Abcde Assessment Jobs in Usa
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Were unique. You should be, too.
Were changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
Were different than most primary care providers. Were rapidly expanding and we need great people to join our team.
The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing quality of care across the continuum of care. The incumbent in this role will first and foremost serve as an advocate for our patients. He/She works closely with other members of the care team to develop effective plans of care and high levels of care coordination. This care planning and coordination may follow the patient from our centers into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with patients families and care givers, primary care physicians, specialists, other care providers, social workers, other case managers and nurses, acute and post-acute facilities, home health care companies, and health plans. He/She adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures.
CORE JOB DUTIES/RESPONSIBILITIES:
- Manages and plans for transitions of care, discharge and post discharge follow-up for patients admitted to key, high-volume/high-priority hospitals.
- Establishes a trusting relationship with patients and their caregivers.
- Collaborates with clinical staff in the development and execution of the plan of care and achievement of goals. Reports variations to PCP/Transitional Care Physicians (TCP) and implements actions as appropriate.
- Builds relationships with preferred acute care providers (hospitalists, specialists, etc.).
- Directs referrals to preferred providers.
- Coordinates the integration of social services/case management functions in the pre-acute, ER, acute and post-acute setting. Coordinates the patient care, discharge and home planning processes with hospital case management departments, and other healthcare facilities.
- In conjunction with the PCP, Hospitalist, Medical Director, insurance case manager and the hospital case manager, coordinates the patient transition to the appropriate/least constrictive level of care using a preferred provider.
- Keeps the PCP aware of patient(s) condition via e-mail, DASH, HITS or other appropriate means of communication.
- Introduces self to patient/family and explains Nurse Case Managers role and processes to contact the Nurse Case Manager for questions, guidance and education.
- Provides high intensity engagement with patient and family.
- Facilitates patient/family conferences to review treatment goals and optimize resource utilization; provides family education and identifies post-hospital needs.
- Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient/familys ability to make informed decisions.
- Addresses advanced care planning including treatment goals and advance directives.
- Refers cases to social worker (Hospital and ChenMed/JenCare/Dedicated) for complex psychosocial and economic needs.
- Refers cases where patient and/or family would benefit from counseling required to complete complex discharge plan to social worker.
- Reports observed or suspected child or adult abuse pursuant to mandated requirements.
- Obtains onsite and EMR access at priority facilities.
- Maintains clinical and progress notes for each patient receiving care and provides progress report to PCP and others as appropriate.
- Submits required documentation in a timely manner and in appropriate computer system.
- Participates in surveys, studies and special projects as assigned.
- Conducts concurrent medical record review using specific indicators and criteria as approved by medical staff. Acts as patient advocate: investigates and reports adverse occurrences, and performs staff education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery.
- Promotes effective and efficient utilization of clinical resources and mobilizes resources to assist in achieving desired clinical outcomes within specific timeframe.
- Conducts review for appropriate utilization of services from admission through discharge. Evaluates patient satisfaction and quality of care provided.
- Communicates with physicians at regular intervals throughout hospitalization and develops an effective working relationship. Assists physicians to maintain appropriate cost, case and desired patient outcomes.
- Coordinates the provision of social services to patients, families and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from healthcare services.
- Completes expanded assessment of patients and family needs at time of admission. Completes psychosocial assessment.
- Directs and participates in the development and implementation of patient care policies and protocols to provide advice and guidance in handling unusual cases or patient needs.
- Attends meetings as assigned
- Performs other duties as assigned and modified at managers discretion.
There are 4 Nurse Case Manager 1 Roles with additional Essential Job Functions:
Acute Case Manager (primarily hospital based)
Responsibilities include all the above Core duties/responsibilities plus the following:
- Identify appropriateness of inpatient vs. observation status.
- Identify and manage safety risk (complete a social assessment), identify functional status (ADLs and PT needs), discuss medications and self-management, identify and correct knowledge deficits.
- Implement the ACM Coaching program with the appropriate patient population.
- In markets as appropriate, when patient in SNF, in conjunction with the post-acute physician, coordinate the transition to a lower level of care as soon as appropriate using a preferred provider if further services are needed.
- Facilitate discharge to appropriate level of care and preferred providers
- Communicate discharge to all stakeholders including PCP, Center Manager and Community Case Manager.
- Document the appropriate date that the patient is medically discharged and update as appropriate.
- Contact the center manager to arrange for a follow-up PCP appointment prior to discharge and whenever possible, communicate this information to the patient/caregiver.
- As appropriate, discuss patients eligibility for CCM or DM programs and identify patient interest in participation.
- Coordinate acute UR physician meetings.
Community Case Manager (primarily clinic and community based)
Responsibilities include all the above Core duties/responsibilities plus the following:
- Provides telephonic or outpatient visits to patients at high-risk for readmissions (as identified by CM Plan) to the ER or hospital, to patients with active care planning requirements, to disease management patients per the Disease Management Plan and to others as referred via transitional care team, acute case managers and Transitional Care team.
- Visits may include evening and weekend hours with the goal of preventing ER visits or hospital admissions.
- Performs clinical functions including disease-oriented assessment and monitoring, medication monitoring, health education and self-care instructions in the outpatient setting.
Coordinate the Plan of Care:
- Conducts/coordinates initial case management assessment of patients to determine outpatient needs.
- Ensures individual plan of care reflects patient needs and services available.
- Makes recommendations to the team.
- Completes individual plan of care with patients and team members.
- Communicates instructions and methodologies as appropriate to ensure that the plan is implemented correctly.
- Assesses the environment of care, e.g., safety and security.
- Assesses the caregiver capacity and willingness to provide care.
- Assesses patient and caregiver educational needs.
- Coordinates, reports, documents and follows-up on Super Huddles and HPP/IDT meetings.
- Helps patients navigate health care systems, connecting them with community resources; orchestrates multiple facets of health care delivery and assists with administrative and logistical tasks.
- Coordinates the delivery of services to effectively address patient needs.
- Facilitates and coaches patients in using natural supports and mainstream community resources to address supportive needs.
- Maintains ongoing communication with families, community providers and others as needed to promote the health and well-being of patients.
- Establishes a supportive and motivational relationship with patients that support patient self-management
- Monitors the quality, frequency and appropriateness of HHA visits and other outpatient services.
- Assists patient and family with access to community/financial resources and refer cases to social worker as appropriate.
Community/Skilled Nursing Facility Case Manager (Community Case Manager Role with additional SNF duties as assigned)
Responsibilities include all the above Core duties/responsibilities plus the following:
- Community Case Manager role as above.
- CM telephonic or onsite visits to SNFs, communication with physical therapists (PT), social workers, patient and families as appropriate.
- Validates appropriate level of care/LOS.
- Validates Discharge plan for safe transition home, utilization of preferred providers or timely transition to long term care.
- Reminds patient of need for 4-day PCP post hospital/SNF discharge visit and future visits.
- Collaborates with payor onsite SNF CMs.
Transitional Case Manager (Blended Acute and Community Case Manager Roles)
Responsibilities include all the above Core duties/responsibilities plus the following:
- Acute and Community Case Manager roles as above.
KNOWLEDGE, SKILLS AND ABILITIES:
- Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
- Critical thinking skills required.
- Ability to work autonomously is required.
- Ability to monitor, assess and record patients progress and adjust and plan accordingly.
- Ability to plan, implement and evaluate individual patient care plans.
- Knowledge of nursing and case management theory and practice.
- Knowledge of patient care charts and patient histories.
- Knowledge of clinical and social services documentation procedures and standards.
- Knowledge of community health services and social services support agencies and networks.
- Organizing and coordinating skills.
- Ability to communicate technical information to non-technical personnel.
- Proficient in Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software.
- Ability and willingness to travel locally, regionally and nationwide up to 10% of the time.
- Spoken and written fluency in English.
- Bilingual preferred.
PAY RANGE:
$36.9 - $52.70 Hourly
The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.
EMPLOYEE BENEFITS
Were ChenMed and were transforming healthcare for seniors and changing Americas healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. Were growing rapidly as we seek to rescue more and more seniors from inadequate health care.
ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in peoples lives every single day.
Current Employee apply HERE
Current Contingent Worker please see job aid HERE to apply
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KCU - Joplin is hiring an Assistant Director of Curriculum for the College of Dental Medicine. This is an exciting opportunity for a dentist looking to step into academia.
This dental faculty member will provide leadership and oversight for the design, delivery, assessment, and continuous improvement of the Doctor of Dental Medicine (DMD) curriculum. As a licensed dentist and academic leader, the Assistant Director works in close collaboration with the Assistant Dean of Curriculum and Integrated Learning to ensure that the predoctoral program provides students with a rigorous, integrated, and competency-based educational experience.
The Assistant Director plays a pivotal role in preparing students for successful entry into patient care, fostering a culture of educational innovation, and ensuring that the DMD program maintains the highest standards of academic excellence and clinical relevance.
Essential Duties and Responsibilities:
Curriculum Leadership and Oversight
- Collaborate with the Assistant Dean to ensure the DMD curriculum is innovative, evidence-based, and aligned with institutional and CODA standards.
- Review, update, and approve course syllabi for accuracy, clarity, and integration across the curriculum.
- Guide the implementation of integrated learning strategies across biomedical, behavioral, and clinical science courses.
- Identify opportunities for curricular innovation and integration, and collaborate with the CDM team to implement them.
Assessment and Competency Development
- Oversee rubric development, review, and calibration processes for formative and summative assessments in both pre-clinical and clinical settings.
- Coordinate faculty calibration in grading and competency evaluation to promote fairness and consistency alongside the Assistant Director of Faculty Development.
- Monitor student progression toward achievement of program competencies, including analysis of reports, dashboards, and data-driven recommendations.
- Lead initiatives to assess the effectiveness of educational outcomes and implement continuous quality improvements.
Faculty and Administrative Support
- Serve as a resource and mentor to faculty in curriculum design, assessment, and educational best practices.
- Provide faculty development opportunities in competency-based education and assessment methodology.
- Assist the Assistant Dean in managing the operational responsibilities of the curriculum office, including scheduling, accreditation preparation, and policy development.
- Contribute to institutional reporting, strategic planning, and accreditation site visit preparation.
- Assume responsibility for didactic and clinical coverage as necessary to support programmatic and patient care needs.
Collaboration and Service
- Serve as a liaison between faculty, course directors, students, and academic leadership to facilitate curricular charge.
- Participate in relevant committees related to curriculum, assessment, student success, and accreditation.
- Support institutional initiatives in educational innovation, interprofessional education, and continuous quality improvement.
Qualifications:
Required:
- DMD/DDS degree from a CODA-accredited institution.
- Current licensure (or eligibility for licensure) in the United States.
- Preferred experience in academic dentistry with demonstrated involvement in teaching, curriculum design, and/or assessment.
- Knowledge of competency-based education, rubric development, and evaluation of clinical skills.
- Strong organizational, communication, and leadership skills.
- Commitment to student success, mentorship, and continuous program improvement.
Preferred:
- Advanced training in dental education, academic leadership, or health professions education (e.g., certificate, fellowship, or graduate degree).
- Experience with CODA accreditation standards, self-study preparation, and compliance processes.
- Demonstrated success in faculty development and educational innovation.
- Experience with educational technology, assessment platforms, or curriculum management systems.
Responsible for providing psychosocial assessment, support to cancer patients and care givers along the cancer care continuum.
PRINCIPAL ACCOUNTABILITIES:
Provide psychosocial and support services to cancer patients and their care givers.
Conduct a comprehensive assessment of patient, caregiver, and/or family biopsychosocial spiritual needs and ongoing assessment of coping.
Assess and foster patient, caregiver, and/or family coping, resiliency, and adaptability skills.
Assess patient, caregiver, and/or family members understanding of treatment options, diagnosis, side effects, outcomes etc.
Promote and facilitate communication between patients, caregiver(s), and/or family – including talking to their children about cancer.
Utilize patient self-assessed distress screening tool to identify barriers of care, emotional concerns, and levels of distress. Review and follow-up with patients/families.
Assess patient risk for abuse/neglect and refer for appropriate services.
Assess, refer, and/or provide treatment for depression, anxiety, and other mental health disorders.
Collaborate with oncology team; assess and refer for substance use disorder.
Demonstrates knowledge of oncology specific and community resources. Make referrals as appropriate (transportation, financial assistance, housing, etc.).
Provide psychotherapeutic counseling for individuals, couples, families, and caregiver(s) to resolve relationship issues, coping difficulties, and other psychosocial stressors.
Facilitate goals of care/advanced care planning and end of life conversations.
Facilitate support groups including psychoeducation, experiential, and psychotherapeutic groups.
Required:
1. MSW from an accredited school of social work.
2. NJ LSW or LCSW required.
3. Previous medical hospital social work and oncology experience strongly preferred.
4. Certification as Oncology Social Worker strongly desired
5. Bilingual is highly desirable.
Preferred:
1. Maintains current knowledge of trends and advances in clinical practice and healthcare informatics, as well as new developments and innovations in hardware and software technology.
2. Demonstrated initiative, problem identification, resolution and analytical skills are essential, as well as excellent oral and written communication skills
Aveanna Healthcare, the largest pediatric home health care company in the U.S., is hiring compassionate Licensed Vocational Nurses to provide skilled nursing care to patients in the home setting. We are the hearts of 40,000 caregivers and trusted by over 33,000 families.
LVN Rate: $33-$35/HR
*Specific case rates
Palmdale: Part time, Monday and Friday only, 9am - 5pm.
Position Overview
The Licensed Vocational Nurse (LVN) is responsible for providing and documenting skilled nursing care, under the supervision of a Registered Nurse, in accordance with the developed care plan and physicians orders for each individual patient while adhering to confidentiality standards and professional boundaries at all times.
Essential Job Functions
• Responsible for the delivery and coordination of quality patient care in compliance with physician orders.
• Continuously observes and assesses patient condition and care needs and reports changes in condition to the supervisor and/or physician as appropriate.
• Documents all activities, assessments, nursing actions, responses and coordination of care in a timely manner whenever care is delivered.
• Participate, implement and update the nursing care plan.
• Takes appropriate nursing action based on assessment and achieves expected outcomes.
• Recognizes changes in patient needs and responses requiring intervention and implements care to prevent risk or reduce risk.
• Accepts responsibility for personal and professional accountability by complying with Aveanna policies, state and federal regulations, accrediting bodies and the Nurse Practice Act.
• Provide care utilizing infection control measures that protect both the staff and the patient according to OSHA standards.
• Educates the patient and family regarding the disease process, self-care techniques, and prevention strategies, and in meeting the patient’s nursing needs.
• Maintain knowledge of competencies related to the nursing profession by participating in educational programs, continued education units, internal learning management skills and skill evaluations.
Requirements
• Graduate of an accredited school of nursing.
• Current, unrestricted state license as a Licensed Nurse in the state of practice
• Current CPR certification
• Demonstrated proficiency in clinical assessments, documentation and compliance with nursing care and policies and procedures
Additional state specific requirements:
• One (1) year of experience required working under current nursing license
• Continuing Education as required by state
Preferences
• Six (6) months of recent experience as a Licensed Nurse in a clinical care setting
• Home health experience
Other Skills/Abilities
• Attention to detail
• Time Management
• Effective problem-solving and conflict resolution
• Good organization and communication skills
Physical Requirements
• Must be able to speak, write, read and understand English
• Must be able to travel
• Must be able to lift 50 pounds
• Must be able to sufficiently reposition patients and move equipment without assistance
• Prolonged walking, standing, bending, kneeling, reaching, twisting
• Must be able to sit and climb stairs
• Must have visual and hearing acuity
• Must have strong sense of smell and touch
• Must be able to sufficiently reposition patients and move equipment without assistance
• Must be able to appropriately respond physically and mentally to emergency situations in the home or during transport
Environment
• Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
• Possible exposure to blood, bodily fluids and infectious diseases
Other Duties
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Equal Employment Opportunity and Affirmative Action: Aveanna provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Aveanna complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
CCPA Notice for Job Applicants, Contractors, and Employees Residing in California
Position Overview
The Licensed Practical Nurse (LPN/LVN) is responsible for providing and documenting skilled nursing care, under the supervision of a Registered Nurse, in accordance with the developed care plan and physicians orders for each individual patient while adhering to confidentiality standards and professional boundaries at all times.
Essential Job Functions
• Responsible for the delivery and coordination of quality patient care in compliance with physician orders.
• Continuously observes and assesses patient condition and care needs and reports changes in condition to the supervisor and/or physician as appropriate.
• Documents all activities, assessments, nursing actions, responses and coordination of care in a timely manner whenever care is delivered.
• Participate, implement and update the nursing care plan.
• Takes appropriate nursing action based on assessment and achieves expected outcomes.
• Recognizes changes in patient needs and responses requiring intervention and implements care to prevent risk or reduce risk.
• Accepts responsibility for personal and professional accountability by complying with Aveanna policies, state and federal regulations, accrediting bodies and the Nurse Practice Act.
• Provide care utilizing infection control measures that protect both the staff and the patient according to OSHA standards.
• Educates the patient and family regarding the disease process, self-care techniques, and prevention strategies, and in meeting the patient’s nursing needs.
• Maintain knowledge of competencies related to the nursing profession by participating in educational programs, continued education units, internal learning management skills and skill evaluations.
Requirements
• Graduate of an accredited school of nursing.
• Current, unrestricted state license as a Licensed Nurse in the state of practice
• Current CPR certification
• Demonstrated proficiency in clinical assessments, documentation and compliance with nursing care and policies and procedures
Additional state specific requirements:
• South Carolina – One (1) year of pediatrics experience
• California – One (1) year of experience required working under current nursing license
• Louisiana – One (1) year of experience required working as a licensed nurse
• Continuing Education as required by state
Preferences
• Six (6) months of recent experience as a Licensed Nurse in a clinical care setting
• Home health experience
Other Skills/Abilities
• Attention to detail
• Time Management
• Effective problem-solving and conflict resolution
• Good organization and communication skills
Physical Requirements
• Must be able to speak, write, read and understand English
• Must be able to travel
• Must be able to lift 50 pounds
• Must be able to sufficiently reposition patients and move equipment without assistance
• Prolonged walking, standing, bending, kneeling, reaching, twisting
• Must be able to sit and climb stairs
• Must have visual and hearing acuity
• Must have strong sense of smell and touch
• Must be able to sufficiently reposition patients and move equipment without assistance
• Must be able to appropriately respond physically and mentally to emergency situations in the home or during transport
Environment
• Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
• Possible exposure to blood, bodily fluids and infectious diseases
Other Duties
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Notice for Job Applicants Residing in California
Notice for Job Applicants Residing in Florida
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See Aveanna Healthcare Terms & Conditions at and Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at
$10,000 Sign On Bonus
Are you an experienced MDS nurse interested in the next step? At Regency at Jackson, the MDS Coordinator provides oversight of the RAI process and conducts assessments and care plan coordination for guests. The MDS Coordinator supervises the Care Management Nurse, MDS Nurse.
At Ciena Healthcare, we take care of you too, with an attractive benefit package including:
- Competitive pay
- Life Insurance
- 401K with matching funds
- Health insurance
- AFLAC
- Employee discounts
- Tuition Reimbursement
In addition, we will help you advance your career with tuition reimbursement, discounts and other support. You will join an experienced, hard-working team that values communication and strong teamwork abilities.
Responsibilities
- Completes the MDS, CAA’s and care plans within regulated time frames.
- Coordinates scheduling the RAI process with the interdisciplinary team
- Assesses resident through physical assessment, interview and chart review.
- Discusses resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff
- Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning.
- Coordinates, identifies, and/or initiates significant change MDS’
- Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator
- Remains current with American Association of Nursing Assessment Coordinators (AANAC) requirements.
Qualifications
- Registered Nurse (RN) licensure
- AANC certification a plus. RAC-CT
- Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Prospective Payment Process (PPS) strongly preferred.
- Experience as an MDS Nurse
About Ciena Healthcare
Ciena Healthcare is Michigan’s largest provider of skilled nursing and rehabilitation care services.
We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way, Ciena is the place for you!
IND123
#signon
Are you an experienced nurse who wants to remain clinically involved in patient care without being a bedside nurse? Are you organized, efficient, and able to manage your own work with autonomy? MDS nursing at The Laurels of Huber Heights may be just what you're looking for!
Laurel Health Care Company offers one of the leading employee benefit packages in the industry, including health insurance, 401K with matching funds, paid time off and paid holidays. When you work with Laurel Health Care Company, you will join an experienced, hard-working team that values communication and strong teamwork abilities.
Responsibilities:
The Care Management Nurse, MDS Nurse works the RAI process and conducts assessments and care plan coordination for those residents assigned. Some responsibilities of the MDS nurse include:
- Completes the MDS, CAA’s and care plans within regulated time frames.
- Assesses resident through physical assessment, interview and chart review.
- Discusses resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff.
- Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning.
- Coordinates, identifies, and/or initiates significant change MDS’
- Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator
- Remains current with the American Association of Nursing Assessment Coordinators (AANAC) requirements.
Qualifications:
- Registered Nurse, RN or Licensed Practical Nurse
- AANC certification a plus. RAC-CT
- Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Prospective Payment Process (PPS) strongly preferred.
- Experience as an MDS Nurse
Laurel Health Care Company is a national provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care.
We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana.
#IND123
Monday through Friday from 9am - 5pm (shift is flexible)
Must have prior MDS experience!
Are you an experienced nurse who wants to remain clinically involved in patient care without being a bedside nurse? Are you organized, efficient, and able to manage your own work with autonomy? MDS nursing at The Laurels of University Park may be just what you're looking for!
Benefits:
Comprehensive health insurance - medical, dental and vision
401K with matching funds
DailyPay, a voluntary benefit that allows associates at our facilities the ability to access their pay when they need it
Paid time off (beginning after six months of employment) and paid holidays
Flexible scheduling
Tuition reimbursement and student loan forgiveness
Zero cost uniforms
Responsibilities:
The Care Management Nurse, MDS Nurse works the RAI process and conducts assessments and care plan coordination for those residents assigned. Some responsibilities of the MDS nurse include:
Completes the MDS, CAA’s and care plans within regulated time frames
Assesses resident through physical assessment, interview and chart review
Discusses resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff
Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning
Coordinates, identifies, and/or initiates significant change MDS’
Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator
Remains current with the American Association of Nursing Assessment Coordinators (AANAC) requirements
Qualifications:
Registered Nurse (RN) or Licensed Practical Nurse (LPN)
AANC certification a plus. RAC-CT
Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Prospective Payment Process (PPS) strongly preferred
Experience as an MDS Nurse
Ciena Healthcare:
We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana.
We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way.
IND123
Monday through Friday from 9am - 5pm (shift is flexible)
Must have prior MDS experience!
Are you an experienced nurse who wants to remain clinically involved in patient care without being a bedside nurse? Are you organized, efficient, and able to manage your own work with autonomy? MDS nursing at The Laurels of University Park may be just what you're looking for!
Benefits:
Comprehensive health insurance - medical, dental and vision
401K with matching funds
DailyPay, a voluntary benefit that allows associates at our facilities the ability to access their pay when they need it
Paid time off (beginning after six months of employment) and paid holidays
Flexible scheduling
Tuition reimbursement and student loan forgiveness
Zero cost uniforms
Responsibilities:
The Care Management Nurse, MDS Nurse works the RAI process and conducts assessments and care plan coordination for those residents assigned. Some responsibilities of the MDS nurse include:
Completes the MDS, CAA’s and care plans within regulated time frames
Assesses resident through physical assessment, interview and chart review
Discusses resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff
Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning
Coordinates, identifies, and/or initiates significant change MDS’
Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator
Remains current with the American Association of Nursing Assessment Coordinators (AANAC) requirements
Qualifications:
Registered Nurse (RN) or Licensed Practical Nurse (LPN)
AANC certification a plus. RAC-CT
Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Prospective Payment Process (PPS) strongly preferred
Experience as an MDS Nurse
Ciena Healthcare:
We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana.
We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way.
IND123
Are you an experienced MDS nurse interested in the next step? The MDS Coordinator provides oversight of the RAI process and conducts assessments and care plan coordination for guests. The MDS Coordinator supervises the Care Management Nurse, MDS Nurse.
Benefits:
Comprehensive health insurance - medical, dental and vision.
401K with matching funds.
DailyPay, a voluntary benefit that allows associates at our facilities the ability to access their pay when they need it.
Paid time off (beginning after six months of employment) and paid holidays.
Flexible scheduling.
Tuition reimbursement and student loan forgiveness.
Zero cost uniforms.
Responsibilities:
Completes the MDS, CAA’s and care plans within regulated time frames.
Coordinates scheduling the RAI process with the interdisciplinary team
Assesses resident through physical assessment, interview and chart review.
Discusses resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff.
Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning.
Coordinates, identifies, and/or initiates significant change MDS’
Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator
Remains current with American Association of Nursing Assessment Coordinators (AANAC) requirements.
Qualifications:
Registered Nurse (RN) or Licensed Practical Nurse (LPN) licensure.
AANC certification a plus. RAC-CT.
Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Prospective Payment Process (PPS) strongly preferred.
Experience as an MDS Nurse.
Ciena Healthcare:
We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana.
We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way.
IND123
$5,000 sign on bonus for external candidates with 1 year of nursing experience
$2,500 relocation bonus for over 50 miles OR $5,000 for over 100 miles
Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for patients of the Carle Foundation Hospital. Ensures patients receive proactive initial assessment of needs, ongoing evaluations, and initiation of discharge planning while facilitating a safe and timely transition from the acute care/hospital setting to an appropriate level of care outside the hospital. Utilizes the five components of case management: assessment, coordination, monitoring, implementation, and evaluation. Multidisciplinary Rounds are completed daily with the care team at the patient's bedside which assists the team for timely planning and collaboration.
Qualifications
Certifications: Accredited Case Manager (ACM) within 3 years - American Case Management Association (ACMA); Basic Life Support (BLS) within 30 days - American Heart Association (AHA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR), Education: College Diploma: Nursing, Work Experience:
Responsibilities
Act as a liaison working with patient/family and physician to determine next level of careConducts case review presentations to educate peers on unique or challenging cases and scope of practice issues.Coordinates the transition from inpatient care to post-hospital care, working with pre- and post- hospital providers to ensure responsive and appropriate care is provided post-discharge.Documents plan of care and utilization issues in appropriate locations, including but not limited to: case management/utilization review software and the multidisciplinary plan of care document on all assigned patients.Evaluates effectiveness of plan of care to ensure the progression toward desired patient outcomes.Initiates intervention, both pre-hospital, in-hospital, and post-hospital, for patients and families identified from a proactive initial admission assessment, as well as through referrals from members of the health care team.Initiates timely referrals to other health care team members (quality improvement, risk manager, social workers, physicians, Home Services, etc.)Performs nursing activities of assessment, coordination, planning, monitoring, implementation, and evaluation. Interacts with clients, caregivers and families to assess, plan care, arrange services, monitor, and provide support and education.Proactively investigates coverage for post-hospital needs and presents options to the patient/family and provider.Provides oversight of acute setting plan of care to ensure coordination and completion of services to meet post-hospitalization needs.Lead an interdisciplinary team to achieve organizational goals related to length of stay and readmissions.Track avoidable days on inpatient stays. Readmission assessment of inpatient stays. Assess patients for post discharge needs. Participate in daily white board rounds. Arrange DME, Home Care, Hospice, assisting with returns to ECFs, and Transportation Assist any patient/family care conferences. Participate in department work groups. HRHC: make follow up appointments with primary care provider before patient discharges, makes post discharge phone calls to ensure patient is doing well and has what they need for success. Obtain prior authorizations for swing bed patients, maintain the work ques, and address denials. RMH: make follow up appointments with primary care provider before patient discharges, makes post discharge phone calls to ensure patient is doing well and has what they need for success. Initial utilization review for emergency room patients being admitted.
About Us
Find it here.
Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.
Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care.
We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information:
Compensation and Benefits
The compensation range for this position is $34.01per hour - $58.5per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit /benefits.