Latest Nursing and Nursing Support Jobs
$95,058.82 - $142,588.23 / year
The best thing about this role Are you looking to make a difference by improving the health of our patients? Here you will find an innovative culture that is patient-focused and dedicated to making a difference. We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do The Case Manager RN supports the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management, care facilitation, and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources. Specific functions within this role include: Facilitation of precertification and or payor authorization processes Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement Application of process improvement methodologies in evaluating outcomes of care Support and coaching of clinical documentation efforts Coordinating communication with physicians Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the patient served. Coordinates/facilitates patient care progression throughout the continuum. Works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient management. Addresses/resolves system problems impeding diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles to discharge. Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues. Collaborates with physician and all members of the multidisciplinary team to facilitate care for designated case load; monitors the patient’s progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective; facilitates the following on a timely basis: Completion and reporting diagnostic testing Completion of treatment plan and discharge plan Modification of plan of care, as necessary, to meet the ongoing needs of the patient Communication to third party payors and other relevant information to the care team Assignment of appropriate levels of care Completion of all required documentation in Milliman and EPIC Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in appropriate setting. Completes utilization management and quality screening for assigned patients. Applies Milliman Criteria to monitor appropriateness of admissions and continued stays, and documents findings based on Department standards. Identifies at-risk population using approved screening tool and follows established reporting procedure Monitors LOS and ancillary resources on an ongoing basis. Takes action to achieve continuous improvement in both areas. Refers cases and issues to Case Review, Utilization Committee, Medical Director, and Director of Quality in compliance with department procedure and follows up as indicated. Communicates with Finance Department on issues of insurance, denials, authorizations and self-pay issues as needed Interfaces with IPRO and other review agencies regarding denials, retrospective reviews. Ensures that all elements critical to the plan of care have been communicated to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care. Manages all aspects of discharge planning for assigned patients. Meets directly with patient/families to assess needs and develop an individualized continuing care plan in collaboration with physician. Collaborates/communicates with Multidisciplinary team in all phases of discharge planning process, including initial patient assessment, planning, implementation, interdisciplinary collaboration, and teaching and ongoing evaluation. Ensures/maintains plan consensus from patient/family, physician and payor. Refers appropriate cases for social work intervention based on department criteria. Collaborates/communicates with external case managers, admissions personnel. Initiates and facilitates referrals for home health care, durable medical equipment and supplies. Maintains a current knowledge of resources available within the community and maintains a supply of resource materials to be distributed to patients when needed. Documents relevant discharge planning information in the medical record according to department standards. Facilitates transfer to other facilities as appropriate. Actively participates in clinical performance improvement activities. Assists in the collecting and reporting of resources and financial indicators including LOS, excess days, resource utilization, denials and appeals, swing bed statistics. Uses data to drive decisions and plan/implement performance improvement strategies related to case management for assigned patients, including fiscal, clinical and patient satisfaction data. Collects, analyzes and addresses variances from the plan of care/care path with physician and/or other members of the healthcare team. Uses concurrent variance data to drive practice changes and positively impact outcomes. Collects delay and other data for specific performance and/or outcome indicators as determined by Director of Quality. Ensures safe care to patients adhering to policies, procedures, and standards. Manages Swing Bed Patients Monitors appropriateness of continued stay and documents findings. Collaborates/communicates with Multidisciplinary team in all phases of discharge planning process, including initial patient assessment, planning, implementation, interdisciplinary collaboration, teaching and ongoing evaluation and attending family meetings Administers written notice of acceptance to swing bed program. Evaluates patients for acceptance into Little Falls Hospital swing bed program; establishes medical need for swing bed services. Receives and reviews all clinical information from other acute facilities and confirms financial benefit for swing bed placement from business office. Maintains a level of competence and expertise by attending seminars, workshops and meetings of regional peer organizations regarding quality and utilization/resource management. Maintains an appropriate, professional personal appearance, including but not limited to wearing required safety apparel when warranted. Assists to ensure departmental operations are in compliance with TJC, state, federal, malpractice carrier, and all other applicable standards, laws or regulations. Assists in the recruitment process for applicable Quality Resources employees; trains and orients new employees. Uses supplies and institutional resources in a financially responsible manner. Maintains an orderly, clean, and safe work environment. Attends all Committee meetings as requested and facilitates meetings as assigned. Participates in Relationship Based Care Unit Practice meetings and Performance Improvement Team meetings. Performs similar or related duties as requested or directed. What we need from you Education: 4 Year/Bachelor's Degree in Nursing or Social Work, preferred (of willingness to complete a Bachelor's Degree within a specified time period 2 Year/Associates Degree in Human Services related field, required Experience: Minimum 5 years clinical experience in a healthcare setting, preferred Licensure/Certifications: Current NYS licensure as a Registered Professional Nurse, if applying as a nurse, required Case Management certification, preferred Case Management certification within 5 years from date of hire, required Skills: Accountability Customer Service Advocacy Attention to Detail Computer Skills Conflict Resolution Interacting with People Physical Requirements: Sedentary Work - Exerting up to 10 lbs of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking or standing are required only occasionally, and all other sedentary criteria are met. Occasional kneeling, lifting, pulling, pushing, reaching, standing, walking Constant typing/clerical/dexterity, hearing, seeing/monitor/computer use, talking, fit testing Hazards: Occasional bodily fluids/bloodborne exposure Travel: Occasional Travel - The job may require travel from time- to-time, but not on a regular basis Total Rewards Bassett Healthcare Network’s commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind. Many of the benefits we offer are paid fully or in large part by Bassett. Our generous benefits offerings include: Paid time off, including company holidays, vacation, and sick time Medical, dental and vision insurance Life insurance and disability protection Retirement benefits including an employer match And more! Specific benefit offerings may vary by location and/or position. Pay Transparency Salary is based on a variety of factors, including, but not limited to, qualifications, experience, education, licenses, specialty, training, and fair market evaluation based on industry standards. The above compensation range represents a good faith belief of the compensation range by Bassett Healthcare Network, and its entities and affiliates, at the time of this posting or advertisement. Pay Range Minimum: USD $95,058.82/Yr. Pay Range Maximum: USD $142,588.23/Yr. We love the difference people bring We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other status protected by law. 
$95,896.32 - $133,818.88 / year
Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights Medical: Multiple plan options. Dental: Delta Dental or reimbursement account for flexible coverage. Vision: Affordable plan with national network. Pre-Tax Savings: HSA and FSAs for eligible expenses. Retirement: Competitive retirement package to secure your future. Responsibilities Join a collaborative team dedicated to delivering exceptional care to medically complex adults and geriatric patients. Community Internal Medicine is seeking a compassionate and skilled Nurse Practitioner (NP) or Physician Assistant (PA) to become an integral member of our multidisciplinary primary care team. In this outpatient role, you will provide comprehensive care for established adult and geriatric patients with acute, chronic, preventive, and medically complex healthcare needs. As an advanced practice provider, you will have the opportunity to build meaningful relationships with patients while working alongside experienced physicians and APP colleagues in a highly collaborative environment. This position utilizes a shared panel model, allowing you to partner closely with a physician or seasoned NP/PA to deliver coordinated, patient-centered care. What You'll Do Provide comprehensive assessments, evaluations, and ongoing management of adult and geriatric patients. Diagnose and treat acute and chronic medical conditions. Order, perform, and interpret diagnostic and laboratory testing. Prescribe medications, treatments, and evidence-based therapeutic interventions. Develop individualized treatment plans focused on quality outcomes and preventive care. Educate and counsel patients and families regarding health conditions, treatment options, wellness, and disease prevention. Collaborate with physicians, nurses, care coordinators, and other healthcare professionals to ensure seamless, coordinated care. What Makes This Opportunity Special Collaborative, team-based primary care model. Established patient population with opportunities to make a meaningful impact. Strong provider support through a shared panel approach. Focus on delivering high-quality, patient-centered care to medically complex adults and seniors. Opportunity to practice at the top of your license in a supportive outpatient setting. If you are passionate about building long-term patient relationships and thrive in a collaborative primary care environment, we invite you to join our team and help improve the health and well-being of our community. During the selection process you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question – Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps. Qualifications New Grads will not be considered at this time, 2+ years of APP experience required Nurse Practitioner: Masters-prepared graduate of an accredited school of nursing and Nurse Practitioner program. Current MN RN and APRN license and certification as a FNP, ANP or ACNP. Physician Assistant: Graduate of accredited Physician Assistant program with current PA certification by NCCPA and registration as a PA by the MN State Board of Medical Practice. Additional Qualifications: Active BLS certification from American Heart Association or American Red Cross at start date and DEA registration required External applicants: To be considered for this position please upload a cover letter and personal statement along with 2-3 letters of reference with your online application. New Graduates: at least 2 letters must be from clinical preceptors. Mayo Clinic employees: To be considered for this position please upload last 3 performance evaluations, cover letter, and personal statement with the online application. Exemption Status Exempt Compensation Detail $95,896.32 - $133,818.88/ year @.8 FTE Benefits Eligible Yes Schedule Full Time Hours/Pay Period 64 Schedule Details Monday through Friday 8am - 5pm Weekend Schedule Approximately (4) 8am-12pm Saturday shifts per year International Assignment No Site Description Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. Equal Opportunity All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the 'EOE is the Law' . Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. Recruiter LaTasha Perkins 
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