Milliman Utilization Review Jobs in Usa
12,087 positions found — Page 17
MercyOne Genesis serves a 17-county bi-state region of the Quad Cities (Davenport and Bettendorf, Iowa, and Rock Island and Moline, Ill.) metropolitan area and the surrounding communities of Eastern Iowa and Western Illinois. But when it comes to clinical capabilities and quality, we exceed those geographical limits. We have earned distinction as a two-time national Top 15 Health System, and recognition for being in the top 1 percent in the nation for patient safety.
Join the MercyOne Family! We are looking to hire a Registered Nurse to join our Care Coordination Team!
Schedule:
- 8-4:30
- Mainly M-F with weekend rotation
As an RN with our Care Coordination Team, you will:
- Concurrently and retrospectively ensures the patient's progress in the acute episode of care through post discharge and is quality driven while being efficient, cost effective, and safe discharge plan
- Works with physicians to facilitate effective and efficient transitions through the process of hospitalization. Works collaboratively with all members of the multi-disciplinary team to ensure patient needs are met and care delivery is coordinated across the continuum, as well as appropriately reimbursed by payers, and that resources are efficiently and effectively utilized
- Serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information
POSITION SPECIFICATION
- Education: Bachelor's Degree
- Field Of Study: Nursing, or related field
- Special Training: Basic Life Support
- Training Preferred: Certification in Case Management, Professional Utilization Review or Managed Care; DRG/CPT knowledge; Interqual Admission/Continued Stay criteria knowledge
- Licensure/Registration: Registered Nurse in Iowa or Illinois at time of hire, second state required within 1 year.
- Experience: More than 3 years experience required
Interpersonal Skills: Interaction is with a variety of people inside or outside the organization. Communications are of moderate difficulty and sensitivity. Contact with others may involve detailed & lengthy dialogues & exchanges of information. Requires a moderate amount of interpersonal skills. Interactions involve dealing with moderately complicated problem situations or stressful encounters.
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 Genesis serves a 17-county bi-state region of the Quad Cities (Davenport and Bettendorf, Iowa, and Rock Island and Moline, Ill.) metropolitan area and the surrounding communities of Eastern Iowa and Western Illinois. But when it comes to clinical capabilities and quality, we exceed those geographical limits. We have earned distinction as a two-time national Top 15 Health System, and recognition for being in the top 1 percent in the nation for patient safety.
Join the MercyOne Family! We are looking to hire a Registered Nurse to join our Care Coordination Team!
Schedule:
- 8-4:30
- Mainly M-F with weekend rotation
As an RN with our Care Coordination Team, you will:
- Concurrently and retrospectively ensures the patient's progress in the acute episode of care through post discharge and is quality driven while being efficient, cost effective, and safe discharge plan
- Works with physicians to facilitate effective and efficient transitions through the process of hospitalization. Works collaboratively with all members of the multi-disciplinary team to ensure patient needs are met and care delivery is coordinated across the continuum, as well as appropriately reimbursed by payers, and that resources are efficiently and effectively utilized
- Serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information
POSITION SPECIFICATION
- Education: Bachelor's Degree
- Field Of Study: Nursing, or related field
- Special Training: Basic Life Support
- Training Preferred: Certification in Case Management, Professional Utilization Review or Managed Care; DRG/CPT knowledge; Interqual Admission/Continued Stay criteria knowledge
- Licensure/Registration: Registered Nurse in Iowa or Illinois at time of hire, second state required within 1 year.
- Experience: More than 3 years experience required
Interpersonal Skills: Interaction is with a variety of people inside or outside the organization. Communications are of moderate difficulty and sensitivity. Contact with others may involve detailed & lengthy dialogues & exchanges of information. Requires a moderate amount of interpersonal skills. Interactions involve dealing with moderately complicated problem situations or stressful encounters.
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 Genesis serves a 17-county bi-state region of the Quad Cities (Davenport and Bettendorf, Iowa, and Rock Island and Moline, Ill.) metropolitan area and the surrounding communities of Eastern Iowa and Western Illinois. But when it comes to clinical capabilities and quality, we exceed those geographical limits. We have earned distinction as a two-time national Top 15 Health System, and recognition for being in the top 1 percent in the nation for patient safety.
Join the MercyOne Family! We are looking to hire a Registered Nurse to join our Care Coordination Team!
Schedule:
- 8-4:30
- Mainly M-F with weekend rotation
As an RN with our Care Coordination Team, you will:
- Concurrently and retrospectively ensures the patient's progress in the acute episode of care through post discharge and is quality driven while being efficient, cost effective, and safe discharge plan
- Works with physicians to facilitate effective and efficient transitions through the process of hospitalization. Works collaboratively with all members of the multi-disciplinary team to ensure patient needs are met and care delivery is coordinated across the continuum, as well as appropriately reimbursed by payers, and that resources are efficiently and effectively utilized
- Serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information
POSITION SPECIFICATION
- Education: Bachelor's Degree
- Field Of Study: Nursing, or related field
- Special Training: Basic Life Support
- Training Preferred: Certification in Case Management, Professional Utilization Review or Managed Care; DRG/CPT knowledge; Interqual Admission/Continued Stay criteria knowledge
- Licensure/Registration: Registered Nurse in Iowa or Illinois at time of hire, second state required within 1 year.
- Experience: More than 3 years experience required
Interpersonal Skills: Interaction is with a variety of people inside or outside the organization. Communications are of moderate difficulty and sensitivity. Contact with others may involve detailed & lengthy dialogues & exchanges of information. Requires a moderate amount of interpersonal skills. Interactions involve dealing with moderately complicated problem situations or stressful encounters.
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 Genesis serves a 17-county bi-state region of the Quad Cities (Davenport and Bettendorf, Iowa, and Rock Island and Moline, Ill.) metropolitan area and the surrounding communities of Eastern Iowa and Western Illinois. But when it comes to clinical capabilities and quality, we exceed those geographical limits. We have earned distinction as a two-time national Top 15 Health System, and recognition for being in the top 1 percent in the nation for patient safety.
We are looking to hire an RN - Case Manager to join our Care Coordination team in the Emergency Department!
Schedule:
36 hours per week, 0900-2130
2 weekends in a 6-week period
Self-scheduling
Responsibilities:
- Concurrently and retrospectively ensures the patient's progress in the acute episode of care through post discharge and is quality driven while being efficient, cost effective, and safe discharge plan\
- Works with physicians to facilitate effective and efficient transitions through the process of hospitalization
- Works collaboratively with all members of the multi-disciplinary team to ensure patient needs are met and care delivery is coordinated across the continuum, as well as appropriately reimbursed by payers, and that resources are efficiently and effectively utilized
- Serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information
General Requirements:
- Special Training: Basic Life Support
- Training Preferred: Certification in Case Management, Professional Utilization Review or Managed Care; DRG/CPT knowledge; Interqual Admission/Continued Stay criteria knowledge
- Licensure/Registration: Registered Nurse in Iowa or Illinois at time of hire, second state required within 1 year
- Experience: More than 5 year's experience required
Education:
Associate's degree
Field Of Study: Nursing
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.
Want to learn more about MercyOne Genesis? Click here: MercyOne Genesis | Stronger. Together. As One!
Davenport/Quad Cities
Davenport and the Quad Cities region combine affordability with vibrant culture. Families benefit from the Davenport Community School District and nearby colleges like St. Ambrose University and Augustana College. The area offers museums, riverfront parks, bike trails and year-round festivals, plus easy access to Chicago and Des Moines for weekend trips.
MercyOne Genesis Davenport Medical Center, established in 1869, is one of the largest employers in the Quad Cities, with a workforce of nearly 5,000 employees. The non-profit regional health system has 674 licensed beds and more than 70 locations, serving a 17-county bi-state region of the Quad Cities in eastern Iowa and western Illinois. It offers NICU, cancer, cardiac, robotics, critical care, pediatrics, women’s health, surgical, emergency, stroke, imaging, lab and weight‑management services. Recognition includes IBM Watson top‑15 health system, Leapfrog “A” safety grade, U.S. News top‑ranked hospital, national quality leadership, IT Most Wired, nursing excellence designations and Great Iowa Nurse honorees.
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 Genesis serves a 17-county bi-state region of the Quad Cities (Davenport and Bettendorf, Iowa, and Rock Island and Moline, Ill.) metropolitan area and the surrounding communities of Eastern Iowa and Western Illinois. But when it comes to clinical capabilities and quality, we exceed those geographical limits. We have earned distinction as a two-time national Top 15 Health System, and recognition for being in the top 1 percent in the nation for patient safety.
We are looking to hire an RN - Case Manager to join our Care Coordination team in the Emergency Department!
Schedule:
36 hours per week, 0900-2130
2 weekends in a 6-week period
Self-scheduling
Responsibilities:
- Concurrently and retrospectively ensures the patient's progress in the acute episode of care through post discharge and is quality driven while being efficient, cost effective, and safe discharge plan\
- Works with physicians to facilitate effective and efficient transitions through the process of hospitalization
- Works collaboratively with all members of the multi-disciplinary team to ensure patient needs are met and care delivery is coordinated across the continuum, as well as appropriately reimbursed by payers, and that resources are efficiently and effectively utilized
- Serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information
General Requirements:
- Special Training: Basic Life Support
- Training Preferred: Certification in Case Management, Professional Utilization Review or Managed Care; DRG/CPT knowledge; Interqual Admission/Continued Stay criteria knowledge
- Licensure/Registration: Registered Nurse in Iowa or Illinois at time of hire, second state required within 1 year
- Experience: More than 5 year's experience required
Education:
Associate's degree
Field Of Study: Nursing
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.
Want to learn more about MercyOne Genesis? Click here: MercyOne Genesis | Stronger. Together. As One!
Davenport/Quad Cities
Davenport and the Quad Cities region combine affordability with vibrant culture. Families benefit from the Davenport Community School District and nearby colleges like St. Ambrose University and Augustana College. The area offers museums, riverfront parks, bike trails and year-round festivals, plus easy access to Chicago and Des Moines for weekend trips.
MercyOne Genesis Davenport Medical Center, established in 1869, is one of the largest employers in the Quad Cities, with a workforce of nearly 5,000 employees. The non-profit regional health system has 674 licensed beds and more than 70 locations, serving a 17-county bi-state region of the Quad Cities in eastern Iowa and western Illinois. It offers NICU, cancer, cardiac, robotics, critical care, pediatrics, women’s health, surgical, emergency, stroke, imaging, lab and weight‑management services. Recognition includes IBM Watson top‑15 health system, Leapfrog “A” safety grade, U.S. News top‑ranked hospital, national quality leadership, IT Most Wired, nursing excellence designations and Great Iowa Nurse honorees.
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 Genesis serves a 17-county bi-state region of the Quad Cities (Davenport and Bettendorf, Iowa, and Rock Island and Moline, Ill.) metropolitan area and the surrounding communities of Eastern Iowa and Western Illinois. But when it comes to clinical capabilities and quality, we exceed those geographical limits. We have earned distinction as a two-time national Top 15 Health System, and recognition for being in the top 1 percent in the nation for patient safety.
We are looking to hire an RN - Case Manager to join our Care Coordination team in the Emergency Department!
Schedule:
36 hours per week, 0900-2130
2 weekends in a 6-week period
Self-scheduling
Responsibilities:
- Concurrently and retrospectively ensures the patient's progress in the acute episode of care through post discharge and is quality driven while being efficient, cost effective, and safe discharge plan\
- Works with physicians to facilitate effective and efficient transitions through the process of hospitalization
- Works collaboratively with all members of the multi-disciplinary team to ensure patient needs are met and care delivery is coordinated across the continuum, as well as appropriately reimbursed by payers, and that resources are efficiently and effectively utilized
- Serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information
General Requirements:
- Special Training: Basic Life Support
- Training Preferred: Certification in Case Management, Professional Utilization Review or Managed Care; DRG/CPT knowledge; Interqual Admission/Continued Stay criteria knowledge
- Licensure/Registration: Registered Nurse in Iowa or Illinois at time of hire, second state required within 1 year
- Experience: More than 5 year's experience required
Education:
Associate's degree
Field Of Study: Nursing
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.
Want to learn more about MercyOne Genesis? Click here: MercyOne Genesis | Stronger. Together. As One!
Davenport/Quad Cities
Davenport and the Quad Cities region combine affordability with vibrant culture. Families benefit from the Davenport Community School District and nearby colleges like St. Ambrose University and Augustana College. The area offers museums, riverfront parks, bike trails and year-round festivals, plus easy access to Chicago and Des Moines for weekend trips.
MercyOne Genesis Davenport Medical Center, established in 1869, is one of the largest employers in the Quad Cities, with a workforce of nearly 5,000 employees. The non-profit regional health system has 674 licensed beds and more than 70 locations, serving a 17-county bi-state region of the Quad Cities in eastern Iowa and western Illinois. It offers NICU, cancer, cardiac, robotics, critical care, pediatrics, women’s health, surgical, emergency, stroke, imaging, lab and weight‑management services. Recognition includes IBM Watson top‑15 health system, Leapfrog “A” safety grade, U.S. News top‑ranked hospital, national quality leadership, IT Most Wired, nursing excellence designations and Great Iowa Nurse honorees.
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 Genesis serves a 17-county bi-state region of the Quad Cities (Davenport and Bettendorf, Iowa, and Rock Island and Moline, Ill.) metropolitan area and the surrounding communities of Eastern Iowa and Western Illinois. But when it comes to clinical capabilities and quality, we exceed those geographical limits. We have earned distinction as a two-time national Top 15 Health System, and recognition for being in the top 1 percent in the nation for patient safety.
We are looking to hire an RN - Case Manager to join our Care Coordination team in the Emergency Department!
Schedule:
36 hours per week, 0900-2130
2 weekends in a 6-week period
Self-scheduling
Responsibilities:
- Concurrently and retrospectively ensures the patient's progress in the acute episode of care through post discharge and is quality driven while being efficient, cost effective, and safe discharge plan\
- Works with physicians to facilitate effective and efficient transitions through the process of hospitalization
- Works collaboratively with all members of the multi-disciplinary team to ensure patient needs are met and care delivery is coordinated across the continuum, as well as appropriately reimbursed by payers, and that resources are efficiently and effectively utilized
- Serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information
General Requirements:
- Special Training: Basic Life Support
- Training Preferred: Certification in Case Management, Professional Utilization Review or Managed Care; DRG/CPT knowledge; Interqual Admission/Continued Stay criteria knowledge
- Licensure/Registration: Registered Nurse in Iowa or Illinois at time of hire, second state required within 1 year
- Experience: More than 5 year's experience required
Education:
Associate's degree
Field Of Study: Nursing
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.
Want to learn more about MercyOne Genesis? Click here: MercyOne Genesis | Stronger. Together. As One!
Davenport/Quad Cities
Davenport and the Quad Cities region combine affordability with vibrant culture. Families benefit from the Davenport Community School District and nearby colleges like St. Ambrose University and Augustana College. The area offers museums, riverfront parks, bike trails and year-round festivals, plus easy access to Chicago and Des Moines for weekend trips.
MercyOne Genesis Davenport Medical Center, established in 1869, is one of the largest employers in the Quad Cities, with a workforce of nearly 5,000 employees. The non-profit regional health system has 674 licensed beds and more than 70 locations, serving a 17-county bi-state region of the Quad Cities in eastern Iowa and western Illinois. It offers NICU, cancer, cardiac, robotics, critical care, pediatrics, women’s health, surgical, emergency, stroke, imaging, lab and weight‑management services. Recognition includes IBM Watson top‑15 health system, Leapfrog “A” safety grade, U.S. News top‑ranked hospital, national quality leadership, IT Most Wired, nursing excellence designations and Great Iowa Nurse honorees.
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.
*Job Summary:*
Our mission is to create a great place to work and a great place to live. Join our team as an Occupational Therapist where you will play a vital role in enhancing the quality of life for individuals through occupational therapy interventions.
*Position Purpose*
The primary purpose of this job position is to identify and meet the occupational therapy and related service needs of each resident in accordance with physician orders and the resident plan of care as well as federal, state and local standards, guidelines and regulations to ensure that the highest quality of resident care is maintained at all times. The OT assumes the authority, responsibility and accountability necessary to understand and carry out his or her assigned duties within the OT scope of practice.
*Job Requirements*
* Must have graduated from an ACOTE accredited school of occupational therapy and have valid certification from the National Board for Certification of Occupational Therapy (NBCOT) a valid occupational therapist state license in good standing (based on state specific requirements). It is the responsibility of the employee to maintain active licensing/certifications throughout their time of employment.
* Previous therapy experience is preferred, with some of that experience in a long-term care facility.
* Must provide all necessary documentation in accordance with the companys new hire process to evidence eligibility for employment and pass a criminal background check.
* Must complete new hire orientation as required by company policy and participate in continuing education such as in-services, staff meetings, Relias training, etc.
* Must possess excellent interpersonal skills, including the ability to communicate clearly and work well with others.
* Must possess excellent organizational, critical thinking, decision making, problem solving, prioritization of care and time management skills.
* Must possess the ability to communicate proficiently in English, both orally and in writing.
* Must be proficient in the use of technology, including and especially the use of computers and electronic health record programs.
* Must be willing to follow all federal, state and local laws and regulations as well as company policies and procedures and abide by the employee handbook, including but not limited to dress and grooming standards, time and attendance standards, drug and alcohol policy, respect and courtesy towards others, conduct self in an honest and ethical manner, etc.
* Must have flexibility and availability to work outside of standard business hours, including weekends and holidays and travel to other sister facilities when needed.
* Must participate in and respond professionally to surveys and inspections conducted by government agencies.
* Must be able to perform physical tasks and operate equipment associated with the standard work and essential functions of an occupational therapist, including using visual, auditory and speaking skills sufficient to evaluate, diagnose and communicate with residents, using fine and gross motor skills inherent to the roles of an occupational therapist, standing or sitting for extended periods, lifting/carrying in excess of 50 pounds, or be able to be reasonably accommodated for any limitations.
* Must be able to cope with the mental and emotional stress inherent to the position, including working daily with residents in the geriatric, mentally ill, dementia, and disabled populations.
* Must be able to perform assigned tasks with a minimum of supervision and oversight and develop awareness for and a willingness to perform other tasks, as needed, without constant supervision.
* Must help foster and maintain an atmosphere of warmth, cheerfulness, enthusiasm and compassion, giving residents the quality of service you would want to receive.
*Summary of Principal Accountabilities*
* Optimize the functionality and skills of residents by providing, directing and/or overseeing occupational therapy screening of residents as appropriate, and evaluation and treatment of residents who may benefit from therapy services. The OT develops the initial treatment plan of care with revisions to the plan of care as needed throughout the residents stay.
* Comply with best practice industry standards as well as state and federal laws and regulations regarding accurate and timely billing in each residents medical record.
* Maintain completeness of each assigned residents medical record by completing all assigned evaluations, progress notes, discharge summaries, clarification orders, etc. according to posted schedules for the shift, making sure entries are timely, informative and accurate.
* Establish and maintain professional and positive working relationships with residents which reflects person-centered care. Honor the residents rights and provide care in a manner that promotes resident dignity and privacy.
* Establish and maintain a professional and positive working relationship with Certified Occupational Therapy Assistants (COTA). The OT is responsible to supervise the COTA in skilled tasks during group and individual treatment in a manner that promotes efficient and effective utilization of resources and the ongoing development of clinical skills. The OT will refer patients to the COTAs for treatment as appropriate and be available for consultation and clinical supervision to COTAs as needed. The OT should be familiar with what treatment can appropriately be delegated to a COTA and consult with the Director of Rehabilitation with any questions or concerns.
* Coordinate/collaborate on resident care with other members of the interdisciplinary and therapy teams. This may include attending or providing updates for resident care conferences and utilization review/case management meetings, reporting changes in resident condition or allegations of abuse, and making referrals to other members of the interdisciplinary and therapy teams as appropriate.
* Remain professionally informed and enhance clinical expertise as well as professional and management skills through interaction with managers, therapists and other professional staff, continuing education courses/trainings, and attendance at facility in-services and trainings. Implement new programs/techniques to enhance occupational therapy rehabilitation services.
* Understand relevant payment models related to billing and treatment guidelines as well as clinically appropriate means/modes of delivery. Provide quality care that falls within the guidelines of reasonable duration and type of services.
* Help maintain cleanliness of work areas, break areas, linen closets, supply closets, etc.
* Perform other related duties as may become necessary or as directed by supervisor(s).
Pay: $50.00 - $55.00 per hour
Benefits:
* 401(k)
* 401(k) matching
* Continuing education credits
* Dental insurance
* Flexible schedule
* Health insurance
* Health savings account
* Opportunities for advancement
* Paid time off
* Relocation assistance
* Retirement plan
* Vision insurance
Language:
* English (Required)
License/Certification:
* Occupational Therapy License (Required)
Ability to Commute:
* Cut Bank, MT 59427 (Preferred)
Work Location: In person
by Jobble
Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel 2 year(s) Note: 2-year acute care Hospital Case Manager experience performing Care Coordination and Discharge planning Case Management/Utilization Review Utilize InterQual Criteria
* Care coordination Discharge Planning Plan of Care Regulatory DRG (Diagnosis Related Groups)
* CMS: Centers for Medicare and Medicaid Services Work Settings Acute Hospital ProKatchers Job ID 3163940.
Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
Posted job title: RN Case Manager About ProKatchers Founded in 2016, ProKatchers Inc.
is a JCC-certified organization and a recognized leader in healthcare staffing.
Named one of the Fastest Growing Healthcare Staffing Firms by Staffing Industry Analysts (SIA) for 2023-2024, we are proud to be among the top-rated companies in our industry.
At ProKatchers, we offer both short- and long-term contracts, as well as travel opportunities for licensed and experienced healthcare professionals across the United States.
We are committed to providing industry-leading benefits and personalized career support.
We understand that finding the right fit is about more than just a job—it's about aligning your career with your lifestyle.
That's why our dedicated team of career specialists takes the time to get to know you and match you with assignments that meet your goals and aspirations.
ProKatchers has also been recognized by SIA as one of the Best Staffing Firms to Work For—a testament to our employee-first approach.
We specialize in placing clinical and allied health professionals in a wide range of healthcare settings, including acute care hospitals, skilled nursing facilities, long-term care centres, rehabilitation facilities, behavioural health canters, home and community health programs, urgent care clinics, and more.5c143e31-5e48-4549-b638-05792d185386
Our client is a growing medical nonprofit practice providing comprehensive clinical and diagnostic expertise for individuals with cognitive and movement concerns is hiring an experienced Clinical Manager to join their team.
Full-time, direct hire opportunity working onsite at main office near the Eastover area of Charlotte, NC.
Position Overview:
The organization is seeking an experienced Clinical Manager and collaborative team player to lead a team of 8+ nurses in the day-to-day operations of the practice. This includes oversight and adjustment of work/schedules when needed to maintain workflow balance, monitoring and implementing adherence to metrics, onboarding and training of new hires and on-going clinical and various other responsibilities to support the clinical nursing team and the practice.
The Clinical Manager will also be responsible for ongoing assessment of program operations for opportunities to improve efficiencies and continually redefine the standard of care and support for individuals and families with memory and movement disorders.
This critical position will play a key role in supporting the culture and a work environment that promotes and inspires an active, continuous improvement philosophy that aligns with the practice values, which are as follows:
- Time and Attention: We develop a unique care plan for each patient and prioritize caregivers’ questions and concerns.
- Profound Empathy: We care for patients and their loved ones in the most sound and compassionate way.
- Access: No one is turned away.
Key Requirements of the role:
· Registered Nurse (RN) with a current, unrestricted license is required.
· Two or more years of experience in Managed Care in a case management or utilization review role.
· Three or more years’ experience in a supervisory role managing nursing staff.
· CCM certification preferred.
· Three or more years of clinical experience as a nurse in a critical care unit or other intensive care unit preferred.
· Experience with URAC standards preferred
· Must have a strong commitment to excellence in customer service
· Demonstrated strong problem-solving skills
· Must have proven track record of utilizing tact, diplomacy and strategic thinking in addressing issues and changes in company policy, etc.
· Self-motivated and willing to learn multiple tasks.
· Well organized and able to prioritize tasks
· Strong technical skills and adept with using Microsoft Office (Word, Excel, Outlook and Teams)
· Must demonstrate strong verbal and written communications skills as well strong documentation skills.
Final determination of salary will be based on an evaluation of experience, education, budget, etc.
