RN jobs in North Kansas City, MO

RN Jobs in North Kansas City, MO

Clinical Review Nurse Care Manager

Thanks for your interest in Children's Mercy! Do you envision finding a meaningful role with an inclusive and compassionate team? At Children’s Mercy, we believe in making a difference in the lives of all children and shining a light of hope to the patients and families we serve. Our employees make the difference, which is why we have been recognized by U.S. News & World Report as a top pediatric hospital, for eleven consecutive years. Children’s Mercy is in the heart of Kansas City – a metro abounding in cultural experiences, vibrant communities and thriving businesses. This is where our patients and families live, work and play. This is a community that has embraced our hospital and we strive to say thanks by giving back. As a leader in children’s health, we engage in meaningful programs and partnerships throughout the region so that we can improve the lives of children beyond the walls of our hospital. Overview The Clinical Review Nurse Care Manager utilizes clinical expertise, evidence-based guidelines, insurance knowledge, business acumen, and high level of communication skills to ensure appropriate utilization of and reimbursement for resources from admission through hospital stay to discharge. Adeptly uses evidence based clinical practice guidelines to determine the appropriate level of care and the medical necessity of continued hospitalization. Secures initial payer authorization and continued stay payer authorization per contracts for medically appropriate level of care. Manages concurrent clinical denials through completion of verbal reconsideration process. Works with physicians and multidisciplinary teams to evaluate the medical plan, length of stay, avoidable days/delays and progression of care. Works collaboratively with Revenue Cycle to ensure authorizations and denials are addressed timely for clean claims submission. This position will participate in ongoing professional development activities, quality improvement, and continuing education activities. This role Improves efficiency and reduces health care costs as evidenced by decreased lengths of stay, decreased re-admissions, decreased denials, and increased patient satisfaction. At Children’s Mercy, we are committed to ensuring that everyone feels welcomed within our walls. A successful candidate for this position will join us as we strive to create a workplace that reflects the community we serve, as well as our core values of kindness, curiosity, inclusion, team and integrity. Additionally, it’s important to us that we remain transparent with all potential job candidates. Because we value the safety of the patients and families we serve, as well as the Children’s Mercy staff, we want to let you know that the seasonal influenza vaccine is a condition of employment for all employees in our organization. New employees must be willing to be vaccinated if found non-immune to measles, mumps, rubella (MMR) and chicken pox (varicella) and/or without evidence of tetanus, diphtheria, acellular pertussis (Tdap) vaccination since 2005. If you are selected for this position, you will be asked to supply your immunization records as proof of vaccination. If you and have any concerns about receiving these vaccines, medical and/or religious exemptions can be further discussed with Human Resources. Responsibilities Evaluate appropriateness of each admission using evidence-based clinical guidelines to ensure correct bed status. Ensures medical appropriateness of care by facilitating timely and proper patient throughput progression; securing continued stay authorizations; continually reassessing medical necessity; and partnering with the multidisciplinary team. Mitigates and manages denials for patient status and continued patient stays with Attending Physician, Physician Advisor, Inpatient Nurse Care Manager, and insurance/payer. Collaborates with Revenue Cycle to improve financial processes and outcomes. Participate in ongoing professional development activities, making a meaningful contribution to quality improvement and continuing education of self and others. Qualifications Bachelor's Degree BSN and 3-5 years experience Experience as a care manager or demonstrated leadership skills in a previous role One of the following required upon hire: Licensed RN - MO, Registered Nurse Multistate License Missouri Licensed RN - Kansas, Registered Nurse Multistate License Kansas RN Compact license for all states besides KS and MO MO or KS Multistate License required within 90 days of hire Certified Case Manager (CCM) certification required within 3 years of hire OR Accredited Case Manager (ACM) certification required within 3 years of hire Refer to Nursing and Avdance Practice Provider Licensure and Certification policy for required Life Support Certifications Required Upon Hire CPN Certification Preferred Benefits at Children's Mercy The benefits plans at Children’s Mercy are one of many reasons we are recognized as one of the best places to work in Kansas City. Our plans are designed to meet the changing needs of our employees and their families. Learn more about Children’s Mercy benefits. Starting Pay Our pay ranges are market competitive. The pay range for this job begins at $36.16/hr, but your offer will be determined based on your education and experience. Remote Work/Work from Home This position is not eligible to work remotely, which means that the person hired will be required to work onsite at one of our Children’s Mercy locations and may not work from home. EEO Employer/Disabled/Vet Children’s Mercy hires individuals based on their job skills, expertise and ability to maintain professional relationships with fellow employees, patients, parents and visitors. A personal interview, formal education and training, previous work experience, references and a criminal background investigation are all factors used to select the best candidates. The hospital does not discriminate against prospective or current employees based on the race, color, religion, sex, national origin, age, disability, creed, genetic information, sexual orientation, gender identity or expression, ancestry or veteran status. A drug screen will be performed upon hire. Children’s Mercy is smoke and tobacco free. CM is committed to creating a workforce that supports the diverse backgrounds of our patients and families. We know that our greatest strengths come from the people who make up our team, so we hire great people from a wide variety of backgrounds, not just because it’s the right thing to do, but because it makes our hospital stronger and our patient care more compassionate. If you share our values and our enthusiasm for service, you will find a home at CM. In recruiting for our team, we welcome the unique contributions that you can bring, including education, ideas, culture, and beliefs.

Part-time

1 week ago

Clinical Nurse RN W/k Alt - Lakewood Long Term Care - (Sat-Sun 6:45p - 7:15a)

University Health Kansas City Little Blue Valley, MO

If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site. Please log into myWORKDAY to search for positions and apply. Clinical Nurse RN W/k Alt - Lakewood Long Term Care - (Sat-Sun 6:45p - 7:15a) 101 Truman Medical Center Job Location UH Lakewood Medical Center Kansas City, Missouri Department Long Term Care Unit UHLMC Position Type Part time Work Schedule 6:45PM - 7:15AM Hours Per Week 40 Job Description Are you a compassionate, skilled RN looking to make an impact? We’re in pursuit of a Registered Nurse RN to join our team! Working in Podiatry Clinic you’ll be providing top-notch care to patients dealing with acute, chronic, or terminal illnesses. What You’ll Do: Assess patients based on their diagnosis and care needs Plan, perform, delegate, and evaluate nursing care using your expert skills Work closely with an interdisciplinary team to ensure the best patient outcomes Participate in committees, program evaluations, research, and education Supervise and mentor students Stay compliant with the Missouri Nurse Practice Act and all organizational and regulatory requirements Minimum Requirements: Graduation from an accredited nursing program Current state of Missouri license as a Registered Nurse Current BCLS certification If applying for a PRN position: At least one year of medical/surgical experience OR one year of prior experience in the specialty area Preferred Qualifications: Bachelor of Science in Nursing (BSN) or an equivalent specialty degree RN Specialty Certification