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Healthcare Navigator (PLEASANTON)

Salary not disclosed

PLEASANTON, Texas 5 days ago

POSITION SUMMARY/RESPONSIBILITIES

Care Coordinator will be instrumental in assisting the department and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to eligible Medicare Advantage beneficiary. Will monitor opportunities within the Medicare managed group to enhance financial outcomes. Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across the healthcare continuum. Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the patient advocate to identify and communicate health care needs. Works collaboratively with clinical staff, clinic leadership, and outside agencies in an effort to improve patient outcomes, compliance, and decrease complications.

EDUCATION/EXPERIENCE

Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full time hospital experience preferred. Work experience in case management, utilization review, or hospital quality assurance experience is preferred.

LICENSURE/CERTIFICATION

Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse Educator certification is highly desirable. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.

permanent

Health Plan Nurse Navigator (PLEASANTON)

🏢 University Health

Salary not disclosed

PLEASANTON, Texas 5 days ago

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.

permanent

Patient Care Navigator RN (BOERNE)

🏢 University Health

Salary not disclosed

BOERNE, Texas 5 days ago

POSITION SUMMARY/RESPONSIBILITIES

Functions as an integral member of the physician-led care team that provides primary care including preventive care and on-going health maintenance for selected groups of patients. Participates in the care of well, acutely ill and chronically ill patients.

EDUCATION

BSN is required. Recent patient care experience in transplant or at least one year of experience as a registered nurse is required. National certification in transplant is preferred.

LICENSURE/CERTIFICATION

Must be currently licensed as a Registered Nurse in the State of Texas. Must maintain current AHA BLS or higher. ACLS preferred.

permanent

Registered Nurse Care Navigator (PLEASANTON)

🏢 University Health

Salary not disclosed

PLEASANTON, Texas 5 days ago

POSITION SUMMARY/RESPONSIBILITIES

Functions as an integral member of the physician-led care team that provides primary care including preventive care and on-going health maintenance for selected groups of patients. Participates in the care of well, acutely ill and chronically ill patients.

EDUCATION

BSN is required. Recent patient care experience in transplant or at least one year of experience as a registered nurse is required. National certification in transplant is preferred.

LICENSURE/CERTIFICATION

Must be currently licensed as a Registered Nurse in the State of Texas. Must maintain current AHA BLS or higher. ACLS preferred.

permanent

Acute Care Nurse Navigator (BOERNE)

🏢 University Health

Salary not disclosed

BOERNE, Texas 5 days ago

POSITION SUMMARY/RESPONSIBILITIES

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

EDUCATION/EXPERIENCE

Bachelor’s degree in Nursing is highly preferred. Three to five years nursing experience required (as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

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

temporary

Subacute Rehabilitation RN Navigator (Hiring Immediately)

✦ New

🏢 St. Peter's Health Partners

Salary not disclosed

Troy, New York 1 day ago

Employment Type:Full timeShift:Day ShiftDescription:

RN Liaison - Sub Acute Rehab Facilities

Eddy Visiting Nurse and Rehab Association has a rewarding opportunity for a fulltime position to be a part of EVNRA team as a liaison in our subacute rehab facilities!

This candidate would assist with homecare referrals and discharge planning and work closely with the community providers to obtain necessary documents. This position would participate in rounds and status of patients who are preparing to return home. Attention to detail, strong communication skills, and organization a must, along with an understanding of homecare regulations.

If you want to make a difference in a patient’s life, give us a try!

Requirements:

NYS Registered Nurse license
1 year of RN experience
Valid NYS driver's license

Key skills required:

Strong interpersonal skills
Excellent computer skills
Ability to multitask multiple patient referrals
Organization
Team player
Strong time management and clinical skills
Experience working with seniors and/or in HomeCare preferred
Experience in discharge planning and case managing a plus!

Eddy VNRA provides a comprehensive orientation and supportive work environment. Apply today for more information!

Pay Range: $38.00 - $50.18

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

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.

permanent

Cardiac Navigator RN Iowa Heart (Hiring Immediately)

✦ New

🏢 MercyOne

Salary not disclosed

DES MOINES, Iowa 1 day ago

Employment Type:Full timeShift:Description:

ESSENTIAL FUNCTIONS:

· In collaboration with multidisciplinary team, evaluates patient referrals to develop individualized plan of care across the continuum of care

· Responsible for personalized education plan for patient and family

· Follows through with test results and plan of care with patient/family and other health care providers/services as directed by provider or established guidelines

· Acts as a liaison among the individual/family, community, provider and physician as well as other health care team members.

· Collaborates in developing, implementing and evaluating teaching/learning strategies for client/family in the hospital community.

· Provides clinical leadership by being a preceptor for visiting professionals, students and new graduates.

· Coordinates appropriate educational material/instructions for patients, families, medical staff and multidisciplinary personnel to accomplish patient care outcomes.

· Participates in planning and presentation of continuing education programs, seminars and meetings.

· Coordinates with the health care team to develop a mechanism to monitor patient outcomes and follows up on variances.

· Ensures collection and input of risk stratification data. Reports results to the health care team and participates in interpretation of data and formulation of action plan.

· Collaborates with patients/families/populations to coordinate community services and appropriate resources which meet the individual needs and goals.

· Serves on selected hospital, group practice and community-based committees.

· Identifies need for and participates in research projects relevant to specific patient population.

· Collaborates with Quality Management, Utilization Review, Information Technology Services, and other departments regarding data availability and reports.

· Is accountable for the implementation and communication of standards for patient care delivery appropriate to the specific patient population that meets professional and regulatory standards.

· Coordinates the health care team in development of clinical tools for optimal outcomes and reports findings.

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

· Current Iowa registered nurse (RN) license.

· Bachelor’s degree in health-related field required or actively pursuing. BSN preferred.

· Demonstrates competency within a specialized area of clinical practice with 4 years experience in that specialty.

· Proof of completion of Mandatory Reporter – Child and Dependent Adult Abuse training within three (3) months of hire.

· Basic Life Support certified within six (6) weeks of hire. Acceptable credentialing bodies and certifications include American Heart Association Basic Life Support for Healthcare Providers.

· Demonstrates success in positions of leadership.

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.

permanent

Heart Health Navigator Nurse (Hiring Immediately)