Trinity Care Reviews Jobs in Usa
24,434 positions found
- Sunday 8 – 5 pm PST Pay Range: $43
- $44/hr.
on W2 Description: · The Care Review Clinician is responsible for performing utilization management (UM) reviews, including prior authorization of outpatient services, to ensure medical necessity, appropriate level of care, and compliance with regulatory and organizational guidelines.
· The clinician will review clinical documentation, apply evidence-based criteria, and collaborate with providers to facilitate timely and appropriate care for members.
· This role supports Client’s commitment to quality, cost-effective care and regulatory compliance within the California health plan.
Must Have Skills: · Knowledge of California delegation requirements · Strong understanding of utilization management processes · Experience with prior authorization review (outpatient preferred) · Ability to apply clinical guidelines (e.g.
MEDICAID, MCG) Day to Day Responsibilities: · Process outpatient prior authorization referrals · Review clinical documentation for medical necessity · Apply established UM criteria and guidelines · Communicate with providers for additional clinical information · Ensure compliance with state, federal, and Client policies · Document determinations accurately and timely Required Years of Experience: · Active, unrestricted California RN or LVN license required · Minimum of 3 years of clinical experience in utilization management
Primary Care Physician opportunity in Las Vegas, NVWonderful opportunity to work as a lead in our team-based care environment.
We are a value-based care provider focused on quality of care for the patients we serve.
Our care team consists of doctors, advanced practice professionals, Pharm D, care coach nurses, MAs, behavioral health specialists, quality-based coders, referral coordinators and more.ResponsibilitiesEvaluates and treats center patients in accordance with standards of care.Follows level of medical care and quality for patients and monitors care using available data and chart reviews.Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.Acts as an active participant and key source of medical expertise with the care team through daily huddles.Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.Follows policy and protocol defined by Clinical Leadership.Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.Participates in potential growth opportunities for new or existing services within the Center.Participates in the local primary care on-call program as needed.Assures personal compliance with licensing, certification, and accrediting bodies.Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care.Required Qualifications:Graduate of accredited MD or DO program from an accredited universityBoard Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric MedicineCurrent and unrestricted medical license or willing to obtain a medical license in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as requiredMinimum of two to five years directly applicable experience preferredExcellent verbal and written communication skillsDemonstrate a high level of skill with interpersonal relationships and communications with colleagues/patientsFully engaged in the concept of Integrated team-based care modelWillingness and ability to learn/adapt to practice in a value-based care settingSuperior patient/customer serviceBasic computer skills, including email and EMRThis role is considered patient facing and is a part of our Tuberculosis (TB) screening program.
If selected for this role, you will be required to be screened for TBAdditional InformationGuaranteed base salary + quarterly bonusExcellent benefit package health insurance effective on your first day of employmentCME Allowance/TimeOccurrence Based Malpractice InsuranceRelocation and sign-on bonus options401(k) with Employer MatchLife Insurance/DisabilityPaid Time Off/HolidaysMinimal CallJob # 359515For more information, please email a copy of your CV to or call Vicky Rinehart at .
CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, Missouri, Nevada, North Carolina, South Carolina and Texas.
CenterWell Senior Primary Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience.
CenterWell Senior Primary Care has experience in both the treatment and management of most chronic and acute-care conditions.
The practices also provide health education and value-added, well-being services at the centers and around their neighborhoods to help both patients and community members improve their health.At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives.
We support our associates in becoming happier, healthier, and more productive in their professional and personal lives.
We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers.
Our culture is focused on teamwork and providing a positive and welcoming environment for all.JOB SUMMARY:The Primary Care Physician (PCP) works as a lead in our team-based care environment.
We are a value based care provider focused on quality of care for the patients we serve.
Our care team consists of doctors, advanced practice professionals, Pharm D, care coach nurses, MAs, behavioral health specialists, quality based coders, referral coordinators and more.
Our approach allows us to provide an unmatched experience for seniors.
Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships.
This robust support allows our PCP to see fewer patients and spend more time with those they do.MAJOR DUTIES AND RESPONSIBILITIES:Patient CareEvaluates and treats center patients in accordance with standards of care.Follows level of medical care and quality for patients and monitors care using available data and chart reviews.Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.Acts as an active participant and key source of medical expertise with the care team through daily huddles.Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.Follows policy and protocol defined by Clinical Leadership.Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.Participates in potential growth opportunities for new or existing services within the Center.Participates in the local primary care on-call program of CenterWell Senior Primary Care as needed.Assures personal compliance with licensing, certification, and accrediting bodies.Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care.
CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, Missouri, Nevada, North Carolina, South Carolina and Texas.
CenterWell Senior Primary Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience.
CenterWell Senior Primary Care has experience in both the treatment and management of most chronic and acute-care conditions.
The practices also provide health education and value-added, well-being services at the centers and around their neighborhoods to help both patients and community members improve their health.At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives.
We support our associates in becoming happier, healthier, and more productive in their professional and personal lives.
We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers.
Our culture is focused on teamwork and providing a positive and welcoming environment for all.JOB SUMMARY:The Primary Care Physician (PCP) works as a lead in our team-based care environment.
We are a value based care provider focused on quality of care for the patients we serve.
Our care team consists of doctors, advanced practice professionals, Pharm D, care coach nurses, MAs, behavioral health specialists, quality based coders, referral coordinators and more.
Our approach allows us to provide an unmatched experience for seniors.
Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships.
This robust support allows our PCP to see fewer patients and spend more time with those they do.MAJOR DUTIES AND RESPONSIBILITIES:Patient CareEvaluates and treats center patients in accordance with standards of care.Follows level of medical care and quality for patients and monitors care using available data and chart reviews.Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.Acts as an active participant and key source of medical expertise with the care team through daily huddles.Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.Follows policy and protocol defined by Clinical Leadership.Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.Participates in potential growth opportunities for new or existing services within the Center.Participates in the local primary care on-call program of CenterWell Senior Primary Care as needed.Assures personal compliance with licensing, certification, and accrediting bodies.Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care.
CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, Missouri, Nevada, North Carolina, South Carolina and Texas.
CenterWell Senior Primary Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience.
CenterWell Senior Primary Care has experience in both the treatment and management of most chronic and acute-care conditions.
The practices also provide health education and value-added, well-being services at the centers and around their neighborhoods to help both patients and community members improve their health.At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives.
We support our associates in becoming happier, healthier, and more productive in their professional and personal lives.
We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers.
Our culture is focused on teamwork and providing a positive and welcoming environment for all.JOB SUMMARY:The Primary Care Physician (PCP) works as a lead in our team-based care environment.
We are a value based care provider focused on quality of care for the patients we serve.
Our care team consists of doctors, advanced practice professionals, Pharm D, care coach nurses, MAs, behavioral health specialists, quality based coders, referral coordinators and more.
Our approach allows us to provide an unmatched experience for seniors.
Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships.
This robust support allows our PCP to see fewer patients and spend more time with those they do.MAJOR DUTIES AND RESPONSIBILITIES:Patient CareEvaluates and treats center patients in accordance with standards of care.Follows level of medical care and quality for patients and monitors care using available data and chart reviews.Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.Acts as an active participant and key source of medical expertise with the care team through daily huddles.Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.Follows policy and protocol defined by Clinical Leadership.Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.Participates in potential growth opportunities for new or existing services within the Center.Participates in the local primary care on-call program of CenterWell Senior Primary Care as needed.Assures personal compliance with licensing, certification, and accrediting bodies.Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care.
Job Description & Requirements Specialty: Care Manager Discipline: RN Start Date: 05/03/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours Employment Type: Travel Utilization Review Nurse
- Alaska: Active Alaska RN license required; 8 years nursing experience (3 in chart review/risk management); manage patient care, review records, ensure appropriate interventions, and support quality improvement.
Education & Skills: Bachelor's in Nursing, knowledge of ICD/CPT coding, CMS regulations, strong clinical, communication, and organizational skills.
About LanceSoft Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization.
Lancesoft Inc.
is one of the highest rated companies in the industry.
We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022.
Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States.
We pride ourselves on having industry leading benefits.
We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals.
Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.
Benefits Weekly pay Medical benefits5c143e31-5e48-4549-b638-05792d185386
A healthcare organization, with multiple sites around New York and Long Island, is looking to add a licensed Primary Care Physician to their growing team in Brooklyn.
About the Opportunity: Schedule: Monday to Friday (one per Saturday per month) Hours: 8am to 6pm (one late night shift per week) Setting: Outpatient Patient Volume: 2 to 3 per hour Responsibilities: The Primary Care Physician will: Collect, record, and maintain patient information, such as medical histories, reports, and examination results Provide quality clinical diagnostic skills in the delivery of patient care Review all test results and recommend suitable management for the patient, including but not limited to, preventive health recommendations and habits Prescribe medications and formulate ongoing treatment and disease management plans Collect and record patient information, such as medical histories, reports and examination results Maintain complete and accurate medical records Participate in medical staff educational programs and meetings Perform other duties, as needed Qualifications: M.D.
/ D.O.
Board Eligible / Certified in Family or Internal Medicine DEA/BLS/ACLS 3+ years of related experience Desired Skills: Bilingual (English and Spanish) Demonstrate competency in diagnosis and treatment to assure high standards of patient care and safety are maintained.
Education, License & Cert: High School Grad or Equivalent
Essential Functions: The purpose of an activities program is to create an environment that is as near to normal as possible. The activities program provides physical, intellectual, social, spiritual, and emotional challenges in a planned, coordinated and structured manner. Organize recruitment, interviewing, selection, and orientation of volunteers for the activity department. Assure that volunteers attend and participate in all training programs deemed necessary for setting their orientation to facility. Confirm that all volunteers are knowledgeable of the resident's rights. Organize volunteer activities and enlist volunteers to participate in activity functions. Function as a liaison for the facility in relating to organizations and individuals outside of the hospital. Organize seasonal/holiday events for residents/staff. Place orders for equipment and supplies as necessary and assure that adequate provisions are available and in proper working condition. Assist in preparing and planning the activity department's budget. Participate in resident council meetings and provide support services to such council. Serve on, participate in, and attend Care Plan, Quality Assurance, and interdepartmental supervisors meetings as appointed by the Administrator. Develop and maintain a varied activity calendar monthly. Plan regular bedside, individual and group activities for residents and/or family members to develop preliminary and comprehensive assessments for the activity needs of each resident. Interview residents and/or family members to develop preliminary and comprehensive assessments of the activity needs of each resident. Participates in the interdisciplinary team meetings to develop a written plan of care for each resident that identifies the problems/needs of the resident and the goals to be accomplished. Coordinate activities with other departments as necessary. Schedule sufficient religious activities from varied denominations to ensure that residents are ensured religious freedom and can participate in religious activities. Organizes adequate resources to fulfill the activities function (games, movies, classes, etc.) drawing on a many resources outside the facility as possible. Coordinates and Supervises the Volunteer and Chaplin programs with the awareness of Guthrie relevant policies and processes. Document each resident's progress and attendance according to initial assessment and resident's total plan of care. Review and revise care plans as necessary, but at least quarterly. Participate in surveys made by authorized government agencies.
Other Duties: Work closely with local news media and the public, and participate in community planning as related to the interests of the facility. Arrange transportation for field trips when necessary. Educate other facility staff of resident's activity plans in order for them to assist with activities, particularly in the absence of the Activities Director. Attends and participates in continuing educational programs, job‐related in‐service and conferences. Ensures residents' personal property rights. Others as deemed necessary and appropriate, or as may be directed by the Administrator.
Trinity Health FirstChoice is seeking a travel nurse RN Float Med Surg for a travel nursing job in Silver Spring, Maryland.
Job Description & Requirements
- Specialty: Float
- Discipline: RN
- Start Date: ASAP
- Duration: 13 weeks
- 40 hours per week
- Shift: 10 hours, days
- Employment Type: Travel
Employment Type:Part timeShift:
Description:Posting
Are you an experienced Registered Nurse looking for premium compensation and maximum flexibility? Explore FirstChoice – Trinity Health's mobile staffing solution! FirstChoice RNs are utilized to fill short and long-term assignments throughout the health system, and we need you to be a part of this innovative program! Nationwide and Regional opportunities available!
What you will do:
- Qualified and willing to float throughout the hospital and/or throughout multiple hospital locations and/or regions
- Knows, understands, incorporates & demonstrates standard elements of professional practice: Assess, Outcomes Identification / Solutions, Plan, Implement, Evaluate
- Acts independently & appropriately within license, scope of knowledge & experience in practice area
- Retains accountability for delegation, choices, decisions & outcomes
- Collaborates with key stakeholders & contributes to quality & improvement practices & outcomes
- Exhibits agility & willingness to take on new & additional responsibilities
- Embraces new ideas & cultural differences while managing competing priorities
Minimum Qualifications:
- Graduation from an accredited school of nursing.
- WOCN - required
- Valid RN licensure authorized in the applicable state(s) of practice/employment.
- Minimum of eighteen (18) months of recent clinical experience for Med Surg, Tele and PCU.
- Minimum two (2) years of recent clinical experience for all remaining specialties including Critical Care, Surgical Services, Maternal Services, Emergency Department and Behavioral Health.
- Required to have and maintain the credentials required per their specialty area (ex: ACLS, TNCC, etc). BLS, ACLS and PALS must be obtained through American Heart Association
Position Highlights and Benefits:
- Premium Pay
- Flexible Scheduling
- Travel and Per Diem opportunities available
- Variety of Practice Settings
- Learning Opportunities
- DailyPay available
- Reimbursement of License and Certifications available per assignment
- Opportunity to participate in 403B program
Ministry Information:
- FirstChoice offers rewarding Nursing, Respiratory Therapist, Surgical Technologist, and Health Care Professional travel positions with a flexible schedule to fit your life.
- FirstChoice travel Health Care Professionals fill critical positions when unforeseen or unplanned circumstances occur; or, when there is a position open due to an extended leave-of-absence.
- You’ll get to experience a variety of practice settings while traveling within your local region or traveling nationally – your choice!
Pay Range: $71.00 - $76.00. 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.
Job Details:
Location: Holy Cross Silver Spring, MD
Start Date: ASAP
Weeks: 13
Hours: 4x10
Shift: Day
Gross Weekly Rate: $2,840.00
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.
Trinity Health FirstChoice Job ID # Pay package is based on 10 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel Registered Nurse, RN, Wound Care
About Trinity Health FirstChoice
Premium pay
FirstChoice offers a rewarding career with significant premium pay and flexible scheduling to fit your life. FirstChoice healthcare travel professionals fill critical positions when unforeseen or unplanned circumstances occur; or, when there is a position open due to an extended leave-of-absence. You’ll get to experience a variety of practice settings while traveling within your local region or traveling nationally – your choice!
Healthcare travel professionals, join us in caring for our community, we can't do it without you.
FirstChoice exclusively supports facilities within the Trinity Health system meaning you will have a consistent experience between job sites. Your training at one site will apply to other sites within the region and will minimize the time you are spending outside of patient care. We understand that there has been a fundamental shift in the nursing position in recent years and like any other employee, nurses want more options and flexibility in their careers. FirstChoice provides you with both along with the comfort and security of one employer.
Benefits of Being a FirstChoice healthcare travel professional:
- Premium pay
- Choose your own travel adventure—work in a variety of practice settings
- Wide range of assignments available
- Housing and meal stipend
Minimum Qualifications/Requirements of a FirstChoice Nurse:
- Registered nurse with a license in the state(s) you will work
- Minimum of 2 years, depending on specialty area
- Cannot hold a concurrent position at a Trinity Health facility
Trinity Health is a leading not-for-profit Catholic health system with 92 hospitals and hundreds of primary, specialty and continuing care centers across the United States.
Benefits
- Employee assistance programs
- 403b retirement plan
- Discount program
Location: West Springfield MA
Job Type: Full-Time, ONSITE
Category: Leadership | Clinical | Geriatrics
Join Trinity Health PACE as a Medical Director and lead a team dedicated to delivering compassionate, high-quality care to older adults. You’ll oversee clinical outcomes, guide Primary Care Providers, and drive performance improvement across our program.
What You Will DoProvide medical leadership and supervision for participant care
Oversee clinical quality, safety, and regulatory compliance
Lead and support the Quality Assurance Performance Improvement (QAPI) program
Collaborate with hospitals, SNFs, and community providers
Mentor and coach clinical staff
Participate in 24/7 on-call rotation
Ensure proper documentation and EMR optimization
Support pharmacy coordination and advance care planning
MD or DO with active state license
Board Certified in Internal Medicine or Family Medicine (Geriatrics preferred)
1+ year experience with frail or elderly populations
Prior leadership or supervisory experience
Valid driver’s license, insurance, and reliable transportation
Current BLS, CDS Certification, and DEA Registration
Leadership role with mission-driven impact
Competitive salary and full benefits package
Supportive, collaborative team culture
Opportunities for growth and innovation
Work-life balance with shared on-call
Trinity Health PACE is part of Trinity Health, one of the largest Catholic health care systems in the U.S. We help older adults live safely and independently in their communities through coordinated, person-centered care.
Ready to Make a Difference?If you're a compassionate leader with a passion for geriatric care, we invite you to apply and join our mission to serve with excellence.
Pay Range: $129.38/hr - $168.19/hr
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.
