Latest Nursing and Nursing Support Jobs
$84,067 - $163,931 / year
JOB DESCRIPTION Opportunity in Southern California for an experienced Managed Care Leader to join our health plan in California. Candidates must have a minimum of 7 years of healthcare experience, 3 of those should be with a Managed Care Organization focusing on Care Management. Leadership experience of 2 – 3 years, also within an MCO, must show a clear increase in responsibility, including a proven ability to lead teams, drive performance, and support member-centered care initiatives. Strong leadership, collaboration, and operational management skills are essential to successfully advance care delivery goals and improve member outcomes. Job Summary Leads and manages a multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Oversees team performance for one or more of the following healthcare services functions: care management, utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), transition of care, behavioral health, long-term services and supports (LTSS), and/or special programs. • Facilitates integrated, proactive healthcare services management - ensuring compliance with state and federal regulatory and accrediting standards and implementation of the Molina clinical model. • Functions as a “hands-on” leader - assisting with assessing and evaluation of systems, day-to-day operations and efficiency of services/care delivery. • Ensures adequate staffing and service levels and maintains customer satisfaction by implementing and monitoring staff productivity and other performance indicators. • Assists in implementing care management, utilization management, behavioral health, care transitions, LTSS and other program activities in accordance with regulatory, contract standards and accreditation compliance. • Ensures delivery of member care and services are aligned with Molina's established standards of customer service excellence. • Ensures high-risk, complex members are adequately supported. • Oversees ongoing monitoring of performance, protocols and guidelines related to healthcare services. • Collaborates with and keeps senior level healthcare services leadership apprised of operational issues, staffing, resources, system and program needs. • Performs and promotes interdepartmental/multidisciplinary integration and collaboration to enhance continuity of care. • Oversees interdisciplinary care team (ICT) meetings. • Analyzes and reports on care access and monitoring statistics including plan utilization, staff productivity, cost-effective utilization of services, management of targeted member population, and triage activities. • Ensures completion of staff quality audit reviews evaluates services provided, outcomes achieved and recommends enhancements/improvements for programs and staff development to ensure consistent cost-effectiveness and compliance with all state and federal regulations and guidelines. • Maintains professional relationships with provider community, internal and external customers, and state agencies as appropriate. • Identifies opportunities for care delivery/quality/operational/etc. process improvements. • Hires, trains, develops and manages team demonstrates accountability for team performance and achievement of department-specific goals. • Local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 7 years of health care experience, including at least 3 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or special programs, or equivalent combination of relevant education and experience, or equivalent combination of relevant education and experience. • At least 1 year of management/leadership experience. • Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). 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. • Strong customer service skills/member-centric focus. • Ability to work within a variety of settings and adjust style as needed, including ability to work with diverse populations, various personalities and personal situations. • Ability to prioritize and manage multiple deadlines. • Strong organizational and problem-solving skills. • Ability to collaborate cross-functionally within a highly matrixed organization. • Strong written and verbal communication skills. • Microsoft Office suite and applicable software program(s) proficiency. Preferred Qualifications • Clinical experience. • Registered Nurse (RN) or master's level behavioral health (BH) licensure. License must be active and unrestricted in state of practice. • Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification. • Medicaid/Medicare population experience. #PJHS #LI-AC1 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: $84,067 - $163,931 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. 
$110,000 - $125,000 / year
Now Hiring ~ Director of Nursing, RN - Hospice Must have prior hospice experience and preferrably hospice leadership experience. Single site Director of Nursing over RNCMs, HHA, Chaplain, MSW, and a census of 100+. Potential multi-site growth opportunities. Job Summary We are looking for an experienced and friendly Registered Nurse with experience in Hospice with prior management or lead experience . The Director of Clinical Services is a registered professional nurse who ensures quality of patient care in the patients’ residence. Primary function is for the overall administration of the clinical departments and monitoring of appropriate staffing and productivity. Coordinates care with the interdisciplinary team, patient/family and referring agency, Monitors and analyzes QA/PI issues and directs clinical staff with regard to agency policies and procedures. Job Responsibilities Directs and coordinates clinical departments and sites, assumes responsibility for continuity, quality, and safety of services delivered in compliance with State and Federal regulations. (Conditions of Participation) Promotes the philosophy and administrative policies of the Agency, in an effort to ensure quality of patient care Supervises and provides direction to subordinates, in an effort to ensure quality, compliance with Plan of Care, assessment and reassessment of patient’s needs and continuity of services by appropriate health care personnel Monitors QA/PI Program and assures appropriate corrective measures are performed Promotes compliance with all fiscal intermediary and/or other third party payors, through education, coaching, and other assistance as necessary Director is a member of the Interdisciplinary Team (IDT) and assist in development of the IDT plan and participates in QA/PI activities Meets mandatory continuing education requirements of the agency/licensing board Promotes and educates regarding the concepts of infection control and standard precautions in coordinating/performing patient care activities to prevent contamination and transmission of disease Uses effective interpersonal relations and communication skills; facilitates the use of these skills by other team members to achieve desirable outcomes Ability to travel to sites for patient care as required; some exposure to unpleasant weather; PRN emergency call, including death pronouncement Must be available at all times either in person or via telecommunications Your Qualifications • State licensed as a Registered Nurse or in accordance with the Board of Nurse Examiners rules for Nurse Licensure Compact (NCL), current State Driver’s License • Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing • Minimum one year experience as a hospice RNCM experience within the last 36 months, preferred. Management experienced strongly preferred. • Nursing skills as defined as generally accepted standards of practice. Excellent interpersonal skills and ability to communicate effectively. Demonstrates proven decision making skills. Able to read, write, and comprehend English. If required to make visits, need proof of Hepatitis profile Travel Required • As required to service hospice patients and locations, agency teams, attend company meetings, workshops and marketing duties • Reliable transportation. Valid and current auto liability insurance. Healthcare, Dental, Vision Paid-Time Off Outstanding Compensation 
Caring Angels Home Care is looking for a full-time Pediatric Field RN for our Home Care Pediatric patients in Westchester County and the Bronx. Our agency has won numerous awards for staff satisfaction and patient care excellence. As a Pediatric Field RN, you will play an integral role in the agency's nursing care division. Medical and Dental insurance, 401k Plan after only 3 Months of Employment, 27 Paid Time Off Days, 10 Payed Holidays. Only 30 points weekly!. Our agency has won numerous awards for employee satisfaction and patient care. Must have accredited NY Registered Nurse License. Bilingual Spanish is a plus. Cases conveniently clustered This position offers a competitive salary and benefits package. Interested applicants please apply. Job Type: Full-time Benefits: Flexible schedule Health insurance Paid time off License/Certification: New York State RN License (Required) Work Location: In person 
Bay Area Direct Client Care has an immediate opening in the Ruskin, area for a Nurse in our medical group home. Shifts needed are 7pm-7am Fri, Mon , Tues, with weekly pay. Pay range $30-$33/hr. There are currently 4 consumers can admit 1 more with home health aide support. NO SLEEPING IS PERMITTED Requirements : 1 year LPN experience Current BLS Current Florida License Reliable transportation Pass Local and Level 2 screen Staff receive: Weekly pay Direct Deposit Job Types: Full-time, Part-time 
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