Christus Health Remote Careers Jobs in Usa

Summary:

An LVN/ LPN plays a crucial role in managing patient care and ensuring continuity of services. The Care Coordinator is responsible for making telephonic outreaches to members attributed to our value-based contacts. They support the ACO and CIN network providers and practices in successfully meeting quality improvement initiatives, monitoring standards of care and managing high risk multi morbidity patient populations across CHRISTUS Health ministries. The role focuses on improving quality care gaps, promoting preventive care, and improving patient outcomes.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Mentor, train and support the team of care coordinators, ensuring high-quality care and adherence to best practices. Assist with work assignments and development of new work processes as needed. Coordinate and assist with associate onboarding. Create education material for training.
• Monitor and ensure compliance with all regulatory requirements, organizational policies, standing delegated orders and protocols.
• Identify quality gaps and risk adjustment gaps. Participate in Quality Improvement Programs as indicated. Attend learning sessions and share information learned with team members. Assist in the development of tools, education, and workflow processes to assist the network in meeting CMS, ACO, documentation, and payor quality initiatives.
• Conducts internal review audits to facilitate feedback for documentation and efficiency of the care coordination team.
• Support Primary Care Providers and assist patients in scheduling preventative screenings and appropriate appointments. Maintain ongoing communication with healthcare providers through various tools and meetings.
• Monitor value-based care quality performance and pulls reports to identify open care gaps. Conducts telephonic outreach on behalf of providers to close care gaps & address medication adherence to facilitate star rating and quality performance.
• Providing counseling and health education to patients and families, using appropriate materials and standardized protocols. Serve as a subject matter expert in care transitions & quality metrics. Assist in educating practice staff on quality, payor, and government program requirements.
• Communicate resources and services available to patients through the continuum of care.
• Escalate health concerns to Primary Care providers and place referrals to appropriate care team members, i.e., Nurse Navigation, CHW, etc. Develop professional working relationships with ACO and CIN network providers, practice managers, and their staff to collaboratively manage follow-up care and improve overall health and wellness. Conduct in-person and virtual meetings with practice managers, staff, providers and managers to communicate program goals, results, and provide education.
• Document relevant, comprehensive information and data using standard assessment tools. Maintain patient chart compliance through proper documentation and updated: preventative screenings, medical history, medication, and immunizations.
• Unburden primary care providers by placing approved orders for labs and other screenings as per the Standing Delegated orders.
• Perform Transition of Care calls on patients transitioning from an inpatient stay to home, or emergency department encounter to identify the need for a follow-up appointment, community resource needs, scheduling follow-up appointments, reviewing discharge instructions, and medications. Utilizing clinical judgment and problem-solving skills to coordinate appropriate care with physicians and Nurse Navigation.
• Prepare and maintain Transitions of Care and Care Management reports and provide periodic updates to network leaders.
• Must have strong leadership, exceptional oral communication skills, strong organizational and analytical skills, ability to adapt to change and motivate a team.
• Must have a strong ability to multi-task and coordinate multiple projects.
• Perform other duties as assigned.

Job Requirements:

Education/Skills
• High School Diploma required.

Experience
• Minimum of 3 years of clinical or home health experience required.
• 5 years supporting value-based care programs, accountable care organizations, or HEDIS
• Knowledge of government programs (CMS), accountable care organizations (ACOs), HEDIS, and experience with payor cost sharing initiatives preferred.
• Knowledge of physician office practice operations and 3 years of experience in a physician practice is preferred.
• Proficiency in keyboarding and EHR systems, primarily Epic.

Licenses, Registrations, or Certifications
• LVN/ LPN in the state of employment and/or compact licensure required.

In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time

Summary:

The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services “CMS” Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and guidelines related to UM. This nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services. The Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• The prior authorization role completes an assessment of a proposed service to determine if the beneficiary has eligible coverage for the service and if it is medically necessary.
• Promote quality, cost-effective outcomes through prior authorization and concurrent review of requested services for medical necessity based upon evidence-based clinical guidelines.
• Identify and present cases of possible quality of care deviations, questionable admissions, and prolonged lengths of stay to the Medical Director for further determination.
• Appropriately refer beneficiaries who have complex or chronic conditions, a need for transition of care, disease management support, or other identifiable needs for coordination of the beneficiary’s member’s health care for behavioral health care management.
• Follow CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent, or detect unauthorized disclosure of Protected Health Information (PHI).
• Protect the confidentiality of data and intellectual property; assures compliance with national health information guidelines.
• Analyze clinical information submitted by medical providers to evaluate the medical necessity, appropriateness, and efficiency of the use of medical services, procedures, and facilities.
• Perform provider outreach to address post-hospital discharge services, redirection to in-network providers for appropriate steerage, durable equipment usage, and utilization of other medical services and/or procedures and other necessary telephonic follow-up.
• Utilize the nursing process and critical thinking skills to provide oversight of services and evaluation of service options.
• Ability to work in a variety of settings with culturally diverse communities with the ability to be culturally sensitive and appropriate. 
• Must have excellent communication skills (written and verbal), clinical judgment, initiative, critical thinking, and problem-solving abilities.
• Must be able to take after hour calls to meet business requirements as needed.

Job Requirements:

Education/Skills

• Graduate of an accredited school of vocational nursing or equivalent required
• Associate’s (ADN) or Bachelor’s (BSN) in Nursing preferred

Experience

• 3 – 5 years of nursing experience preferred
• Experience in Microsoft software (e.g., Outlook, Teams, Word, and Excel) required
• General computer knowledge and capability to use computers required

Licenses, Registrations, or Certifications

• LVN license in the state of employment or compact required
• RN license in state of employment or compact preferred

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time

Summary:

The Radiology Technologist will perform a wide variety of routine and advanced imaging procedures, will provide support for other imaging technologists as needed, and help to facilitate smooth and efficient patient flow. The technologist will demonstrate flexibility by working other shifts and/or at other campuses as needed or required. The technologist must be able to troubleshoot basic maintenance, participate in QA, and resolve issues related to image processing and the image archiving system. Expectation to participate in ongoing education, safety, and technical advances within their scope of licensure. The Technologist will adhere to, and maintain, the expected imaging competencies as outlined by management. Behavior and communication skills must align with the organization's mission, values, and culture.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Demonstrates adherence to the Core Values of CHRISTUS Health.
• Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability.
• Promotes staff growth, development, and employee engagement by collaborating with management, coworkers, and physicians to create an optimal work environment.
• Promotes exceptional physician satisfaction by providing meaningful assistance to radiologists and referring physicians.
• Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties.
• Appropriately adapt assigned patient assessment, treatment, and/or care methods to accommodate the unique physical, psychosocial, cultural, spiritual, age-specific, and other developmental needs of each patient served.
• Ensures compliance with all policies, procedures, and standards of care as deemed appropriate by State and Federal agencies, the hospital, and other regulatory entities.
• Performs examinations/procedures as needed to assist in patient throughput within the scope of the Manager’s license(s), certification(s), and/or documented competencies.
• Demonstrates flexibility by working other shifts and at other campuses as needed or required.
• Ensures completed exams are scanned and stored correctly in PACS.
• Ability to follow PACS downtime procedures as a PACS Superuser and escalate any problem(s) or issue(s) to the PACS administrator or Designee if needed.
• Troubleshoots and reports any equipment malfunctions to the Director/Manager and/or Biomedical personnel; does appropriate follow-up.
• Performs other duties as assigned.

Job Requirements:

Education/Skills

• Graduate of an accredited school of Radiology Technology or other accepted and approved equivalent required

Experience

• 1 year of experience in a hospital preferred
• Basic computer experience required

Licenses, Registrations, or Certifications

• Radiography (R) by ARRT is required
• State Licensure required
  • Texas: MRT by TMB
  • Louisiana: LRT (R) or (F) by LSRTBE
  • New Mexico: RRT by MIRTP NMED
• BLS required

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time

Position Highlights:

CHRISTUS St. Vincent, Behavioral Heath (PMHNP) career opportunity, please contact .

Our growing behavioral health team is seeking a fulltime PMHNP with a year or more of experience to provide fulltime outpatient care. The PMHNP willwork in the clinic while caring for patients and fulfilling the need as an advanced practice provider performing select medical services. The PMHNP is responsible for obtaining an accurate medical history, performing appropriate examinations, ordering laboratory and radiologic tests if needed, establishing a diagnosis, and implementing a treatment plan which may include prescribing medications. On-call hours may be required

We offer a competitive salary and benefits package. Join our team and discover why people who work with us have voted us as one of New Mexico's Best Places to Work and designated CHRISTUS St. Vincent a Family Friendly business for the last six consecutive years.

Organization & Culture Summary:

CHRISTUS St. Vincent is a not-for-profit integrated health system located in the beautiful mountain-west city of Santa Fe, New Mexico. Our 200 bed facility is a level III trauma center providing the region's 300,000+ residents with compassionate, high quality care. Our 2,500+ associates and providers work through hospital and regional outpatient clinics to offer 39 major medical services and lines of specialty care.

As a member of the Mayo Clinic Care Network, we are part of a select group of independent health systems which have been granted special access to Mayo Clinic's expertise and resources. This membership allows our physicians to combine their understanding of unique medical needs with Mayo Clinic expertise so that our patients get exactly the care they need right here, close to home.

CHRISTUS St. Vincent is a compassionate family of healthcare providers who care deeply about making a positive, healthy impact in our community.

Santa Fe Living:

Enjoy 300+ sunny days per year, short commute times, as well as a thriving cultural, art, and music scene. ranked Santa Fe #4 for The Best Home Base Cities for Adventure Enthusiasts. With 300 miles of bike trails, an extensive wilderness trail, the legendary Santa Fe Margarita Trail and five ski areas, streams and lakes, all within two or less hours of the historic downtown plaza, Santa Fe offers ample outdoor opportunities to enjoy year round. We are New Mexico's Capitol City and have earned national and international recognitions. To learn much more about Santa Fe living, visit:

Requirements:

·NP certified (one or more years of experience required)

·State medical license