Latest Nursing and Nursing Support Jobs
$62,700 - $100,400 / year
Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates care and service of the member through assessments, identification and planning, and assists the member in creation and evaluation of person-centered care plans to prioritize and address what matters most, behavioral, physical and social determinants of health needs with the aim to improve the of lives our members. Essential Functions: Engage the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments through a health equity lens unique to the needs of each member that identify the cultural, linguistic, social and environmental factors/determinants that shape health and improve health disparities and access to public and community health frameworks Facilitate regularly scheduled inter-disciplinary care team (ICT) meetings to meet the needs of the member Engage with the member in a variety of settings to establish an effective, professional relationship. Settings for engagement include but are not limited to hospital, provider office, community agency, member’s home, telephonic or electronic communication Develop and regularly update a person-centered individualized care plan (ICP) in collaboration with the ICT, based on member’s desires, needs and preferences Identify and manage barriers to achievement of care plan goals Identify and implement effective interventions based on clinical standards and best practices Assist with empowering the member to manage and improve their health, wellness, safety, adaptation, and self-care through effective care coordination and case management Facilitate coordination, communication and collaboration with the member the ICT in order to achieve goals and maximize positive member outcomes Educate the member/ natural supports about treatment options, community resources, insurance benefits, etc. so that timely and informed decisions can be made Employ ongoing assessment and documentation to evaluate the member’s response to and progress on the ICP Evaluate member satisfaction through open communication and monitoring of concerns or issues Monitors and promotes effective utilization of healthcare resources through clinical variance and benefits management Verify eligibility, previous enrollment history, demographics and current health status of each member Completes psychosocial and behavioral assessments by gathering information from the member, family, provider and other stakeholders Oversee (point of contact) timely psychosocial and behavioral assessments and the care planning and execution of meeting member needs Participate in meetings with providers to inform them of Care Management services and benefits available to members Assists with ICDS model of care orientation and training of both facility and community providers Identify and address gaps in care and access Collaborate with facility-based healthcare professionals and providers to plan for post-discharge care needs or facilitate transition to an appropriate level of care in a timely and cost-effective manner Coordinate with community-based organizations, state agencies and other service providers to ensure coordination and avoid duplication of services Adjust the intensity of programmatic interventions provided to member based on established guidelines and in accordance with the member’s preferences, changes in special healthcare needs, and care plan progress Appropriately terminate care coordination services based upon established case closure guidelines for members not enrolled in contractually required ongoing care coordination. Provide clinical oversight and direction to unlicensed team members as appropriate Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation Continuously assess for areas to improve the process to make the members experience with CareSource easier and shares with leadership to make it a standard, repeatable process Regular travel to conduct member, provider and community-based visits as needed to ensure effective administration of the program Adherence to NCQA and CMSA standards Perform any other job duties as requested Education and Experience: Nursing degree from an accredited nursing program or Bachelor’s is required Licensure as a Registered Nurse is required Advanced degree associated with clinical licensure is preferred A minimum of three (3) years of experience in nursing or social work or counseling or health care profession (i.e. discharge planning, case management, care coordination, and/or home/community health management experience) is required Three (3) years Medicaid and/or Medicare managed care experience is preferred Competencies, Knowledge and Skills: Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel Ability to communicate effectively with a diverse group of individuals Ability to multi-task and work independently within a team environment Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices Adhere to code of ethics that aligns with professional practice Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice Strong advocate for members at all levels of care Strong understanding and sensitivity of all cultures and demographic diversity Ability to interpret and implement current research findings Awareness of community & state support resources Critical listening and thinking skills Decision making and problem-solving skills Strong organizational and time management skills Licensure and Certification: Current unrestricted clinical license in state of practice as a Registered Nurse, Social Worker or Clinical Counselor is required. Licensure may be required in multiple states as applicable based on State requirement of the work assigned Case Management Certification is highly preferred Must have valid driver’s license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver’s license record check and verified insurance. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated. To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified. CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process. Working Conditions: This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time. Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need May be required to travel greater than 50% of time to perform work duties. Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members Compensation Range: $62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-JS1 Brand=CareSource 
Position Summary: Functions in the specified nursing specialty as a practitioner, mentor, educator and leader. nEducation: - Must be a registered nurse in the State of Illinois. - Board State or National certification is required. - Graduate of a masters program in nursing preferred. - Nurses who are currently pursuing a BSN may be considered if acceptable to associated colleges. - One-on-one care training required. Other Knowledge/Skills/Abilities: Demonstrates effectiveness in the practitioner role, excellent interpersonal skills and relationships. 
$102,606 - $196,996 / year
About this Job: General Summary of Position The Assistant Director of Nursing is a member of MedStar Health entity-based Division of Nursing and leadership team. Supports and collaborates with the Director of Nursing in providing leadership and oversight for a specific unit/department. Directs and coordinates the nursing and patient care delivery of the unit-based professional and support personnel. Ensures the provision of holistic culturally competent and person-centered quality safe and cost-effective evidence-based nursing care for patients/families. Applies the nursing process within the context of the organization's shared/collaborative decision-making framework. Collaboratively manages the patient's transitions across the continuum of care to assist patients and populations in achieving or maintaining an optimal level of health and functioning.The Assistant Director of Nursing assumes administrative and leadership authority and responsibility on a 24 hours/7 days per week basis for the assigned unit/department. Fosters associates' commitment to improving quality safety and cost-conscious patient care outcomes. Collaborates with the Director of Nursing in maintaining adherence to regulatory and accreditation standards and MedStar Health's policies and procedures. Demonstrates leadership and behaviors which are consistent with MedStar's mission vision goals SPIRIT Values patient care philosophy and sound moral and ethical judgement. Primary Duties and Responsibilities In collaboration with the Director of Nursing develops unit/department goals objectives policies and procedures and ensures compliance with hospital/entity policies and procedures clinical practice guidelines and regulatory and accreditation standards. Develops and maintains effective relationships and partnerships across disciplines (e.g. medicine) and departments (e.g. environmental services) to ensure the delivery of efficient and quality patient care services. Contributes to the hospital/entity capacity management efforts; ensures unit activities and patient throughput proceed smoothly. In collaboration with the Director of Nursing develops standards of performance for associates evaluates performance and conducts performance management planning. Initiates or makes recommendations for personnel actions. Sets clear expectations for performance and holds associates accountable. Maintains ongoing communication with associates to review programs discuss new developments and exchange information. Completes annual performance reviews of unit/department-based associates in a timely manner. Ensures the reviews reflect the individual associate's ability to meet performance expectations and beneficial ongoing developmental goals. Provides associates with ongoing feedback and champions their continued professional growth and development. In the absence of the Director of Nursing maintains communication with the Senior Director of Nursing and Patient Care Services unit-based associates Medical Director providers other nurse leaders and personnel from other departments for the purpose of coordinating operations among the unit/department clinical nursing division and hospital/entity. Contributes to the development implementation monitoring and management of the unit/department-based budget and to support the organizational objectives patient care standards and quality of care. Demonstrates fiscal responsibility with day-to-day unit productivity and operations. Ensures availability of necessary materials supplies and equipment for safe and optimal patient care delivery. Implements approaches and strategies that optimize patient care delivery and outcomes. Ensures effective utilization of the interdisciplinary model of care (IMOC) and associated standards of excellence. Rounds on patients during the shift for the purpose of engagement satisfaction and improvement in the care experience. Investigates and follows through on patient complaints and safety events. Supports and promotes quality and patient safety initiatives and high reliability standards. Leads unit-based safety huddles. Escalates care delivery concerns to the Director of Nursing and other leaders as necessary and following the chain-of-command. Takes action to ensure optimal execution of the National Patient Safety Goals nursing sensitive indicators/measures regulatory requirements and other identified quality metrics. Identifies and participates in performance improvement opportunities as appropriate and based on findings. Collaborates with the Director of Nursing in the hiring evaluation promotion and termination of personnel within the assigned unit/department as needed. Initiates coaching and counseling of associates. Monitors and ensures appropriate staffing for unit(s). Collaborates with other nurse leaders (Directors of Nursing Directors of Clinical Nursing Informatics Practice Innovation Professional Development and others) to ensure associate competencies. Identifies individual staff development needs and provides appropriate resources to meet needs. Assists with developing unit-specific orientation of newly hired associates and preceptor and charge/resource nurse programs. Plans and coordinates the assessment of unit-specific competencies for all nursing personnel within the unit/department. Supports the implementation of new programs/practices and helps design educational programs that ensure the highest quality care delivery and customer satisfaction. Maintains continuing education files competency assessment documentation licensure and specialty certifications for self and the associates within the unit/department. Maintains and demonstrates a professional patient-first atmosphere and an environment of coaching and development that supports shared decision making interdisciplinary collaboration and a high level of patient and associate satisfaction as evidenced by outcomes data. Provides shift-based clinical leadership through role modeling professional practice behaviors proper delegation of activities and management of the nursing team by maintaining staff accountability. Evaluates the need for and contributes to improvement in the professional practice environment. Participates in hospital/entity committees task forces interdisciplinary forums and projects (e.g. serious safety event reviews and performance improvement teams) at the request of Director of Nursing. Contributes to the achievement of Magnet Recognition or Pathways to Excellence program. Promotes a public image of professional nursing excellence and represents the hospital in community outreach efforts as appropriate. Maintains knowledge of current trends and developments in the fields of nursing and health care through a variety of professional activities including but not limited to reading the appropriate literature attending related seminars and conferences and maintaining membership in professional nursing associations. Demonstrates accountability for own professional development and advancement. Assumes administrative responsibilities in absence of the Director of Nursing and provides coverage for other colleagues. Maintains clinical knowledge and skills and engages in the provision of direct care for a caseload of patients as required. Minimal Qualifications Education Bachelor's degree in Nursing from a nationally accredited program required Master's degree in Nursing or a health related field from a nationally accredited program preferred Experience 1-2 years 2 years of progressive nursing care experience required Leadership and management experience preferred Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure in Maryland required CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required Additional unit/specialty certifications may vary by department or business unit. C-EFM - Electronic Fetal Monitoring from the National Certification Corporation (NCC) is required for Perinatal nurses (labor and delivery antepartum antenatal testing) within 12 months from date of hire. New graduate nurses or new to specialty nurses (labor and delivery antepartum antenatal testing) will have 15 months from date of hire to obtain the EFM certification. Specialty certification from a nationally recognized nursing organization in either a clinical specialty or Nursing Administration preferred Knowledge Skills and Abilities Excellent problem-solving skills and ability to exercise independent judgment on complex situations. Verbal and written communication skills. Basic knowledge of various computer software applications and online learning applications especially Microsoft PowerPoint and Excel. This position has a hiring range of : USD $102,606.00 - USD $196,996.00 /Yr. 
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