Mphc Case List Jobs in Usa
6,427 positions found — Page 5
Organization
The National Conflict Resolution Center (NCRC) empowers individuals, organizations and communities with the skills and resources needed to address conflict, intolerance and incivility in our society.
West Coast Resolution Group (WCRG), a division of NCRC, provides exceptional and affordable mediation services to the legal community. Our panel of experienced neutrals brings extensive expertise mediating a wide range of cases. Through this work, we continue NCRC’s mission of helping resolve conflicts in our society, one mediation at a time.
Position Overview
The Case Administrator supports WCRG by assisting with case management and providing administrative support to the case management team, mediators, attorneys, and clients. This role plays an important part in ensuring mediations run smoothly from initial setup through completion. The position includes a combination of administrative case management, client interaction, and mediation support for both remote and in-person sessions.
This is a hybrid/remote position requiring the candidate to work three days per week in the office and two days per week remotely. This schedule is subject to change as needed.
Key Responsibilities
· Creates and organizes case file documentation in the MyCase case management software, including initial case setup with clients, attorneys, mediators, and key deadlines for payments, mediation briefs, and signatures.
· Coordinate logistics for virtual and in-person mediations, including preparing conference rooms and managing Zoom breakout rooms.
· Welcome mediators, attorneys, and their clients and assist with conference room or virtual room assignments.
· Collect and track signed confidentiality agreements prior to mediation.
· Assist in ensuring mediation briefs are submitted to the mediator before the session.
· Prepare conference rooms for mediations and restock supplies as needed.
· Coordinate lunch orders for mediation sessions when required.
· Ensure department laptops and technology are functioning properly for mediations.
· Provide light front desk support.
Qualifications
· Bachelor’s degree or Associate’s degree in a related field.
· Demonstrated experience working in a professional environment.
· A combination of education and 2–3 years demonstrated administrative or clerical experience in an office setting will be considered.
· Strong organizational skills with exceptional attention to detail.
· Ability to manage and prioritize multiple tasks.
· Dependable, professional, and able to maintain confidentiality.
· Experience in a legal or mediation office is preferred but not required.
WORK ENVIRONMENT
· Non-smoking, professional office environment
· Fast paced working with multi-level distractions
COMPENSATION
· Hourly rate range: $23-$25/hour depending on experience
· Health insurance, 401(k), PTO and holidays
· Downtown office with parking structure, partially paid parking
SPECIAL CONDITIONS
· Ability to work extended hours as needed
· This is a position with a hybrid schedule with 3 in-office workdays and 2 remote days. In-office days will be at the NCRC downtown office. Hybrid schedule is subject to change at any time at the discretion of the company.
· Ability to attend all mandatory NCRC staff meetings and events.
BACKGROUND CHECK
Employment is contingent upon successful completion of a background check in accordance with applicable laws and organizational policy.
EEO & INCLUSION
NCRC is an equal opportunity employer committed to building an inclusive workplace. We welcome applicants from diverse backgrounds and do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, disability, age, veteran status, or any other protected status.
The working Manager of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program. Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators and utilization review technicians. Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs. Integrates and coordinates services using continuous quality improvement tools.
Required qualifications:
1. Licensed RN in PA.
2. Minimum 5 years’ experience in a Case Management position.
3. Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process.
4. Experience and knowledge in basic to intermediate computer skills.
Preferred qualifications:
1. Certification in Case Management, BS or BSN or related field preferred.
2. Current BCLS certificate preferred.
3. Knowledge of Milliman Criteria and InterQual Criteria preferred.
Job description:
Welder – Casing Welding Experience Required
Admastown, MD
$32/hour
Start Date: Monday, March 16
We are looking for an experienced Welder with steel casing welding experience to join a tunneling project in Laurel, MD. This position involves welding large diameter steel casings used in underground utility and tunnel construction.
Note: This is not general structural welding. Candidates must have experience welding steel casings for tunneling, boring, or underground utility projects.
Responsibilities
- Weld steel casings together for tunneling and underground installations
- Perform field welding during boring/tunneling operations
- Ensure welds meet project and safety standards
- Work alongside the tunnel crew on active job sites
Requirements
- Experience welding steel casings for tunneling, microtunneling, or boring projects
- Experience with large diameter casing/pipe welding
- Knowledge of welding processes such as Stick (SMAW) or Flux Core (FCAW)
- Ability to pass a weld test if required
- Reliable transportation
- Ability to work full days on an active construction site
Work Location: In person
Registered Nurse - Case Management
Ashland, WI
Specialty: Case Management
Position Type: Travel
Contract Length: 13 weeks
Pay: $2498 - $3009 | Shift: 5x8 Days
Are you a skilled Case Management RN looking for your next adventure? Do you thrive in an acute care setting, providing exceptional patient support? Our healthcare partner in Ashland, WI, is seeking a dedicated Registered Nurse to join their team on a travel assignment. This is your chance to make a meaningful impact while exploring a new community.
As a Case Management RN, you will play a crucial role in coordinating patient care and ensuring the best outcomes. Your responsibilities will include:
- Utilizing InterQual criteria to assess and plan patient care
- Collaborating with interdisciplinary teams to develop comprehensive care plans
- Facilitating patient transitions and discharge planning
- Documenting patient information using the EPIC charting system
- Maintaining BLS (AHA) certification
- Need 1 year experience in setting
Apply today and let Capstone Health help you reach your full potential! At Capstone, we know that when healthcare professionals feel supported, they provide the best care for their patients. That's why we offer personalized recruiter support and comprehensive benefits to help you build a fulfilling career while maintaining a healthy work-life balance. Our travelers enjoy a range of traditional and modern benefits, including:
- Dedicated Recruiter
- $1,000 Unlimited Referral Bonus
- Medical, Dental, and Vision Insurance
- Complementary Life Insurance
- 401(k)
- Lodging and Meals & Incidental Reimbursement (with qualified tax home)
- Licensure/Certification Reimbursement
- Voluntary Insurance Benefits
- Completion Bonus
- Equal Employment Opportunity
- And more!
Registered Nurse - Case Management
Ashland, WI
Specialty: Case Management
Position Type: Travel
Contract Length: 13 weeks
Pay: $2498 - $3009 | Shift: 5x8 Days
Are you a skilled Case Management RN looking for your next adventure? Do you thrive in an acute care setting, providing exceptional patient support? Our healthcare partner in Ashland, WI, is seeking a dedicated Registered Nurse to join their team on a travel assignment. This is your chance to make a meaningful impact while exploring a new community.
As a Case Management RN, you will play a crucial role in coordinating patient care and ensuring the best outcomes. Your responsibilities will include:
- Utilizing InterQual criteria to assess and plan patient care
- Collaborating with interdisciplinary teams to develop comprehensive care plans
- Facilitating patient transitions and discharge planning
- Documenting patient information using the EPIC charting system
- Maintaining BLS (AHA) certification
- Need 1 year experience in setting
Apply today and let Capstone Health help you reach your full potential! At Capstone, we know that when healthcare professionals feel supported, they provide the best care for their patients. That's why we offer personalized recruiter support and comprehensive benefits to help you build a fulfilling career while maintaining a healthy work-life balance. Our travelers enjoy a range of traditional and modern benefits, including:
- Dedicated Recruiter
- $1,000 Unlimited Referral Bonus
- Medical, Dental, and Vision Insurance
- Complementary Life Insurance
- 401(k)
- Lodging and Meals & Incidental Reimbursement (with qualified tax home)
- Licensure/Certification Reimbursement
- Voluntary Insurance Benefits
- Completion Bonus
- Equal Employment Opportunity
- And more!
Registered Nurse - Case Management
Ashland, WI
Specialty: Case Management
Position Type: Travel
Contract Length: 13 weeks
Pay: $2498 - $3009 | Shift: 5x8 Days
Are you a skilled Case Management RN looking for your next adventure? Do you thrive in an acute care setting, providing exceptional patient support? Our healthcare partner in Ashland, WI, is seeking a dedicated Registered Nurse to join their team on a travel assignment. This is your chance to make a meaningful impact while exploring a new community.
As a Case Management RN, you will play a crucial role in coordinating patient care and ensuring the best outcomes. Your responsibilities will include:
- Utilizing InterQual criteria to assess and plan patient care
- Collaborating with interdisciplinary teams to develop comprehensive care plans
- Facilitating patient transitions and discharge planning
- Documenting patient information using the EPIC charting system
- Maintaining BLS (AHA) certification
- Need 1 year experience in setting
Apply today and let Capstone Health help you reach your full potential! At Capstone, we know that when healthcare professionals feel supported, they provide the best care for their patients. That's why we offer personalized recruiter support and comprehensive benefits to help you build a fulfilling career while maintaining a healthy work-life balance. Our travelers enjoy a range of traditional and modern benefits, including:
- Dedicated Recruiter
- $1,000 Unlimited Referral Bonus
- Medical, Dental, and Vision Insurance
- Complementary Life Insurance
- 401(k)
- Lodging and Meals & Incidental Reimbursement (with qualified tax home)
- Licensure/Certification Reimbursement
- Voluntary Insurance Benefits
- Completion Bonus
- Equal Employment Opportunity
- And more!
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.
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
40Pay 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.
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.
Job Summary:
The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes.
Essential Functions:
- Ensures consistent care along the entire health care continuum by assessing and closely monitoring members’ needs and status.
- Authorizes covered services and coordinates care regardless of payer.
- Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team.
- Works with member/family to maintain the most independent living situation possible
- Assesses, plans and provides continuous care management across all venues of care, including hospital, sub-acute, long-term and home settings.
- Regularly assesses members for ongoing eligibility for services based on the specific plan’s eligibility criteria.
- Performs home visits as required to assess members’ living situation, cultural influences, functional and cognitive needs.
- Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member.
- Ensures appropriate, safe plan for members’ discharge from their plan.
- Identifies same day grievances, investigates and documents accordingly. Documents any grievance according to plan policy.
- Identifies and presents members with complex care management needs or in difficult to manage situations at Intensive Care management meetings (ICM).
- Responds to members’ requests in the designated timeframes and completes Initial Adverse Determinations (IAD) as indicated
- Identifies members requiring Care Management Review (CMR), evaluates documentation provided by the IDT including hospital or nursing home discharges planners, and formulates appropriate plan of care.
- Documents care management/coordination according to company policy to the specific plan the member is enrolled in, which may include monthly telephonic and in person recertification notes.
- Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members’ needs.
- Perform any other job related duties as requested.
Education and Experience:
- Associates degree in Nursing from an accredited nursing program required
- Bachelor's degree in Nursing preferred
- Three (3) years of experience as a registered nurse required
- Clinical experience in geriatrics and/or managed long-term care experience preferred
- Experience using multiple languages may be required based on operational needs
Competencies, Knowledge and Skills:
- Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
- Ability to communicate effectively with a diverse group of individuals
- Ability to multi-task and work independently within a team environment
- Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
- Adhere to code of ethics that aligns with professional practice
- Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice
- Strong advocate for members at all levels of care
- Strong understanding and sensitivity of all cultures and demographic diversity
- Ability to interpret and implement current research findings
- Awareness of community & state support resources
- Critical listening and thinking skills
- Decision making and problem-solving skills
- Strong organizational and time management skills
- Bilingual speaking and writing skills are preferred
Licensure and Certification:
- Current, unrestricted Registered Nurse licensure in the state of New York required
- Case Management Certification preferred
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
- Up to 25% (regular) travel may be required to travel to different locations, including homes, offices, or other public settings, to perform work duties
Compensation Range:
$100,000 - $115,000.. We takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
#AC1
#ACP
Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care.
Work with physicians, Social Workers with the interdisciplinary team to facilitate clinical pathways and achievement of desired treatment outcomes.
Promotes interdisciplinary collaboration and champion service excellence.
Works collaboratively to ensure patient needs are met and care delivery is coordinated across the continuum at the appropriate level of care.
Required Skills: 1.
Clinical expertise.
2.
Excellent interpersonal communication and negotiation skills.
3.
Strong analytical, data management and computer skills.
4.
Current working knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement.
5.
Able to work with people of all social, economic, and cultural backgrounds.
6.
Flexible, open-minded and adaptable to change.
7.
Understanding of pre-acute and post-acute venues of care and community resources.
8.
Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.
9.
Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients/families.
10.
Bilingual English/Spanish preferred, culturally sensitive.
11.
Ability to read and comprehend English at a level necessary to follow written and oral instructions and safety precautions.
Required Experience: A.
Work Experience: 1.
Three years of direct patient care experience in an acute care setting.
2.
Previous case management experience or related experience preferred.
B.
License/Registration/Certification: 1.
Current Texas RN License.
2.
Certified Case Manager (CCM) preferred.
C.
Education and Training: Bachelor's degree in Nursing required.
Master's degree in Nursing preferred.
Job Summary and Qualifications
The Registered Nurse (RN) CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.
Your responsibilities will include:
- Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights
- Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences
- Developing and implementing individualized treatment plans that reflect the patient’s strengths, needs, and personal recovery goals
- Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team
- Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care
- Promoting HCA Healthcare’s values of compassion, respect, and excellence through every patient and family interaction
What qualifications you will need:
Education & Experience:
- Associate Degree in Nursing or Nursing Diploma Required
- Bachelor’s Degree in Nursing Preferred
- 2+ years experience in case management OR 3+ years experience in clinical nursing Required
- InterQual experience Preferred
Licensure, Certifications, Training: Credential:
- Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation. Required
- Certification in Case Management Preferred
Benefits
Del Sol Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
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"Nurses play a pivotal role and are the backbone of healthcare delivery. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing."
Sammie Mosier, DHA, MA, BSN, NE-BC
Senior Vice President and Chief Nursing Executive, HCA Healthcare
Del Sol Medical Centeris a full service, acute-care hospital in east El Paso, Texas. We have a Level II trauma designation. This facility has 300+ patient beds. Our range of services include emergency care, cardiac care, women’s services, Level III NICU, rehabilitation, a bariatric clinic, and a Minimally Invasive Surgery Center. Del Sol Medical Center is part of Las Palmas Del Sol Healthcare. We are a leading healthcare provider for El Paso and the surrounding region that is part of HCA Healthcare.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
If this opportunity is your next step in your career path, we encourage you to apply for our Registered Nurse Case Manager opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing, apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
