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Case Manager, RN, Per Diem, 8:30 to 5:00pm, weekends and holidays

Jackson North Medical Center Department : Case Management Address : 160 NW 170th Street, North Miami Beach, Florida, 33169 Shift details : Per Diem, 8:30am to 5:00pm, weekends and holidays Summary Case Manager RN is a professional member of the health care team who has 24/7 accountability for the coordination, monitoring and management of patient care resources to promote the most efficient delivery of patient care services at the appropriate level of care while maintaining a single high standard of care delivery to all patients. The Case Manager RN acts as a resource to all levels of staff in defining/educating/implementing and evaluating patient care and nursing practice standards utilizing the nursing process, current concepts/principles of case management/utilization management/disease management, education, quality improvement, clinical practice and health care trends. Responsibilities Assess complex patient care needs/situation/acuity levels obtaining significant data from assessments (physical/functional, mental, psychosocial, environmental, family support, spiritual, cultural, financial, legal). Coordinates patient care through out an episodic / continuous course of care for a specific DRG/diagnosis/procedure/population using InterQual, Millikan or other specific criteria and evidence based guidelines. Completes electronic documentation for case management activities such as discharge planning, patient throughput, appropriate level of care, communication with physician, nursing and patient / family member. Articulates information pertinent to clinical condition, LOS, discharge delays, outcomes, resource utilization, discharge planning, etc. at team meetings / presentations, patient care rounds, interdisciplinary rounds and to administration, medical director and physician advisors. Follows and performs all related unit specific policies and procedures, as detailed on the unit specific competency check-list. Utilizes job and unit specific equipment as required. Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs all other related job duties as assigned. Experience Generally requires 1 to 3 years of related experience. Education Bachelor's degree in Nursing is required. Employees hired prior to June 1, 2022 are grandfathered in for the BSN degree. Skill General Competencies: Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with professional composure. Ability to understand and follow instructions. Ability to exercise sound and independent judgment. Knowledge and skill in use of job appropriate technology and software applications. Management Competencies: Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources. Skill in monitoring/assessing the performance to make improvements or take corrective action. Skill in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems. Ability to plan, implement, and evaluate programs. Ability to establish goals and objectives. Ability to recognize, analyze, and solve a variety of problems. Nursing Competencies: Ability to understand, respects and accommodates patients preferences and needs with regards to their individual beliefs, customs and practices. Must have ability to clearly, accurately and effectively provide information to doctors, other nurses, patients, and family members. Must have ability to show compassion, patience and maintain non-judgmental approach to patients, their families as well as other employees and customers. Unit Specific: Must have clinical knowledge, skill and ability to fully and accurately complete all required unit competencies, as indicated in the unit competency check-list. Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources. Skill in monitoring/assessing the performance to make improvements or take corrective action. Skill in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems. Ability to plan, implement, and evaluate programs. Ability to establish goals and objectives. Ability to recognize, analyze, and solve a variety of problems. Credentials Valid, unrestricted Florida RN license required. Case Management certification (CCM or ACM) is preferred. Must meet and maintain valid and current all unit specific and organizational skills/competencies, certifications/licensures, as required by regulatory and/or nursing standard of practice for the specialty. Unit Specific Credential Working Conditions Physical Requirements - Job function requires extended standing or walking. Must be able to carry objects weighing 21 to 50 pounds. Able to lift or move objects weighing 51 to 100 pounds with the use of appropriate devices. Jobs in this group require frequent visual acuity to perform activities related to extended use of computers. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC). Environmental Conditions - Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public. Function is subject to inside environmental conditions, with occasional outdoor exposures. Exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment. May also be exposed to needle sticks, airborne infections, medical gases, X-Ray, chemical exposures and other potential hazards. Must wear Personal Protective Equipment (PPE) when exposed to infectious/clinical hospital environment. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).

Utilization Review

Full-time

1 month ago

Utilization Management Case Manager

Havenwyck Hospital Lake Angelus, MI

Responsibilities HAVENWYCK HOSPITAL (a UHS facility) Havenwyck Hospital is a Joint Commission-accredited and licensed psychiatric hospital, overlooking Lake Galloway in Auburn Hills, Michigan. We specialize in providing comprehensive, compassionate behavioral health services to children, adolescents and adults. It is the ultimate goal of our dedicated staff to build strength, confidence and knowledge within each patient, in hopes that they may continue learning and understanding their needs and practicing self-care for the rest of their lives. If you would like to learn more about this position before applying, please contact Havenwyck Hospital at 248-373-9200. POSITION SUMMARY: The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the pursuit of excellence in care/service and will include (but not limited to ): conducting timely admission and continues stay record reviews with external payers, utilizing approved criteria to make determinations of medical necessity and level of care planning, verifying active treatment by completing internal audit reviews within approved time frames, assisting the treatment team when indicated in the discharge planning process, and acting as liaison with MD/Clinical Treatment Team and external agencies. Report authorizations, denials, and documentation concerns, as well as collaborate effectively across departments to minimize denials/facilitate optimal use of hospital resources. DUTIES AND RESPONSIBILITIES: Through clinical skills (experience and knowledge), reports to external insurance and review entities an accurate presentation of the medical management of a patient's illness, length of stay and care alternatives available within the confines on the client's benefits and financial resources. Communicates with the Treatment Team (physicians, nursing staff, social workers, etc.) as necessary to advocate for the patient's clinical treatment within the confines on the client's benefits and financial resources. Using clinical skills (experience and knowledge) assists the team in ensuring the completeness and accuracy of the medical records. Performs other related duties as assigned. BENEFIT HIGHLIGHTS: Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plan 401(K) with company match and discounted stock plan Career development opportunities within UHS and its 300+ Subsidiaries Free Basic Life Insurance Tuition Reimbursement SoFi Student Loan Refinancing Program Student Loan Repayment Program - for some degrees and criteria What do our current employees value at Havenwyck Hospital and UHS? An environment that puts patient care first. One of the most rewarding aspects of this job is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Supportive and responsive leadership. You are never alone, as you are part of a large network of peer co-workers that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for skills diversification and career advancement with UHS. About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com Qualifications QUALITICATIONS: Bachelor Degree in social work, psychology, counseling or nursing required. Master's degree in social work, psychology, or counseling preferred. Limited or fully licensed (LBSW, RN, LLMSW, LLP, TLLP, LPC, LMFT, etc.). A minimum of 2 years of post-graduate related experience in psychiatric or substance abuse treatment required. Hospital utilization review/utilization management experience preferred. Familiarity with manager health care process, medical terminology, experience in case management, discharge planning, and/or utilization review preferred. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Nursing Assistant - BMT/Oncology - FT Nights

UCI Health Irvine, CA

Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County. To learn more about UCI Health, visit www.ucihealth.org. Your Role on the Team The Nursing Assistant aids professional and technical nursing personnel primarily by accomplishing a variety of duties and procedures which are directly related to patient care. Primary duties include taking and recording vital signs, assisting patients with hygiene and elimination, and maintaining a clean and safe unit environment. Will assist with stocking unit supplies, operating hospital equipment as directed, performing routine clerical tasks, and assisting with other related duties as assigned. Required Qualifications What It Takes to be Successful Understanding of basic medical terminology Must be able to read, write and speak effectively in English Must be able to work weekends and holidays Must be Certified Nurses Assist. or enrolled in accredited nursing prog. with completion of at least 1 clinical semester Demonstrated patient care experience, preferably in an acute care setting Nursing Assistants hired prior to May 2010 who did not possess certification as a Nursing Assistant (C.N.A.) are not required to obtain it at this time Demonstrates the ability to communicate effectively in a therapeutic way Current BLS certification upon hire (must be issued by the AHA) Approved workplace violence responder training program within 30 days of hire and annually thereafter Licenses And Certifications Basic Life Support(Required) Approved workplace violence responder training program within 30 days of hire and annually thereafter Total Rewards We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits. Conditions Of Employment The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment: Background Check and Live Scan Employment Misconduct* Legal Right to Work in the United States Vaccination Policies Smoking and Tobacco Policy Drug Free Environment Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer. The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements. California Child Abuse and Neglect Reporting Act E-Verify Pre-Placement Health Evaluation Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php Closing Statement The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy. We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming. UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m. Consideration for Work Authorization Sponsorship Must be able to provide proof of work authorization

Registered Nurse (RN) Pediatric ICU (PICU) Nights

Texas Children's Hospital Houston, TX

Job Description We are in search of a Registered Nurse for the PICU at Main Campus for NIGHTSHIFT . Someone who excels in fast-paced learning with dynamic flexibility in a critical care setting. This position encompasses direct nursing care to critically ill patients, while ensuring safety and comfort, within our family centered care model. Our PICU is divided into 4 cohorts for better patient outcomes. The 4 cohorts are: 9 LT: Surgical and Neuro-surgical ICU that encompasses post liver & kidney transplants, trauma patients, seizure disorder patients, and post-operative patients 10 LT: MICU focusing on pulmonary/pulmonary hypertension patients, bone marrow transplant/hematology/oncology patients 11 LT: MICU that encompasses a mix of medical-surgical patients. 12 LT: Transitional ICU is a unique cohort that focuses on our chronic, technology dependent patients who need intense education with the patient and family before discharging home. As a PICU nurse, you will work with patients in each cohort. Qualifications: Bachelor’s degree in nursing or an associate’s degree, technical diploma, or current enrollment in a nursing bridge program is required +signed agreement Current licensure with the Board of Nursing for the State of Texas or Nurse Licensure Compact and BLS American Heart Association certification are required 9 months of professional nursing experience The ability to demonstrate positive and appropriate interpersonal skills Demonstrate good time and resource management skills Demonstrate flexibility Demonstrate strong oral and written communication skills Operate unit specific equipment Able to work nights Knowledge of the nursing process, critical thinking skills, PALS, ACLS and interdisciplinary collaboration "As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards.“ Responsibilities: Performs and documents assessment of the patient/family including biophysical, psychosocial, developmental ( age – appropriate), culture, spiritual, and environmental needs in an organized and systematic manner. Analyzes situations, anticipates potential problem, and detects changes in patient status Re-prioritizes and updates plan of care based on new information and changes to the patient’s condition; communicates this information to other health care team members and documents in the medical record. Participates in interdisciplinary rounds and/or patient care conferences and documents in the medical record Assists patients/family in implementing their role in the plan of care as appropriate Assess patient family learning needs capabilities, preferences, and readiness to learn prior to teaching. Demonstrates positive and effective interpersonal skills when dealing with patients/families, visitors, peers, and other health care team members. Administers and documents medications and treatments in a timely manner. Demonstrates willingness and ability to acquire new knowledge and utilize new skills needed to improve individual, team, and organizational performance. Participate in unit performance improvement initiatives. About Us Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S. News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years. Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children ’ s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children ’ s Hospital West Campus, a community hospital in suburban West Houston; Texas Children ’ s Hospital The Woodlands, the first hospital devoted to children ’ s care for communities north of Houston; and Texas Children’s Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children ’ s Health Plan, the nation ’ s first HMO focused on children; Texas Children ’ s Pediatrics, the largest pediatric primary care network in the country; Texas Children ’ s Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world. Texas Children ’ s Hospital is affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation. To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

CRNA

Full-time

3 weeks ago

CRNA (Certified Registered Nurse Anesthetist) - Providence Hospital

USA Health Mobile, AL

Overview USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's most advanced medicine at multiple facilities, campuses, clinics and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall wellbeing of our community. Responsibilities Abides by and enforces all hospital policies and procedures, including those pertaining to confidentiality; provides anesthetic to patients undergoing operative or invasive procedures, scheduled or emergent: general anesthetic, regional anesthetic, IV block, monitored anesthesia care; provides perioperative anesthetic management for all groups and risk categories; performs preoperative anesthetic assessment, interprets data, and formulates anesthetic plan; assembles equipment and supplies for anesthetic and performs safety check of equipment; uses proper technique, titration, and administration of all anesthetic drugs including controlled substances; performs intraoperative evaluation with continuous visual and auditory monitoring of vital signs; places arterial lines, monitors and replaces fluids, blood, and blood products and other intravenous fluids deemed necessary; administers medications including controlled substances by all routes; transports patient to recovery area and gives oral/written report of intraoperative course; performs postoperative evaluation of patient; provides patient or guardian with risks, benefits, and anesthetic plan; performs emergency care outside the operative setting including starting IV’s, intubation, and airway management; places thermodilution and pulmonary artery catheters; maintains accurate and complete medical records by: completing pre-anesthesia evaluation, documenting a continuous, accurate, legible account of physiological and anesthetic status, completing Quality Management forms, and documenting postoperative evaluation notes; adheres to current Infection Control and Safety Standards; ability to respond to digital, voice, and overhead pages; available in hospital within thirty(30) minutes of call; accesses and accurately maintains electronic and paper medical records; regular and prompt attendance and the ability to work the schedule as defined and additional hours and call as required; related duties as required. Our department is a ACT model, with CRNA leadership. CRNA has a wide scope of practice including hemodynamic monitoring, regional anesthesia, Ultrasound, Placement of lines(Arterial and Central Lines). Call CRNA and Non Call CRNA both share in the waterfall scheduling. We have a strong cohesive culture of team work. Employees must be in a regular position, working 20 hours or more per week (.50 FTE or greater) to qualify for benefits. Additional Information Employees must be in a regular position, working 20 hours or more per week (.50 FTE or greater) to qualify for benefits. Qualifications Graduation from an accredited school of nurse anesthesia meeting the minimum standards set by the State of Alabama, completion of an accredited course in anesthesia residency, licensure with the State of Alabama as a Registered Nurse and certification with the Council on Certification of Nurse Anesthetists. New graduates are welcomed as well as experienced CRNA's. Equal Employment Opportunity/Affirmative Action Employer The University of South Alabama is an Equal Opportunity Employer and does not discriminate on the basis of race, color, national origin, sex, pregnancy, sexual orientation, gender identity, gender expression, religion, age, genetic information, disability, protected veteran status or any other applicable legally protected basis. EO Employer – minorities/females/veterans/disabilities/sexual orientation/gender identity.