Urban Health Plan Inc Jobs in Usa
42,956 positions found
Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing is required, BSN preferred. Master’s degree is preferred. Minimum three years’ acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred.
LICENSURE/CERTIFICATION
Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing is required, BSN preferred. Master’s degree is preferred. Minimum three years’ acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred.
LICENSURE/CERTIFICATION
Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
Join the team leading the next evolution of virtual care.
At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives.
Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we're transforming how better health happens.
Summary of Position
Under the general direction of the Health Plan Management leadership, the Health Plan Management Associate will work closely with the Health Plan team to support key initiatives for a select group of Health Plan clients that result in exceptional service and attentiveness to client needs.
The Health Plan Management Associate must be a reliable selfstarter who thrives in a fastpaced, challenging environment, maintains a positive attitude, and demonstrates strong attention to detail and multitasking abilities.
Essential Duties and Responsibilities
- Acts in a support role for a book of business within the HP management team supporting Health Plan Managers with their accounts.
- Internal and external coordination, tracking of requests, and driving resolution of issues across various internal and external teams, building strong relationships along the way.
- Performance Guarantee and Service Level Agreement Tracking
- Tracking & submission of security audit/inquiries.
- Provide regular status reporting to track project/tasks progress against goals, objectives, and timelines.
- Develop and own a project management tracking system that enables efficient monitoring of key tasks and ensures consistent followthrough.
- Maintaining Health Plan Partner playbook.
- Coordinating and monitoring Marketing activities, triaging issues as required.
- Other requests to support the overall Health Plan book of business.
The time spent on each responsibility reflects an estimate and is subject to change dependent on business needs.
Supervisory Responsibilities
No
Required Qualifications
- A Bachelor's degree from a four-year college or university.
- Proficiency with Microsoft Office (Word, Excel, PowerPoint) and Outlook.
- Possesses excellent communication and presentation skills, both verbal and written.
- Must work collaboratively with all team members and cross-departmentally.
- Occasional travel may be required for internal and client facing meetings.
As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home.
It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you?
Showing Up Somatus Strong
We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make:
- Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say.
- Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more.
- Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients’ lives or our partners’ best interests.
- Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions.
- Tenacity: We see challenges as opportunities for growth and improvement — especially when new solutions will make a difference for our patients and partners.
Showing Up for You
We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including:
- Subsidized, personal healthcare coverage (medical, dental vision)
- Flexible PTO
- Professional Development, CEU, and Tuition Reimbursement
- Curated Wellness Benefits supporting teammates physical and mental well-being
- Community engagement opportunities
- And more!
As a Vice President of Business Development, you will drive new logo growth and sales pipeline development while playing a key role in the continued growth of the company. You will support strategic initiatives working with health plans, employer groups, ACOs, hospitals and health systems, provider groups, and other healthcare organizations.
- Build, own, and maintain a robust pipeline of qualified opportunities by cultivating executive-level relationships with payors, ACOs, Health Systems, and other strategic partners
- Work closely with company leadership to lead and coordinate complex deal execution and strategy in a fast-paced, competitive, and entrepreneurial environment
- Deliver measurable revenue and membership growth by rapidly advancing opportunities through all stages of the sales pipeline to contract execution
- Represent the company at industry events and client meetings to promote thought leadership, and drive new business opportunities
- Develop effective outbound content and thought leadership in partnership with the marketing team
- Stay up to date on knowledge of industry trends, market intelligence, and state/federal regulations and programs
- Lead proposal writing efforts to demonstrate company capabilities and secure new business opportunities
- Provide real-time pipeline and relationship updates, forecast accuracy, and growth reporting to executive leadership with a focus on transparency, urgency, and outcomes
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.
- 7-10 years of relevant experience in business development, enterprise sales, consulting, or commercial role working with health plans, provider groups, or other healthcare organizations
- Excellent verbal and written communications skills with demonstrated ability to communicate, present, and influence both credibly and effectively at all levels of an organization, including executive and C-level
- Commercial acumen and a proven track record of driving new business development and creatively structuring agreements
- Ability to connect with diverse constituents and stakeholders across cross-functional teams (leadership, marketing, account management, new product development, data and analytics, market operations, finance and clinical)
- Demonstrated success driving new revenue growth and closing favorable deals with national and regional payors, ACOs, and other risk-bearing entities
- Experience developing compelling presentations using Microsoft PowerPoint
- Salesforce experience
- Travel to HQ in McLean, Virginia and client locations
Health Plan IT Director
Onsite | Dallas, Texas
We are seeking an experienced IT Applications Manager to lead health plan-focused application development and support within our payer organization in Dallas, TX.
This role oversees mission-critical insurance systems supporting eligibility, utilization management, care management, pharmacy, and related payer operations. This is not a hospital IT role — we are seeking a leader with direct health plan / insurance-side experience. The ideal candidate brings strong payer application knowledge, a data-driven mindset, and proven success leading teams in delivering projects on time and within scope.
What You’ll Do
- Lead and manage a team of IT professionals supporting health plan applications
- Oversee application development, integration, enhancement, and production support
- Partner closely with business stakeholders to translate operational needs into technical solutions
- Provide architectural input and solution design guidance (non-coding leadership role)
- Manage vendor relationships, including third-party system implementations (e.g., pharmacy platforms)
- Ensure strong process control, documentation, and system governance
- Drive project execution with strong focus on timelines, accountability, and quality
- Collaborate with enterprise IT teams to ensure cohesive system integration
- Maintain compliance with HIPAA and healthcare data privacy standards
What We’re Looking For
- 5+ years of IT leadership experience within a health plan / payer organization
- Direct experience supporting insurance-side systems (eligibility, UM, care management, pharmacy)
- Strong background in data-driven application environments
- Experience overseeing vendor implementations and system integrations
- Demonstrated ability to lead cross-functional projects and meet deadlines
- Strong documentation, process management, and operational discipline
- Experience managing teams of 10+ FTEs
- Working knowledge of SQL and application environments (technical fluency required; coding not required)
- Bachelor’s degree in Computer Science or related field
Summary:
The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services “CMS” Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and guidelines related to UM. This nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services. The Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- The prior authorization role completes an assessment of a proposed service to determine if the beneficiary has eligible coverage for the service and if it is medically necessary.
- Promote quality, cost-effective outcomes through prior authorization and concurrent review of requested services for medical necessity based upon evidence-based clinical guidelines.
- Identify and present cases of possible quality of care deviations, questionable admissions, and prolonged lengths of stay to the Medical Director for further determination.
- Appropriately refer beneficiaries who have complex or chronic conditions, a need for transition of care, disease management support, or other identifiable needs for coordination of the beneficiary’s member’s health care for behavioral health care management.
- Follow CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent, or detect unauthorized disclosure of Protected Health Information (PHI).
- Protect the confidentiality of data and intellectual property; assures compliance with national health information guidelines.
- Analyze clinical information submitted by medical providers to evaluate the medical necessity, appropriateness, and efficiency of the use of medical services, procedures, and facilities.
- Perform provider outreach to address post-hospital discharge services, redirection to in-network providers for appropriate steerage, durable equipment usage, and utilization of other medical services and/or procedures and other necessary telephonic follow-up.
- Utilize the nursing process and critical thinking skills to provide oversight of services and evaluation of service options.
- Ability to work in a variety of settings with culturally diverse communities with the ability to be culturally sensitive and appropriate.
- Must have excellent communication skills (written and verbal), clinical judgment, initiative, critical thinking, and problem-solving abilities.
- Must be able to take after hour calls to meet business requirements as needed.
Job Requirements:
Education/Skills
- Graduate of an accredited school of vocational nursing or equivalent required
- Associate’s (ADN) or Bachelor’s (BSN) in Nursing preferred
Experience
- 3 – 5 years of nursing experience preferred
- Experience in Microsoft software (e.g., Outlook, Teams, Word, and Excel) required
- General computer knowledge and capability to use computers required
Licenses, Registrations, or Certifications
- LVN license in the state of employment or compact required
- RN license in state of employment or compact preferred
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
is seeking a Family Nurse Practitioner or Physician Assistant for a Mens Health clinic offering a comprehensive and multi-pronged approach to treating ED in men with wave therapy, testosterone, and custom-blended medications.
The clinic is looking for a Nurse Practitioner or Physician Assistant with experience in treating ED who can operate without the need for a collaborative agreement for one day a week.
The provider will be meeting with patients and propose treatment based on the symptoms experienced and the patients blood panel.
Client will train provider and injections would be the only invasive procedures.
The clinic is currently seeking two days a week and would like to expand to more days in the upcoming months.
You will receive Hourly Compensation Malpractice coverage at 1mil/3milDuration2/7/22
- ongoing with no end date Hours8:30am-5:30pm two days per week (Client sensitive to provider schedule)Clinic Particulars 100% Adult-All Male patients 50's and older 3-4 patients seen per hour No calls Minimal invasive procedure to include administering Intracavernous Injections; provider must be comfortable in giving such injections Complete support staff for patient processing and training Clinic has collaborating physician on staff Experience with treating ED in men a plus Requirements Active and unrestrictive NP/PA License Current DEA licenseIf you are interested in learning more about this opportunity, please contact Duncan at or .
Thank you!
Upstate New York health systemis seeking an Internal Medicine or Family Medicine trained physician with experience caring for seniors for its established PACE program.
Over 130 PACE programs (Program of All-Inclusive Care for the Elderly) across the country are delivering this unique payer/provider healthcare model to enable seniors to remain in the community and avoid/delay nursing home placement.
Imagine, primary care where you:
* See just 3-5 patients a day as a full-time primary care provider (you read that correctly, it s not a typo!)
* Spend 1 hour with your patients, or more! You drive your schedule!
* Work Monday thru Friday no on call, no weekends, no holidays
* Leave at the end of the day knowing your work is done
* Have a plethora of resources to support your patients: our own transportation service, an on-site psychiatrist, home health services, rehab, and much more! A full range of services are included in our program, literally under one roof, where you ll have quick and easy access and close collaboration.
* Approve the services your patients need you don t need to request insurance company approval for tests, procedures, and services for your patients we are both a provider and a health plan.
REQUIREMENTS
* Applicants should have the following:
* Board Certified Internal Medicine or Family Medicine
* 1 year of experience with an elderly population is required.
* Fellowship in Geriatrics or Hospice & Palliative Care is a plus but not required.
* NYS license and DEA required.
They offer a comprehensive salary and compensation package that includes:
* Competitive salary
* Compensation is between $270,000 and $285,000
* The
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.
We are seeking a licensed Physical Therapist with a strong interest or experience in pelvic health therapy to join our specialized team! This position is based in Cary at a dedicated pelvic health facility, where you will work alongside a collaborative team of seven pelvic health therapists onsite.
You will also be part of a larger, well-established pelvic health program that includes 14 additional Pelvic Health PT/OTs across six locations.
The role offers flexible work hours and fosters an engaging, cooperative, and forward-thinking work environment.
Summary: This is professional level work involving the evidence- based evaluation of patient disabilities, planning, and administration of physical therapy treatments.
Incumbents complete documentation instruct patients, families, and students and participate in clinical program development and management.
Clinician is expected to have involvement in the areas of continuing education, departmental and community activities, outreach education and role of preceptor to students.
Responsibilities: 1.
Diagnostic Testing
- Administers basic & complex diagnostic tests and evaluations in the area of Physical Therapy for the treatment of mobility disorders and related impairments 2.
Education
- Teach & supervise graduate Physical Therapy students and/or clinical fellows/residents.
Develops or contributes to innovative programs to enhance patient care.
Serves as resource consultant to other clinicians in respective specialty area.
3.
Evaluation of Care
- Analyzes results of diagnostic and or therapeutic testing to establish patient goals and or modify subsequent treatment programs.
Identifies expected patient outcomes.
Communicates relevant information to promote continuity of care.
4.
Implementation Selects and applies current and advanced techniques to provide quality and efficient rehabilitative services.
Provides habilitation/rehabilitation and maintenance of persons with mobility related impairments.
Organizes and prioritizes care according to patient/family needs.
5.
Outreach/Community Involvement-Serves as resource to North Carolina government departments and statewide health professionals in specialty areas.
Presents at local (university/hospital) or state level, participates in community health screening and events.
Participates in the development of new clinical programs to meet emerging needs in conjunction with the clinical specialist and/or department director.
6.
Participation
- Contributes to quality of clinical services through attendance and participation in departmental meetings and in-services.
7.
Quality-Contributes to quality of clinical services through maintenance of valid & reliable records of patient procedures & progress.
Participates in quality improvement initiatives with the clinical specialist and other healthcare professionals.
Participates in continuous quality improvement efforts in conjunction with the department director.
Other Information Other information: Education Requirements: ● Graduation from an accredited Physical Therapy program.
Licensure/Certification Requirements: ●
- Licensed as a Physical Therapist in the state of North Carolina.
●
- BLS Professional Experience Requirements: ● No prior experience required.
Knowledge/Skills/and Abilities Requirements: Job Details Legal Employer: NCHEALTH Entity: UNC REX Healthcare Organization Unit: UNC Rex Pelvic Health Therapy Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $35.87
- $51.57 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: US:NC:Raleigh Exempt From Overtime: Exempt: Yes This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System.
This is not a State employed position.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities.
All interested applicants are invited to apply for career opportunities.
Please email if you need a reasonable accommodation to search and/or to apply for a career opportunity.
Job Summary: It is a newly founded team-based, physician-led, comprehensive health and wellness clinic in the beautiful area of Northeast Wyoming. Our company was created to provide prospective healthcare resources to the community and meet the needs of our patient base. To do this effectively, we encourage spending more time with patients through a lower daily patient volume. In addition, we are structured to provide a large variety of additional services to patients in-house, including a compounding pharmacy, lab, mental health and social support, exercise and nutrition support, and general primary care. Clinic offers top-tier technology resources to help achieve these goals and is open to additional resource recommendations pertaining to your specialist field.
We are seeking collaborative Psychiatry Physicians to permanently join our team of Primary Care physicians, Specialists, and other medical staff.
Benefits and Compensation
Salary: Psychiatry - $275,000 - $325,000
Sign-On Bonus: $20,000+ at the commencement date of contract.
Health Insurance: 100% Employer-sponsored health insurance, including a low-deductible health plan through UHC, Vision, and Dental.
Additional Insurance: Large employer monthly allotment for Disability, Life insurances, Cancer coverage, Accident policies, Hospital Indemnity coverage, and more through multiple supplemental companies.
Pre-tax: Full access to a Section 125 Plan that alleviates medical taxes (per IRS Guidelines).
Retirement: Highly matched 401(k).
PTO & leave: Generous PTO with accrual and carry-over opportunities, annual sick leave, annual bereavement leave, maternity leave, and more.
Bonuses: Equal access to company-wide and individual bonuses based on position, personalized incentives, and more.
Continuing Education: $5,000 annual CME with additional support for travel and expenses, including 5 paid CME days annually.
Relocation and Housing Assistance: $20,000+ relocation bonus with additional reimbursements and support.
Malpractice: Employer paid malpractice coverage ($1,000,000 / $3,000,000).
Located between the Big Horn Mountains of Wyoming and the Black Hills of South Dakota, you ll find a thriving community of around 50,000 people from all over the country. This location is a haven for hunting, fishing, hiking, biking, camping and boating activities. You are within driving distance of Yellowstone and Grand Teton national parks and all the activities they have to offer. In addition, you are close to Mount Rushmore and Devils Tower.
County s Recreation Center, the largest such center in Wyoming, is a wonder on its own. Add the Library, the sporting complex, the Museum, Children s Developmental Services, regional airport, restaurants, splash park and Art Center you have something for everyone. County has great schools for all ages, including Community College, and we have a very low crime rate and an unemployment rate less than the state and national averages.
Fulltime ONSITE role in Irving Texas with no nights or weekends!
Member Service Specialist/Healthcare Customer Service
Notes: 2+ years of customer service experience in healthcare insurance or related in call center environment or high volume inbound call setting.
Job description:
- The Member Services Specialist serves as a frontline ambassador for the health plan, delivering high-quality, resolution-focused support to members, providers, and brokers across multiple lines of business. As the initial point of contact, this role extends beyond basic call handling—Specialists are trained to navigate the foundational pillars of our healthcare offerings, including the Health Exchange, US Family Health Plan, and NCHD, with a strong emphasis on first-call resolution. Specialists develop working knowledge of benefit structures, assist callers with portal navigation and access, and begin interpreting claims activity to support both member and provider inquiries.
- This position blends customer service excellence with technical skill-building, offering exposure to internal systems, regulatory protocols, and cross-functional workflows. Specialists are expected to gain proficiency in core platforms used for eligibility verification, claims review, and member account management (e.g., HSP, HPS, HealthTrio). All interactions must be documented with a clear and concise recap of the call's purpose
(Must pass National and Federal background check and Education verification -HS Diploma/GED minimum)
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.
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.
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.
Location Address:
8100 Constitution Pl NEAlbuquerque, NM 87110-7643
Compensation Pay Range:
Minimum Offer $95,388.80Maximum Offer $149,364.80
Summary:
Presbyterian is seeking a compassionate, strategic, and highly skilled Nurse Manager to lead our Hospice and Home Health clinical teams. This leader will oversee daily operations, ensure regulatory compliance, support high‐quality patient care, and guide nursing staff through a culture of excellence, empathy, and accountability.Sign-on bonus and relocation assistance available for qualified candidates—up to $12,500.
How you grow, learn and thrive matters here.
• Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
• Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)
• Malpractice liability insurance
• Loan forgiveness through the New Mexico Higher Education Department
• EPIC electronic charting system
Type of Opportunity: Full time
FTE: 1.00
Job Exempt: Yes
Work Shift: Days (United States of America)
Responsibilities:
Leadership & Operations
Provide clinical leadership and direct supervision to hospice and home health RNs, LPNs, CNAs, and support staff.
Oversee day-to-day operations ensuring efficient workflow, positive team engagement, and adherence to care standards.
Serve as a resource and mentor for clinical staff, fostering continued learning and professional development.
Clinical Oversight
Ensure delivery of high-quality, patient-centered care in compliance with federal, state, and accreditation standards.
Conduct case reviews, monitor clinical documentation, and support care planning.
Participate in on-call rotation as needed to support clinical operations.
Regulatory & Quality Management
Maintain compliance with Medicare/Medicaid, state regulations, and agency policies.
Support quality improvement initiatives, including audits, performance metrics, and corrective action plans.
Lead patient safety efforts and ensure timely incident reporting and follow-up.
Collaboration & Communication
Partner with physicians, social workers, therapists, and interdisciplinary team members to deliver coordinated care.
Collaborate closely with administrative leadership on staffing, budgeting, and strategic planning.
Build positive relationships with patients, families, and the community.
Qualifications:
Current and active RN license in the state of New Mexico or out of state-compact license
Bachelor’s degree in Nursing (BSN) required; Master’s degree preferred.
Minimum 3–5 years of nursing experience in hospice, home health, or related field.
Previous leadership or supervisory nursing experience strongly preferred.
Strong knowledge of hospice philosophy and home health regulations
Excellent communication, problem-solving, and team leadership skills.
We're all about well-being, starting with yours.
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.
Learn more about our employee benefits.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Compensation Disclaimer
The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.
Overview
Are you passionate about making a positive impact on people's lives? Do you thrive in a collaborative environment where you can be part of an interdisciplinary team dedicated to restoring the health and well-being of clients? Look no further – VNS Health Personal Care is seeking compassionate and skilled Certified Home Health Aides like you
What You Will Do
- Provide personal care and support, including ambulation, transfers, ostomy care, and assistance with medical equipment and self-administered medication.
- Monitor vital signs, observe and report client conditions, and adhere to infection control practices.
- Assist with personal hygiene, nutrition, fluid intake, and light housekeeping.
- Ensures client rights and confidentiality.
Qualifications
Qualifications
- Satisfactory completion of New York State Health Department approved HHA Training Program or Equivalency.
- Sixth (6) grade reading comprehension level.
- Writing and math skill level to the extent necessary for the successful and safe performance of required job functions.
- Must be at least eighteen (18) years of age.
Physical Requirements
- Full range of body motion, including handling and lifting adult clients.
- Standing and walking for extensive periods, as well as bending and climbing stairs.
- Commonly lifts, carries, and maneuvers items weighing more than 50 lbs.
Compensation:
- $19.50 - $22.00 per hour
About Us
VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us — we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
The RN gauges the behavioral health patients' psychiatric state, collaborates with a multi-disciplinary team to support each patients' care plan, monitors adherence to all treatments, administers psychotropic and other mediations, has strong de-escalation skills, maintains patient safety during restraint, hold or seclusion events, conducts education, and helps prepare the patient and family for a safe discharge and therapeutic continuum of care.
Responsibilities and Essential Job Functions Provides thorough, timely and accurate documentation of all pertinent data, therapeutic interventions and patient responses including assessment, care plan, patient goals and interventions according to established standards for the care of the behavioral health care patient.
Coordinate daily behavioral health plan of care.
Evaluating and implementing for comfort and well-being of the patients' s medical, social, and emotional needs in the behavioral health setting.
Provides patient and family education regarding behavioral, psychiatric, and medical needs from time of entry into the health care setting to disposition to next continuum of care.
Safely administers medication in accordance with provider orders, protocols, and policies and monitoring effectiveness with a strong knowledge of the psychotropic drug class.
Collaborate with a multi-disciplinary team regarding care and disposition specific to the patient's behavioral, psychiatric, and medical needs.
Delegates tasks as appropriate to Behavioral Health Technicians and other members of the behavioral, psychiatric, and medical health care teams.
Maintains a safe behavioral health environment.
Maintain a safe behavioral health milieu.
Provide direct therapeutic interaction and participation with behavioral health patients and their families.
Provides patient care based on standards of practice, procedures, and policies of the health system.
Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities.
Skills and duties may vary dependent upon your department or unit.
Other duties may be assigned as required.
Required Education and Experience Associate Degree Nursing 6 months or greater of RN experience Preferred Education and Experience Bachelor Degree Nursing ADN prepared nurses hired after February 24, 2017; must complete BSN within 5 years of hire Required Licensure and Certification Licensed Registered Nurse (LRN)
- Multi-State
- State Board of Nursing RN license in state of practice Basic Life Support Heartsaver (BLS HS) (Non-Clinical)
- American Heart Association (AHA) or obtained within within 14 days CPR/ AED/ BLS
- Other BLS Preferred Licensure and Certification Upon hire/transfer into role, must become certified in behavior management techniques Knowledge Requirements Knowledge and understanding of physician desk reference guide Computer literate and proficient in various computer programs Knowledge of accreditation standards Time Type: Full time Job Requisition ID: R-12182 Important information for you to know as you apply: The health system is an equal employment opportunity employer.
Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status.
See also Diversity, Equity & Inclusion .
The health system provides reasonable accommodations to qualified individuals with disabilities.
If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link .
Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.
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Now Hiring: Physical Therapist (PT), Home Health
Full-time Monday - Friday visits | Territory: Manatee county
We are looking for a
Physical Therapist (PT)
to join our team! You will utilize your clinical expertise to assess, teach, and deliver therapy interventions and treatment directed by the Physician as established in the home health plan of care. You will collaborate with interdisciplinary team members, receiving and providing pertinent updates to optimize patient well-being.
Why Join Us?
Organization focused on creating great clinical outcomes for our patients
Most of our home health locations are rated as 4+ stars for quality and satisfaction
Directly impact the lives of patients in your local community
Flexible scheduling that gives you the opportunity for better work-life balance
Essential Job Functions:
Perform initial and ongoing assessments to evaluate mobility, coordination, strength and current level of function.
Responsible for administration, evaluation, and interpretation of tests and measurements to determine functional goals and outcomes.
Provide a written evaluation and plan of care defining physical therapy needs, goals, progress and expected outcomes.
Delivery of physical therapy services to comply with prescribed physician orders.
Maintains plan of care by performing timely documentation of client performance, modifying goals and treatment as needed, and determine discharge care plans as appropriate.
Responsible for discharge planning, including collaborating and educating the patient and his/her caretakers on home exercise plan to follow discharge.
Participates in coordination of services with health care team, physicians, parent/guardians, nurses, etc.
Documents according to policy and procedure and requires minimal supervision or instruction.
Documents effectively resulting in no technical or clinical denials subsequent to review of documentation by payers
Maintain effective communication between staff, healthcare team members and family. Serve as a resource consultant for clinical staff.
Supervises other personnel (PTA, HHA) as applicable.
Completes OASIS assessments where allowed by state professional practice and regulation.
Follow policies and procedures and conforms to all applicable patient care standards, licensure regulations and state laws.
Maintain effective communication between staff, healthcare team members and family. Serve as a resource consultant for clinical staff.
Supervises other personnel (OTA, HHA) as applicable.
Completes OASIS assessments where allowed by state professional practice and regulation.
Benefits Offerings:
401(k) with company match
Health, dental, vision, life, and pet insurance
Mileage reimbursement and cell phone allowance
Generous PTO, sick time, and paid holidays
Inclusion Day to celebrate what matters to you
Float Day for extra flexibility and balance
Up to 8 Hours of Paid Volunteer time yearly
No-Cost Employee Assistance Program (EAP) - unlimited mental health telephonic counseling sessions, support with identity left, Will preparation and travel assistance
Robust DEI company program because Inclusion is an Aveanna Core Value
Tuition discounts and reimbursement
What You Need:
Degree in Physical Therapy from an accredited university/program.
Current, unrestricted state license as a Physical Therapist in the state of practice
Demonstrated proficiency in clinical assessments, documentation and compliance with policies and procedures
Valid CPR and Drivers License
Preferred Qualifications:
Experience in Home Health Therapy and completion of OASIS documentatio
HHH
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Notice for Job Applicants Residing in California
Notice for Job Applicants Residing in Florida
We are looking for a Physical Therapist (PT) - Salaried to join our team! You will utilize your clinical expertise to assess, teach, and deliver therapy interventions and treatment directed by the Physician as established in the home health plan of care. You will collaborate with interdisciplinary team members, receiving and providing pertinent updates to optimize patient well-being.
Territory: Wabasha, Winona, Buffalo, Trempealeau
Essential Job Functions:
- Perform initial and ongoing assessments to evaluate mobility, coordination, strength and current level of function.
- Responsible for administration, evaluation, and interpretation of tests and measurements to determine functional goals and outcomes.
- Provide a written evaluation and plan of care defining physical therapy needs, goals, progress and expected outcomes.
- Delivery of physical therapy services to comply with prescribed physician orders.
- Maintains plan of care by performing timely documentation of client performance, modifying goals and treatment as needed, and determine discharge care plans as appropriate.
- Responsible for discharge planning, including collaborating and educating the patient and his/her caretakers on home exercise plan to follow discharge.
- Participates in coordination of services with health care team, physicians, parent/guardians, nurses, etc.
- Documents according to policy and procedure and requires minimal supervision or instruction.
- Documents effectively resulting in no technical or clinical denials subsequent to review of documentation by payers
- Maintain effective communication between staff, healthcare team members and family. Serve as a resource consultant for clinical staff.
- Supervises other personnel (PTA, HHA) as applicable.
- Completes OASIS assessments where allowed by state professional practice and regulation.
- Follow policies and procedures and conforms to all applicable patient care standards, licensure regulations and state laws.
- Maintain effective communication between staff, healthcare team members and family. Serve as a resource consultant for clinical staff.
- Supervises other personnel (OTA, HHA) as applicable.
- Completes OASIS assessments where allowed by state professional practice and regulation.
Aveanna Healthcare Offers:
- 401(k) with match
- Health, Dental and Vision Benefits for employees at 30+ hours
- Tuition Discounts and Reimbursement
- PTO, Sick Time, and Paid Holidays
Requirements:
- Degree in Physical Therapy from an accredited university/program.
- Current, unrestricted state license as a Physical Therapist in the state of practice
- Demonstrated proficiency in clinical assessments, documentation and compliance with policies and procedures
Preferred:
- Strong organization and communication skills
- Attention to detail
- Time management
- Proven relationship-builder
- Experience in Home Health Therapy and completion of OASIS documentation
HHH
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Notice for Job Applicants Residing in California
Notice for Job Applicants Residing in Florida
Remote working/work at home options are available for this role.
As an Aveanna Physical Therapist you will utilize your clinical expertise to assess, teach, and deliver therapy interventions and treatment directed by the Physician as established in the home health plan of care. You will collaborate with interdisciplinary team members, receiving and providing pertinent updates to optimize patient well-being.
Full Time Visits needed Monday - Friday for Brookfield, WI and surrounding communities
Essential Job Functions:
- Perform initial and ongoing assessments to evaluate mobility, coordination, strength and current level of function.
- Responsible for administration, evaluation, and interpretation of tests and measurements to determine functional goals and outcomes.
- Provide a written evaluation and plan of care defining physical therapy needs, goals, progress and expected outcomes.
- Delivery of physical therapy services to comply with prescribed physician orders.
- Maintains plan of care by performing timely documentation of client performance, modifying goals and treatment as needed, and determine discharge care plans as appropriate.
- Responsible for discharge planning, including collaborating and educating the patient and his/her caretakers on home exercise plan to follow discharge.
- Participates in coordination of services with health care team, physicians, parent/guardians, nurses, etc.
- Documents according to policy and procedure and requires minimal supervision or instruction.
- Documents effectively resulting in no technical or clinical denials subsequent to review of documentation by payers
- Maintain effective communication between staff, healthcare team members and family. Serve as a resource consultant for clinical staff.
- Supervises other personnel (PTA, HHA) as applicable.
- Completes OASIS assessments where allowed by state professional practice and regulation.
- Follow policies and procedures and conforms to all applicable patient care standards, licensure regulations and state laws.
Requirements:
- Degree in Physical Therapy from an accredited university/program.
- Current, unrestricted state license as a Physical Therapist in the state of practice.
- Demonstrated proficiency in clinical assessments, documentation and compliance with policies and procedures.
Preferred:
- Strong organization and communication skills.
- Attention to detail.
- Time management.
- Proven relationship-builder.
- Experience in Home Health Therapy and completion of OASIS documentation.
HHH
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Notice for Job Applicants Residing in California
Notice for Job Applicants Residing in Florida
