Nursing Jobs in Lexington, TN

Licensed Field Care Coordinator - TN

$29 - $52 / hour

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The primary purpose of this position is the application of clinical knowledge to coordinate member care needs for assigned members who are primarily medically complex and require intensive medical and psychosocial support. The Care Coordinator works directly with members to ensure appropriate access to services and providers. Coordination of member care needs across the continuum begins with early identification of health risk factors, education, and prevention using the six essential activities of case management as per CMSA. Coordination also assures the provision of appropriate services in acute, home, chronic and alternative care settings, to meet member needs in the most cost-effective manner available. Collaborates with all members of the Care Coordination team including Case Management, Utilization Review and Behavioral Health team members. If you are located in or within commutable driving distance to Carroll County, you'll enjoy the flexibility to work remotely* as you take on some tough challenges. This is a field-based role. Primary Responsibilities Application of clinical knowledge to effect efficient case management for those accessing their Medicare/Medicaid benefits Incorporates evidence-based clinical practices into care coordination activities Delivers member-centered, individualized self-management support and patient education Ensure appropriate utilization and consistent application of the health benefits Conduct telephonic and face to face assessments according to Health Plan policy and procedure, including system documentation and State prescribed timeframes Serve as member advocate and facilitator to resolve issues that may be perceived as barriers to care Provide education and coordination of community resource referrals to members and providers Develop, implement, maintain and evaluate a member-centered, individual care plan when services are indicated, based on member care needs identified through proactive collaboration and communication with members, families and providers Collaborate and communicate with other members of the Care Coordination Team to improve the quality and efficiency of health care delivery and ensure smooth transition of care coordination activities to other team members Monitor hospital encounters of assigned members and provide education and/or interventions as necessary to reduce frequency Refer clinical decisions beyond level of authority for members who do not meet established criteria to manager for review and decision Participate in the Health Plan Quality Improvement process including recognition of quality-of-care issues and forwarding information to appropriate staff for review and resolution Utilize Health Plan software to enter service requests, document, and monitor all aspects of member care coordination and service delivery Maintain time sensitive documentation to assure compliance with regulatory agencies Coordinate services for members following Health plan policy Perform other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current Nursing License (RN) 2+ years of clinical experience as an RN 1+ years of experience with MS Office, including Word, Excel, and Outlook Excellent organization, communication and time management skills Reside in or within a commutable driving distance to Carroll County Access to reliable transportation and valid US driver's license with the ability to travel up to 75% within an assigned territory to meet with members and providers Preferred Qualifications BSN, Master's degree in Clinical Field CCM certification 1+ years of community case management experience coordinating care for individuals with complex needs Long term care experience Experience working in team-based care Working knowledge of Medicare/Medicaid regulations Working knowledge of medical terminology All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29.00 to $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED

Registered Nurse - Afterhours - PRN - Hospice,

UnitedHealthcare Huntingdon, TN

$28.27 - $50.48 / hour

Explore opportunities with Baptist Memorial Home Care & Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Afterhours Registered Nurse's your primary focus is to conduct comprehensive and timely delivery of hospice care for patients and their families after regular business hours, including at night and on the weekends. Primary Responsibilities Able to triage patient needs over the phone until a nurse can provide an in-person visit Responds appropriately and with urgency to crisis calls from patients and families afterhours Makes the initial nursing evaluation in determining eligibility for hospice services, as part of a patient visit, within forty-eight (48) hours of referral if assigned Competent to perform afterhours visits including admission visits, death visits, recertification visits, and routine visits Identifies the patient/family's physical, psychosocial, emotional, and environmental needs and reassess them as needed, no less than every fifteen (15) days Documents problems, appropriate goals, interventions, and patient/family response to hospice care You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Current unrestricted RN licensure in the state of practice experience Current CPR Certification 1+ years of clinical experience Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

LPN

3 months ago

LPN

Brookdale Senior Living Jackson, TN

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You’ll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant’s skills and experience. Temporary associates are not benefits eligible but may participate in the company’s 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Assist in maintaining a physical, social and psychological environment in the best interest of residents. Monitor care of residents according to treatment plans prescribed by a physician as well as documenting responses to care plans. Nurses also administer medications, ensure cleanliness and security of medicine supply room and adhere to company systems, procedures and processes. LPN or LVN License Required per state regulations. Brookdale is an equal opportunity employer and a drug-free workplace.

Caregiver

3 months ago

Caregiver

Brookdale Senior Living Jackson, TN

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You’ll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant’s skills and experience. Temporary associates are not benefits eligible but may participate in the company’s 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Provides dementia care including adapted ADL’s, meaningful engagement and communication to residents following a person centered individual service plan. Treats residents with respect and dignity, recognizes individual needs, and encourages independence. Fosters a purposeful and engaging culture throughout the community. Assists residents and provides input in regards to the care plan and daily living activities. This includes bathing, dressing, grooming, toileting, transferring and getting to and from programs and meals according to the individual service plan and individualized interventions. Partners and encourages residents to be as independent as possible encouraging them to do as much of their own care as possible. Participates in team behavioral expression meetings or discussions with community leadership. Knows the residents Life Story, preferences, historical routines and interests. Serves meals to residents in the dining room. May assist in preparing meals following preplanned dementia friendly menus. Encourages residents with prompting and cueing skills to eat a proper diet and take adequate fluids while respecting the resident's right to free choice. Records and reports changes in resident's eating habits to the supervisor. Initiates and/or leads minimally one Daily Path engagement program provided for residents as described in the resident’s Life Story, Solace program or calendar. Encourages residents to socialize and participate in planned, spontaneous, individual or small group person centered programs and to support friendships between residents. Maintains residents' records daily, in a timely manner, and in accordance with company policy and procedures. This includes documentation related to medication distribution as applicable, engagement interests, incidents and observations, reporting any changes in resident's physical condition and/or behavior, visitors, etc. Observes and reports the health and emotional condition of each resident and promptly reports all changes to the supervisor. Only if permitted by state specific regulations, may assist residents with medication as defined in medication procedure. Follows physician orders and state laws to administer medications to residents who cannot self-administer their medications. Exhibits understanding of and follows medication policies and procedures. Refer to state specific regulations regarding medication assistance. Maintains a clean, safe, and orderly environment for the residents. Performs general housekeeping, following cleaning schedules for resident laundry, bedrooms, dining area, living space, bathrooms, kitchen, etc. Follows proper procedures in emergency situations and responds promptly and positively to resident requests for assistance, including emergency pull cords, telephone calls, and requests from family and friends. Monitors the location of each resident and notifies the supervisor immediately if unable to locate a resident. Encourages teamwork through cooperative interactions with co-workers. This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his/her supervisor. Education and Experience High school diploma or general education degree (GED) and three to six months related experience preferred and/or training in direct service with older adults living with dementia, or equivalent combination of education and experience. Refer to specific state regulations for qualifications required to assist with medications and direct care duties. Knowledge of dementia, particularly of the Alzheimer's type. Certifications, Licenses, and other Special Requirements In accordance with state law, may need to possess current state certification and follow regulations to maintain current certification. Physical Demands and Working Conditions Standing Walking Sitting Use hands and fingers to handle or feel Reach with hands and arms Climb or balance Stoop, kneel, crouch, or crawl Talk or hear Taste or smell Ability to lift: Up to 50 pounds Vision Requires interaction with co-workers, residents or vendors Occasional weekend, evening or night work if needed to ensure shift coverage On-Call on an as needed basis Possible exposure to communicable diseases and infections Potential injury from transferring, repositioning, or lifting residents Exposure to latex Possible exposure to blood-borne pathogens Possible exposure to various drugs, chemical, infections, or biological hazards Subject to injury from falls, burns, odors, or cuts from equipment Requires Travel: occasionally Management/Decision Making Makes standard and routine decisions based on detailed guidelines with limited independent judgment. Problems are generally solved with clear, detailed guidelines or by reporting them to a supervisor. Knowledge and Skills Has a basic level of a skill and can follow written or verbal instructions. Has basic technical skills to complete a few repetitive and well-defined duties. Has a basic knowledge of the organization in order to answer basic questions. Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to communicate effectively in English with residents, family members and other associates of the company. Ability to apply common sense understanding to carry out instructions furnished in written or oral form. Uses good judgment in emergency situations, and seeks assistance when needed. Brookdale is an equal opportunity employer and a drug-free workplace.