Mi Case Codes 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

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.

Title RN Case Manager- Visiting Hospice Nurse | NJ, Newton
EOE Statement

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Description

Compensation: $87,750.00 per year

Bonus: $8,000.00 sign on bonus, paid over 1 year.

Medical/Medical stipend, Dental Vision, benefit time, 401K, Tuition reimbursement.

Schedule M-F 830a-430p. Ocassional on call.

- Explains, and interprets and coordinates patients' rights and advanced directives; explains Medicare Hospice Benefit when indicated.
- Performs ongoing physical and psychosocial assessment of Hospice patients.
- Follows established plan of care for each patient and reports observations to team leader or primary nurse.
- Collaborates with IDT with regards to new nursing diagnoses and need for changes in plan of care.
- Instructs and supervises the activities of hospice aides/LPN staff.
- Assists patient/family in obtaining durable medical equipment and supplies essential to care.
- Observes and records signs and symptoms of disease process.
- Communicates with the physician, the family and other health team personnel, and others to report changes in the patient's physical and/or emotional condition and identify patient needs.
- Performs patient/family teaching; utilizes teaching tools and handouts; documents all teaching and patient response.
- Facilitates and supports patient and family self-direction and independence.
- Prepares and administers medications according to policy and documents same.
- Provide support and relief for the primary care person while participating in Hospice “at-home respite@ program and provide direct care to the patient.
- Completes chart documentation within 48 hours.
- Documents vital signs, measurements, nursing interventions, treatments and patient responses; completes flow sheets, narratives, and verbal orders, as per agency policy.
- Maintains a caseload with productivity in compliance with agency standards.
- Communicates with the Nursing Supervisor and other health team members in the planning, implementing, evaluating and coordinating of services to the patient and family in order to insure completeness and continuity of services.
- Rotates through the on-call system as scheduled for scheduled revisits.
- Incorporates the physiological and developmental age of patients into the overall plan for the delivery of patient care.
- Maintains appropriate infection control practices.
- Holds in strictest confidence all patient information and discloses information and data only to persons authorized by patient/family/representative or Hospice personnel.
- Participates in all required in service education programs and meetings. Participates in 9 out of 12 nursing meetings annually.
- Demonstrates compliance with the dress code policy by appearing well groomed, wearing ID badge while on duty and maintaining a professional appearance.
- Performs other duties as assigned.

Position Requirements

Required Skills/Abilities:

- Strong nursing assessment and documentation skills.
- Clinical knowledge to support the dying process.
- Ability to serve as a resource to patients and families during times of high stress and volatility.
- Excellent interpersonal and communication skills
- Ability to comprehend the spoken and written English language, to communicate with clarity both verbally and in writing.
- Well organized to manage patient/family needs, provide clinical and oversight of the inpatient Hospice operation.
- Proficiency in operating a computer; including a working knowledge of Microsoft applications (Word, Excel, and Outlook) and an electronic medical record.

Education and Expterience:

Required Education: Diploma, Associate or Bachelor of Science in Nursing; BSN preferred. Licensed to practice as a Registered Nurse in the State of New Jersey; licensure in Pennsylvania if practicing in PA.

Preferred Education: CPR certification preferred.

Required Experience: Minimum one-year adult, pediatric or medical/surgical clinical experience.

Preferred Experience: Prior home care or hospice experience preferred.

Fulltime/Part-timeFull-Time
Shift Days Exempt/Non-ExemptNon-Exempt LocationKaren Ann Quinlan Memorial Fdn

PIfc741dbc7b55-362

Flint, MI Dermatology Group seeking a Dermatologist!Job An established Dermatology group located inFlint, MIis seeking to accommodate a Medical Dermatologist. Work with 3 other providers who welcome a Dermatologist to the practice. Seeking a physician due to another provider cutting back hours. This is an opportunity to work in established practice only 1 hour from Detroit.

• This position offers a generous production-based guarantee aspart of a highly lucrative compensation plan.
• Work 3-5 days a week-whatever fits your schedule!
• Beautiful, well-equipped offices, with superior support staff and management in place to keep you happy and efficient!
• Friendly midwest physician-owned group who puts superior patient care and the physicians who provide it, first!
• SIGN-ON BONUS;AND Student Loan Assistance Program
• PARTNERSHIP TRACK!

Email your confidential CV toStephen Gubbelsfor immediate consideration!.Contact: Stephen Gubbels Dermatology Recruitment Specialist Ext. 140