and complete all admission documentation
Provide emotional support to strengthen coping and understanding
Advocate for patient goals, dignity, and preferences throughout care
Initiate nursing interventions including pain and symptom management

What we offer

$10,000 Sign-On Bonus
Competitive Pay
Flexible Scheduling
Shift Differentials for evenings & weekends
PTO & Paid Volunteer Time
Comprehensive Health Benefits
Tuition Reimbursement & Scholarships
Peer Support & Mentorship
30% Thrift Shop Discount
Growth Opportunities through our 2030 Strategic Plan

Fulltime

Hospice Admission Nurse - RN

Hospice Admission Nurse - RN – Hospice Care $10,000 Sign-On Bonus – Join Blue R...

Location

United States , Warrenton

Salary:

34.00 - 48.00 USD / Hour

Blue Ridge Hospice

Expiration Date

Until further notice

Requirements

Active RN license in the state of Virginia (BSN preferred)
Graduate of an NLN-accredited nursing program
At least one year of clinical experience required (med-surg, oncology, or acute care preferred)
Hospice or home care experience preferred
Strong assessment, communication, and documentation skills
Ability to work independently and collaboratively
Ability to stand, walk, lift, bend, kneel, and assist patients for extended periods
Visual and hearing acuity to monitor patient condition and use medical equipment
Ability to manage multiple tasks and interruptions in a dynamic environment
Capability to handle emotional stress and support patients and families

Job Responsibility

Lead hospice admissions, ensuring a timely and compassionate transition into care
Perform initial hospice eligibility and comprehensive RN assessments
Assess medical, physical, emotional, and social needs
develop nursing diagnoses
Initiate and coordinate individualized care plans with the interdisciplinary team
Educate patients and families on hospice services, expectations, and symptom management
Facilitate informed consent and complete all admission documentation
Provide emotional support to strengthen coping and understanding
Advocate for patient goals, dignity, and preferences throughout care
Initiate nursing interventions including pain and symptom management

What we offer

$10,000 Sign-On Bonus
Competitive Pay
Flexible Scheduling
Shift Differentials for evenings & weekends
PTO & Paid Volunteer Time
Comprehensive Health Benefits
Tuition Reimbursement & Scholarships
Peer Support & Mentorship
30% Thrift Shop Discount
Growth Opportunities through our 2030 Strategic Plan

Fulltime

Hospice Admission Nurse - RN

Hospice Admission Nurse - RN – Hospice Care $10,000 Sign-On Bonus – Join Blue R...

Location

United States , Lansdowne

Salary:

34.00 - 48.00 USD / Hour

Blue Ridge Hospice

Expiration Date

Until further notice

Requirements

Active RN license in the state of Virginia (BSN preferred)
Graduate of an NLN-accredited nursing program
At least one year of clinical experience required (med-surg, oncology, or acute care preferred)
Hospice or home care experience preferred
Strong assessment, communication, and documentation skills
Ability to work independently and collaboratively
Physical & Work Requirements: ability to stand, walk, lift, bend, kneel, and assist patients for extended periods
Visual and hearing acuity to monitor patient condition and use medical equipment
Ability to manage multiple tasks and interruptions in a dynamic environment
Capability to handle emotional stress and support patients and families

Job Responsibility

Lead hospice admissions, ensuring a timely and compassionate transition into care
Perform initial hospice eligibility and comprehensive RN assessments
Assess medical, physical, emotional, and social needs
develop nursing diagnoses
Initiate and coordinate individualized care plans with the interdisciplinary team
Educate patients and families on hospice services, expectations, and symptom management
Facilitate informed consent and complete all admission documentation
Provide emotional support to strengthen coping and understanding
Advocate for patient goals, dignity, and preferences throughout care
Initiate nursing interventions including pain and symptom management

What we offer

$10,000 Sign-On Bonus
Competitive Pay
Flexible Scheduling
Shift Differentials for evenings & weekends
PTO & Paid Volunteer Time
Comprehensive Health Benefits
Tuition Reimbursement & Scholarships
Peer Support & Mentorship
30% Thrift Shop Discount
Growth Opportunities

Fulltime

Registered Nurse (RN) Assessment

We're looking for a dedicated Registered Nurse Assessment (RN Assessment) to sup...

Location

United States , Woodstock

Salary:

34.00 - 48.00 USD / Hour

Blue Ridge Hospice

Expiration Date

Until further notice

Requirements

Active RN license in the state of Virginia
Graduate of an NLN-accredited nursing program
At least one year of clinical experience required
Strong assessment, communication, and documentation skills
Ability to work independently and collaboratively
Ability to stand, walk, lift, bend, kneel, and assist patients for extended periods
Visual and hearing acuity to monitor patient condition and use medical equipment
Ability to manage multiple tasks and interruptions in a dynamic environment
Capability to handle emotional stress and support patients and families
Ability to travel to patient homes in varying conditions

Job Responsibility

Lead hospice admissions, ensuring a timely and compassionate transition into care
Perform initial hospice eligibility and comprehensive RN assessments
Assess medical, physical, emotional, and social needs
develop nursing diagnoses
Initiate and coordinate individualized care plans with the interdisciplinary team
Educate patients and families on hospice services, expectations, and symptom management
Facilitate informed consent and complete all admission documentation
Provide emotional support to strengthen coping and understanding
Advocate for patient goals, dignity, and preferences throughout care
Initiate nursing interventions including pain and symptom management

What we offer

$10,000 Sign-On Bonus
Competitive Pay
Flexible Scheduling
Shift Differentials for evenings & weekends
PTO & Paid Volunteer Time
Comprehensive Health Benefits
Tuition Reimbursement & Scholarships
Peer Support & Mentorship
30% Thrift Shop Discount
Growth Opportunities

Fulltime

Registered Nurse (RN) Assessment

We’re looking for a dedicated Registered Nurse Assessment (RN Assessment) to sup...

Location

United States , Warrenton

Salary:

34.00 - 48.00 USD / Hour

Blue Ridge Hospice

Expiration Date

Until further notice

Requirements

Active RN license in the state of Virginia
Graduate of an NLN-accredited nursing program
At least one year of clinical experience
Strong assessment, communication, and documentation skills
Ability to work independently and collaboratively
Valid driver’s license
BSN preferred
Hospice or home care experience preferred

Job Responsibility

Lead hospice admissions, ensuring a timely and compassionate transition into care
Perform initial hospice eligibility and comprehensive RN assessments
Assess medical, physical, emotional, and social needs
develop nursing diagnoses
Initiate and coordinate individualized care plans with the interdisciplinary team
Educate patients and families on hospice services, expectations, and symptom management
Facilitate informed consent and complete all admission documentation
Provide emotional support to strengthen coping and understanding
Advocate for patient goals, dignity, and preferences throughout care
Initiate nursing interventions including pain and symptom management

What we offer

$10,000 Sign-On Bonus
Competitive Pay
Flexible Scheduling
Shift Differentials for evenings & weekends
PTO & Paid Volunteer Time
Comprehensive Health Benefits
Tuition Reimbursement & Scholarships
Peer Support & Mentorship
30% Thrift Shop Discount
Growth Opportunities

Fulltime

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Hospice RN Clinical Management Specialist

Job Description

Job Responsibility

Requirements

What we offer

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