clinical operations manager jobs

St. Mary Center Lansdale, PA

2 months ago

RN Registered Nurse Cart Nurse / Supervisor Hybrid

RN Registered Nurse Cart Nurse during the week Supervisor on Weekends St Mary Center, is an exceptional team-oriented facility Looking to hire for the RN Registered Nurse Cart Nurse / Supervisor Position. where we thrive on making our residents and staff as comfortable and happy as possible. We provide our team with everything necessary to help you succeed and grow! Come join us and turn your work dreams into reality. RN Registered Nurse Cart Nurse / Supervisor Salary: Based on experience Whats in it for you as an RN Registered Nurse Cart Nurse / Supervisor Excellent Health Benefits Tuition Reimbursment Great Work Enviorment PTO Vacation Time 401K Referral Program Qualifications as an RN Registered Nurse Cart Nurse / Supervisor PA RN License Ability to Adapt and take on all responsibilities of the RN Register nurse Supervisor role RN Registered Nurse Cart Nurse / Supervisor 12 Hour weekends, 8 hours during the week RN Registered Nurse Supervisor Shifts: 12 Hours 7am-7pm weekends IND123

Alternate Solutions Health Network Bloomington, IN

Hospice RN Case Manager - General Inpatient (GIP)

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. Company : Redcrest Hospice Schedule: 3 12-hour shifts with every third weekend rotation Location: Onsite and supporting south region hospitals HOW YOU'LL MAKE A DIFFERENCE : As a Registered Nurse (RN), Hospice the work you do every day makes a difference in the lives of our patients. Our nurses give our patients the greatest gift – the ability to spend enhanced quality time with their loved ones in their preferred environment. As a RN you will have the opportunity to provide one on one patient care and work at the top of your license. You will utilize your clinical skills in providing end of life care as directed by an attending physician. You'll be part of an interdisciplinary team that focuses on providing compassionate quality care to our patients. WHAT WE OFFER: We make it easy to do your job and have competitive financial incentives. Our benefits package is also competitive in the market. We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates will also receive paid time off, opportunity to participate in 401k, company paid life insurance and access to a robust Employee Assistance Program. HOW YOU'LL WORK: You'll oversee the overall care of the patient from beginning to end of life. You will observe and monitor the patient to determine if the level of care being provided meets the patients’ needs. You will work autonomously and be responsible for all practices and duties within the scope of practice outlined by the state. MAJOR AREAS OF RESPONSIBILITY: Plan of Care: Evaluate the treatment and medical condition of the patient according to the plan of care. Individualize the plan of care and make adjustments as needs change. Minimize Patient Risk: Update all doctor orders in patient chart and administer medication as prescribed by the physician. Continuity of Care: Manage multi-disciplinary care as applicable while promoting continuity of care with appropriate admissions, transfers, and discharges. Family Educator/Advocate: Counsel patient and family on the disease/progression and incorporate patient and family in development of plan of care. Listen to patient and family members. Policies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines. Operations: Oversee and supervise total care of patient provided by nurse aides and LPNs. Attend in-service training and mandatory agency meetings. HARD & SOFT SKILLS: Compassionate communicator with a positive attitude. Patience is a virtue when working with patients, families, physicians, and coworkers. Attention to detail is critical, as is being observant and following directions. REQUIREMENTS: Registered Nurse with current license in the state of employment. Minimum one-year experience as an RN in an acute care setting is preferred. Hospice experience is desired. Valid driver's license and auto insurance in your name as a driver Capable of all physical demands We are proud to be part of the Alternate Solutions Health Network family. #INDREDHOS2 We’ll help you put your passion for patient care to work. Apply today! This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. We are an Equal Opportunity Employer.

Telehealth

Molina Healthcare Doña Ana, NM

3 weeks ago

Care Manager (RN) Remote (Dona Ana, NM)

$26.41 - $51.49 / hour

JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. • Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals. • Conducts telephonic, face-to-face or home visits as required. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Maintains ongoing member caseload for regular outreach and management. • Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. • Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. • May provide consultation, resources and recommendations to peers as needed. • Care manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA). • Demonstrated knowledge of community resources. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and self-motivation. • Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. Preferred Qualifications • Certified Case Manager (CCM). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $51.49 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Weekend Nursing Supervisor RN LPN

Springside Skilled Nursing Home & Rehabilitation Adams, MA

$40 - $57 / hour

Springside Skilled Nursing & Rehabilitation in Pittsfield, MA, is currently seeking a Weekend Nursing Supervisor (Saturdays & Sundays, 7AM - 7PM) . Come join our team! Benefits for Weekend Nursing Supervisor (RN/LPN): Weekly Pay Low-Cost Medical Insurance, Dental, and Vision Insurance 401(k) with company match Referral Bonuses Shift Differentials Requirements for Weekend Nursing Supervisor (RN/LPN) Must possess valid unencumbered, Massachusetts RN or LPN License and current CPR certification. Two (2) years of clinical nursing experience within a hospital, nursing care center or other related healthcare setting preferred. Must have minimum of one year experience in long term care Must have experience in supervision and principles, practice of teaching, and computer skills Experience in rehabilitative and restorative nursing practices strongly preferred Job Duties for Weekend Nursing Supervisor (RN/LPN): Welcome new admissions and oversee discharges Supervise Weekend RN, LPN, and CNA staff Respond to family inquiries Ensure high-quality resident/patient care Provide support to ancillary staff as needed Springside Nursing & Rehabilitation Center truly appreciates our employees and looks forward to welcoming our new Weekend Nursing Supervisor to our extended family! INDLP

Outpatient

University Health Kansas City Downtown Kansas City, MO

2 months ago

Registered Nurse Care Manager (RN) - Diabetes Clinic

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. Registered Nurse Care Manager (RN) - Diabetes Clinic 101 Truman Medical Center Job Location University Health 4 (UH4) Kansas City, Missouri Department Diabetic Clinic UHTMC Position Type Full time Work Schedule 8:00AM - 4:30PM Hours Per Week 40 Job Description Are you passionate about making a real difference in patient care? As a Nurse Care Manager (NCM) , you’ll be at the heart of providing personalized care to your patients, helping them navigate their health journeys and achieve their best possible outcomes. You’ll work across various healthcare settings to integrate care, coordinate treatment plans, and empower patients to manage their illnesses effectively. In this role, you’ll collaborate with a dedicated healthcare team, applying evidence-based practices to ensure every patient gets the care they deserve. If you’re a skilled nurse with a passion for patient advocacy and care coordination, we want you to join our team! What You’ll Do: Care Coordinator Extraordinaire: Design, implement, and evaluate treatment plans by collaborating with your healthcare team, ensuring each patient receives the best care at every stage of their journey. Patient Empowerment: Work with your patients to help them manage their illnesses and navigate the healthcare system, supporting them to achieve optimal health outcomes. Health Home Champion: Provide and manage care for Health Home enrollees, tracking their healthcare outcomes and making adjustments to treatment plans as needed. Team Collaborator: Actively participate in and coordinate patient care with other team members, fostering a holistic approach to treatment and recovery. Evidence-Based Expert: Use evidence-based information to drive care decisions, ensuring that every patient receives high-quality, up-to-date treatment. What You Need to Bring: Education: BSN (or equivalent combination of ADN and relevant experience). Licensure: Current Missouri RN license. Certification: Current BCLS (Basic Life Support) certification. Experience: A minimum of three years working in a healthcare setting. Communication Skills: Strong written and verbal communication skills—you’ll need to effectively coordinate with patients and the healthcare team. Tech-Savvy: Proficient in Microsoft Word, Excel, and PowerPoint. Language Proficiency: Must be able to read and speak English fluently. Preferred Qualifications: Community Service Experience: Any experience working in community health is a plus. Multi-language Skills: Ability to speak multiple languages is a bonus! If you’re looking for a rewarding role where you can make a tangible impact on patients’ lives and collaborate with a dedicated healthcare team, apply today and join us in transforming patient care!

UnitedHealthcare Waynesville, NC

12 hours ago

Hospice RN Case Manager - Waynesville, NC - Full Time,

Explore opportunities with Haywood 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 Registered Nurse Case Manager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluating personal and professional performance and making necessary changes to increase productivity and quality of care delivered. You'll also develop the patient's Plan of care in collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical, psychosocial, emotional, and spiritual well-being. Familiar with the concepts and needs of patients/families who are facing death and dying. Primary Responsibilities Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) days Initiates and coordinates the plan of care Documents problems, appropriate goals, interventions, and patient/family response to hospice care Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care daily Instructs and supervises the patient/family in self-care techniques when appropriate Maintains accurate and relevant clinical notes regarding the patient's condition Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client 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 and unrestricted RN licensure in the state of practice Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation Preferred Qualifications 1+ years of clinical experience Current CPR certification or ability to complete within 90 days of hire 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 salary for this role will range from $71,640 to $107,460 annually 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. #LHCJobs 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.

Case Manager (RN) Hospice Home Care

Duke Health Durham, NC

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. Duke Nursing Highlights: Duke University Health System is designated as a Magnet organization Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification. Duke University Health System has 6000 + registered nurses Qualityof Life: Living in the Triangle! Relocation Assistance (based on eligibility) **Commitment Bonus available for eligible applicants. Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. As a nurse with Hospice Home and Partners at Duke you will get to live out Duke's mission of caring for our patients, their loved ones, and each other in a very precious way. While working with our Hospice department, you will have the opportunity to truly care for people at their most vulnerable state of being as well as help them and their loved ones learn to let go in peace and comfort. Shifts/Hours: (5) 8 hour day shifts Duke HomeCare and Hospice differs from other home health companies in many amazing ways. Please see a list of some of those reasons below: Manageable caseloads and territories Commitment to safety for both patients and employees Mileage reimbursement rate equal to the current federal rate Extensive orientation of 16+ weeks based on individual needs JOB SUMMARY: Performs professional nursing care for patients in a primary care setting (the home or alternate-site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. MAJOR JOB RESPONSIBILITIES: Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient’s baseline needs and response to care. Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care. Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care. Develop and implement an effective discharge plan for patients to begin at the initiation of services. Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching. Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills. Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient. Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance. Assesses the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate. Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards. Complete documentation accurately, timely, concisely. Medication reconciliation and education to prevent adverse events and readmission to hospital Observe patient’s reactions to medications and reports significant incidents to the physicians. Communicate regularly with team members, caregivers, and physicians. Follow infection control standard precautions and uses personal protective equipment as required. Delegate and supervise care given by NCA’s/LPN’s. Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient’s care needs. Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness. Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Implement agency policy, procedures and objectives. Work closely and collaboratively with agency billing staff to ensure accuracy of billing. Maintain confidentiality of employee and patient information. Exhibit an attitude which promotes harmony and goodwill in the workplace. Display a clean, neat, professional appearance. Participate in Performance Improvement Program. Promote quality, comprehensive services through a team approach. Perform other duties as assigned. WORK ENVIRONMENT AND REQUIREMENTS: Perform Patient care primarily in the patient’s residence or skilled nursing facility (>50%) Travel to and from patient residence Education and Formal Training Associate Degree or Diploma, Nursing required Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service of their start date. Licensures, Certifications Must have a current North Carolina RN Licensure or compact RN licensure in participating state BLS Certification, may be recertified during orientation Valid driver’s license and current automobile insurance coverage is required Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Outpatient

University Health Kansas City Kansas City, MO

2 months ago

Registered Nurse Care Manager (RN) - Diabetes Clinic

Home Health

4 days ago

Registered Nurse (RN) Case Manager | Homecare Yankton

Avera Health Yankton, SD

$32.50 - $48.50 / hour

Location: Avera at Home Yankton Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $32.50 - $48.50 Position Highlights 8:00am-5:00pm with wknd/hol/call involvement; 72hrs/2wks You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for the care planning, utilization of services, coordination of care, and the education of the interdisciplinary teams in the management of patient care services. Develops all patient care plans in collaboration with the physician and interdisciplinary team, providing patient centered care efficiently, effectively, with the best possible outcomes. What you will do Functions as interventionalists in the home utilizing clinical expertise and problem solving to make recommendations to the physicians based on comprehensive physical, psychosocial, emotional, spiritual and bereavement patient assessments. Implements the nursing process utilizing highly proficient assessment skills in the performance of Start of Care visits, post-hospital evaluations, patient re-certifications, discharges and supervisory visits. Partners with the physician and the interdisciplinary team to develop the plan of care in collaboration with the patient. Makes recommendations for efficient and effective utilization of resources to achieve positive outcomes by implementing clinical protocols during the admission visit as dictated by patient’s diagnosis. Initiates and responds to requests for changes in plans of care, determines appropriateness of change and whether or not the change would be considered a Significant Change in Condition, for which an OASIS is required. Demonstrates ability to affect the behavior of others to follow the recommended alternatives to care which includes providing thorough instruction and disease management education to patients and/or caregivers as ordered by the physician. Educates patients, families, and caregivers about disease process, community resource and recommended self care. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Registered Nurse (RN) - Board of Nursing Upon Hire Preferred Education, License/Certification, or Work Experience: 1-3 years in home health or hospice Expectations and Standards Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .

Home Health

Molina Healthcare Lima, OH

5 days ago

Care Manager, LTSS (RN/LSW) - Allen County

$24 - $46.81 / hour

This is a remote field-based role requiring travel within the Allen County area. RNs or LSWs preferred. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. • Facilitates comprehensive waiver enrollment and disenrollment processes. • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. • Assesses for medical necessity and authorizes all appropriate waiver services. • Evaluates covered benefits and advises appropriately regarding funding sources. • Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. • Identifies critical incidents and develops prevention plans to assure member health and welfare. • Collaborates with licensed care managers/leadership as needed or required. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years of health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. • Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Demonstrated knowledge of community resources. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work independently, with minimal supervision and self-motivation. • Ability to demonstrate responsiveness in all forms of communication and remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Problem-solving skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. • In some states, must have at least one year of experience working directly with individuals with substance use disorders. Preferred Qualifications Certified Case Manager (CCM) RN or LSW, License must be active and unrestricted in state of practice. Experience working with populations that receive waiver services. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $24 - $46.81 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

AHS Allina Health System Minneapolis, MN

4 days ago

Hospice Case Manager RN, Inver Grove/Hastings Team

$42.92 - $59.38 / hour

Location Address: 2925 Chicago Ave Loading Dock Minneapolis, MN 55407-1321 Date Posted: August 18, 2026 Department: 78007400 Hospice Shift: Day (United States of America) Shift Length: 8 hour shift Hours Per Week: 40 Union Contract: Non-Union-NCT Weekend Rotation: Every 4th Job Summary: Have time to make a difference. In this role, you will receive comprehensive training, ensuring you feel confident with skills, and are well-supported working with an experienced team. Flexibility in schedules will provide a real work-life balance. Allina Home Health is the leader in Minnesota for in-home care delivery, providing exceptional nursing care and allowing patients to recover where they are most comfortable. Key Position Details: 1.0 FTE (80 hours per two-week pay period) 8-hour day shift Every 4th weekend rotation This position will have call expectations This is a union-represented position, but no collective bargaining agreement is yet in effect Position may require travel to other parts of the metro Eligible for mileage reimbursement Job Description: Nursing is the assessment and treatment of human response to actual or potential health problems. This includes establishing an intentional therapeutic relationship between a registered nurse and a patient and family. As a leader and the integrator of care, the professional nurse has the responsibility, authority, and accountability for planning, coordinating and evaluating the patient’s care needs. Works alongside the care team screening clients and/or population for healthcare needs and developing a client-focused case management plan. Principle Responsibilities Comprehensive assessment of patient and family needs; identification of outcomes based on needs assessment; establishing the plan of care; supervising the progress; and modification of the plan of care as needed. Maintains education and competencies to remain proficient to provide high quality patient care practice and skills. Incorporates evidence-based nursing practice taking into consideration current statutes, rules and regulations when developing the plan of care. Establishes, in the collaboration with the family and patient, realistic and measurable patient expected outcomes based on nursing diagnoses, patients present and potential capabilities, goals, available resources and plan for continuity of care. Identifies outcomes that are age appropriate, culturally appropriate, realistic and attainable. Coordinates, collaborates, and delegates appropriately to ensure care is provided in a safe, effective fashion. Fulfills all organizational requirements. Supplemental roles: Charge Nurse (only when acting in this role). ◦ Demonstrates ability to coordinate, delegate, and direct unit operation, collaborates effectively with unit staff, leadership and other disciplines. Preceptor (only when acting in this role). ◦ Demonstrates ability to identify the orientee's learning needs, plans appropriate learning experiences and demonstrates ability to validate clinical competence of orientee. Other duties as assigned. Required Qualifications Associate's or Vocational degree 2 or more years RN experience Preferred Qualifications Bachelor's degree Case Management experience Licenses/Certifications Licensed Registered Nurse – MN Board of Nursing required if working in state of MN upon hire / WI Department of Safety & Professional Services required if working in the state of WI upon hire Must meet at least ONE of the requirements below: ◦ Current BLS certification from the American Heart Association ◦ Current BLS certification from the American Red Cross ◦ Allina in-house BLS training (within 30 days of hire) Certified Hospice and Palliative Nursing (CHPN) preferred Nursing Case Management Certification (CMGT-BC) preferred Valid Driver’s License required upon hire - MN and WI residents must obtain a valid driver’s license in their state of residence within 60 days of employment (not required for those working at Wedum Residential Hospice) Physical Demands Medium Work*: Lifting weight up to 32 lbs. occasionally (*Allina Safe Patient Moving Policy), up to 25 lbs. frequently Pay Range Pay Range: $42.92 to $59.38 per hour The pay described reflects the base hiring pay range. Your starting rate would depend on a variety of factors including, but not limited to, your experience, education, and the union agreement (if applicable). Shift, weekend and/or other differentials may be available to increase your pay rate for certain shifts or work. Benefit Summary Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That’s why we devote extraordinary resources to help you grow and thrive — not only as a professional but also as a whole person. When you join our team, you have access to a wealth of valuable employee benefits that support the total well-being — mind, body, spirit and community — of you and your family members. Allina Health is all in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey. We are focused on creating an inclusive workplace so everyone can see themselves as part of our care team. Our care teams are as diverse as the communities we serve and proud to be contributing to the mission of a leading health care organization. Our pioneering approach to well-being helps every member of our care team feel a deep sense of connection and joy in their work. Benefits include: Medical/Dental PTO/Time Away Retirement Savings Plans Life Insurance Short-term/Long-term Disability Voluntary Benefits (vision, legal, critical illness) Tuition Reimbursement or Continuing Medical Education as applicable Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program Allina Health is a 501(c)(3) eligible employer *Benefit eligibility/offerings are determined by FTE and if you are represented by a union.

Manager/Supervisor

Part-time

2 weeks ago

Administrative Nursing Supervisor - Internal Resource Pool

AHS Allina Health System Minneapolis, MN

$65.83 / hour

Location Address: 2925 Chicago Ave Loading Dock Minneapolis, MN 55407-1321 Date Posted: August 04, 2026 Department: 16003811 Internal Resource Pool Shift: Day/Evening/Night (United States of America) Shift Length: Variable shift length Hours Per Week: 0 Union Contract: Non-Union-NCT Weekend Rotation: Other Job Summary: The Allina Health Internal Resource Pool (IRP) Team is an internal team of Registered Nurses who float within their specialty to multiple different sites for either Per Diem or multi-week assignments throughout our system hospitals. Members of the IRP team are highly skilled, adaptable, affirmative, adept at working autonomously, and demonstrate strong teamwork in many different work settings. Key Position Details: This is a non-benefit-eligible role, ideal for those looking to work within multi-week assignments at various Allina locations with opportunities for time off between assignments. Opportunity to pick up day/evening/night shifts 8/12-hour combination shifts Weekends are dependent on the assignment Select assignments to fit your schedule Job Description: Principle Responsibilities Serves as the representative of hospital administration and management in their absence. Maintains an environment to meet patient and family needs for safety, comfort, education and support. Refers situations to Patient Representative, Risk Management, Employee Health, Nursing Leaders as appropriate. Works with unit charge nurse and physicians to place patient admissions and transfers. Informs on-call Administrator/Department Manager of resolved and / or pending problems and actions taken. Gives direction to other hospital departments in the absence of their manager to assure the delivery of patient care. Enforces high standards for the quality of patient care delivered on patient care units. Incorporate patient, staff and physician needs and concerns into decision making and action. Serves as resource and coach to hospital employees. Provides interpretation and information regarding policies and procedures, including personnel processes. Directs staff to potential resources / equipment sources within hospital or community. Intercedes with employees on situational issues, taking action per hospital policy. Serves as a resource and mentor for charge nurses on off shifts and weekends. Identifies issues which impact patient care throughout the hospital. Participates in resolving system issues, taking immediate action when appropriate and/or triaging to operational managers. Analyzes problems in a systematic, logical and timely manner. Responds to physician and staff concerns and relates information to operational staff. Manages situations in a manner consistent with hospital policies and nursing practice standards. Responds to emergency calls, including emergency codes and acts as resource to team members. Manages media and external communications according to established policy. Responds to concerns of patients and family members in absence of Patient Representative using positive service recovery skills. Role models customer services focus with patients, families and physicians. Maintains a safe environment for patients, public, and staff. Allocates daily staffing resources. Determines staffing resource needs in collaboration with unit charge nurses, considering staffing numbers, skill mix and competency requirements. Provides direction to Staffing Office personnel in allocating resources. Assesses staffing needs on an ongoing basis and make adjustments as needed for flexing staffing to patient care needs. Facilitates patient placement. Uses established placement guidelines for primary and secondary unit or most appropriate placement based on patient needs. Integrates staffing and bed availability information in making placement decisions. Other duties as assigned. Required Qualifications Associate's or Vocational degree in Nursing 2+ years in an acute care setting with 1 year as charge nurse or similar role Preferred Qualifications Bachelor's degree in Nursing 2+ years of management/leadership skills Licenses/Certifications Licensed Registered Nurse – MN Board of Nursing required if working in state of MN upon hire/WI Department of Safety & Professional Services required if working in the state of WI upon hire BLS Tier 1 - Basic Life Support - Multisource required by end of orientation for the metro hospitals OR must be enrolled in the first available course Location Specific Licensed & Certification Requirements: ◦ ACLS Tier 2 – Advanced Cardiac Life Support is required by end of orientation for Owatonna, Faribault, United – Regina Campus, River Falls ◦ ACLS Tier 3 is required by end of orientation for Coon Rapids Medical Center ◦ PALS – is required within the first three months at Owatonna, Faribault, United – Regina Campus, River Falls ◦ NRP/TNCC completed within the first year of employment at Owatonna, Faribault, United – Regina Campus, River Falls Physical Demands Medium Work*: Lifting weight up to 32 lbs. occasionally (*Allina Safe Patient Moving Policy), up to 25 lbs. frequently Pay Range Flat Rate: $65.83 per hour *This position is paid on a standard non-negotiable hourly rate. Shift, weekend and/or other differentials may be available to increase your pay rate for certain shifts or work. Benefit Summary Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That’s why we devote extraordinary resources to help you grow and thrive — not only as a professional but also as a whole person. When you join our team, you have access to a wealth of valuable employee benefits that support the total well-being — mind, body, spirit and community — of you and your family members. Allina Health is all in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey. In addition, Allina Health offers employee resources groups (ERGs) -- voluntary, employee-led groups that serve as a resource for members and organizations by fostering a diverse, inclusive workplace aligned with the organization's mission, values, goals, business practices, and objectives. Allina Health also engages employees in various community involvement and volunteering events. Benefits include: Medical/Dental PTO/Time Away Retirement Savings Plans Life Insurance Short-term/Long-term Disability Voluntary Benefits (vision, legal, critical illness) Tuition Reimbursement or Continuing Medical Education as applicable Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program Allina Health is a 501(c)(3) eligible employer *Benefit eligibility/offerings are determined by FTE and if you are represented by a union.

UnitedHealthcare Waynesville, NC

2 weeks ago

Hospice RN Case Manager - Waynesville, NC - Full Time,

$71,640 - $107,460 / year

Explore opportunities with Haywood 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 Registered Nurse Case Manager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluating personal and professional performance and making necessary changes to increase productivity and quality of care delivered. You'll also develop the patient's Plan of care in collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical, psychosocial, emotional, and spiritual well-being. Familiar with the concepts and needs of patients/families who are facing death and dying. Primary Responsibilities Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) days Initiates and coordinates the plan of care Documents problems, appropriate goals, interventions, and patient/family response to hospice care Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care daily Instructs and supervises the patient/family in self-care techniques when appropriate Maintains accurate and relevant clinical notes regarding the patient's condition Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client 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 and unrestricted RN licensure in the state of practice Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation Preferred Qualifications 1+ years of clinical experience Current CPR certification or ability to complete within 90 days of hire 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 salary for this role will range from $71,640 to $107,460 annually 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.

RN Supervisor Every other week 7p-7a

Accela Rehab and Care Center at Somerton Philadelphia, PA

Accela Rehab & Care Center at Somerton Address: 650 Edison Ave, Philadelphia, PA 19116 Now Hiring: RN Supervisor We offer competitive pay rates for this position, which may vary based on your experience and qualifications. We take pride in offering a flexible compensation package that reflects your unique skills and value to the role. ome, join the TEAM! Benefits we offer our RN Supervisors: Competitive Benefits Package Get Paid Your Way – DailyPay Available! Referral Incentive Program PTO Tuition Reimbursement Opportunity for growth Hands-on Management team Flexible schedule Employee recognition incentives Electronic Onboarding for seamless onboarding experience NOW HIRING: RN Supervisor RN Supervisor Responsibilities Include: Supervise nursing staff and ensure quality care is delivered on the unit Assist in admissions, discharges, and transitions of care Support and guide nursing staff, addressing clinical concerns as they arise Communicate effectively with families, physicians, and interdisciplinary team members Maintain compliance with all policies and state/federal regulations Qualifications: Valid RN license in the state of New Jersey Previous experience in long-term care or sub-acute setting preferred Strong leadership and communication skills We are an equal opportunity employer and welcome applicants from all backgrounds. Diversity makes us stronger, and we’re committed to creating a workplace where everyone feels valued and respected. Apply today, and let’s do something meaningful together!

Manager/Supervisor

Advocate Aurora Health Grafton, WI

Nurse Manager-Hospital at Home, IL & WI

$51.05 - $76.60 / hour

Department: 05079 AMG Adult Hospital at Home - Virtual Health: Hospital at Home Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: FT, M-F, will require travel to Grafton, Lutheran General Hospital and any other facility added to the Hospital at Home network within IL and WI. Pay Range: $51.05 - $76.60 Major Responsibilities: Coordinates and manages all resources necessary to provide optimal nursing care, including availability of staff resources, patient care supplies and automated patient care systems. Effectively manages resources through systems management and coordinates system issues to assure optimal patient care. Maintains an optimal level of productivity, based on the coordination of efficient 24-hour staffing and scheduling patterns and labor management standards. Evaluates the quality of patient care provided by department staff by using standards of practice, patient outcomes and other quality indicators to include peer review, incident reports, use of policies and procedures, evaluation of equipment, supplies and products; ensures appropriate resources are available for department performance improvement initiatives. Develops service strategies and monitors service levels against indicators to demonstrate improvement in customer and patient satisfaction. Coordinates and integrates services with other areas. Maintains and promotes effective relationships with and between patients, families, department staff, other departments, medical staff and their support staff, other health care facilities and vendors. Acts as a liaison between medical and nursing staffs as necessary. Facilitates evidence-based nursing by creating an environment that encourages utilization of evidence in practice and decision-making to maintain quality, cost and customer service; ensures integration of evidence in congruence with departmental, organizational, and strategic goals. Participates in shared governance councils and provides feedback as requested. Makes recommendations for changes in nursing practice to shared governance councils and promotes new approaches and concepts. Supports shared governance by holding staff accountable and by monitoring and counseling department representative(s) to ensure role compliance. Responsible for attaining and maintaining department's compliance with the Joint Commission (TJC) on Accreditation and other regulatory bodies. Develops and communicates change initiatives. Achieves care management targets in area(s) of responsibility and achieves target improvements in employee engagement. Plans for staffing needs appropriately meeting established productivity benchmarks and achieves patient loyalty targets Assists physicians and other departments with development of new services, identifying potential new sources of revenue and/or assisting in the marketing of existing and new programs. Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale. Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives. Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards. Licensure, Registration, and/or Certification Required: Registered Nurse license issued by the state in which the team member practices. Education Required: Bachelor's Degree in Nursing. Experience Required: Typically requires 5 years of experience in nursing that includes experiences in multiple areas. Includes 1 year of supervisory experience in managing a staff and budgets in a nursing environment at the supervisory/management level. Knowledge, Skills & Abilities Required: Advanced knowledge of nursing management concepts, clinical practice, and facilities policies and procedures. Excellent interpersonal and communication skills and ability to deal with conflict resolution. Strong aptitude in human resource management. Ability to handle multiple demands simultaneously. Sound decision making and critical thinking skills. Proficient in use of computers, software, and other electronic systems. Physical Requirements and Working Conditions: Must be able to sit, stand, walk, lift, squat, bend, reach above shoulders, and twist frequently during work shift. Occasionally required to lift over 50 lbs. with assistance. Required to use foot pedals on carts or machines. Must have functional sight and hearing. Exposed to the following hazards on a continuous basis: mechanical, electrical, chemical, radiation, blood and body fluids. Required to wear gloves, goggles and gowns on an as-needed basis. Operates equipment essential to performing the duties of the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Home Health

Part-time

4 days ago

Registered Nurse (RN) Case Manager | Avera at Home

Avera Health Estherville, IA

$32.50 - $48.50 / hour

Location: Avera at Home Estherville Worker Type: Regular Work Shift: Primarily days with rotating weekends and holidays (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $32.50 - $48.50 Position Highlights May be eligible for a $10,000 sign on bonus Mileage reimbursement Student Loan Repayment: This Registered Nurse (RN) position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money. Each month an extra payment of $167 (up to $10,000) from Avera will help pay down your principal balance faster. You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for the care planning, utilization of services, coordination of care, and the education of the interdisciplinary teams in the management of patient care services. Develops all patient care plans in collaboration with the physician and interdisciplinary team, providing patient centered care efficiently, effectively, with the best possible outcomes. What you will do Functions as interventionalists in the home utilizing clinical expertise and problem solving to make recommendations to the physicians based on comprehensive physical, psychosocial, emotional, spiritual and bereavement patient assessments. Implements the nursing process utilizing highly proficient assessment skills in the performance of Start of Care visits, post-hospital evaluations, patient re-certifications, discharges and supervisory visits. Partners with the physician and the interdisciplinary team to develop the plan of care in collaboration with the patient. Makes recommendations for efficient and effective utilization of resources to achieve positive outcomes by implementing clinical protocols during the admission visit as dictated by patient’s diagnosis. Initiates and responds to requests for changes in plans of care, determines appropriateness of change and whether or not the change would be considered a Significant Change in Condition, for which an OASIS is required. Demonstrates ability to affect the behavior of others to follow the recommended alternatives to care which includes providing thorough instruction and disease management education to patients and/or caregivers as ordered by the physician. Educates patients, families, and caregivers about disease process, community resource and recommended self care. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Registered Nurse (RN) - Board of Nursing Upon Hire Preferred Education, License/Certification, or Work Experience: 1-3 years in home health or hospice Expectations and Standards Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .

RN, Care Manager, Utilization Management (Full-time, Remote)

Adventist Health Roseville, CA

$54.68 - $81.95 / hour

Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary Plays a critical role in ensuring that patients receive high-quality care while efficiently utilizing medical resources. Reviews patient medical records, assessing the appropriateness and necessity of proposed treatments, and collaborating with healthcare providers and insurance companies to ensure a seamless care experience and the practicing of financial stewardship and denial prevention. Focuses on maximizing patient outcomes and optimizing resource allocation. Utilizes exceptional clinical knowledge, excellent communication skills, and the ability to thrive in a fast-paced and ever-changing healthcare environment. Job Requirements Education and Work Experience: Associate’s Degree in nursing or equivalent combination of education/related experience: Required Bachelor's Degree in Nursing (BSN): Preferred Five years' acute hospital experience required with preferred experience in critical care areas: Required Two years' utilization review experience using the Optum/Inter Qual product within the last 12 months: Required Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Essential Functions Completes clinical reviews of acute medical patients using the Optum/Inter Qual tool to determine if the patient is in the right acute setting, receiving the right acute services, during the appropriate length of stay. Participates in annual Optum/Inter Qual training required. Takes the required annual Optum/Inter Qual Interrater Reliability (IRR) test with a minimum passing score as defined in the yearly departmental goals. Meets weekly productivity metrics within 90 days of completing orientation and maintains on a weekly basis as defined in the yearly departmental goals. Meets quality audit metrics within 90 days of completing orientation and maintained on the audit cadence set within the department as defined in the yearly departmental goals. Completes all required departmental education assigned with timeliness and accuracy. Follows all departmental workflows in communication variances to the on-site care management teams when appropriate. Reviews and analyzes medical records to assess the necessity and appropriateness of treatments and interventions. Collaborates with healthcare professionals to develop and implement comprehensive patient care plans. Facilitates communication between the patient, healthcare team, insurance providers, and other stakeholders to ensure a coordinated and efficient care process. Stays up to date with the latest healthcare regulations, insurance guidelines, and evidence-based practices to ensure the delivery of optimal healthcare services. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. JOB INFO Job Identification : 70329 Job Category : RN Posting Date : 2026-08-13T21:38:43+00:00 Locations : Roseville, CA, United States Assignment Category : Full-time regular Pay Range : The estimated base pay for this position is $54.68 to $81.95. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information. Hiring Department : Utilization Management Shift Length : 8 Hours

Hospice RN Case Manager - Wilson, NC - Full Time

LHC Group Wilson, NC

Explore opportunities with Hospice of Wilson, 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 Registered Nurse Case Manager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluating personal and professional performance and making necessary changes to increase productivity and quality of care delivered. You'll also develop the patient's Plan of care in collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical, psychosocial, emotional, and spiritual well-being. Familiar with the concepts and needs of patients/families who are facing death and dying. a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; } Full-time RN position providing in-home hospice visits. Must hold a current North Carolina RN license or a valid compact/multi-state RN license. Schedule is Monday through Friday, 8:00 AM to 4:30 PM . Current call requirements are limited to Backup On-Call Coverage only . Coverage area includes Wilson, Nash, Edgecombe, Johnston, and Wayne Counties . Candidates must be willing and able to travel throughout the service area to provide patient care. Primary Responsibilities: Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) days Initiates and coordinates the plan of care Documents problems, appropriate goals, interventions, and patient/family response to hospice care Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care daily Instructs and supervises the patient/family in self-care techniques when appropriate Maintains accurate and relevant clinical notes regarding the patient's condition Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client 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 and unrestricted RN licensure in the state of practice Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation Preferred Qualifications: 1+ years of clinical experience Current CPR certification or ability to complete within 90 days of hire 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 salary for this role will range from $75,620 to $113,430 annually 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.

UnitedHealthcare Wilson, NC

Hospice RN Case Manager - Wilson, NC - Full Time

$75,620 - $113,430 / year

PCU