Collaborative Filtering And Content Based Filtering Jobs in Usa

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.

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.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

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.

Hours of Work: Monday - Thursday, 5pm - 8am

PRIMARY JOB DUTIES
1.    Assesses, interprets, plans, implements and evaluates patients according to the patient’s age, diagnosis, and prognosis.
2.    Effectively and efficiently manages the assessment of new patients and coordinates care with an interdisciplinary team and performs follow up visits when necessary.
3.    Appropriately communicates with the physician (Attending and Hospice) regarding the patient’s needs, response to treatment, and changes in the patient’s condition; obtain/receive physician orders as required.
4.    Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care.
5.    Respond promptly to on-call patient needs, including questions, concerns, symptoms, and requests for visits and death visits.
6.    Organizes and performs work effectively and efficiently.
7.    Maintains and adjusts schedule to enhance agency performance.
8.    Demonstrates a daily commitment to the values of the agency.
9.    Demonstrates positive interpersonal relations in dealing with all members of the agency.
10.    Maintains and promotes customer satisfaction.
11.    Effectively demonstrates the mission, vision, and values of the Agency on a daily basis.

 
1.0    40%    QUALITY OF WORK:
        
1.1    15%    Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively develop the Plan of Care for each patient as evidenced by:
•    Develop nursing intervention based on physiological needs and clinical assessment appropriate for the patient’s age and developmental stage.
•    Providing and/or facilitating beginning education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family.
•    In collaboration with the patient/family and the physician, performs and documents a thorough, timely initial assessment to determine the eligibility for hospice and to identify needs and problems based on age and prognosis.
•    Collaborates with the patient, physician (Attending and Hospice) and other members of the interdisciplinary team in developing an individualized plan of care appropriate to patient’s age and clinical status.
•    Implements interventions in a manner consistent with agency policy and discipline standards.  Evaluates patient response to interventions according to agency policy.
•    Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care.
                 
    1.2        12%            Effectively and efficiently manages the care of new admissions and coordinates care with interdisciplinary team.
•    Plans admission process the day before admission when possible by calling patient and gathering necessary supplies and paperwork.
•    Conferences with case manager and other members of interdisciplinary team regarding the status of patient and provides appropriate paperwork to follow the plan of care.
•    Make appropriate referrals to other disciplines when indicated and provides information related to patient’s status.
•    Appropriately informs the physician (Attending and Hospice) and other members of interdisciplinary team of any changes in patient’s condition, safety issues, or other complications that might impede the plan of care.
•    Informs supervisor of any potential or actual client concerns, risk  management issues and referrals to Child/Adult Protective Services 100% of time.
•    Provides scheduled and PRN visits to patients when requested by the Management Team.

    1.3        8%            Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines as evidenced by:
•    Completes all forms accurately and in accordance with agency guidelines/policies.
•    Appropriately describes the patient’s functional limitations to justify hospice eligibility.
•    Documents all verbal orders for new or changed orders according to agency guidelines.
•    Completes clinical notes in accordance with agency guidelines and time frames.
•    Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines.
•    Documents involvement of the patient and family in the development of the plan of care.
                  
    1.4        5%            Contributes to program effectiveness as evidenced by:
•    Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the hospice mission.
•    Incorporating recommendations and goals of other disciplines and patient/family into nursing visits.
•    Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care.
•    Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance.
•    Promoting change and being proactive in suggesting ideas and new ways of doing things.
•    Demonstrating ability to prioritize and enhance services during fluctuating patient census.
         
    2.0        20%        PRODUCTIVITY/USE OF TIME:
                    
    2.1        10%        Organizes and performs work effectively and efficiently as evidenced by:
•    Participating in continuous performance improvement and completing all required educational programs for the Agency and profession.
•    Recognizing and performing duties in an independent manner.
•    Accepting personal responsibility for the completion and quality of work outcomes.
•    Meeting assigned deadlines.
•    Maintaining a clean and safe environment.
                 
    2.2        10%        Maintains and adjusts schedule to enhance team performance as evidenced by:
•    Reporting to work on time and returning promptly from errands, breaks, and meals.
•    Managing personal work schedule and time off to promote smooth agency/unit operations.
•    Assisting other team members to ensure completion of all work assignments.
•    Demonstrating flexibility with changing workload/assignments.
                
    3.0        20%        TEAM WORK:
 Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:
    
•    Communicating in a positive and productive manner.
•    Demonstrating respect for team members.
•    Managing stress and personal feelings without a negative impact on the team.
•    Maintaining positive attitude about assignments and team members.
•    Promoting professional / personal growth of co-workers by sharing knowledge and resources.
•    Working collaboratively and cooperating with other agencys / units.

     
4.0    20%    MISSION, VISION, VALUES:
        
4.1       10%    Maintains and promotes customer satisfaction.

•    Responding to all customers in a courteous, sensitive and respectful manner.
•    Abiding by the confidentiality and ethics policies of Well Care Hospice.
•    Participates in community outreach activities that promotes goals and objectives of the agency.
        
4.2    10%    Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by:

•    Practicing personal cost containment by responsible use of equipment, supplies, and resources.
•    Completing the review period without a formal disciplinary action.*
•    Presenting a clean and neat appearance in personal attire and one’s work area.
•    Performing his / her job in accordance with documented procedures established to maintain the safety and health of patients, employees, and visitors and demonstrates compliance in the proper wearing and use of protective clothing and equipment to conform to the OSHA Blood Borne Pathogen Standard and also reports any exposure to the appropriate Manager in a timely manner.*
* Not exceedable.

Failure to “Meet” an asterisk category will result in a “Does Not Meet” for the standard.
 
JOB SPECIFICATIONS
  1.    Education:  Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program.

  2.    Licensure / Certifications:  Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification.

  3.    Experience:  Minimum of one years’ clinical experience required; hospice experience preferred.

  4.    Essential Technical/Motor Skills:  Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements.  Advanced customer service skills to respond with simple answers, etc.

  5.    Interpersonal Skills:  Ability to work independently as well as effectively as part of an interdisciplinary team.

  6.    Essential Physical Requirements:  Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care.  Requires frequent pushing, moving, lifting of patients.  Positioning of patients, giving patients baths and ambulating patients expending much physical effort.  Occasionally requires reac

The Licensed Practical Nurse (LPN) role at the Sanctuary of Holy Cross in South Bend, Indiana, involves providing direct nursing care to residents and supervising daily nursing activities to ensure compliance with healthcare standards and regulations. Key responsibilities include:

• Direct Resident Care: Administer medications, perform wound care, assist with mobility, and monitor vital signs.
• Supervision: Oversee nursing staff during shifts, ensuring adherence to care plans and regulatory standards.
• Compliance: Maintain accurate medical records and ensure all practices meet federal, state, and local healthcare regulations.
• Collaboration: Work with the Director of Nursing or Clinical Care Coordinator to uphold quality care standards.
• Quality Improvement: Participate in initiatives aimed at enhancing resident care and facility operations.

Qualifications for this position typically include a valid LPN certification and experience in a long-term care setting. Familiarity with electronic health records and supervisory experience are advantageous.

What Perks and Benefits Can You Look Forward to?

• Paid holidays and generous Paid Time Off (PTO)
• Up to $4,000 in tuition reimbursement annually!
• Discounts with major vendors; AT&T, Verizon, Ford Motor Company, General Motors, Quicken Loans, AND MORE!
• Day 1 Benefits - Low cost medical, dental and vision insurance plans. Enjoy lower cost medical services when you visit facilities within the Trinity Health network.
• Daily-pay options
• Fast response interview times and job offers!

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Want to learn more about MercyOne Rockford Family Medicine? Click here: MercyOne Rockford Family Medicine | MercyOne

Join the MercyOne Family! We are looking to hire a Clinic Nurse Supervisor

As a Clinic Nurse Supervisor at MercyOne, you will accept the responsibility and accountability for the delivery of patient care with the multidisciplinary team while using the nursing process and maintaining professional nursing standards.

The Clinic Registered Nurse Lead is responsible for overseeing the day-to-day operations within the clinic, including staff coordination, process improvement, training, and troubleshooting. The role assists in managing workload assignments while ensuring smooth clinic operations and patient flow. The position also involves administrative duties such as scheduling timekeeping, handling patient inquiries, and managing special projects. The lead serves as a resource for staff and liaison with clinic management to maintain high standards of care and service.  The lead functions as clinical support staff up to 90% as required to meet business needs. 

Schedule:

• Full time 36 hours a week
• M-F 7a-4:30p
• No holidays or Weekends

General Requirements:

• Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
• Greet and prepare patients for the health care provider. Obtain and record vital signs including but not limited to, blood pressure, temperature, pulse, respiration, height, weight, drug allergies, and current medications and presenting problem
• Performs all the functions of a clinic RN as needed. Demonstrates comprehensive knowledge and competency in all essential functions of various clerical roles within the clinic.
• Optimizes clinic operations, assisting with patient care, patient flow and facilitating communication amongst team members.
• Oversees staff scheduling, onboarding, and education. Assists with payroll, timekeeping, and performance management. Assists in training, orienting, and supporting staff within the referral management team.
• Recognizes and addresses issues, improving clinic flow and ensuring quality patient care. Responds to patient inquiries.
• Actively participates in meetings, leads huddles, ensuring adherence to safety, infection control, and departmental policies.
• Maintains supply inventory and order supplies as assigned.
• Provides leadership, ensuring appropriate staffing, training, and support for the clinical team.
• Collaborates with a variety of staff, leaders and providers to ensure delivery of quality patient care.
• Resolve complex patient concerns, inquiries, and escalate to management as appropriate.
• Monitors department operations, manages supplies, maintains confidentiality, and ensures compliance with laws, regulations, and organizational integrity.
• Leads or assists with quality assurance, staff development, and process improvement initiatives. Demonstrates proficiency in department-specific software and tools.
• Escalate non-routine issues, questions and/or concerns to the practice manager or healthcare provider(s).
• Other duties as needed and assigned by the manager.
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

Education:

• Must be comfortable operating in a collaborative, shared leadership environment.
• A minimum of 2 years of RN experience in a clinic setting is required.
• Supervisory or lead-level experience in a clinical setting preferred.
• Must be comfortable operating in a collaborative, shared leadership environment.
• Active RN License in the state of Iowa; Licensure from other states may be required based on location.  
• Basic Life Support (BLS) certification required within 3 months of hire.
• Proof of completion of Mandatory Reporter abuse training specific to the population served within 3 months of hire.
• Proficient in basic computer skills (Windows environment, web-based navigation, email, MS Office).
• Ability to work with diverse groups of people and in a collaborative, shared leadership environment.
• Requires the ability to read, write and understand the English language, and communicate effectively with patient, visitors, and colleagues while performing their job duties.
• Must have a minimum of 2 years of prior related experience in a medical office or healthcare setting.
• Is able to perform a variety of duties characterized by frequent change.
• Must have good communication and diplomacy skills.
• Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
• Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!

Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

MercyOne Central Iowa operates four not-for-profit Catholic medical centers in Des Moines West Des Moines Newton and Centerville and two specialty hospitals – MercyOne Children’s Hospital in Des Moines and MercyOne Rehabilitation Hospital in Clive (965 beds total) – along with more than 20 additional facilities that house more than 50 primary care pediatric internal medicine and specialty clinics. Founded by the Sisters of Mercy in 1893 MercyOne Central Iowa has the longest continually operating hospital in Des Moines and is also one of the largest employers in the state with more than 7000 employees and a medical staff of more than 1000 physicians and allied health associates. MercyOne Central Iowa is a member of MercyOne which was founded in 1998 through a collaboration between CommonSpirit Health and Trinity Health – two of the country’s foremost not-for-profit Catholic health organizations. MercyOne has more than 20000 colleagues in Iowa and surrounding states.

We offer the following benefits to support you and your family: 

program supporting any child care, pet care, or adult dependent needs 
Employee Assistance Program (EAP) for you and your family 
Health/Dental/Vision Insurance 
Flexible spending accounts 
Voluntary Protection: Group Accident, Critical Illness, and Identity Theft  
Adoption Assistance 
Paid Time Off (PTO)  
Tuition Assistance for career growth and development 
Matching Retirement Programs 
Wellness Program 

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.