nurse care coordinator

Oregon Health & Science University

<div>Department Overview:

The Comprehensive Pain Center (CPC) is among the largest pain centers in the region, offering treatment options for patients with acute (short-term), chronic (long-term) pain, and pain caused by cancer. We also provide many treatments that address the physical, mental, and behavioral issues that can result due to ongoing pain. The Oncology Nurse Care Coordinator acts as primary point of contact for oncology pain patients after referral to the CPC, and until the patient has sufficient knowledge and resources to direct self-care. They have responsibility for monitoring, coordinating care, and educating cancer patients and families as they move through the CPC.
Function/Duties of Position:

The Oncology Nurse Care Coordinator acts as primary point of contact for oncology pain patients after referral to the CPC, and until the patient has sufficient knowledge and resources to direct self-care. They have responsibility for monitoring, coordinating care, and educating cancer patients and families as they move through the CPC.
Builds awareness of CPC oncology among CPC providers and other OHSU referring providers.
Responds to criteria-based referrals as soon as possible, no longer than 24 hours, and schedules with appropriate provider within 72 hours. Responds to patient phone calls within 24 hours. 
Gather pertinent information about the patient&rsquo;s medical, psychosocial, functional and insurance status. Communicate with the multidisciplinary team (MDs, APPs, nurses, pain psychologists, Supervisors, Manager, PAS Staff, MCC&rsquo;s).
Communicates with other department or external providers to coordinate care for patients.
Provides direct access for patients to answer questions about care and schedule via phone or Mychart.
Provides information about our program with newly hired RNs in Oncology to introduce the CPC, the CPC Oncology RN Coordinator role, and contact information. 
Facilitates multidisciplinary collaboration when indicated by complexity of patient&rsquo;s clinical condition, medical management, or other barriers to care plan.
Provides necessary education and information on available options, the informed decision-making process, and realistic goal setting in order to empower the patient/caregiver to actively participate in their plan of care.
This position schedules appointments for patients to ensure coordinated care and meeting scheduling metrics for CPC oncology patients. Responds to patient questions and needs via electronic medical record (Epic) and telephone within established turn-around time metrics. 
Provides post-visit instruction and education, enters orders as requested. Follows up with patients by telephone following procedures to assess status. Participates in ongoing professional development and competency assessment. Maintains knowledge of life safety, patient safety, fire and electrical safety and disaster plan. Responds appropriately in emergency situations. Performs other duties needed to ensure smooth patient flow and clinical operations. Performs other duties as assigned. 
Covers CPC Triage RN duties as needed when Triage nurses are out. 
Performs other duties as assigned. Performs RN Visits as appropriate for continuity of care, follow-up on past procedures, and readiness and appropriateness for potential future procedures, which may include scheduling of appointments, placing orders for procedures, and communicating with providers. Communicates with Managed Care team regarding insurance concerns for procedure appointments. 
Department Specific: 
This position is eligible for full-time remote work but may have occasion to work on-site in clinic as needed. 
This work will have multiple demands and interruptions. Ability to prioritize competing needs to accomplish tasks 
Heavy use of computers<ul><li> 
Excellent communication and organizational skills</li><li>Strong triage skills</li><li>Broad knowledge of community health concepts, services, and resources.</li><li>Competent in basic computer skills.</li></ul> 

Required Qualifications:
<ul><li>Two years experience as a RN providing direct hands-on patient care</li><li>Current unencumbered Oregon RN license</li><li>Current unencumbered Washington RN license</li><li>BSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date.</li><li>ADN Graduates: Associate Degree in Nursing from an accredited program 30 days before the start date.</li><li>Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire</li><li>BLS at time of hire and must be issued by the American Heart Association (AHA)</li><li>BLS must not expire during orientation</li><li>Must be able to perform the essential functions of the position with or without accommodation</li></ul>
Preferred Qualifications:
<ul><li>Experience in an ambulatory setting</li><li>Prior experience working with chronic pain patients</li><li>Familiarity with pain procedures and pain medications</li><li>Familiarity with cancer patients.</li><li>Pain Management Nursing Certification</li></ul>
Additional Details:
<div>
Length of Orientation &ndash; Experienced Nurse</div><ul><li>
External candidates: OHSU &amp; Nursing New Employee Orientation (NEO) for about a week.</li><li>
Either Transition to Practice (TTP) Program Specialty Fellowship/Fellowship Learning Pathway or Orientation experience for 3 days-26 weeks depending on the care area. An employment service agreement may apply.</li></ul> 
This position also comes with great benefits! Some highlights include:<ul><li>
Comprehensive health care plans. Covered at 100% of the cost for full-time employees and 88% for dependents.</li><li>
$50K of term life insurance provided at no cost to the employee</li><li>
Two separate above market pension plans to choose from</li><li>
Vacation - 192 to 288 hours per year depending on length of service, prorated for part-time</li><li>
Holidays - up to 64 holiday hours per calendar year (employees accrue .0308 holiday hours for each hour paid &ndash; included in vacation accruals)</li><li>
Sick Leave - 96 hours per year, prorated for part-time</li><li>
Substantial public transportation discounts (Tri-met and C-Tran)</li><li>
Tuition Reimbursement</li><li>
Innovative Employee Assistance Program (EAP) including extensive wellness resources</li></ul> 

Why apply to OHSU?: We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu</div>

Oncology Nurse Care Coordinator

WakeMed

<div>
 
 Overview
 
 
 
 The Care Coordinator, Registered Nurse is assigned to a specific clinical care area, facilitating the plan for outpatient care by using a collaborative interdisciplinary approach. The Care Coordinator will focus on anticipation, integration and coordination of clinical care necessary to meet the needs of patients and to optimize clinical and resource outcomes. The Care Coordinator collaborates with the interdisciplinary team in assessing patient needs and developing the plan of care. The Care Coordinator acts as an advocate and resource for the patient, family, providers and department relative to compliance with federal, state and third party utilization management regulatory requirements.
 
 
 
 Department Description
 
 
 
 Serving the community since 1961, WakeMed Health &amp; Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.
 
 
 EOE
 
 
 
 Licensure
 
 
 
 Registered Nurse Required
 
 
 
 Education
 
 
 
 
 Experience
 
 
 
 Graduate Nursing Required - And Bachelor's Degree Nursing Preferred
 
 
 3 Years Nursing - Related Area Required
</div>

Care Coordinator, RN

Chase Brexton Health Care

<div>
 JOB SUMMARY: The Nurse Care Coordinator delivers and oversees care management services for medically and/or socioeconomically complex patients in accordance with patient-defined goals, multi-disciplinary plan of care, and established policies and procedures. Drawing on best practices in motivational interviewing and care management, the Nurse Care Coordinator collaborates with clients and multi-disciplinary teams to develop and implement flexible, patient-centered, and cost-effective strategies that support clients to achieve health-related goals. The Nurse Care Coordinator will collect and analyze patient-level data, assist with development and maintenance of care plans, and evaluate outcomes of interventions. The Nurse Care Coordinator also serves as a role model and mentor to CBHC staff on best practices in care coordination, motivational interviewing and addressing social determinants of health. Assures compliance with regulatory body standards (including Joint Commission, HRSA, PCMH, and grant funding sources). This is a hybrid position, and the staff member is expected to be licensed and based in Maryland.
 
 
 
 Major Duties And Responsibilities
 
 
 
 Analytical and Critical Thinking
 
 
 <li>
 
 
 </li>
 Work to develop systems and processes to engage patients in self-management and care navigation.
 
 
 <ul>
 <li>
 Ensure that appropriate community resources, home care and ancillary services are in place and being delivered.
 </li>
 <li>
 Identify high and rising-risk, high-need, and potentially high-cost patients within the assigned panel of Chase Brexton Health Care patients
 </li>
 <li>
 Identify patients at risk for poor outcomes and those who may require more intensive services; provide additional outreach and frequent follow up (by phone and in-person) to this population.
 </li>
 <li>
 Provide complex case management, including chronic disease case management, care coordination, transition care management, high risk clinical tracking, and complex medication management to appropriate patients.
 </li>
 <li>
 Access appropriate resources inside and outside the organization to meet the needs of the patient.
 </li>
 <li>
 Provide referrals to appropriate community resources; facilitate access and communication when multiple services are involved; monitor activities to ensure that services are actually being delivered and meet the needs of the patient, coordinate services to avoid duplication. Teamwork
 </li>
 <li>
 Role model and mentor others, including RN Care Managers, to assess and address the physical, functional, social, psychological, environmental, learning and financial needs of patients.
 
 
 </li>
 </ul>
 Communication
 
 
 <ul>
 <li>
 Deliver, and assist others to also provide, appropriate interventions which demonstrate knowledge of, and sensitivity toward, cultural diversity and religious, developmental, health literacy, and educational backgrounds of the population served. Utilize interpreter services per policy.
 </li>
 <li>
 Facilitate disease prevention and health promotion with nursing staff, patients and families. Patient Focus
 </li>
 <li>
 Provide education, information, and support related to care goals of patients.
 </li>
 <li>
 Act as a patient advocate and assist with problem solving and addressing any barriers to care or compliance with care plan. Checking, Examining, and Recording
 </li>
 <li>
 Maintain accurate patient records and patient confidentiality. Willingness to Learn
 </li>
 <li>
 Engage in professional development activities to keep abreast of care management practices and patient engagement strategies.
 </li>
 <li>
 Attend training sessions and staff meetings as assigned.
 
 
 </li>
 </ul>
 SKILLS AND ABILITIES:
 
 
 <li>
 
 
 </li>
 Able to prioritize competing responsibilities and manage complex caseloads.
 
 
 <ul>
 <li>
 Motivational interviewing skills.
 </li>
 <li>
 Supportive coaching and mentorship to colleagues at clinic sites, including RN Care Managers, around care coordination and addressing social determinants of health.
 </li>
 <li>
 Experience with documentation in an Electronic Medical Record
 </li>
 <li>
 Ability to work with computers in word processing, and database applications preferred.
 </li>
 <li>
 CPR certified by scheduled start date.
 </li>
 <li>
 Must be flexible and adapt to a changing environment.
 
 
 </li>
 </ul>
 EDUCATION AND/OR EXPERIENCE:
 
 
 <li>
 
 
 </li>
 Graduate from an Accredited School of Nursing; Current Maryland Nursing License
 
 
 <ul>
 <li>
 At least five years of related nursing experience serving vulnerable clients in a community-based, home-based, or ambulatory care setting.
 </li>
 <li>
 Chronic disease management experience
 </li>
 <li>
 Encouraged to maintain membership in professional organizations such as the AAACN, ANAC, etc.
 </li>
 </ul>
 <li>
 
 
 </li>
 Preferred: Case Management Certification
 
 
 WORKING CONDITIONS/PHYSICAL DEMANDS:
 
 
 <ul>
 <li>
 Work is typically performed in an office environment. Depending on client/population needs, may also include clinical and community and/or home-based activities, as appropriate to program. The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
 
 
 </li>
 </ul>
 My signature below indicates that I have reviewed this job description. I understand the specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
 
 
 ___________________________________________________ _________________
 
 
 Employee Signature
</div>

Population Health RN Care Coordinator

Children's Wisconsin

<div>At Children&rsquo;s Wisconsin, we believe kids deserve the best.
Children&rsquo;s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.
We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.
Please follow this link for a closer look at what it&rsquo;s like to work at Children&rsquo;s Wisconsin: https://www.instagram.com/lifeatcw/
Children&rsquo;s Wisconsin is seeking a full‑time Nurse Clinician to join our renowned Genetics and Genomics Program, a leading center for the diagnosis, treatment, and research of genetic conditions. Our team provides compassionate, expert care to both children and adults across the lifespan, making a meaningful impact on patients and families every day.
In this role, the Nurse Clinician serves as a primary care coordinator and clinical follow‑up partner for patients with genetic disorders. You will manage an ongoing caseload, developing long‑term relationships with patients and families while guiding care over time. Responsibilities include coordinating treatments, supporting families with next steps following diagnosis, ensuring insurance coverage, and providing triage support by phone.
The role offers a balance of approximately 60% phone‑based care coordination and triage and 40% in‑person clinic support, including seeing patients in clinic alongside the care team. There would be little to no procedural tasks.
This position offers a high level of autonomy, with the opportunity to truly manage and own your patient caseload while collaborating closely with providers and specialists. Continuous learning are a core part of the role&mdash;genetics is an ever‑evolving field, and curiosity, humility, and a willingness to ask questions are essential. Most nurses feel comfortable in the role after about two years, with strong support and resources along the way.
Work Schedule: 1st shift Monday thru Friday no weekends or holidays.
Hybrid Schedule : Working two days from home and 3 days in the office
Location: Wauwatosa Main campus
<div>What you will do:
 
 
The Ambulatory Nurse Clinician promotes optimal wellness by promoting health maintenance, participating in the management of acute illness, managing the effects of chronic disease and disability across the continuum of care. This is accomplished through face to face or electronic interactions. Utilizing critical thinking and nursing process in caring for patients and caregivers with complex healthcare needs which are acquired through a process of integrating education, experiential knowledge and evidence-based guidelines. Acting as a partner, advocate, support and teacher to the patient and caregivers providing optimal management of the child's health care, and respecting their culture, values, diverse individual needs, health goals and treatment preferences. The Nurse Clinician facilitates continuity of care using the nursing process, inter-professional collaboration and care coordination activities to support the whole child by assessing and providing access to appropriate health care services and community resources across the care continuum.
 
 
Essential Functions
 
 
<ul><li>Accountable for and coordinates the delivery of care within the practice setting and across health care settings to maintain continuity of care to create a compassionate therapeutic environment through the assessment of the physical, functional and psychosocial well-being of the patient and family.
</li><li>Uses clinical reasoning to develop, implement and evaluate a plan of care that is collaborative and addresses the needs of the patient and caregivers resulting in optimal patient outcomes and reducing risk factors.
</li><li>Utilizes an inter-professional approach to communicate, educate and engage patients, caregivers, and providers in implementing the plan of care across care settings to achieve common goals, individualized interventions and optimal positive clinical outcomes and disease management.
</li><li>Employs educational strategies utilizing health teaching and health-promotion to include but not limited to, learning needs, abilities, readiness, cultural and spiritual, language preferences and barriers to learning that promote staff, individual, family, community and population health and safety and patient self-efficacy to promote, maintain, or restore health.
</li><li>Communicates effectively using health literacy strategies and a variety of formats, tools, approaches and technologies to build professional relationships and deliver care across the continuum.
</li><li>Contributes to the development and application of clinical practice guidelines, policies and procedures by comparing, contrasting and evaluating possible alternatives using an evidence based format and continuous quality improvement to deliver quality nursing care and enhance the patient/caregiver experience.
</li><li>Advocates from perspective of patient/caregiver and works toward resolution of complex ethical issues and raises ethical questions and concerns with the interdisciplinary team to identify inequities in care and works to resolve them.
</li><li>Through various telehealth practices provides effective management and coordination of care and services to include telephone triage and other telecommunications technologies to remove time and distance barriers for the delivery of nursing care.
</li></ul> 
Education:
 
 
<ul><li>Associate's Degree in Nursing required
</li><li>Bachelor's Degree in Nursing preferred
</li></ul> 
Experience:
 
 
<ul><li>2+ years Licensed nursing experience required
</li><li>2+ years Pediatric nursing experience preferred
</li><li>Experience managing patients with chronic and complex family and health needs preferred
</li></ul> 
Knowledge, Skills and Abilities
 
 
<ul><li>Demonstrate proficient pediatric assessment skills, utilizing a developmental approach to meet the individual needs of the neonatal, infant, toddler, pre-school, school age and adolescent and or young adult patient.
</li><li>Ability to work with patients who have intellectual and physical disabilities in a developmentally appropriate manner.
</li><li>Proficiency with the use of computers and an electronic medical record.
</li><li>Independent judgment and analytical ability to problem solve, make decisions and formulate reports.
</li><li>Requires effective and collaborative interpersonal and communication skills for discussing sensitive issues with patients and caregivers.
</li><li>The ability to represent the organization and serve consumers in a professional manner and promote a positive image of the organization and its services.
</li><li>Expertise in active listening and therapeutic communication.
</li><li>Requires critical reasoning and astute clinical judgment to expedite appropriate care and treatment.
</li></ul> 
Licenses and Certifications:
 
 
- BLS-Basic Life Support Healthcare Provider - American Heart Association/American Red Cross/National Safety Council required
 
- + one of the following: - N/A
 
- License RN-Registered Nurse (30) - State of Wisconsin
</div>Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.
Certifications/Licenses:
+ one of the following: - N/A, BLS-Basic Life Support Healthcare Provider - American Heart Association/American Red Cross/National Safety Council, License RN-Registered Nurse (30) - State of Wisconsin, License RN-Registered Nurse (TN Compact) - State of Tennessee</div>

Nurse Clinician- Genetics (Hybrid)

Humana

<div>
 
 Become a part of our caring community
 
 
 
 Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. This position serves members of the new Indiana Medicaid program - Indiana PathWays for Aging (PathWays). The program was designed to help more Hoosiers who choose to age at home, do so, and to achieve better access to services, and better health and quality outcomes.
 
 
 You will be part of a caring community at Humana. When you meet us, you can tell we started as a hometown company. We are proud of our Louisville roots and, as we have grown, that community feeling has spread across all 50 states and Puerto Rico. No matter where you are&mdash;whether you are working from home, from the field, from our offices, or from somewhere in between&mdash;you will feel welcome here. We are a caring community made of close-knit teams, cross-country friendships, and inclusive resource groups, all gathered around one big table where everyone&rsquo;s voice is heard and respected. Community is a verb here. It is up to each of us to care for it and maintain it. Because the relationships we form will help us deliver better health outcomes for the people we so proudly serve.
 
 
 <ul>
 <li>
 Health Insurance begins on day one!
 </li>
 <li>
 23 days of vacation with pay per year
 </li>
 <li>
 401K program matching 100% of 6% after year one!
 
 
 </li>
 </ul>
 Are you caring, Curious and Committed? If so, apply today!
 
 
 
 Position Responsibilities
 
 
 
 The Care Coordinator 2 employs a variety of strategies, approaches, and techniques to manage a member&rsquo;s physical, environmental, and psycho-social health issues. Identifies and resolves barriers that hinder effective care.
 
 
 <ul>
 <li>
 Facilitate the development of a longitudinal and trusting relationship with each member toward improved quality, continuity, and coordination of care.
 </li>
 <li>
 Responsible for the coordination of all the member&rsquo;s needed medical and non-medical services, including functional, social, and environmental services.
 </li>
 <li>
 Works collaboratively with the Service Coordinator, Transition Coordinator, and other care team staff to address the member&rsquo;s identified needs
 </li>
 <li>
 Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers as appropriate to coordinate the care and benefits of members who are also eligible for Medicare.
 </li>
 <li>
 Primary point of contact for the Interdisciplinary Care Team (ICT) and shall be responsible for coordinating with the member, ICT participants, and outside resources to ensure the member&rsquo;s needs are met.
 
 
 </li>
 </ul>
 
 Required Qualifications
 
 
 
 
 Use your skills to make an impact
 
 
 
 <ul>
 <li>
 Licensed Registered Nurse (RN) in the state of Indiana without restrictions
 </li>
 <li>
 At least one (2) years of clinical experience as a nurse in providing case management or similar health care services
 </li>
 <li>
 Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
 </li>
 <li>
 Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
 </li>
 <li>
 Proven ability of critical thinking, organization, written and verbal communication and problem- solving skills.
 </li>
 <li>
 Ability to manage multiple or competing priorities in a fast-paced environment.
 </li>
 <li>
 Ability to use a variety of electronic information applications/software programs including electronic medical records.
 </li>
 <li>
 Live/Reside in Indiana
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Bilingual (English/Spanish) or (English/Burmese)
 </li>
 <li>
 Prior nursing home diversion, long-term care, disease management, or case management experience
 </li>
 <li>
 Prior management of Home and Community Based Services waivers (HCBS dual roles only)
 </li>
 <li>
 Prior experience with Medicare &amp; Medicaid recipients
 </li>
 <li>
 Experience working with a geriatric population
 </li>
 <li>
 Experience with health promotion, coaching and wellness
 </li>
 <li>
 Knowledge of community health and social service agencies and additional community resources
 
 
 </li>
 </ul>
 
 Additional Information
 
 
 
 
 About Humana
 
 
 
 
 Your Growth Is What Drives Humana Forward.
 
 
 
 <ul>
 <li>
 When you get here, the journey is just beginning. Our leaders are committed to understanding what you need to grow. Because we do not grow without you
 </li>
 <li>
 This is a place where our nurses influence the C-suite.
 </li>
 <li>
 Where software engineers change lives.
 </li>
 <li>
 Where every associate can build a professional path where they learn and thrive.
 </li>
 <li>
 Through our commitments to wellbeing and work-life balance, we support each associate&rsquo;s personal health, purpose, work style, sense of belonging, and security.
 </li>
 <li>
 Because finding new ways to put health first&mdash;for our members and patients and our associates alike&mdash;is what we do.
 
 
 </li>
 </ul>
 
 Additional Requirements/Adherence
 
 
 
 
 Workstyle:
 
 Combination remote work at home and onsite member visits
 
 
 
 Location:
 
 Must reside in Indiana
 
 
 
 Hours:
 
 Must be able to work a 40-hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs.
 
 
 
 Travel:
 
 Must be willing to commute about 70% to meet with members.
 
 
 
 On Call
 
 
 -
 
 Telephonic on call for an occasional night and/or weekend may be required.
 
 
 
 Work at Home Guidance
 
 
 
 To Ensure Home Or Hybrid Home/Office Associates&rsquo; Ability To Work Effectively, The Self-provided Internet Service Of Home Or Hybrid Home/Office Associates Must Meet The Following Criteria
 
 
 <ul>
 <li>
 At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
 </li>
 <li>
 Satellite, cellular and microwave connection can be used only if approved by leadership.
 </li>
 <li>
 Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
 </li>
 <li>
 Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
 
 
 </li>
 </ul>
 
 Role
 
 
 
 
 Driver's License, Transportation, Insurance
 
 This role is a part of Humana's Driver Safety program and therefore requires and individual to have:
 
 
 <ul>
 <li>
 Valid state driver's license
 </li>
 <li>
 Proof of personal vehicle liability insurance with at least $100,000/$300,000/$100,000 limits
 </li>
 <li>
 Access to a reliable vehicle
 
 
 </li>
 </ul>
 
 Tuberculosis (TB) screening program
 
 
 
 <ul>
 <li>
 This role is considered patient facing and is part of Humana at Home's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
 
 
 </li>
 </ul>
 
 Interview Format
 
 
 
 As part of our hiring process for this opportunity, we will be using an exciting screening and interviewing technology called Modern Hire to enhance our hiring and decision-making ability. We use this technology to gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
 
 
 You will be able to respond to the recruiters preferred response method via text, video, or voice technologies. If you are selected for a screen, you may receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication is not missed) inviting you to participate. You should anticipate this screen to take about 15 to 30 minutes. Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
 
 
 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
 
 
 
 Scheduled Weekly Hours
 
 
 
 40
 
 
 
 Pay Range
 
 
 
 The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
 
 
 $71,100 - $97,800 per year
 
 
 This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
 
 
 
 Description Of Benefits
 
 
 
 Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
 
 
 
 About Us
 
 
 
 About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health &ndash; delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
 
 
 
 Equal Opportunity Employer
 
 
 
 It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
</div>

Care Coordinator, RN Field Based

VIA Health Partners

<div>VIA Health Partners is an industry leader and top-10 nationally ranked provider of end-of-life care. More importantly we are proud to be a community based, not for profit hospice &amp; palliative care provider. We have deep community roots, with decades of experience serving ALL patients&rsquo; and families&rsquo; needs regardless of their ability to pay or their medical complexity. We are a people first organization whose funds go to serve our mission.
Due to our significant growth, we are looking for amazing new staff who share these same values. Apply now and be a part of our success story.<ul><li>
We provide excellent benefits including:
</li></ul><ul><li>Medical, Vision, and Dental plans through BCBS</li><li>
28 days of Paid Time Off</li><li>
Excellent mileage reimbursement rate
</li><li>403b Retirement plan with matching</li><li>
Focused programs honoring Veteran patients</li><li>
Assistance with achieving Certified Hospice &amp; Palliative Nurse (CHPN)</li><li>
Best Orientation and Onboarding program you&rsquo;ve experienced</li><li>
Seasoned Hospice leaders guiding your career growth</li></ul>
Essential Functions<ul><li>
Delivery of Patient Care<ul><li>
Assumes responsibility for the coordination and delivery of patient/caregiver care.</li><li>
Conducts nursing assessments to assist in the overall management of patient/caregiver needs.</li><li>
When appropriate, develops, implements, evaluates, and updates the plan of care to ensure that care is uninterrupted and that goals are achieved.</li><li>
Facilitates patient and caregiver independence to the extent possible.</li><li>
When providing hospice care, appropriately utilizes VIA Health Partners patient related protocols, standing orders and guidelines.</li><li>
Assumes responsibility for conducting effective patient and caregiver education.</li><li>
Encourages and allows time for questions and consultation.</li><li>
Provides education to patients and families as needed.</li><li><ul><li>
Communicates effectively with members of the IDG, patients, caregivers, and other health professionals to ensure continuity of care.</li><li>
Maintains open lines of communication with supervisor. Keeps supervisor apprised of any complex patient/caregiver issues.</li><li>
Applies principles of infection control. Follows guidelines for universal precautions in accordance with accepted professional practices.</li></ul></li><li>
Interdisciplinary Group
<ul><li>Attends, participates, and may facilitate interdisciplinary group conferences [IDG] and special care conferences.</li><li>
Assumes responsibility for establishing and maintaining effective working relationships with team members.</li><li>
Identifies specific patient/caregiver needs and make referral to appropriate team members.</li></ul></li><li>
Documentation<ul><li>
Ensures accurate, complete, succinct, and timely clinical documentation in accordance with VIA Health Partners guidelines and the requirements of licensure and certification standards.</li></ul></li><li>
Professional and Personal Accountability<ul><li>
Demonstrates competency in knowledge and skills.</li><li>
Ensures that VIA Health Partners professional reputation is maintained and projected.</li><li>
Assumes responsibility for professional development and staying abreast of current trends in the healthcare field. Incorporates new information and methods into practice.</li><li>
Maintains current professional licensure, CPR certification and CEU requirements.</li><li>
Maintain productive and professional relations with external agencies and healthcare providers.</li><li>
Exhibits time management skills. Able to plan workday while remaining able to respond appropriately to crisis.</li></ul></li><li>
May perform other duties as required</li><li>
(IPU) Cleans patient rooms as required per patient room cleaning procedure. Ensures all areas of facility are clean and appropriately stocked with supplies. Keeps the family room clean throughout the day. Ensures proper chemicals are used for cleaning different surfaces. Ensures protective equipment is used when working with chemicals, i.e., gloves, glasses.</li></ul></li></ul>
Minimum Qualifications<ul><li>
A Diploma or associate degree in nursing is required; Bachelor&rsquo;s Degree preferred.</li><li>
A current, active, and unrestricted compact (multistate) license as a Registered Nurse (RN) is required.
</li><li>The Nurse Licensure Compact (NLC) allows a registered nurse (RN) and licensed practical/vocational nurse (LPN/LVN) to have one multistate license in a primary state of residency (the home state) and to practice in other compact states (remote states), while subject to each state&rsquo;s practice laws and discipline.</li><li>
Current CPR required; CHPN preferred.</li><li>
Minimum 1-year related experience for inpatient units (IPU) and 2 years for other nursing positions. Experience in direct care of patients with life limiting illnesses required. Related experience may include hospice and palliative care; family medicine; internal medicine; geriatrics, oncology; home health care; medical surgical.</li><li>
Computer proficiency is required.</li></ul></div>

Hospice Registered Nurse (RN) Case Manager

Advocate Aurora Health

Part Time Care Transitions Nurse - This is a part-time remote role that requires high-speed internet and requires some evening and weekend coverage. Care Transitions role for both 30 and 90-day programs Medicare/ACO patient population/Medicare FFS program post-hospital discharge.
 
Position Requirements: Bachelor`s Degree in Nursing. Typically requires 2 years of experience in nursing in an acute care or community setting with an emphasis in palliative care or senior services. Excellent written and verbal communication skills. Strong organizational analytical and problem-solving skills. Ability to educate clinical staff and the community. Ability to work well with physicians and other healthcare professionals. Ability to work in a team-based multidisciplinary environment. Registered Nurse license issued by the state in which the team member practices. May need to operate a motorized vehicle to facilitate home visits as appropriate. Must be able to sit stand and walk without restriction. Must have the ability to move about in confined spaces including bending twisting kneeling squatting and occasionally reaching one or both arms overhead. Must be able to concentrate on detailed information, tasks and functions for prolonged periods of time. Must be able to speak clearly and hear in order to communicate in-person or via telephone.
 
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. Purpose: Responsible for ensuring an efficient and coordinated hospital discharge and transition process for patients recently hospitalized or treated in the emergency room that are at high risk for increased use of healthcare resources. Accountabilities: Identifies the needs of patients and families and coordinates internal and external community resources within the first month of hospital discharge.

Care Transitions Nurse - WEEKENDS

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