Medical Access RN Job at American Nursing Care (Lincoln)

RN Medical Coder

We are looking for an experienced RN Medical Coder with a strong background in c...

Location

United States , Eden Prairie

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 3 years of experience in coding and reimbursement methodologies, including ICD-10 and HCPCS coding
CPC certification is required
Active and unrestricted Registered Nurse (RN) license
Proficiency in Microsoft Word, Excel, Access, and PowerPoint
Excellent verbal and written communication skills
Prior experience in managed care is preferred
Strong ability to review, audit, and adjust coding practices
Familiarity with healthcare insurance processes and benefit plan coding

Job Responsibility

Analyze and identify appropriate codes for language used in benefit plans
Review and validate coding decisions made by peers to ensure accuracy
Facilitate discussions to align on coding documentation and standards
Assess audit results and implement necessary adjustments to maintain compliance
Actively participate in project meetings to provide insights and updates
Collaborate with team members, including certified coders and business analysts, to achieve project goals
Ensure coding practices align with industry standards and regulatory requirements
Contribute to the creation of coding documentation for benefit plans
Utilize Microsoft Office tools to support project tasks and communication
Stay updated on healthcare coding methodologies and best practices

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

New

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

New

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

New

Rn Coordinator

As a RN Care Coordinator, you will be a central figure in patient care, seamless...

Location

United States , Phoenix

Salary:

37.40 - 55.63 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Associates degree
Completion of RN program
Three (3) years nursing experience
Registered Nurse: AZ
American Heart Association Basic Life Support - CPR

Job Responsibility

Demonstrates a high level of clinical competence in providing leadership in coordination of care
Directs a team to assist with procedures monitors patients and provides appropriate follow-up care
Coordinates the care of patients through appropriate triage
Coordinates open access, test verification and follow-up systems, referrals and appropriate documentation
Collaborates with staff, families, residents and physicians regarding patient's needs and actively participates in process improvement
Develops and monitors patient education materials
Assists Medical Director and Manager to improve clinical efficiencies by enhances customer service and implementing employee retention strategies
Provides comprehensive, safe and effective, evidence-based nursing care to achieve desired health outcomes for the patient

What we offer

medical
prescription drug
dental
vision plans
life insurance
paid time off
tuition reimbursement
retirement plan benefit including 401(k), 403(b), and other defined benefits offerings

Fulltime

Value Analysis Manager (RN)

We are looking for a Value Analysis Manager (RN) for a full time permanent role ...

Location

United States , Las Vegas

Salary:

79102.40 - 126568.00 USD / Year

Dynamic Computing Services

Expiration Date

Until further notice

Requirements

One (1) plus years of experience with hospital supply chain process and clinical product evaluation
Proficiency in data analysis tools and software, including Tableau, Excel, or similar platforms
Familiarity with evidence-based decision making in a clinical environment
Knowledge of: Nursing process (assessment, planning, implementation and coordination of patient care)
standards of care
disease process
medical equipment
patient care plan development
patient evaluation and assessment techniques
how to use general office equipment including, but not limited to: facsimiles, copiers, telephones and computers

Job Responsibility

Provides recommendations and implementation of cost saving strategies in clinical areas, including services, products and processes

Fulltime

New

Care Manager - Bilingual

Nonotuck Resource Associates is currently seeking a compassionate and detail-ori...

Location

United States , Auburn

Salary:

60000.00 - 62000.00 USD / Year

Nonotuck

Expiration Date

Until further notice

Requirements

Bachelor's Degree required
Social Work License preferred
Bilingual Spanish and/or Portuguese a plus
Two years experience with elders, those who have been diagnosed with ID/D, ABI, or who have chronic conditions affecting their ability to live safely in the community
Strong organizational and interpersonal skills
Knowledge of AFC and DDS regulations and guidelines
Ability to work collaboratively with a multidisciplinary team
Attention to detail and organizational skills
Valid driver's license with an excellent RMV record (subject to RMV background check)
Background check required

Job Responsibility

Conduct initial and ongoing assessments of AFC qualified settings, including interviews, home studies, home inspections, and medical clearance of care providers
Obtain social history and conduct psychosocial assessments and evaluations
Select, train, evaluate, and supervise AFC caregivers in collaboration with registered nurses
Participate in the development, implementation, and ongoing review of the AFC plan of care
Conduct on-site visits with each member at the qualified setting bimonthly for Level I and monthly for Level II, alternating with the registered nurse
Complete a care management progress note corresponding with each on-site visit or encounter and upon significant change
Periodically review AFC caregiver logs
Assist with obtaining information and accessing other health-care and community services for individuals under care
Review and document fire and safety procedures for qualified settings
Participate in discharge planning and implementation

What we offer

Sign-On Bonus $2,000
401(k) with Employer Match
Health, Dental, & Vision Insurance
Disability and Life Insurance
Flexible Spending Account, Health Savings Account, and Dependent Care Account Options
Paid Time Off
13 Paid Holidays
Annual increase with Profit Sharing
Hybrid Office/Work from Home Model
Mileage reimbursement

Fulltime

New

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

Patient Care Manager I (RN Required)- Ambulatory Care Tri-Valley

This is a high-impact operational and clinical leadership role responsible for e...

Location

United States , Pleasanton

Salary:

89.01 - 117.94 USD / Hour

Stanford Health Care

Expiration Date

Until further notice

Requirements

Bachelor and/or Master in Nursing from an accredited college or university
Three (3) years of progressively responsible and directly related work experience
RN - Registered Nurse - State Licensure And/Or Compact State Licensure
Ability to contribute to health care policy formulation when working in partnership with a multidisciplinary team of health care providers
Ability to delegate responsibly to others, activities according to ability, level of preparation, the standards of practice and regulatory guidelines
Ability to develop programs and lead process improvement projects
Ability to establish the strategic direction and business plans for a functional group
Ability to initiate and implement change conducive to the improvement of the quality and safety of patient care delivery
Ability to provide leadership, influence others to meet patient needs and achieve shared goals, to effectively prioritize system resources to provide quality and valued patient care, promote cooperative behaviors, act as a role model, resource and mentor
Ability to supervise, coach, mentor, train, and evaluate work results

Job Responsibility

Clinical Practice: Ensures the effective delivery of competent, compassionate, and efficient patient care by planning, organizing, and directing the nursing services of unit(s), including the assessment of patients, implementation of physicians' orders, treatment plans and medical procedures, administration of medication and record keeping of same as well as by monitoring and evaluating patient care processes and outcomes for the patient care unit(s)
coordinates nursing activities with those of other services or disciplines
Communication: Communicates in a clear and effective manner to enhance team effectiveness, manage conflicts, engage employees and interdisciplinary colleagues in unit activities and performance changes
collaborates with others within the unit and with all hospital departments and disciplines to enhance problem solving, decision making and performance improvement
Fiscal Accountability: Plans and forecasts the department budget by calculating required FTES, planning annual budgets, interpreting payroll and other key fiscal reports, projecting workload as well as monitoring and enhancing productivity
performs variance analysis by interpreting financial performance and identifying key drivers
identifies unit/capital budget needs in collaboration with physician and nursing colleagues
plans and implements staff scheduling, position controls and attendance control procedures
Human Resources: Directs the personnel management of the employees assigned to the department consistent with state and federal labor laws, collective bargaining agreements, and nursing service and hospital philosophy, goals and policy
ensures that new staff is interviewed, hired, trained, oriented, precepted and evaluated

Fulltime

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Medical Access RN

Job Description

Job Responsibility

Requirements

What we offer

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