Nursing Associate International Transition Job at The University of Kansas Health System (Kansas City)

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

Licensed Nurse Care Coordinator Senior - Quality Management

An LVN/ LPN plays a crucial role in managing patient care and ensuring continuit...

Location

United States , Tyler

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School Diploma required
Minimum of 3 years of clinical or home health experience required
5 years supporting value-based care programs, accountable care organizations, or HEDIS
Knowledge of government programs (CMS), accountable care organizations (ACOs), HEDIS, and experience with payor cost sharing initiatives preferred
Knowledge of physician office practice operations and 3 years of experience in a physician practice is preferred
Proficiency in keyboarding and EHR systems, primarily Epic
LVN/ LPN in the state of employment and/or compact licensure required

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Mentor, train and support the team of care coordinators, ensuring high-quality care and adherence to best practices. Assist with work assignments and development of new work processes as needed. Coordinate and assist with associate onboarding. Create education material for training
Monitor and ensure compliance with all regulatory requirements, organizational policies, standing delegated orders and protocols
Identify quality gaps and risk adjustment gaps. Participate in Quality Improvement Programs as indicated. Attend learning sessions and share information learned with team members. Assist in the development of tools, education, and workflow processes to assist the network in meeting CMS, ACO, documentation, and payor quality initiatives
Conducts internal review audits to facilitate feedback for documentation and efficiency of the care coordination team
Support Primary Care Providers and assist patients in scheduling preventative screenings and appropriate appointments. Maintain ongoing communication with healthcare providers through various tools and meetings
Monitor value-based care quality performance and pulls reports to identify open care gaps. Conducts telephonic outreach on behalf of providers to close care gaps & address medication adherence to facilitate star rating and quality performance
Providing counseling and health education to patients and families, using appropriate materials and standardized protocols. Serve as a subject matter expert in care transitions & quality metrics. Assist in educating practice staff on quality, payor, and government program requirements
Communicate resources and services available to patients through the continuum of care
Escalate health concerns to Primary Care providers and place referrals to appropriate care team members, i.e., Nurse Navigation, CHW, etc. Develop professional working relationships with ACO and CIN network providers, practice managers, and their staff to collaboratively manage follow-up care and improve overall health and wellness. Conduct in-person and virtual meetings with practice managers, staff, providers and managers to communicate program goals, results, and provide education

Fulltime

Registered Nurse - Med Surg Unit 700

Registered Nurse - Med Surg Unit 700 Job CategoryNursing ScheduleFull time Shift...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Graduation from a qualified, nationally-accredited nursing program
One year of nursing experience in an acute care setting preferred
Current RN licensure permitting work in the State of Arizona and Basic Life Support (BLS) certification required
Some departments such as OR, Ambulatory Surgery, Pediatrics/PICU, PACU, and GI Lab will require advanced life support certification (ACLS and PALS)
Additional certification may be required for some specialties, such as EP certification from International Board of Heart Rhythm Examiners for Special Competency in Cardiac Electrophysiology for the Associated Professional or equivalent certification
For Outpatient Hospice & Pediatrics areas, valid Arizona Fingerprint Clearance Card within 6 months of hire and for Mental Health only Crisis Prevention Instruction (CPI) required

Job Responsibility

Coordinates patient care planning with other disciplines utilizing the principles of the nursing process and critical thinking skills in order to maintain patient safety and well-being
Provides direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure safe patient care
Writes or obtains initial nursing histories, assesses patients' conditions and develops individual care plans
maintains patient documentation
Receives and reviews preceding shift reports and floor nurse reports
makes complete rounds of all units, and notes patients' condition
Notifies appropriate physician regarding any unusual or unexpected events or problems requiring direct physician consultation
Works with other members of the interdisciplinary patient care team, implements and reinforces patient instructional needs with patient and family offering informational material and pointing out special areas of concern
Evaluates outcomes of patient care, consults with other specialists as needed and adjusts nursing care processes as necessary to ensure optimal patient care
Identifies and resolves workplace health and safety issues

What we offer

$10,000 Sign On w/2 years' Experience

Fulltime

Utilization Review Nurse RN (Part-Time)

We are seeking Utilization Review Nurse RN to join our team on a part-time basis...

Location

United States

Salary:

30.00 - 38.00 USD / Hour

Personify Health

Expiration Date

Until further notice

Requirements

Current RN license in the United States or U.S. territory
Associate’s degree or diploma (Nursing program) required
1+ year clinical experience required
Ability to perform the essential job functions safely and successfully with or without reasonable accommodation, including meeting qualitative and/or quantitative productivity standards
Ability to maintain regular, punctual attendance
Ability to sit for 6-8 hours
Constant use of computer keyboard and mouse
repetitive use of both hands
Occasional to frequent twisting of neck
occasional bending of neck and at waist

Job Responsibility

Provide professional assessment and review for the medical necessity of treatment requests and plans
Provide first level review for all outpatient and ancillary pre-certification requests for medical appropriateness
inpatient hospital stay including mental health, substance abuse, skilled nursing, and rehabilitation for medical necessity
and post claim or post service reviews. Staff are expected to cross train, and provide cross coverage as needed
Work to the top of the RN license and ensure proper referral to medical director for denial authorizations through independent review organizations (IRO)
Work with hospital staff to prepare patients for discharge and ensure a smooth transition to the next level of care
Refer requests that fall outside of established guidelines to advance review or senior care consultants
Process appeals for non-certification of services, complete non-certification letters when appropriate
Review plan document for benefit determinations
attempt to redirect providers and patients to PPO providers

What we offer

Part-time schedule designed around your availability and life priorities
Access to learning and development opportunities alongside full-time colleagues
Mentorship and skill-building that translates to career advancement
Competitive hourly compensation that values your expertise
Technology and equipment support to set you up for success

Parttime

Infection Preventionist Lead - Infection Control

In a High Reliability Organization, Infection Preventionist Lead is responsible ...

Location

United States , Santa Fe

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Bachelor degree in Nursing, Microbiology, Clinical laboratory sciences, Epidemiology, Public Health, or other health-related field required
Associate degree nurses may also be considered
5 years of healthcare or public health experience preferred
3 years of experience as Infection Preventionists preferred
CBIC CIC (Certification in Infection Control) upon hire
Must be proficient in computer skills using EXCEL, PowerPoint, MS Office, and Flowchart tools
Must communicate effectively to different audiences
Must be knowledgeable on High-Reliability Principles and PDSA methodology

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Quality Leadership and Integration-Advance the organization's commitment to health care quality through collaboration, learning opportunities and communication. Lead the integration of quality into the fabric of the organization through a coordinated infrastructure to achieve organizational objectives. Domain Level: Proficient
Performance and Process Improvement-Use performance and process improvement (PPI), project management and change management methods to support operational and clinical quality initiatives, improved performance and achieve organizational goals. Domain Level: Foundational
Population Health and Care Transitions-Evaluates and improve health care processes and care transitions to advance the efficient, effective, and safe care of defined populations. Domain Level: Foundational
Health Data and Analytics- Leverage the organizations analytic environment to help guide data-driven decision-making and inform quality improvement initiatives. Domain Level: Proficient
Regulatory and Accreditation-Direct organization wide processes for evaluating, monitoring, and improving compliance with internal and external requirements. Lead the organization's processes to prepare for, participate in, and follow up on regulatory, accreditation and certification surveys and activities. Domain Level: Proficient
Patients Safety-Cultivate a safe healthcare environment by promoting safe practices, nurturing a just culture, and improving processes that detect, mitigate, or prevent harm. Domain Level: Proficient
Quality Review and Accountability-Direct activities that support compliance with organization wide voluntary, mandatory, and contractual requirements for data acquisition, analysis, reporting, and improvement. Domain Level: Foundational
Professional Engagement-Engage in the healthcare quality profession with a commitment to practicing ethically, enhancing one's competence, and advancing the field. Domain Level: Proficient

Fulltime

Hospital Liaison

The Hospital Liaison is responsible for promoting Aspen Infusion’s services to r...

Location

United States , Chandler

Salary:

65000.00 - 75000.00 USD / Year

Aspen Infusion

Expiration Date

Until further notice

Requirements

Bachelor's degree (B.A.) or equivalent of minimum of 1–2 years in a liaison, case management, discharge planning, or healthcare operations role
home health, infusion, or transitional care experience strongly preferred
Deep understanding of hospital, skilled nursing facility and/or home health workflows, interdisciplinary collaboration, and patient transitions of care
Excellent interpersonal skills with a focus on relationship-building and collaboration
Strong written and verbal communication skills
able to represent Aspen Infusion with professionalism and clinical knowledge
Ability to work independently, navigate health care systems effectively and also work as a team when necessary
Proficient with Google Suites and electronic documentation platforms
Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm
Valid driver's license and reliable transportation required for routine site visits

Job Responsibility

Build and maintain strong relationships with nurses, case managers, hospital discharge planners, providers, and other referral sources to support appropriate referrals to Aspen infusion
Facilitate smooth, timely communication and coordination of care between referral sources, patients, and Aspen Infusion
Collaborate cross-functionally with intake, authorizations, and clinical teams to ensure a seamless onboarding experience for patients receiving infusions
Communicate barriers to discharge in a timely manner
Serve as a resource for hospital staff regarding Aspen Infusion’s scope of services, insurance processes, and logistics
Provide timely updates and feedback to internal teams on referral trends and concerns, or systemic challenges
Develops and maintains comprehensive knowledge of the home infusion therapy industry product information
Continually gathers information on local competition and prevalent industry and business climate within the region
communicates information to management and others as needed
Professionally represents Aspen Infusion at relevant meetings, community events, and professional associations

Fulltime

Oncology Nurse Navigator 2 - Breast Oncology

The Oncology Nurse Navigator 2 is a registered nurse (RN) who works with physici...

Location

United States , Chicago

Salary:

84760.00 - 151715.20 USD / Year

IntelyCare

Expiration Date

Until further notice

Requirements

Current State of Illinois Registered Nurse licensure required
At least one year of nursing experience
Earned nursing degree of baccalaureate level of education or higher
Oncology nursing experience preferred
Oncology nursing certification preferred
Ability to travel throughout the Medical Center and some roles may require travel to other sites of care.

Job Responsibility

Establishes a caring therapeutic relationship with patients and families utilizing effective communication while managing a defined patient caseload
Assesses patients for social determinants of health
utilizing findings to develop a plan of care and mutual goal setting
Serves as liaison for the patient, becoming an expert on the patient and their needs throughout the trajectory of their care from diagnosis to end of life or survivorship
Advocates for patient and their families to ensure timely access to treatment and equal access to health care
Collaborates with all members of the health care team in a positive, professional manner to ensure coordination of patient care
Serves as a reference regarding clinical trials and coordinates care with The clinical trial office
Provides psycho-social support and Facilitates referrals and transitions of care ensuring effective utilization of internal and community resources
Provides symptom managements utilizing guidelines/evidence based practice from oncology resources in collaboration with providers
Performs role utilizing EBP within specialty established by nationally recognized oncology nursing associations, cancer societies and networks as well as published research and quality documents

Fulltime

Utilization Review Nurse-RN

The Utilization Review Nurse will provide professional assessments and review fo...

Location

United States

Salary:

30.00 - 38.00 USD / Hour

Personify Health

Expiration Date

Until further notice

Requirements

Current RN license in the United States or U.S. territory
Associate’s degree or diploma (Nursing program) required
1+ year clinical experience required
Ability to perform the essential job functions safely and successfully with or without reasonable accommodation, including meeting qualitative and/or quantitative productivity standards
Ability to maintain regular, punctual attendance
Ability to sit for 6-8 hours
Constant use of computer keyboard and mouse
repetitive use of both hands
Occasional to frequent twisting of neck
occasional bending of neck and at waist

Job Responsibility

Provide professional assessment and review for the medical necessity of treatment requests and plans
Provide first level review for all outpatient and ancillary pre-certification requests for medical appropriateness
inpatient hospital stay including mental health, substance abuse, skilled nursing, and rehabilitation for medical necessity
and post claim or post service reviews
Work to the top of the RN license and ensure proper referral to medical director for denial authorizations through independent review organizations (IRO)
Work with hospital staff to prepare patients for discharge and ensure a smooth transition to the next level of care
Refer requests that fall outside of established guidelines to advance review or senior care consultants
Process appeals for non-certification of services, complete non-certification letters when appropriate
Review plan document for benefit determinations
attempt to redirect providers and patients to PPO providers

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions
Paid Time Off
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Fulltime

Select Country

Nursing Associate International Transition

Job Description

Job Responsibility

Requirements

Looking for more opportunities?