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Summary:

Assumes primary responsibility and 24/7 accountability for effective implementation of nursing practice and operations for assigned areas;
at CHRISTUS St. PatrickHospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation of hospital and departmental philosophy, goals, policies, and procedures. Facilitates intra and interdepartmental communication and collaboration to promote excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically effective patient care is provided in a safe and cost effective manner. Promotes the professional development of patient care and administrative support staff assigned for areas.

Responsibilities:

• Participates in the establishment and implementation of yearly goals for the units.
• Monitors operations of the unit. Measures progress towards goals, identifying problems and taking corrective actions.
• Serves as an advocate for patients/families, assuring that patient/family rights are respected, patient satisfaction issues are addressed, and associates adhere to the core values of the corporation.
• Directs patient care in compliance with regulatory standards such as Joint Commission and state licensure requirements.
• Participates in the development, communication, and implementation of nursing and organizational policy and procedure.
• Participates on intra and interdepartmental committees and task forces which are focused on improving patient care.
• Collaborates with other Department Managers and Hospital Leadership to resolve unit/staff issues.
• Participates and directs staff in hospital plans for emergency and disasters.
• Develops, communicates and updates unit(s), standards, protocols, policies and procedures to meet trends in nursing practice and patient services.
• Collaborates with Human Resources to recruit and hire qualified associates.
• Counsels, guides, and disciplines associates to enhance patient care through compliance with established hospital policies and procedures.
• Evaluates staff job performance on a timely basis and in a manner that recognizes associate's accomplishments, enhances performance and facilitates professional development.
• Provides HR with information to maintain associate files with current licensure, credentialing records, certifications, orientation documentation, skills checklists, and continuing education requirements.
• Facilitates and encourages staff participation in the professional practice model.
• Confronts and resolves conflicts involving staff, physicians, patients/families, interdepartmental and intra departmental issues.
• Empowers associates through effective delegation, maintaining accountability.
• Directs and ensures staff participation in process improvement activities for the unit/hospital.
• Conducts regularly scheduled staff meetings which address unit issues, process improvement, and safety;
  Ensures staff meeting minutes are available on a timely basis.
• Establishes and enforces with staff a method for ongoing maintenance and upkeep of the unit supplies and equipment.
• Maintains and ensures documentation of quality control aspects of the clinic(s) (e.G. POCT logs, refrigerator temps, etc which are required by Joint Commission)
• Collaborates effectively with physicians, administrators, patients, families, other departments, and the community to provide quality patient care and enhance patient outcomes.
• Maintains core staffing within established guidelines that assure patient safety and considers skill mix and experience of staff.
• Oversees daily staffing of the unit and collaborates with Lead Associates on the development and revision of the staffing schedule.
• Ensures assessment of competency of all associates as a part of the orientation program and on an ongoing basis.
• Identifies, plans, develops and/or arranges for programs to meet the educational/skills needs of the associates upon hiring and on an ongoing basis.
• Identifies, plans, develops methods to meet the educational needs of the patient population.
• On an annual basis, contributes to the development of operating and capital budgets to meet the needs of the unit.
• Assures effective and appropriate utilization of material and human resources,
• Reviews financial and productivity management reports and takes appropriate actions.
• Demonstrates competence to perform assigned patient care responsibilities in a manner that meets the age specific and developmental needs of patients served by the department.
• Appropriately reviews patient assessment, treatment, and/or care methods performed by nursing to accommodate the unique physical, psychosocial, cultural, spiritual, age specific and other developmental needs of each patient served.
• Demonstrates adherence to the Mission and CORE values of CHRISTUS Health System. GG. Performs other duties as assigned.

Requirements:

• Bachelor's Degree
• RN License in state of employment or compact
• BLS

Work Type:

Full Time

EEO is the law - click below for more information:

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Vi is recognized as a Great Place to Work and one of Glassdoor's 100 Best Companies to work for. Learn from the best and accelerate your career with Vi.

What We Offer:

• Competitive pay
• Exceptional benefits
• Generous Paid Time Off - start accruing on day one
• 401k with company match
• Paid maternity and paternity benefits
• Award-winning training and development
• Tuition Reimbursement
• Luxury work environment
• Meaningful and rewarding work

Vi at Bentley Village is located at 2315 Leisure Lane, Naples, FL 34110

Clinical Reimbursement Manager - MDS RN

Full-Time Onsite Position 

Collaborates with the DON, Clinical Reimbursement Specialist (where applicable) and various disciplines to complete the Minimum Data Set (MDS), Resident Assessment Instrument (RAI), and all associated processes. With guidance and oversight from the DON, the CRM ensures completion of the assessment within the timeframe as mandated by federal regulations and company policies. The CRM also manages the overall process and tracking of all Medicare/Managed Care/Medicaid case mix documents in order to ensure appropriate and optimal reimbursement for services provided within the Care Center. Responsibilities also include assisting with the coordination of the resident care planning processes. Performs other duties as assigned. This is a safety sensitive position.

Principal Accountabilities / Essential Job Functions:

• Reviews the clinical records, MD progress notes, therapy and nursing documentation in order to capture all care and services for optimal reimbursement.
• Ensures that participants in the assessment process complete an accurate and comprehensive assessment and collaborates with the Clinical Reimbursement Specialist (where applicable)or DON to address concerns.
• Tracks Medicare/Managed Care beneficiaries to determine continued and appropriate Medicare eligibility and benefit period by determining skilled level of need.
• Performs concurrent and ongoing MDS review to ensure appropriate PDPM category is achieved through the capture of appropriate clinical information.
• Manages the coordination of ICD-10 coding for Medicare and Managed Care billing.
• Directs the interdisciplinary team process to communicate opportunities to ensure capturing of all care, services, and diagnosis.
• Coordinates with rehabilitation services Program Director, Corporate Director of Clinical Reimbursement and Central Billing Office as needed to communicate case mix data required for accurate claim billing at month end.
• Reviews additional document requests by local Medicare Administrative Contractors, insurance carriers or auditors to ensure appropriate documentation is submitted timely for review.

• Encourages staff to report changes in the resident's status and involves the DON in addressing concerns.
• Confirms that residents and their families are actively involved in the information sharing and decision-making process.
• Completes resident assessment protocol documents within scope of practice.
• Assists with the completion of the resident care plan and the care plan conferences per requirements as requested by the DON.
• Provides resident and family education as needed.
• Identifies and reports deviations from safe practice to the DON. Adheres to policies and guidelines of regulatory agencies (i.e. OSHA, CMS).
• Manages emergency situations based on the Company’s safety and disaster policies.
• Communicates and collaborates with other members of the healthcare team to resolve resident care problems and to enhance care delivery.
• Participates in quality assessment/performance improvement activities and audits.
• Maintains minimum data set competencies and attends annual educational programs.
• Attends/participates in care center meetings, in-services and committee meetings.
• May perform CPR, use Automated External Defibrillator (AED), and render first aid in emergency situations.

Physical Requirements:

• Constant: Walking, must have the ability to operate in a constant state of alertness and in a safe manner.
• Frequent: Standing
• Occasional: Handling medical supplies and equipment, pushing up to 120 lbs.
• Seldom: Bending, crouching, pulling, reaching up to 36 in., lifting Residents (70 lbs. to 300 lbs.) with use of assistive device

Sensory Requirements:

• Balance, tactile, hearing, smelling, near, midrange, color and peripheral vision

Working Conditions:

• Regular on-site physical presence is required.

Key Competencies:

• Maintains a courteous and professional manner through interactions with others.
• Uses a resident and customer-focused approach to problem solving and goal setting.
• Uses discretion in handling confidential information, incorporating all Federal, State and local privacy and confidentiality requirements.
• Must possess knowledge of regulatory compliance and Continuing Care Retirement Community operations.
• Excellent knowledge of Case-Mix, and the Federal Medicare PPS process as required.
• Thorough understanding of the Quality Indicator Process, and OBRA regulations.

• Excellent oral and written communication skills and ability to interface and maintain effective relationships with all departments and employees in a team-oriented environment.
• Computer proficiency using Microsoft Office.
• Must be sensitive to the needs of older adults and enjoy working with a senior population.

Education and Experience:

• Education: Graduation from a School for Registered Nurses is required.
• Work Experience: Minimum 3 years of previous experience in an MDS/Clinical Reimbursement Nurse role is required.
• Licensure / Certification, where required: Current State Licensure as a Registered Nurse in the state where practicing is required. Current CPR and Automated External Defibrillator (AED) certifications are required. Current First Aid certification is required or must be willing and able to become First Aid certified. Food handlers certification, where required.

The application window is anticipated to close within 30 days of the date of the posting.

This position requires compliance with Florida’s Care Provider Background Screening process. Please see the Clearinghouse screening information here: Pay Range: USD $82,487.45 - USD $107,228.73 /Yr.

JOB DESCRIPTION Job Summary

Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and “pop up” clinics. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

 

Essential Job Duties

• Provides general medical care and care coordination to various and/or specific patient member populations – adult, women’s health, pediatric, and geriatric.

• Performs comprehensive evaluations including history and physical exams for gaps in care and preventive assessments.

• Addresses both chronic and acute primary care complaints, and demonstrates ability to ascertain medical urgency.

• Establishes and documents reasonable medical diagnoses.

• Seeks specialty consultation as appropriate.

• Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately.

• Understands when a member's needs are beyond their scope of knowledge and when physician oversight is needed.

• Creates and implements a medical plan of care.

• Schedules appointments for visits when appropriate.

• Provides post-discharge coordination to reduce hospital readmission rates and emergency room utilization.

• Performs face-to-face in-person visits in a variety of settings including in-home, skilled nursing facilities, and public locations.

• Performs face-to-face visits via alternative modalities based on business need, leadership direction and state regulations.

• Orders bulk laboratory orders to target specific member populations.

• Performs alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develops appropriate plans of care.

• Participates in community-based “pop up clinics” to build relationships with communities, and address gaps in health care.

• Drives up to 120 miles a day on a regular basis to a variety of locations within the assigned region. Drives beyond 120 miles as part of extended mileage may be required on special project days. Special projects may include an overnight hotel stay.

• Obtains and maintains cross-state license in other states besides home state based on business need.

• Collaborates with fellow nurse practitioners to develop best practices to perform work duties efficiently and effectively.

• Actively participates in regional meetings.

• May prescribe medications and perform procedures as appropriate.

• Performs timely medical records documentation in electronic medical record (EMR) computer system.

• On occasion, may be required to walk flights of stairs while carrying up to 50 lbs. of equipment.

• Engages in practices constituting the practice of medicine in collaboration with and under the medical direction and supervision of a licensed physician to the degree required by state laws.

• Local travel required (based upon state/contractual requirements).

 

Required Qualifications

• At least 1 year of experience as a nurse practitioner, or equivalent combination of relevant education and experience.

• Active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC).

• Current state-issued license to practice as a Family Nurse Practitioner (FNP). License must be active and unrestricted in state of practice.

• Prescriber Drug Enforcement Agency (DEA) license with authority to prescribe per state qualifications. License must be active and unrestricted in state of practice.

• Current Basic Life Support (BLS) certification.

• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.

• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

• Ability to work independently with minimal supervision and demonstrate self-motivation.

• Responsive in all forms of communication.

• Ability to remain calm in high-pressure situations.

• Ability to develop and maintain professional relationships.

• Excellent time-management and prioritization skills; ability to focus on multiple projects simultaneously and adapt to change.

• Excellent problem-solving and critical-thinking skills.

• Strong verbal and written communication skills.

• Microsoft Office suite/applicable software program(s) proficiency, and electronic medical record (EMR) experience.

 

Preferred Qualifications

• Experience as a registered nurse or nurse practitioner in a home health, community health or public health setting.

• Experience in home health as a licensed clinician, especially in management of chronic conditions.

• Experience with underserved populations facing socioeconomic barriers to health care.

• Immunization and point of care testing skills.

• Bilingual.

#PJNurse

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $88,453 - $198,356 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Summary: 

The Project Manager (Municipal) partners directly with municipalities across Upstate New York and Vermont to deliver high-quality construction solutions that meet community infrastructure needs. This role manages projects from initial client engagement and estimating through planning, execution, and final delivery.

The Project Manager collaborates closely with materials operations, superintendents, estimators, and equipment managers to ensure projects are completed safely, on schedule, within budget, and to the highest quality standards. Success in this role requires a strong understanding of Peckham’s products, services, and capabilities in order to develop effective paving solutions and maintain long-term municipal partnerships.

Essential Functions: 

1. Honesty and truth. Develop and sustain strong relationships with municipal customers and internal operations teams to ensure projects are aligned with customer needs and delivered successfully.
2. Compulsive tinkering. Identify municipal infrastructure needs and deliver effective paving and construction solutions that address customer concerns and support long-term partnerships.
3. Results matter. Produce accurate project estimates and proposals that support profitable project delivery and competitive customer pricing.
4. Ownership and caring. Ensure projects are effectively scheduled and coordinated so that crews, equipment, trucking, and materials are deployed efficiently and projects are completed on time.
5. Communicate. Foster strong collaboration across operations teams to support seamless communication, planning, and execution of work.
6. Measurement. Manage project financial performance by monitoring budgets, controlling costs, and maintaining accurate job cost reporting.
7. Focused. Ensure accurate and timely customer billing aligned with project scope, quotes, and completed work.
8. Our word is our bond. Deliver a high level of customer service by proactively addressing concerns, maintaining open communication, and ensuring customer satisfaction.
9. Respect and engage. Represent the company professionally while strengthening relationships with employees, customers, and the communities where projects are performed.
10. Mastery. Ensure milling and paving operations meet established quality standards and project specifications.
11. Obligated. Maintain accurate documentation of project activities and production quantities to support operational tracking and financial reporting.
12. Determined. Continuously develop professional and technical knowledge through company training and industry education.
13. Committed to serve. Contribute to operational improvements and organizational initiatives as assigned by management.

Requirements, Education and Experience:

1. 3–7 years of construction project management experience, preferably in paving or heavy civil construction. A Bachelor’s degree in Construction Management, Civil Engineering, or a related field is a plus but not required; equivalent industry experience, training, or technical knowledge will be considered.
2. Experience with Project scheduling and coordination of crews, equipment, trucking, materials, and subcontractors
3. Ability to read and interpret construction plans, specifications, contracts, and bid documents
4. Experience with DOT, municipal, or roadway construction projects and compliance with OSHA safety standards
5. Working knowledge of construction practices related to Hot Mix Asphalt, Concrete, and Aggregates
6. Bachelor’s degree in Construction Management, Civil Engineering, or related field (preferred)
7. Working knowledge of construction practices related to Hot Mix Asphalt, Concrete, and Aggregates
8. Experience or willingness to learn estimating, budgeting, job cost tracking, and change order management
9. Proficiency in Microsoft Office (Word, Excel, Outlook) and construction management software (Viewpoint, XBE)
10. Strong communication, interpersonal, and professional written/verbal English skills
11. Strong organizational, documentation, prioritization, and decision-making skills; self-motivated and disciplined
12. Valid driver’s license with reliable transportation
13.  Legal authorization to work in the United States

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.

Travel:

Position may require up to 50% travel by personal vehicle to offices throughout the state of New York, and New England based on the needs of the business.

Work Environment/Physical Demands:

Medium Work: May be required to exert up to 50 pounds of force occasionally, and/or up-to 10 pounds of force frequently, and or a negligible amount of force constant to move objects. Job involves sitting, standing, walking, climbing, reaching, and bending for brief periods of time in all types of weather. While performing the duties of this job, the employee is regularly required to talk and hear, to communicate to employees/visitors. This position is also occasionally set in a professional work environment. This role routinely uses standard office equipment such as computers, phones, photocopiers.

Values:

At Peckham, you will experience our values wherever you work: corporate offices, plants, quarries, or paving operations. We share a common set of values - safety, integrity, dedication, and efficiency which are embedded in how we show up every day. Ours is a culture where we protect family and friends, our word is our bond, we are committed to serve and results matter. Our values are the foundation of our growth, and we believe will pave the way for future success.

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