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Guthrie Cortland/Broome-Tioga BOCES LPN Program (Full Time) September 2026
✦ New
🏢 Guthrie
Salary not disclosed
Cortland, NY 1 day ago
***We will be holding an informational session December 1st and December 10th from 4:30pm-6:00pm in the Lecture Hall at Guthrie Lourdes Hospital at 169 Riverside Dr, Binghamton, NY 13905***
Position Summary:
Employee works with other members of the patient care team to deliver care to specific patient populations. The employee will maintain competency for population specific groups with consideration of physical, communication, safety, nutrition, and psychosocial needs.
Education, License & Cert:
High School Grad or Equivalent
Experience:
Must be currently enrolled in a practical nurse education and Guthrie's tuition sponsorship program for licensed practical nurses.
Essential Functions:
Participates in the delivery of patient care for population groups under the direction of an RN/LPN including but not limited to the following: • Lifting, turning, and positioning patients utilizing Safe Patient Handling equipment (> 35 pounds), as appropriate. • Observing confused and difficult patients • AM/PM Hygiene care • Toileting, shaving, washing, brushing hair, dental and mouth care • Feeding • Assisting with range of motion exercises • Mobilizing patients ‐ transfers and ambulation, utilizing Safe Patient Handling equipment (> 35 pounds), as appropriate and following the Mobility protocol • Exercise protocols • Discontinuing foley catheter (PA only) • Simple dressing changes • Incentive spirometry supervision • Surgical preps • Postmortem care • Administers cleansing enemas • Removal of peripheral IV catheters • Sits with confused/disoriented patients or those requiring 1:1 observation for safety/suicide purposes, as assigned • Performs and records accurately: • Temperature, pulse, respirations, blood pressure, heights and weights • I & O • Records bowel movements • ADLs and activities • Performs and records the following specimen collection: • Obtains urine, stool, and sputum specimens for patients; instructs patients in proper specimen collection technique. • Completes the following support activities. • Completes EKGs. • Transports patients as needed • Serves, sets up and retrieves trays • Distributes water pitchers as appropriate • Orders and distributes nourishment. • Transports equipment • Transports blood products to and from the patient care area. • Participates in patient safety/patient satisfaction. • Answers call bells • Participates in patient rounding • Reports any signs of abuse to the nursing staff • Recognizes, troubleshoots and initiates corrective action needed on equipment. • Maintains neat and tidy environment (empties laundry, delivers equipment, keeps patient rooms clean and safe). • Inventories and assures disposition of patients' belongings when admitted, transferred, and/or discharged. • Assures proper storage of equipment. • Recognizes emergency situations and initiates plan of action • Notifies RN/LPN of any changes seen in patient's condition • Complies with policies and procedures of the hospital/nursing department. • Supports the philosophy of the hospital and department of nursing. • Maintains CPR certification • Demonstrates cost‐effective patient care by demonstrating proper use and care of equipment, appropriate and prudent use of supplies, accurate charging of supplies; performing other division‐specific tasks, and appropriate utilization of available resources. • Participates in performance improvement activities to improve service and care. Demonstrates strong communication and organizational skills. • Ability to communicate using telephones, computer systems. • Answers telephone promptly and politely, identifying self, title, and department. Receives and sends messages in an accurate and timely fashion. • Communicates with the patients, family, and members of the healthcare team in a concise, tactful and considerate manner. Must represent the hospital in a professional courteous manner, while being sensitive to how others perceive both verbal and non‐verbal communications.
Other Duties:
• Assists in the orientation of new personnel and serves as a role model to other employees. • Demonstrates willingness to accept non‐routine work assignments as appropriate. • Encouraged to participate in community activities • Attends and participates in unit council (70% attendance).
Rev: 2-29-2024
Pay Range $17.00-$23.85/hr DOE
permanent
Registered Nurse - Senior RN Case Manager (Santa Fe)
$81,900
Make a Difference on Your Own Schedule and Terms!
Hiring Senior Case Managers in New Mexico
PCM is looking for a Senior Case Manager who is as passionate about delivering care as we are to come join our amazing team!
A few of our perks:
Great Work/Life balance!

$42 per hour (including 100% of Hourly Wage Paid for Drive Time)

Benefits Available:
Medical, Vision and Dental Insurance

Accrued Paid Time Off

Annual Bonus Eligible

Health Savings Account (HSA)

Flexible Savings Account (FSA)

401(K) with Company Match

Paid Parental Leave

Unlimited Peer Referral Program

Employee Discount Program

We provide in-home care to former Nuclear Weapons Workers who are suffering from chronic and terminal illnesses, as a result of their previous work environment.
Our Senior RN-Case Managers Direct assigned team members of RN Case Managers in the provision of care in accordance with Agency policy and with state-specific nurse practice act, and regulatory requirements.
Qualifications
Graduate of a state approved school of professional registered nursing

BSN preferred

Current, unrestricted RN license in the state(s) of practice

Minimum of two (2) years nursing experience including one (1) year in home care or closely related field

One (1) year of supervisory and/or case management experience preferred

Current CPR certification

Essential Functions/Areas of Accountability
Responsible for functions and accountabilities as contained in the case manager job description

Provide direct care and case management of assigned clients

Assist and collaborate with the regional director and other personnel to identify and correct issues and/or improve services.

Plan, implement, and evaluate care provided Participate, coordinate and manage client care conferences as needed.

Serve as a local on-site clinical resource as needed and provides support to ensure client's home care needs are met.

Assist and collaborate with staffing coordinators regarding the appropriateness of staffing and scheduling of personnel within scope of practice, competencies, client needs and complexity of home care.

Adhere to nursing delegation guidelines as described in Agency Scope of Practice policy.

Ensure adherence to Agency policies.

Perform other functions as requested by the regional director which may include the following:

Participate in interviewing, selection, and ongoing evaluation of clinical personnel as requested by the Regional Director

Personnel training, education, and competency validation

Review and evaluate clinical documentation for accuracy and completeness

Participate in all Agency performance improvement initiatives including but not limited to quarterly medical record review

Collect, document, and submit data on infections, occurrences, complaints and grievances, and performance improvement activities

Perform and document supervisory visits as indicated to facilitate problem resolution

Review nurse shift reports for adherence to policy and for opportunities for performance improvement

Home chart completeness

Timeliness of staffing cases post referral

Equipment tracking

Assist with marketing activities such as visiting with clients or physicians to discuss Agency programs as requested

The senior case manager, or similarly qualified alternate, shall be available at all times during operating hours and participate in all activities relevant to the professional services furnished, including the development of qualifications and the assignment of personnel.

Perform additional duties and responsibilities as deemed necessary

Please contact Rick Carey at x350 or at today to learn more about our opportunities where you can make a difference in your own career!

Professional Case Management is an Equal Opportunity Employer.
Not Specified
Case Manager
✦ New
Salary not disclosed
Boston, Massachusetts 7 hours ago

Sweeney Merrigan Law is growing, and we're on the lookout for a tenacious, perceptive Case Manager to join our Pre-Litigation Team. In this role, you won't just be supporting attorneys, you'll be an essential part of our legal process, helping fight negligence and obtain justice for our clients.

Our Case Managers play a central role in keeping files organized, deadlines tracked, and communication flowing smoothly with clients, medical providers, and insurers. If you thrive in a fast-paced legal environment, enjoy digging into facts, and take pride in supporting attorneys with meaningful work, we want to hear from you!

At Sweeney Merrigan, one of Boston's leading personal injury law firms with a deep commitment to justice and client-first service, we pride ourselves on a low-ego, team-oriented workplace where everyone supports each other and works together toward excellence. We're excited to meet passionate professionals who are humble, hungry to grow, and eager to help our pre-litigation team deliver the outstanding support and results our clients deserve.

Job Title

Pre-Litigation Case Manager

Department

Personal Injury – Pre-Litigation

Reports To (Title)

Supervising Attorney

FLSA Status

Exempt Non-Exempt

Position Summary

The Pre-Litigation Case Manager supports the firm's personal injury practice by managing a caseload of matters from file opening through the pre-litigation stage. This role coordinates communication between clients, attorneys, medical providers, and insurance companies while ensuring that all case documentation, billing information, and records are maintained with exceptional organization and accuracy. Effective case management is critical to ensuring cases progress efficiently and are fully prepared for settlement or potential litigation.

Essential Duties and Responsibilities

  • Manage a caseload of personal injury matters from initial file setup through the pre-litigation stage while maintaining highly organized and accurate case records
  • Communicate regularly with clients, insurance adjusters, medical providers, and other third parties to obtain documentation and coordinate case progress
  • Open insurance claims, draft letters of representation and notice letters, and assist with other legal correspondence as directed by the supervising attorney
  • Gather and review medical records and billing documentation, confirming balances, payment sources, and treatment details
  • Coordinate PIP and MedPay claims, including claim setup, application assistance, billing coordination, and exhaustion notifications
  • Contact medical providers, billing departments, and collection agencies to confirm balances, payment histories, and outstanding bills
  • Maintain detailed and accurate case notes within the firm's case management system, ensuring every communication, document, and update is properly logged
  • Monitor case milestones, deadlines, and treatment updates across multiple active matters
  • Assist with preparing demand packages and ensuring that medical records, billing summaries, and supporting documentation are complete
  • Provide regular updates to attorneys and internal team members regarding case status
  • Maintain strict confidentiality and professionalism when handling client information and financial documentation

Personal injury case management requires careful coordination of documentation, communication, and deadlines to ensure cases progress efficiently and are prepared for settlement negotiations.

Required Qualifications

Education & Experience:

  • High school diploma or equivalent required; associate's or bachelor's degree strongly preferred
  • 1–3 years of experience in personal injury case management, legal support, medical billing coordination, or a related role in a contingency-based law firm preferred

Skills & Competencies:

  • Exceptional organizational skills with the ability to manage numerous active cases simultaneously
  • Strong attention to detail and ability to maintain precise records across multiple providers and billing sources
  • Excellent written and verbal communication skills with the ability to interact professionally with clients, attorneys, and third-party stakeholders
  • Ability to be persistent and proactive when following up with insurance companies and medical billing departments to obtain necessary information
  • Comfortable spending a significant portion of the workday communicating with providers and insurers
  • Proficiency with case management software and standard office technology
  • Ability to prioritize tasks, track deadlines, and maintain highly organized electronic case files

Certifications/Licenses (if applicable):

  • None required

Preferred Qualifications (optional)

  • Active Notary Public commission or willingness to obtain one
  • Fluency in more than one language, enabling effective communication with a broader and more diverse client base
  • Prior experience working in a plaintiff-side personal injury law firm

Physical Requirements / Working Conditions

  • Prolonged periods of sitting at a desk and working on a computer
  • Frequent communication via telephone and electronic communication throughout the workday

Supervisory Responsibilities

Yes No

Compensation and Benefits

Salary range: $45,000 – $60,000 annually, commensurate with experience.

Benefits are provided in accordance with firm policy and may include health insurance and eligibility for 401(k) matching after one year of employment.

Disclaimer

This job description is not intended to be all-inclusive. The employee may be required to perform other related duties as assigned to meet the organization's ongoing needs.

Equal Employment Opportunity Statement

Sweeney Merrigan Law is proud to be an Equal Employment Opportunity employer. We are committed to fostering a diverse and inclusive workplace where all individuals are treated with dignity and respect. We welcome and encourage applications from candidates of all backgrounds, experiences, and perspectives, including but not limited to those based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, or any other characteristic protected by applicable law. We believe that a diverse workforce enhances our ability to serve our clients and strengthens our firm culture.

Not Specified
Bilingual Personal Injury Case Manager
Salary not disclosed
Miami, FL 3 days ago

Bilingual Case Manager (English/Spanish) – Personal Injury

Miami, FL | Temp-to-Hire | Monday–Friday, 8:00 AM – 5:00 PM


We are seeking a dedicated and detail-oriented Bilingual Case Manager with personal injury experience to join our team in Miami, FL. This is a temp-to-hire opportunity with a consistent weekday schedule and the chance to join a supportive, fast-paced legal environment focused on helping injured clients navigate their medical and legal processes.


About the Role:

As a Case Manager, you will play a key role in coordinating Examinations Under Oath (EUOs) and Independent Medical Exams (IMEs) while managing ongoing communication and documentation for personal injury cases. Your ability to handle sensitive information, communicate effectively in both English and Spanish, and manage detailed casework will directly impact the success of our clients’ outcomes.


Key Responsibilities:

  • Schedule and coordinate EUOs and IMEs; send timely and accurate notices to all involved parties
  • Maintain ongoing follow-up with clients regarding treatment updates and case progress
  • Request, receive, and organize medical records and billing documentation
  • Review and analyze medical documentation for accuracy and completeness
  • Communicate regular case status updates to clients
  • Maintain well-organized, confidential, and compliant case files

Requirements:

  • Minimum 1 year of personal injury case management experience
  • Bilingual – fluent in English and Spanish (written and verbal)
  • Strong organizational skills with high attention to detail
  • Excellent communication and customer service skills
  • Ability to manage confidential information with discretion
  • Must be able to start immediately
  • Comfortable working Monday through Friday, 8:00 AM to 5:00 PM
Not Specified
RN Case Manager, Home Health
$77,200 - $106,200 per year
Wilkesboro, NC 5 days ago
Become a part of our caring community and help us put health first
 Make a meaningful impact every day as a CenterWell Home Health nurse. You’ll provide personalized, one-on-one care that helps patients regain independence in the comfort of their homes. Working closely with a dedicated team of physicians and clinicians, you’ll develop and manage care plans that support recovery and help patients get back to the life they love.

Area Coverage - Yadkin & Surry, Elkin, Jonesville, State road , Thurmond

We are offering a $10,000 sign on bonus for our full-time registered nurse case manager position.

As a Home Health RN Case Manager, you will:

  • Provide admission, case management, and follow-up skilled nursing visits for home health patients.

  • Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager.

  • Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment.  Provide hands-on care, management, and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision.  Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation.

  • Coordinate appropriate care, encompassing various healthcare personnel (such as Physical Therapists, Occupational Therapists, Home Health Aides, and external providers).

  • Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis. 

  • Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems. 

  • Coordinate/oversee/supervise the work of Home Health Aides, Certified Home Health Aides and Personal Care Workers and provides written personal care instructions/care plan that reflects current plan of care.  Monitor the appropriate completion of documentation by home health aides/personal care workers as part of the supervisory/leadership responsibility.

  • Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation.

  • Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes.  Prepare visit/shift reports, updates/summarizes patient records and confers with other health care disciplines in providing optimum patient care


Use your skills to make an impact
 

Required Experience/Skills:

  • Diploma, Associate, or Bachelor Degree in Nursing

  • A minimum of one year of nursing experience preferred

  • Strong med surg, ICU, ER, acute experience

  • Home Health experience is a plus

  • Current and unrestricted Registered Nurse licensure

  • Current CPR certification

  • Strong organizational and communication skills

  • A valid driver’s license, auto insurance, and reliable transportation are required.


Pay Range
•    $49.00 - $69.00 pay per visit/unit
•    $77,200 - $106,200 per year base pay

 

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


 

$77,200 - $106,200 per year


 

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
 About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

permanent
ACT Forensics Case Management Specialist 2
✦ New
Salary not disclosed
Philadelphia, PA 7 hours ago
Community Support Team Specialist

CTT is mandated to provide service to those individuals within the mental health system who present the greatest degree of severity of symptoms as evidenced by their multiple physical, psychiatric and legal conditions; extensive use of services and lack of follow through with treatment. These individuals measure at the highest level of medical necessity as defined by the state Adult Environmental Matrix.

The Teams that provide multidisciplinary clinical review and assessment of individuals who may be young adults, heavy users of service or actively involved in the criminal justice system and may also have co-occurring behavioral health diagnoses are generic and specialized. The CM Specialist-2 provides case management supports based on the Community Support Program of Philadelphia with assisting the individual in developing skills required to enhance his/her comfort and abilities to function as a productive member of the community. The CM Specialist-2 takes the lead to act as a liaison and to coordinate team services in one of the (3) areas of their assigned specialty: housing, forensic or benefits and works in collaboration with the Individualized Treatment Team to identify goals, develop, implement and monitor the service plan. The CM Specialist-2 will ensure that the mission, goals and philosophy of ACT are operationalized within the team.

The incumbent works with individuals in their community environment assisting them in understanding, acquiring and maintaining independent living skills in the areas of: (a) their daily living situation; (b) interpersonal skills and social support/network building; (c) leisure and recreational support/skill development; (d) maintenance and enhancement of physical and mental needs; (e) obtainment of benefit entitlements and the skills to manage same; (f) housing, forensics and, educational needs.

Duties and Responsibilities:

  • Assesses individual's strengths, needs and wants, utilizing instruments to operationalize data on the participant's behalf. This includes completion of Comprehensive Assessments and client-centered Individual Comprehensive Service Plans for each assigned individual, involving all treatment team principals for comprehensiveness.
  • Works collaboratively with multidisciplinary team internally on daily basis and external as needed to ensure coordination between systems; provides linkage with primary care physician to ensure integration of medical and psychiatric service needs; maintains linkage with CBH, family, and all support networks to minimize person's reliance on acute services.
  • Periodically completes Environmental Matrix to determine level of care need and delivers services according to individual's need, ensuring appropriate frequency of contact.
  • Monitors individual's progress toward attainment of identified goals through monthly Linkage Meetings to review same; goals should be short term, measurable and obtainable. Plans should be updated according to regulatory standards and all related activities documented on appropriate agency forms.
  • Liaises, communicates with and represents individual via telephone contacts and face-to-face meetings. This includes regular contact with individual and community service providers in order to respond to individual's changing needs, assist in problem resolution and provide advocacy mechanism to ensure that needs are met.
  • Participates in in-patient treatment team and discharge planning meetings; monitors individual's treatment and progress during hospitalizations.
  • Maintains and updates community resource file on housing, forensic or benefits resources; assists individual in accessing same and provides necessary training around use in order to facilitate individual's ability to use resources independently; attends DBH sponsored training on housing resources and shares information with team; participates in internal specialist meetings as scheduled.
  • Accompanies individual to appointments (financial entitlements, housing, court, probation, etc.) to provide support and assistance.
  • Provides training to individual on use of public transportation, job seeking skills, the identification and use of social and recreational resources, etc.
  • Participates in daily team meetings and Clinical Care Meetings to problem solve around persons needing extensive services for specific times; attends Open Forum and other required agency meetings.
  • Attends in-service and other trainings in order to meet mandated training hours.
  • Completes required documentation in timely manner.
  • Assists individual to increase community tenure, enhance quality of life and attain highest level of independent functioning.
  • Provides after hours work including: a) participation in weekly on call rotation schedule to permit 24 hour/7 day a week access to service; b) and participation in evening and weekend shift work schedules required for delivery of services to CTT's assigned caseload.
  • The CM Specialist-2 takes the lead to act as a liaison and to coordinate team services in one of the (3) areas of their assigned specialty: housing, forensic or benefits.

Skills Required:

Must have good verbal/written communication skills and work well with people; good, creative problem solving skills; ability to work independently and be flexible/adaptive in handling changing priorities in a fast paced work environment; computer skills preferred.

Essential Functions:

Must have a valid driver's license, auto insurance and must have use of a vehicle for work and on call; able to share office space and work as a part of a team; able to work evenings and weekends, and have a good knowledge of City transit system.

Equal Opportunity Employment:

PMHCC, Inc. is committed to equal opportunity. It is our policy to support equal employment for all employees and applicants without regard to race, religion, color, sex, sexual preferences, age, national origin, disability, behavioral health status, military status or any other characteristic protected by law.

Americans with Disabilities Act:

Employees as well as applicants who are currently, or become disabled, must be able to perform the functions of the job with either reasonable accommodation or unaided. PMHCC, Inc. will examine reasonable accommodations on a case by case basis in accordance with the law.

permanent
Registered Nurse (RN) - Case Management
✦ New
Salary not disclosed
San Ramon, CA 7 hours ago
Job Description

Tenet North Cal is seeking a Registered Nurse (RN) Case Management for a nursing job in San Ramon, California.

Job Description & Requirements

- Specialty: Case Management
- Discipline: RN
- Duration: Ongoing
- 36 hours per week
- Shift: 12 hours
- Employment Type: Staff

/n

Shift: Days

/n

Job Type: Full Time

/n

The individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services.

/n

This position integrates national standards for case management scope of services including:
/n • Utilization Management supporting medical necessity and denial prevention
/n • Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
/n • Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
/n • Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
/n • Education provided to physicians, patients, families and caregivers

/n

The individual’s responsibilities include the following activities: a) manage department operations to assure effective throughput and reimbursement for services provided, b) lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement, c) ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and Tenet policy, d) ensure timely and effective patient transition and planning to support efficient patient throughput, e) implement and monitor processes to prevent payer disputes, f) develop and provide physician education and feedback on hospital utilization, g) participate in management of post acute provider network, h) ensure compliance with state and federal regulations and TJC accreditation standards, and i) other duties as assigned.

Department Operations
/n • Maintains an adequate number and skill mix over seven days a week to serve the patient population and meet the goals of the department
/n • Implements and supports with business case staffing requests utilizing the Tenet Case Management staffing recommendations and hospital budgetary guidelines
/n • Holds regular departmental meetings with staff to provide updates and provides for ongoing education
/n • Completes initial and annual competency and evaluation review on all case management staff
/n • Follows the InterQual Inter-rater Reliability (IRR) Policy to determine initial and yearly competency for all employees performing InterQual reviews
/n • Develops action plan for case managers that fail to meet the IRR acceptable “match” rate to ensure improvement in the accurate application of InterQual criteria
/n • Ensures new case management staff complete department orientation including review of Tenet Case Management and Compliance policies and Allscripts training
/n • Provides management of the department, but not limited to, hiring, training, and managing staff
/n • Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent and authorizations or denials documented and followed up, and that transition planning assessments are completed timely.(20% daily, essential)

/n

Utilization Management
/n ▪ Implements and monitors processes to ensure medical necessity review processes are in place for patients to be in the appropriate status and level of care per Tenet policy.
/n ▪ Oversees submission of cases to Physician Advisor review to ensure timely referral, follow up and documentation.
/n ▪ Implements and monitors utilization review process in place to communicate appropriate clinical data to payers to support admission, level of care, length of stay and authorization for post-acute services.
/n • Advocates for the patient and hospital with payers to secure appropriate payment for services rendered
/n • Participates in Revenue Cycle meeting, researching disputes, uncovering patterns/trends and educating hospital and medical staff on actionable items
/n • Implements and monitors physician “peer to peer” review process with payers to resolve denials or downgrades concurrently.
/n • Promotes prudent utilization of all resources (fiscal, human, environmental, equipment and services) by evaluating resources available to the patient and balancing cost and quality to assure optimal clinical and financial outcomes
/n • Monitors, analyzes and reports Avoidable Days using the data to address opportunities for improvement
/n • Participates and/or serves as lead for hospital Medicare Performance Improvement (MPI) initiatives.
/n • Utilizes Crimson data to provide timely and meaningful information to the Utilization Management Committee and physician staff for performance improvement.
/n • Monitors to ensure that CMS Follow-up Important Message (IM) and HINN letters are delivered and documented per federal regulations and Tenet policy.
/n (20% daily, essential)

/n

Transition Management
/n • Implements and monitors process to ensure that a transition plan assessment is completed within 24 hours of patient admission to identify and document the anticipated transition plan for patients
/n • Ensures case management staff use electronic referral request process for patient placements
/n • Monitors to ensure that patient preference & choice is documented per CMS regulations and Tenet policy
/n • Identifies and reports variances in appropriateness of medical care provided, over/under utilization of resources compared to evidence-based practice and external requirements.
/n • Monitors to ensure case management staff document in the Tenet Case Management documentation system to communicating information through clear, complete and concise documentation (20% daily, essential)

/n

Care Coordination
/n • Works with Nursing and hospital leadership to ensure Patient Care Conferences and Complex Case Review processes are in place to promote timely and appropriate throughput
/n • Participates in daily bed management meeting to support timely and effective patient placement and transfer within the hospital
/n • Monitors to ensures that patients have a plan of care that is clinically appropriate, consistent with patient preference & choice and available resources
/n • Monitors to ensures consults, testing and procedures are sequenced to support clinical needs with timely and efficient care delivery
/n • Ensures patient needs are communicated and that the healthcare team is mutually accountable to achieve the patient plan of care
/n • Effectively collaborates with physicians, nurses, ancillary staff, payors, patients and families to achieve optimum clinical outcomes (20% daily, essential)

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Education
/n • Provides education to physicians regarding medical necessity, complete and accurate documentation, and compliance with related regulatory requirements
/n • Prepares and provides data to physicians and the hospital on utilization of resources
/n • Provides education to case management staff, physicians and the healthcare team relevant to the
/n o Effective progression of care,
/n o Appropriate level of care, and
/n o Safe and timely patient transition (10% daily, essential)

/n

Compliance
/n • Ensures compliance with federal, state, and local regulations and accreditation requirements impacting case management scope of services
/n • Ensures that the department structure and staffing, policies and procedures to comply with the CMS Conditions of Participation and Tenet policies
/n • Operates within the RN scope of practice as defined by state licensing regulations
/n • Implements and monitors compliance with Tenet Case Management practices (10% daily, essential)

Required: Bachelor degree in Business, Nursing or Health Care Administration for RN or Master's in Social Work for MSW.
Preferred: MSN, MBA, MSW or MHA.
Required: 3 years of acute hospital case management or healthcare leadership experience.
Preferred: 5 years of acute hospital case management leadership multi-site experience
Required: Registered Nurse or LCSW/LMSW license. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN or LCSW/LMSW license for state(s) covered.
Preferred: Accredited Case Manager (ACM)

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Required skills include demonstrated organizational skills, excellent verbal and written communication skills, ability to lead and coordinate activities of a diverse group of people in a fast paced environment, critical thinking and problem solving skills and computer literacy. Business planning experience preferred.

/n

#LI-AJ1

Tenet North Cal Job ID #26 Posted job title: Manager - Case Management
Not Specified
Licensed Vocational Nurses (LVN's) Needed - Part and Full Time Available $33-35/HR Special cases
$33 - 35
Palmdale, CA 5 days ago

Aveanna Healthcare, the largest pediatric home health care company in the U.S., is hiring compassionate Licensed Vocational Nurses to provide skilled nursing care to patients in the home setting.  We are the hearts of 40,000 caregivers and trusted by over 33,000 families. 

LVN Rate: $33-$35/HR

*Specific case rates

Palmdale: Part time, Monday and Friday only, 9am - 5pm.

Position Overview
The Licensed Vocational Nurse (LVN) is responsible for providing and documenting skilled nursing care, under the supervision of a Registered Nurse, in accordance with the developed care plan and physicians orders for each individual patient while adhering to confidentiality standards and professional boundaries at all times.

Essential Job Functions
• Responsible for the delivery and coordination of quality patient care in compliance with physician orders.
• Continuously observes and assesses patient condition and care needs and reports changes in condition to the supervisor and/or physician as appropriate.
• Documents all activities, assessments, nursing actions, responses and coordination of care in a timely manner whenever care is delivered.
• Participate, implement and update the nursing care plan.
• Takes appropriate nursing action based on assessment and achieves expected outcomes.
• Recognizes changes in patient needs and responses requiring intervention and implements care to prevent risk or reduce risk.
• Accepts responsibility for personal and professional accountability by complying with Aveanna policies, state and federal regulations, accrediting bodies and the Nurse Practice Act.
• Provide care utilizing infection control measures that protect both the staff and the patient according to OSHA standards.
• Educates the patient and family regarding the disease process, self-care techniques, and prevention strategies, and in meeting the patient’s nursing needs.
• Maintain knowledge of competencies related to the nursing profession by participating in educational programs, continued education units, internal learning management skills and skill evaluations.

Requirements
• Graduate of an accredited school of nursing.
• Current, unrestricted state license as a Licensed Nurse in the state of practice
• Current CPR certification
• Demonstrated proficiency in clinical assessments, documentation and compliance with nursing care and policies and procedures
Additional state specific requirements:
• One (1) year of experience required working under current nursing license
• Continuing Education as required by state

Preferences
• Six (6) months of recent experience as a Licensed Nurse in a clinical care setting
• Home health experience

Other Skills/Abilities
• Attention to detail
• Time Management
• Effective problem-solving and conflict resolution
• Good organization and communication skills

Physical Requirements
• Must be able to speak, write, read and understand English
• Must be able to travel
• Must be able to lift 50 pounds
• Must be able to sufficiently reposition patients and move equipment without assistance
• Prolonged walking, standing, bending, kneeling, reaching, twisting
• Must be able to sit and climb stairs
• Must have visual and hearing acuity
• Must have strong sense of smell and touch
• Must be able to sufficiently reposition patients and move equipment without assistance
• Must be able to appropriately respond physically and mentally to emergency situations in the home or during transport

Environment
• Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
• Possible exposure to blood, bodily fluids and infectious diseases

Other Duties
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Equal Employment Opportunity and Affirmative Action: Aveanna provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Aveanna complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

CCPA Notice for Job Applicants, Contractors, and Employees Residing in California

Position Overview
The Licensed Practical Nurse (LPN/LVN) is responsible for providing and documenting skilled nursing care, under the supervision of a Registered Nurse, in accordance with the developed care plan and physicians orders for each individual patient while adhering to confidentiality standards and professional boundaries at all times.

Essential Job Functions
• Responsible for the delivery and coordination of quality patient care in compliance with physician orders.
• Continuously observes and assesses patient condition and care needs and reports changes in condition to the supervisor and/or physician as appropriate.
• Documents all activities, assessments, nursing actions, responses and coordination of care in a timely manner whenever care is delivered.
• Participate, implement and update the nursing care plan.
• Takes appropriate nursing action based on assessment and achieves expected outcomes.
• Recognizes changes in patient needs and responses requiring intervention and implements care to prevent risk or reduce risk.
• Accepts responsibility for personal and professional accountability by complying with Aveanna policies, state and federal regulations, accrediting bodies and the Nurse Practice Act.
• Provide care utilizing infection control measures that protect both the staff and the patient according to OSHA standards.
• Educates the patient and family regarding the disease process, self-care techniques, and prevention strategies, and in meeting the patient’s nursing needs.
• Maintain knowledge of competencies related to the nursing profession by participating in educational programs, continued education units, internal learning management skills and skill evaluations.

Requirements
• Graduate of an accredited school of nursing.
• Current, unrestricted state license as a Licensed Nurse in the state of practice
• Current CPR certification
• Demonstrated proficiency in clinical assessments, documentation and compliance with nursing care and policies and procedures
Additional state specific requirements:
• South Carolina – One (1) year of pediatrics experience
• California – One (1) year of experience required working under current nursing license
• Louisiana – One (1) year of experience required working as a licensed nurse
• Continuing Education as required by state

Preferences
• Six (6) months of recent experience as a Licensed Nurse in a clinical care setting
• Home health experience

Other Skills/Abilities
• Attention to detail
• Time Management
• Effective problem-solving and conflict resolution
• Good organization and communication skills

Physical Requirements
• Must be able to speak, write, read and understand English
• Must be able to travel
• Must be able to lift 50 pounds
• Must be able to sufficiently reposition patients and move equipment without assistance
• Prolonged walking, standing, bending, kneeling, reaching, twisting
• Must be able to sit and climb stairs
• Must have visual and hearing acuity
• Must have strong sense of smell and touch
• Must be able to sufficiently reposition patients and move equipment without assistance
• Must be able to appropriately respond physically and mentally to emergency situations in the home or during transport

Environment
• Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
• Possible exposure to blood, bodily fluids and infectious diseases

Other Duties
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

Notice for Job Applicants Residing in California

Notice for Job Applicants Residing in Florida

By applying, you consent to your information being transmitted to the Employer by SonicJobs.
See Aveanna Healthcare Terms & Conditions at and Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at

permanent
RN - Field Case Manager Home Care (Champaign)
Salary not disclosed
Champaign, Illinois 5 days ago
Overview

Sign on Bonus Available

$7,500 greater than 1yr of experience

$2,500 Relocation Bonus (greater than 50 miles)

(external candidate only)

Serving patients of all ages through skilled home care nursing visits in Champaign, Vermilion, Edgar, Iroquois, Ford, Coles, Douglas, Piatt, Moultrie, and Macon counties.

Home Care RN/Field Case Managers work independently and as part of an interdisciplinary home care team (LPN, HHA, PT, PTA, OT, OTA, MSW, SLP).

Enjoy working at the top of your practice:

Coordinating care plans, educating patients/family and performing skilled nursing assessments and care in areas such as:
  • Complex wound care, wound vac, ostomy
  • PICC lines/Ports/Blood Draws
  • TPN and Antibiotic Infusion
  • Catheters/Tubes/Drains/PleurX
  • Tracheostomy management
  • Monitor and educate on health conditions to promote independence and wellness


Why Join Us?
  • Supportive team environment with 24/7 clinical backup
  • Flexible scheduling and autonomy
  • Competitive pay and mileage reimbursement
  • The reward of building meaningful relationships every day


The Home Care Field RN is a professional caregiver who is a member of the interdisciplinary team. Responsibilities include the coordination and provision of direct and indirect patient care using the nursing process to meet the physical, psychosocial, environmental, and spiritual needs of Carle Home Services specific patient populations and families throughout the geographical area.

Qualifications

Certifications:IL RN, BLS 30 days, Drivers License, Proof Auto Insurance , Education: College Diploma Nursing, Work Experience: 1yr nursing experience

Responsibilities

Demonstrates understanding of Medicare Home Care benefits including covered services, recertifications, transfers, and non-recertifications. Follows regulatory requirements regarding documentation standards.Comprehends department specific indicators.Performs case management activities of assessment, coordination, planning, monitoring, implementation, and evaluation. Interacts with clients, caregivers and families to assess, plan care, arrange services, monitor, and provide support and education.Consistently completes all admission documentation within policy guidelines.Returns admission documents to office complete and in a timely manner (according to policy).Completes required OASIS/485 changes within 24 hours of receiving them.Completes visits notes and telephone conversations records and transmitted timely according to policy (includes physician orders, admission, routine, supervisory, telephone and discharge notes.)Ensures Physician Orders are written timely, corrections to care plans are entered and transmitted according to time line.Reviews verbal orders with MD office, written and evidenced as read-back, completed immediately and transmitted within time frame established by policy. Once documented and transmitted orders are never changed. Ensures patient visit string(s) are added to the record to make sure visits are not missed.Ensures proper acronym is evident on all physician orders.Completes Home Health Aide supervisory visits.Acts as the coordinator of the health care team in order to maintain the proper linkages within the continuum of care.Collaboratively communicates and initiates case conferencing as necessary and documents interacts (other disciplines, MD, care coordinator, insurers, etc.). Communicates pertinent information for patient care conferences on all admits done by him/her.Practices in a manner sensitive to the needs of patients and families. Provides care according to plan of care and orders.Directs the activities of the licensed practical nurse.Makes home health aide assignments, prepare written instructions for the aide and supervises the aide in the patient home.Demonstrates adequate knowledge of State and Federal regulatory and accreditation guidelines which is evidenced by daily performance. Perform OASIS assessments for admissions, recertifications, resumptions and discharges. Performs complex wound care including wound vacs, packing, removal of staples or sutures. Monitors central lines including PICC and Hickman catheters and performs dressing changes per agency protocol. Accesses mediports for IV infusion and/or blood draws and flushes per agency protocol. Performs case management for patients assigned to her/his case load. Communicates with MD per phone or electronically regarding patient updates and condition changes.
About Us

Find it here.

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We've grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We're developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world's first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care.

We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. For more information: .

Compensation and Benefits

The compensation range for this position is $33.62per hour - $57.83per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit /benefits.
permanent
Hospice Register Nurse Case Manager (RN)
✦ New
$10,000
Laurel, Maryland 1 day ago

*Employment Type:
* Full time
*Shift:
* *Description:
* *This position is available in multiple Holy Cross Home Care & Hospice service areas, including:
* * Howard County/Silver Spring, MD Area
* Prince George
* Montgomery County
*Why Join Us?
* Start Here… Grow Here Stay Here
* At our core, we believe in building careers, not just jobs.

Many of our team members stay with us for the long haul—and for good reason.

Our culture is built on support, growth, and opportunity.
*Position Overview
- $10,000 Sign-On Bonus & Day 1 Benefits
* As a Hospice RN Case Manager at Holy Cross Home Care & Hospice, you'll deliver one-on-one, high-quality care to patients in the comfort of their homes.

Using advanced technology and your clinical expertise, you'll assess, plan, and manage individualized care that promotes healing and independence.

You will be responsible for case managing a team of 15-20 hospice patients.

RN case manager will collaborate with interdisciplinary team and attend weekly Interdisciplinary meetings.

RN Case manager will interact with the primary care physician and/or hospice medical director as needed to effectively manage patient symptoms.

Position is Full time primarily Monday-Friday with occasional weekend coverage when needed.
*What You Can Expect:
* * *Consistent, Reliable Workloads
* Enjoy steady assignments with guaranteed hours—no surprises.
* *Competitive Pay & Low-Cost Benefits
* Get exceptional coverage and real savings that make a difference.
* *Supportive Leadership
* Our management team is here to help you succeed every step of the way.
* *Ca
*reer Growth Opportunities
* Every leader on our team started in a field role—your path to leadership starts here.
* *Epic EMR System
* Streamlined documentation and communication for better care and less stress.
* *Fast Hiring Process
* Quick interviews and job offers—because your time matters.
* *Meaningful Work
* Deliver one-on-one care that truly impacts lives.
*What Will You Do:
* * Makes appropriate referrals for evaluation/care to other disciplines and services, and coordinates care with others to ensure effective and efficient care is provided.
* Utilizes interview, observation and evaluation in assessing clients and applies nursing judgment, consistent with practice standards, in formulating nursing interventions and making recommendations to the physician, client/family and IDT/IDG.
* Report changes in client condition as appropriate and in a timely manner, to the client's physician and/or Case Manager/designee and obtain orders for changes in the plan of treatment to respond to the client's condition.
* Re-evaluates and updates patients' plan of care based on patient goals and progress towards outcomes.
* Assess patient and family learning styles and needs for teaching regarding disease process, self-care, end of life care, and dealing with ethical concerns as well as patient goals as part of plan of care.
* Respond appropriately to changes in patients' physical, psychological, or spiritual conditions.
*Minimum Qualifications:
* * Graduate of an approved nursing education program
* Active RN license in the State of Maryland
* 1 years of clinical nursing experience (Hospice preferred)
* Strong communication, assessment, and organizational skills
* Compassionate, dependable, and mission-minded
* Must have current Driver's license and reliable transportation
*Benefits Highlights:
* * *Pay Range: $36.70
- $58.71 per hour
* * *Medical, dental and vision insurance starting Day One
* * Short- and long-term disability coverage
* 403(b) retirement plan with employer match
* Generous paid time off 7 paid holidays
* Tuition reimbursement up to $5,250/year
* Comprehensive onboarding and orientation
*About Holy Cross Home Care and Hospice (Maryland)
* Holy Cross Home Care and Hospice is a member of [Trinity Health At Home]( ), a national home care, hospice and palliative care organization serving communities throughout eleven states.

As a faith-based, not-for-profit agency, we serve patients and families in the comfort of home, offering skilled nursing, therapy (physical, occupational, speech) and medical social work.

We are Medicare-certified and accredited by The Joint Commission.

Learn more about us at [HCHomeCareHospice]( ).
*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.5c143e31-5e48-4549-b638-05792d185386
Not Specified
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