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RN Patient Care Navigator- Oncology
✦ New
Salary not disclosed
Hourly Pay Range:
$40.45 - $62.70 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Position Highlights:
- Sign on bonus: (if applicable)
- Position:
- Location: [City, IL]
- Full Time/Part Time: [Full Time / Part Time]
- Hours: Monday-Friday, [hours and flexible work schedules]
- Required Travel:
A Brief Overview:
The RN Transitional Care Navigator (Population Health) is responsible for the case management, care coordination management, and utilization management of his/her population of patients across multiple care levels and settings. Serves as a catalyst to promote patients understanding their diagnosis, treatment options, and available resources and ensure that they are connected with the optimal resources across the continuum of care. This role will coordinate and facilitate smooth and safe care transitions while ensuring quality cost-effective patient outcomes. Serves as a liaison between their patient population and all other providers. Will be responsible for key metrics of success, which include improving the overall cost of care, length of stay optimization, reduction in excess days, reduction in SNF utilization and improvement in SNF care transitions, reduction in 30-day readmission rate and ED utilization.
What you will do:
- Guides high-risk patient and family through the health system from diagnosis, testing, treatment and follow-up care to assist patients with navigating the continuum of care. Eliminates barriers to patient's access to health care services and facilitates continuity of care/care coordination.
- Establishes and documents an individualized plan of care for assigned patients using evidence-based treatment guidelines considering the patients individual health goals with a focus on wellness, health management, disease prevention and chronic disease management.
- Partners with the healthcare team to ensure clinical decision-making, implementation of recommendations, and discharge planning are timely and appropriate.
- Performs daily coordination between multiple departments, multi-disciplinary team, medical clinics, and community outreach to gain knowledge of patient, assure patient safety, smooth transitions of care, and manage utilization and total cost of care.
- Acts as advisor/educator by partnering with social work in providing emotional support including goals of care and counseling. Provides and/or arranges clinical education including medication management, community resources, financial resources, and expert guidance to patients and families to promote their ability to understand and meaningfully participate in the healthcare process and personal decision-making.
- Facilitates appointments for appropriate consultations and support services within established protocols
- Completes Utilization Management for assigned patients.
- Applies Milliman Care Guidelines (Indicia) criteria to monitor appropriateness of admissions and continued stays and documents findings based on Department standards.
- Monitors LOS and ancillary resource use on an ongoing basis. Takes actions to achieve continuous improvement in both areas.
- May need to travel to visit the patient at home from time to time.
- Available to his/her assigned patient population and participates as part of a call coverage structure.
- Participates in the collection and analysis of data to identify under/over utilization; improve resource consumption; promote potential reduction in cost; and enhance quality of care consistent with organization strategic goals and objectives.
What you will need:
- Bachelors Degree Health Administration Required Or
- Bachelors Degree Nursing Required
- 3 Years Utilization review, discharge planning, case management or disease management preferred. Nursing experience in home services, ambulatory services working with high-risk patients beneficial.
- 2 Years Clinical nursing experience preferred.
- Adheres to and practices in alignment with contemporary standards of care as established by leading professional organizations, including but not limited to the American Academy of Ambulatory Care Nursing (AAACN), the American Case Management Association (ACMA), and the Case Management Society of America (CMSA).
- Interacts with and contributes to professional development of peers and other health care providers as colleagues. Shares knowledge and provides feedback with peers to contribute to an environment supportive of clinical education.
- Knowledge of InterQual or MCG criteria preferred.
- Clinical certification, such as case management certification, is beneficial.
- Able to communicate and work collaboratively with a range of stakeholders and team members.
- Knowledge of community resources.
- Experience with Microsoft Office Suite.
- Strong interpersonal and oral communication skills.
- Strong computer and data entry skills.
- Experience with Electronic Medical Record (EMR) platform preferred.
- Proven leadership skills.
- Ability to work independently, setting priorities to coordinate care plan efficiently.
- Registered Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) Required And
- Certified Case Manager (CCM?) - Commission for Case Manager Certification (CCMC) Preferred Or
- Ambulatory Care Nursing (RN-BC) - American Nurses Credentialing Center (ANCC) Preferred And
- BLS ? Basic Life Support (CPR and AED) - American Heart Association (AHA) Required
Benefits:
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, and Vision options
- Tuition Reimbursement
- Free Parking at designated locations
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off
- Community Involvement Opportunities
$40.45 - $62.70 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Position Highlights:
- Sign on bonus: (if applicable)
- Position:
- Location: [City, IL]
- Full Time/Part Time: [Full Time / Part Time]
- Hours: Monday-Friday, [hours and flexible work schedules]
- Required Travel:
A Brief Overview:
The RN Transitional Care Navigator (Population Health) is responsible for the case management, care coordination management, and utilization management of his/her population of patients across multiple care levels and settings. Serves as a catalyst to promote patients understanding their diagnosis, treatment options, and available resources and ensure that they are connected with the optimal resources across the continuum of care. This role will coordinate and facilitate smooth and safe care transitions while ensuring quality cost-effective patient outcomes. Serves as a liaison between their patient population and all other providers. Will be responsible for key metrics of success, which include improving the overall cost of care, length of stay optimization, reduction in excess days, reduction in SNF utilization and improvement in SNF care transitions, reduction in 30-day readmission rate and ED utilization.
What you will do:
- Guides high-risk patient and family through the health system from diagnosis, testing, treatment and follow-up care to assist patients with navigating the continuum of care. Eliminates barriers to patient's access to health care services and facilitates continuity of care/care coordination.
- Establishes and documents an individualized plan of care for assigned patients using evidence-based treatment guidelines considering the patients individual health goals with a focus on wellness, health management, disease prevention and chronic disease management.
- Partners with the healthcare team to ensure clinical decision-making, implementation of recommendations, and discharge planning are timely and appropriate.
- Performs daily coordination between multiple departments, multi-disciplinary team, medical clinics, and community outreach to gain knowledge of patient, assure patient safety, smooth transitions of care, and manage utilization and total cost of care.
- Acts as advisor/educator by partnering with social work in providing emotional support including goals of care and counseling. Provides and/or arranges clinical education including medication management, community resources, financial resources, and expert guidance to patients and families to promote their ability to understand and meaningfully participate in the healthcare process and personal decision-making.
- Facilitates appointments for appropriate consultations and support services within established protocols
- Completes Utilization Management for assigned patients.
- Applies Milliman Care Guidelines (Indicia) criteria to monitor appropriateness of admissions and continued stays and documents findings based on Department standards.
- Monitors LOS and ancillary resource use on an ongoing basis. Takes actions to achieve continuous improvement in both areas.
- May need to travel to visit the patient at home from time to time.
- Available to his/her assigned patient population and participates as part of a call coverage structure.
- Participates in the collection and analysis of data to identify under/over utilization; improve resource consumption; promote potential reduction in cost; and enhance quality of care consistent with organization strategic goals and objectives.
What you will need:
- Bachelors Degree Health Administration Required Or
- Bachelors Degree Nursing Required
- 3 Years Utilization review, discharge planning, case management or disease management preferred. Nursing experience in home services, ambulatory services working with high-risk patients beneficial.
- 2 Years Clinical nursing experience preferred.
- Adheres to and practices in alignment with contemporary standards of care as established by leading professional organizations, including but not limited to the American Academy of Ambulatory Care Nursing (AAACN), the American Case Management Association (ACMA), and the Case Management Society of America (CMSA).
- Interacts with and contributes to professional development of peers and other health care providers as colleagues. Shares knowledge and provides feedback with peers to contribute to an environment supportive of clinical education.
- Knowledge of InterQual or MCG criteria preferred.
- Clinical certification, such as case management certification, is beneficial.
- Able to communicate and work collaboratively with a range of stakeholders and team members.
- Knowledge of community resources.
- Experience with Microsoft Office Suite.
- Strong interpersonal and oral communication skills.
- Strong computer and data entry skills.
- Experience with Electronic Medical Record (EMR) platform preferred.
- Proven leadership skills.
- Ability to work independently, setting priorities to coordinate care plan efficiently.
- Registered Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) Required And
- Certified Case Manager (CCM?) - Commission for Case Manager Certification (CCMC) Preferred Or
- Ambulatory Care Nursing (RN-BC) - American Nurses Credentialing Center (ANCC) Preferred And
- BLS ? Basic Life Support (CPR and AED) - American Heart Association (AHA) Required
Benefits:
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, and Vision options
- Tuition Reimbursement
- Free Parking at designated locations
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off
- Community Involvement Opportunities
Not Specified
P
Navigator RN - HEM ONC PSV
✦ New
Salary not disclosed
Description
The Oncology Nurse Navigator (ONN) serves as a consistent resource throughout the continuum of cancer care. This RN is knowledgeable on the multiple treatment decisions, strong emotions and financial impact of a cancer diagnosis. The ONN will triage the physical, psychological and social needs of the patient and significant others, offering intervention and /or referrals as needed. Primary goals of this position are to: 1) enable patients with information and education thus reducing a portion of the stress involved in a cancer diagnosis, 2) empower the patient to participate in their personal care process, 3) improve understanding of their decisions and treatment plans; and 4) complete the treatment though the point of survivorship planning (when applicable).
Providence caregivers are not simply valued – they’re invaluable. Join our team at Oregon Clinical Programs thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
- Education to meet certification, license or registration requirement.
- Upon hire: Oregon Registered Nurse License
- Upon hire: National Provider BLS - American Heart Association
- Within 18 months of hire: OCN
- 3 years Oncology experience.
Preferred Qualifications:
- Upon hire: OCN
- Case management or Clinical Trial Nurse experience.
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.
PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 420134
Company: Providence Jobs
Job Category: Nursing-Patient Facing
Job Function: Nursing
Job Schedule: Full time
Job Shift: Day
Career Track: Nursing
Department: 5013 PMG CP HEM ONC PSV
Address: OR Portland 9135 SW Barnes Rd
Work Location: Providence St Vincent East Pavilion-Medical Off Bldg 5
Workplace Type: On-site
Pay Range: $50.14 - $77.83
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
PandoLogic. Category:Healthcare, Keywords:Nursing Care Coordinator, Location:Portland, OR-97204
The Oncology Nurse Navigator (ONN) serves as a consistent resource throughout the continuum of cancer care. This RN is knowledgeable on the multiple treatment decisions, strong emotions and financial impact of a cancer diagnosis. The ONN will triage the physical, psychological and social needs of the patient and significant others, offering intervention and /or referrals as needed. Primary goals of this position are to: 1) enable patients with information and education thus reducing a portion of the stress involved in a cancer diagnosis, 2) empower the patient to participate in their personal care process, 3) improve understanding of their decisions and treatment plans; and 4) complete the treatment though the point of survivorship planning (when applicable).
Providence caregivers are not simply valued – they’re invaluable. Join our team at Oregon Clinical Programs thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
- Education to meet certification, license or registration requirement.
- Upon hire: Oregon Registered Nurse License
- Upon hire: National Provider BLS - American Heart Association
- Within 18 months of hire: OCN
- 3 years Oncology experience.
Preferred Qualifications:
- Upon hire: OCN
- Case management or Clinical Trial Nurse experience.
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.
PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 420134
Company: Providence Jobs
Job Category: Nursing-Patient Facing
Job Function: Nursing
Job Schedule: Full time
Job Shift: Day
Career Track: Nursing
Department: 5013 PMG CP HEM ONC PSV
Address: OR Portland 9135 SW Barnes Rd
Work Location: Providence St Vincent East Pavilion-Medical Off Bldg 5
Workplace Type: On-site
Pay Range: $50.14 - $77.83
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
PandoLogic. Category:Healthcare, Keywords:Nursing Care Coordinator, Location:Portland, OR-97204
Not Specified
S
LAB Pathology Navigator
✦ New
Salary not disclosed
Primary City/State:
Phoenix, Arizona
Department Name:
Support Ops Admin-Ref Lab
Work Shift:
Day
Job Category:
Lab
Find your Voice, Passion, & Purpose
POSITION SUMMARY
This position serves as a liaison between pathologists, clinical care teams, and reference laboratories to ensure a seamless and efficient care from diagnosis to treatment and participates in the coordination and navigation of complex molecular, esoteric, and pathology-related testing, including clinical trial referrals and multidisciplinary planning. This position is part of a centralized system support team responsible for managing pathology consults, test send outs, and data tracking related to molecular testing and plays a critical role in ensuring appropriate tissue handling, test utilization, and billing processes are followed. While these standards are intended to be an accurate reflection of the job requirements, management reserves the right to modify add/or remove duties and to assign other duties as necessary.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.
CORE FUNCTIONS
1. Acts as a centralized resource for the Banner sites and promotes cross-departmental collaboration to support standardized, efficient workflows for pathology and molecular testing, while positively promoting the Mission, Vision and Values of the company and supporting the Road Map.
2. Coordinates triage of pathology specimens and molecular test requests communicates with the clinical care team to gather pertinent clinical history, pathology reports, and progress notes as well as supports the organization and facilitation of multidisciplinary tumor boards and planning conferences.
3. Sends specimens to designated reference laboratories for molecular and esoteric testing and tracks testing status and reports results to appropriate care teams in a timely manner. Enters and manages molecular and pathology data to support research, quality initiatives, reporting requirements, and appropriate billing practices.
4. Serves as a resource, communicating courteously, effectively, and accurately with internal and external customers to include molecular testing vendors. Interacts with peers and coworkers with an emphasis on teamwork and a strong focus on customer service excellence. Functions as a liaison between and partners with other departments, as necessary.
5. Works closely with pathology, histology and referral laboratories to ensure best utilization of tissues to ensure it is prepared appropriately for requested testing. Mentors staff and helps develop policies.
NOTE: The core functions are intended to describe the general content and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by leadership.
MINIMUM QUALIFICATIONS
High school diploma or equivalent.
Five (5) years of experience in pathology, laboratory services, molecular testing coordination, or related clinical setting.
Proficient in Microsoft Office Suite and laboratory information systems (LIS).
Must possess a valid driver's license.
PREFERRED QUALIFICATIONS
Project Management experience, with knowledge or application of Lean and Six Sigma methodologies.
Direct experience with multi-site operations and system-level responsibilities. Strong organizational, analytical, and communication skills.
Knowledge of regulatory and billing practices related to molecular testing.
Bachelor's degree in business, health care administration or related field.
Additional related education and/or experience.
EEO Statement:
EEO/Disabled/Veterans
Our organization supports a drug-free work environment.
Privacy Policy:
Privacy Policy
Phoenix, Arizona
Department Name:
Support Ops Admin-Ref Lab
Work Shift:
Day
Job Category:
Lab
Find your Voice, Passion, & Purpose
POSITION SUMMARY
This position serves as a liaison between pathologists, clinical care teams, and reference laboratories to ensure a seamless and efficient care from diagnosis to treatment and participates in the coordination and navigation of complex molecular, esoteric, and pathology-related testing, including clinical trial referrals and multidisciplinary planning. This position is part of a centralized system support team responsible for managing pathology consults, test send outs, and data tracking related to molecular testing and plays a critical role in ensuring appropriate tissue handling, test utilization, and billing processes are followed. While these standards are intended to be an accurate reflection of the job requirements, management reserves the right to modify add/or remove duties and to assign other duties as necessary.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.
CORE FUNCTIONS
1. Acts as a centralized resource for the Banner sites and promotes cross-departmental collaboration to support standardized, efficient workflows for pathology and molecular testing, while positively promoting the Mission, Vision and Values of the company and supporting the Road Map.
2. Coordinates triage of pathology specimens and molecular test requests communicates with the clinical care team to gather pertinent clinical history, pathology reports, and progress notes as well as supports the organization and facilitation of multidisciplinary tumor boards and planning conferences.
3. Sends specimens to designated reference laboratories for molecular and esoteric testing and tracks testing status and reports results to appropriate care teams in a timely manner. Enters and manages molecular and pathology data to support research, quality initiatives, reporting requirements, and appropriate billing practices.
4. Serves as a resource, communicating courteously, effectively, and accurately with internal and external customers to include molecular testing vendors. Interacts with peers and coworkers with an emphasis on teamwork and a strong focus on customer service excellence. Functions as a liaison between and partners with other departments, as necessary.
5. Works closely with pathology, histology and referral laboratories to ensure best utilization of tissues to ensure it is prepared appropriately for requested testing. Mentors staff and helps develop policies.
NOTE: The core functions are intended to describe the general content and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by leadership.
MINIMUM QUALIFICATIONS
High school diploma or equivalent.
Five (5) years of experience in pathology, laboratory services, molecular testing coordination, or related clinical setting.
Proficient in Microsoft Office Suite and laboratory information systems (LIS).
Must possess a valid driver's license.
PREFERRED QUALIFICATIONS
Project Management experience, with knowledge or application of Lean and Six Sigma methodologies.
Direct experience with multi-site operations and system-level responsibilities. Strong organizational, analytical, and communication skills.
Knowledge of regulatory and billing practices related to molecular testing.
Bachelor's degree in business, health care administration or related field.
Additional related education and/or experience.
EEO Statement:
EEO/Disabled/Veterans
Our organization supports a drug-free work environment.
Privacy Policy:
Privacy Policy
Not Specified
Mammography Technologist Navigator
✦ New 🏢 UCHealth
$40.40 - $56.56 / hour
Description
Location: UCHealth Cherry Creek Medical Center, Denver, CO
Department: UIS Cherry Creek Mammo
Work Schedule: Full Time, 80.00 hours per pay period (2 weeks)
Shift: Days
Pay: $40.40 - $56.56 / hour. Pay is dependent on applicant's relevant experience
This position is an onsite role and does not offer a hybrid or remote option
Click here to connect with a Recruiter to learn more
Minimum Requirements:
At UCHealth, We Improve Lives
Picture yourself on a dynamic team improving lives in the following way(s):
Employees are our number one asset.
UCHealth promotes a culture that invests in professional success and personal well-being through a comprehensive total rewards program. *
Recognition
Health and well-being
Retirement and savings
Education and career growth
*Eligibility for some programs is based on an employee's scheduled work hours.
We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.
UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.
UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when the do not impose an undue hardship on the organization.
AF123
Who We Are ( )
Location: UCHealth Cherry Creek Medical Center, Denver, CO
Department: UIS Cherry Creek Mammo
Work Schedule: Full Time, 80.00 hours per pay period (2 weeks)
Shift: Days
Pay: $40.40 - $56.56 / hour. Pay is dependent on applicant's relevant experience
This position is an onsite role and does not offer a hybrid or remote option
Click here to connect with a Recruiter to learn more
Minimum Requirements:
- Graduate of an accredited Radiologic Technology program or an accredited Diagnostic Medical Sonography program.
- American Registry of Radiologic Technologists (ARRT) Mammography (M) OR American Registry of Radiologic Technologists (ARRT) Breast Sonography (BS) OR American Registry for Diagnostic Medical Sonography (ARDMS) Breast (BR).
- 3 years of breast imaging experience in mammography or breast sonography. Preferred: Experience in a comprehensive breast center.
- BLS - BLS through the American Heart Association or the American Red Cross CPR for the Professional Rescuer with card in-hand before start date. BLS or CPR card must be good through sixty days of hire.
At UCHealth, We Improve Lives
Picture yourself on a dynamic team improving lives in the following way(s):
- Provides top of scope practice in direct patient care
- Values a multidisciplinary team approach to achieve exceptional outcomes
- Models proficiency through precepting those new to UCHealth
- Welcomes new knowledge in a fast paced, innovative clinical environment
- Contributes to secure safety and quality at the point of care
Employees are our number one asset.
UCHealth promotes a culture that invests in professional success and personal well-being through a comprehensive total rewards program. *
Recognition
- Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure. The bonus accumulates annually each October and is paid out in October during the third year of employment.
- Performance-based pay increase: The Annual Merit Pay Increase recognizes work performance that meets or consistently exceeds performance standards documented through UCHealth's established evaluation process and accounts for increased experience, skills and cost of living.
- Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns with market standards. Base pay rates are adjusted as needed to stay market competitive.
Health and well-being
- Medical, dental and vision coverage.
- Access to 24/7 mental health and well-being support for employees and dependents.
- Discounted gym memberships and fitness resources.
- Free membership.
- Voluntary benefits such as accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.
- Time away from work: Paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence.
- New employees receive an initial PTO load with first paycheck.
- Employer-provided basic life and accidental death and dismemberment coverage with buy-up coverage options.
- Employer-provided short-term disability and long-term disability with a buy-up coverage option.
Retirement and savings
- 403(b) plan with employer matching contribution.
- Additional 457(b) plan may be available.
- Flexible spending accounts for health care and dependent day care; health savings account available when enrolled in high-deductible (HD) medical plan.
Education and career growth
- UCHealth provides access to academic degrees and certificate programs to promote professional and personal growth.
- Up to 100% of tuition, books and fees paid for by UCHealth for specific educational degrees.
- Other programs may qualify for up to $10,000/year pre-paid by UCHealth or up to $5,250/year in the form of tuition reimbursement.
- Access to LinkedIn Learning, which offers thousands of virtual courses and seminars, and internal professional development opportunities.
- Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness.
*Eligibility for some programs is based on an employee's scheduled work hours.
We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.
UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.
UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when the do not impose an undue hardship on the organization.
AF123
Who We Are ( )
permanent
Registered Nurse Patient Navigator Lead - Chemotherapy
0 - 0
Description Summary: The Registered Nurse Patient Navigator Lead is a Registered Nurse or licensed Nurse Practitioner who provides health and wellness coaching, case management services, analysis and expertise regarding CHRISTUS services.
These services will be provided by monitoring cases and claims, analyzing biometric and health risk assessment data, organizing disease management programs and proactively interacting with members, physicians and other providers.
Incumbent oversees integrated data warehouse including program utilization, disease management programs and contracted provider network support.
Responsibilities: Oversee the development, implementation and management of an integrated medical benefit program including case management and health/disease management.
Establish a system for coordinating the caseload patient's care throughout the continuum of care.
Use standard tools, databases and methodologies to support the health benefit program and provide leadership in managing cases, events and diseases that are determined to be targeted priorities by Senior Management of contracted employers.
Interact with providers and plan members in case management medical activities to provide the most efficient and effective service.
Identify targeted chronic diseases/high risk individuals (with vendor support) and develop programs to reduce the financial and health risks, using internal hospital programs/services whenever possible.
Monitor and evaluate the effects of case management on the patient population.
Create outcomes-management focus by interdisciplinary analysis of specific clinical, financial and satisfaction elements for the patient population.
Assist in the analysis of demographics, utilization and reimbursement.
Prepare cost analysis and other reports to determine the reasonableness of claim/cost data and utilization rates.
Make recommendations based on data analysis for benefit structure, pharmacy formulary, deductibles, co-pays, out of pocket, etc.
to contracted employer groups.
Maintain consistent attendance, punctuality and personal appearance in accordance with CHRISTUS attendance and dress code policies.
Uphold organizational values by treating others with respect, keeping commitments and working ethically and with integrity.
Attend meetings as required and participate in team activities.
Exhibit confidence, motivate and inspire others.
Establish and maintain effective working relationships with team members, patients and the public by demonstrating the ability to communicate verbally and in writing while responding clearly and effectively.
Demonstrate the ability to read and respond to e-mail and appointment requests in a timely manner and on a regular basis.
Use time efficiently, plan for additional resources, set goals and objectives and work in an organized manner.
Demonstrate safety practices and maintain a safe environment for patients, visitors and fellow team members by following established safety and infection control standards.
Requirements: Education/Skills Associate's Degree in Nursing Experience 5 to 7 years of experience Licenses, Registrations, or Certifications RN License in state of employment or compact BLS Work Schedule: 5 Days
- 8 Hours Work Type: Full Time
These services will be provided by monitoring cases and claims, analyzing biometric and health risk assessment data, organizing disease management programs and proactively interacting with members, physicians and other providers.
Incumbent oversees integrated data warehouse including program utilization, disease management programs and contracted provider network support.
Responsibilities: Oversee the development, implementation and management of an integrated medical benefit program including case management and health/disease management.
Establish a system for coordinating the caseload patient's care throughout the continuum of care.
Use standard tools, databases and methodologies to support the health benefit program and provide leadership in managing cases, events and diseases that are determined to be targeted priorities by Senior Management of contracted employers.
Interact with providers and plan members in case management medical activities to provide the most efficient and effective service.
Identify targeted chronic diseases/high risk individuals (with vendor support) and develop programs to reduce the financial and health risks, using internal hospital programs/services whenever possible.
Monitor and evaluate the effects of case management on the patient population.
Create outcomes-management focus by interdisciplinary analysis of specific clinical, financial and satisfaction elements for the patient population.
Assist in the analysis of demographics, utilization and reimbursement.
Prepare cost analysis and other reports to determine the reasonableness of claim/cost data and utilization rates.
Make recommendations based on data analysis for benefit structure, pharmacy formulary, deductibles, co-pays, out of pocket, etc.
to contracted employer groups.
Maintain consistent attendance, punctuality and personal appearance in accordance with CHRISTUS attendance and dress code policies.
Uphold organizational values by treating others with respect, keeping commitments and working ethically and with integrity.
Attend meetings as required and participate in team activities.
Exhibit confidence, motivate and inspire others.
Establish and maintain effective working relationships with team members, patients and the public by demonstrating the ability to communicate verbally and in writing while responding clearly and effectively.
Demonstrate the ability to read and respond to e-mail and appointment requests in a timely manner and on a regular basis.
Use time efficiently, plan for additional resources, set goals and objectives and work in an organized manner.
Demonstrate safety practices and maintain a safe environment for patients, visitors and fellow team members by following established safety and infection control standards.
Requirements: Education/Skills Associate's Degree in Nursing Experience 5 to 7 years of experience Licenses, Registrations, or Certifications RN License in state of employment or compact BLS Work Schedule: 5 Days
- 8 Hours Work Type: Full Time
Not Specified
RN Patient Care Navigator - Stroke Program
🏢 Endeavor Health
Salary not disclosed
Hourly Pay Range:
$40.45 - $62.70 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Position Highlights:
- Position: RN Patient Care Navigator ? Stroke Program
- Location: Evanston Hospital
- Part Time: 24 hours/week
- Hours: 2 x 12-hour shifts ? 7:00AM-7:00PM during the week
What you will do:
- Renders professional nursing care to assist physician and APP providers in managing the care of patients who present with signs and symptoms of acute stroke. Skilled in treating deteriorating and emergent patient conditions. Employs critical thinking skills, assesses patient conditions, recognizes deviations, implements appropriate treatment protocols for specific emergencies, evaluates patient response, records observations, and interventions, assists with transport to emergency testing and transfer to higher level of care as indicated. Collaborates with stroke coordinator and neurosciences team to ensure care delivery meets comprehensive stroke center standards. Delivers education and serves as a resource for patients diagnosed with stroke and their care partners.
What you will need:
- Bachelor's Degree in Nursing
- Minimum three years of RN acute care experience in the treatment of stroke patients
- Current State of Illinois Registered Nurse licensure
- Current CPR Certification (BLS) issued by American Heart Association or American Red Cross
- Current ACLS Certification issued by American Heart Association
- Current National Institute of Health Stroke Scale (NIHSS) Certification
Education, Experience and/or Skills Preferred:
- Minimum five years of RN critical care experience
- Experience delivering care to patients diagnosed with acute stroke
- Ability to maintain a calm and professional demeanor during stressful circumstances
- Strong communication skills
Benefits offered by Endeavor Health include:
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, Pet and Vision options
- Tuition Reimbursement
- Free Parking
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals ? Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) ? all recognized as Magnet hospitals for nursing excellence. For more information, visit you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website ( ) to better understand how Endeavor Health delivers on its mission to ?help everyone in our communities be their best?.
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
$40.45 - $62.70 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Position Highlights:
- Position: RN Patient Care Navigator ? Stroke Program
- Location: Evanston Hospital
- Part Time: 24 hours/week
- Hours: 2 x 12-hour shifts ? 7:00AM-7:00PM during the week
What you will do:
- Renders professional nursing care to assist physician and APP providers in managing the care of patients who present with signs and symptoms of acute stroke. Skilled in treating deteriorating and emergent patient conditions. Employs critical thinking skills, assesses patient conditions, recognizes deviations, implements appropriate treatment protocols for specific emergencies, evaluates patient response, records observations, and interventions, assists with transport to emergency testing and transfer to higher level of care as indicated. Collaborates with stroke coordinator and neurosciences team to ensure care delivery meets comprehensive stroke center standards. Delivers education and serves as a resource for patients diagnosed with stroke and their care partners.
What you will need:
- Bachelor's Degree in Nursing
- Minimum three years of RN acute care experience in the treatment of stroke patients
- Current State of Illinois Registered Nurse licensure
- Current CPR Certification (BLS) issued by American Heart Association or American Red Cross
- Current ACLS Certification issued by American Heart Association
- Current National Institute of Health Stroke Scale (NIHSS) Certification
Education, Experience and/or Skills Preferred:
- Minimum five years of RN critical care experience
- Experience delivering care to patients diagnosed with acute stroke
- Ability to maintain a calm and professional demeanor during stressful circumstances
- Strong communication skills
Benefits offered by Endeavor Health include:
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, Pet and Vision options
- Tuition Reimbursement
- Free Parking
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals ? Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) ? all recognized as Magnet hospitals for nursing excellence. For more information, visit you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website ( ) to better understand how Endeavor Health delivers on its mission to ?help everyone in our communities be their best?.
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
Not Specified
M
Bilingual Health Insurance Navigator
✦ New
$28.80 - 38.30
Join Us in Shaping the Future of Health Care
At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team.
What's in it for you:
- Growth opportunities to uplevel your career
- A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
- Competitive compensation and comprehensive benefits focused on well-being
- An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.
You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.
Qualifications you'll bring:
- Two or more years in a customer service or sales environment, with some experience in the health care industry such as a hospital, medical office, or health insurance company.
- The ability to speak more than one language (for example, English and Spanish).
- An Associate's degree or equivalent combination of education and related experience.
- The availability to work full-time, hybrid, including local travel weekdays, nights and weekend for events.
- Must have a valid driver's license.
- Curiosity to foster innovation and pave the way for growth.
- Humility to play as a team.
- Commitment to being the difference for our customers in every interaction.
Your key responsibilities:
- Spearhead our membership growth initiatives in crucial target areas by identifying eligible individuals and seamlessly enrolling them in a variety of plans including Medicaid, Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans (D-SNP).
- Conduct both individual and group outreach activities to present our innovative health care solutions on- and off-site at various events-from health fairs and community expos to festivals and holiday-themed gatherings-ensuring MVP's presence is both seen and felt. Your collaborative efforts alongside our Field Marketing and Community Engagement Representatives will be pivotal in driving growth and visibility in assigned territories.
- Foster positive relationships with community-based organizations, medical provider partners, and community contacts to develop a robust network within your territory.
- Navigate the local landscape with required travel , embracing the opportunity to bring MVP's customer-centric philosophy to life across our footprint.
- Participate in necessary screenings and provide proof of immunization as part of our commitment to community well-being.
- Demonstrate the dynamic capability to transport up to 30 lbs. of promotional materials, which play a key role in educating and empowering our customers about their health care choices.
- Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing health care delivery and being the difference for the customer.
Where you'll be:
- Remote with local travel in Dutchess or Orange Counties. (This opportunity includes salary, travel reimbursement and incentives)
Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
We do not request current or historical salary information from candidates.
$28.80-$38.30
MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at .
permanent
Patient Care Navigator (SEGUIN)
✦ New
Salary not disclosed
University Health System is Bexar County and South Texas' first health system to earn Magnet status from the American Nurses Credentialing Center (ANCC). Magnet hospitals and health systems offer patients reassurance that they are being cared for by a team with a proven track record for providing excellent care and positive outcomes for their patients.
Nurse Case Manager II: Discover your life-changing career at University Health System. We are currently searching for RN's looking for a challenge in their career. Nurse Case Managers enjoy the gratification of patient care and also the rewarding challenges of a leadership role.
Qualifications
- BSN highly preferred
- Two years' experience in any case management setting or Acute Care is required
- Current CPR card American Heart Association preferred
- Current Texas RN License
- National Certification in case management is highly preferred
Not Specified
Healthcare Navigator (PLEASANTON)
🏢 University Health
Salary not disclosed
POSITION SUMMARY/RESPONSIBILITIES
Care Coordinator will be instrumental in assisting the department and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to eligible Medicare Advantage beneficiary. Will monitor opportunities within the Medicare managed group to enhance financial outcomes. Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across the healthcare continuum. Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the patient advocate to identify and communicate health care needs. Works collaboratively with clinical staff, clinic leadership, and outside agencies in an effort to improve patient outcomes, compliance, and decrease complications.
EDUCATION/EXPERIENCE
Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full time hospital experience preferred. Work experience in case management, utilization review, or hospital quality assurance experience is preferred.
LICENSURE/CERTIFICATION
Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse Educator certification is highly desirable. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
Care Coordinator will be instrumental in assisting the department and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to eligible Medicare Advantage beneficiary. Will monitor opportunities within the Medicare managed group to enhance financial outcomes. Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across the healthcare continuum. Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the patient advocate to identify and communicate health care needs. Works collaboratively with clinical staff, clinic leadership, and outside agencies in an effort to improve patient outcomes, compliance, and decrease complications.
EDUCATION/EXPERIENCE
Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full time hospital experience preferred. Work experience in case management, utilization review, or hospital quality assurance experience is preferred.
LICENSURE/CERTIFICATION
Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse Educator certification is highly desirable. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
permanent
Health Plan Nurse Navigator (PLEASANTON)
🏢 University Health
Salary not disclosed
POSITION SUMMARY/RESPONSIBILITIES
Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members.
EDUCATION/EXPERIENCE
Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master’s degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred.
LICENSURE/CERTIFICATION
Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members.
EDUCATION/EXPERIENCE
Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master’s degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred.
LICENSURE/CERTIFICATION
Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
permanent
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