advanced heart failure nurse practitioner or physician assistant inpatient

advanced heart failure nurse practitioner or physician assistant inpatient Jobs in Montgomery

nurse practitioner/physician assistant Jobs in Montgomery

nurse practitioner/physician assistant

psychiatric mental health nurse practitioner

MHMATTERS365 Mental Health Wellness Clinic

Job OverviewMHMATTERS365 is seeking a dynamic and compassionate Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our growing outpatient behavioral health practice. In this vital role, you will provide comprehensive psychiatric care for children, adolescents, and young adults through psychiatric evaluations, medication management, and individualized treatment planning.Our mission is to expand access to high-quality mental health care and support the emotional well-being of young individuals and their families. This position offers an exciting opportunity to work in a collaborative outpatient setting focused on early intervention, recovery, and long-term mental wellness.CompensationThis position is offered as a 1099 independent contractor role with a 70/30 revenue split.<ul><li>Providers receive 70% of collected revenue</li></ul><ul><li>MHMATTERS365 retains 30% to support administrative services, marketing, scheduling systems, credentialing, and practice infrastructure.</li></ul>Responsibilities<ul><li>Conduct comprehensive psychiatric evaluations and mental health assessments for children, adolescents, and young adults in an outpatient setting.</li></ul><ul><li>Develop individualized treatment plans based on DSM-5 diagnostic criteria and evidence-based clinical guidelines.</li></ul><ul><li>Prescribe and manage psychiatric medications, monitoring effectiveness and adjusting treatment plans when clinically indicated.</li></ul><ul><li>Provide psychoeducation, supportive therapy, and behavioral health counseling for patients and families.</li></ul><ul><li>Collaborate with parents, caregivers, schools, therapists, and community providers to coordinate care and support patient progress.</li></ul><ul><li>Educate patients and families on mental health conditions, medication management, and coping strategies to promote recovery and resilience.</li></ul><ul><li>Maintain accurate and compliant documentation in electronic health record systems while adhering to HIPAA regulations.</li></ul><ul><li>Participate in clinical consultations and quality improvement initiatives to enhance patient outcomes.</li></ul>Qualifications<ul><li>Current PMHNP-BC certification with active state licensure or eligibility for licensure.</li></ul><ul><li>Minimum of 2 years of psychiatric or behavioral health experience required.</li></ul><ul><li>Experience providing care to children, adolescents, or young adults in outpatient behavioral health settings preferred.</li></ul><ul><li>Strong knowledge of psychopharmacology and medication management for conditions such as ADHD, anxiety disorders, mood disorders, and behavioral concerns.</li></ul><ul><li>Proficiency with EMR/EHR systems</li></ul><ul><li>Experience providing telehealth services and familiarity with trauma-informed care practices is highly desirable.</li></ul><ul><li>Strong communication, clinical judgment, and collaboration skills.</li></ul>Join Our MissionJoin MHMATTERS365 in making a meaningful difference by providing compassionate outpatient mental health care that empowers children, adolescents, and young adults on their journey toward wellness.Mental Health Matters &mdash; 365 Days a Year.Job Types: Full-time, Part-time, ContractPay: From $107,934.77 per yearBenefits:<ul><li>Flexible schedule</li></ul>Work Location: In person

Psychiatric Mental Health Nurse Practitioner

Jackson Hospital

The Certified Physician Extender will work in collaboration with a physician to provide primary care services for ambulatory patients in the Jackson Clinic. Performs new patient, follow-up, and walk-in visits in collaboration with the primary care physician. Documents and submits to the physician a list of patient encounters made each day for approval. Documents and submits charges for all patient encounters in the electronic medical record. Assists and takes initiative in handling issues of a non-routine nature. Performs other duties as requested.
 
Requirements: 
Graduate from an accredited Nurse Practitioner or Physician Assistant program; National certification with the American Academy of Nurse Practitioners or the National Commission on Certification of Physician Assistants is also required. Previous work experience is required in the ambulatory care setting. Current licensure as a CRNP or as a Physician Assistant in the State of Alabama. Strong oral and written communication skills required, as well as leadership and organizational abilities. We require an individual who is self-directed and who will accept accountability for their actions.

Physician Extender - Jackson Family Medicine Pine Level - FT

Tutera Senior Living & Health Care

<div>Job Description:

Registered Nurse | RN Nights 11p-7a Full time / Days 7a-3p Part time
 Montgomery Children's Specialty Center
Are you a Registered Nurse | RN seeking an exciting new career opportunity? Look no further! Tutera Senior Living &amp; Health Care is seeking health care rockstars to join our team! If you are dedicated and compassionate, WE WANT YOU! 
 
What Will You Do in This Role?
As a Registered Nurse| RN, you are responsible for ensuring the delivery of efficient and effective nursing care while achieving positive clinical outcomes and resident/family satisfaction in accordance with accepted standards of practice, state and federal regulations, and licensing requirements. You will operate within the scope of practice defined by the state Nurse Practice Act. As a Registered Nurse | RN, you will also be responsible for resident care and direction of nursing care during assigned shift; includes staff assignments, mentoring and educating nursing personnel, and working with physicians and other medical professionals. 
Do You Have What It Takes?<ul><li>
A fire and passion for working with seniors</li><li>
A flexible, fun, and energetic personality</li><li>
Must have active, and in good standing, Registered Nurse (RN) license in the state of practice</li><li>
Prior experience as a Registered Nurse (RN) in a LTC/SNF/AL/MC setting preferred</li><li>
Professional image in both appearance and behavior</li><li>
Excellent written and oral communication skills</li></ul> 
Why is Tutera THE Employer of Choice?
<ul><li>Tutera Senior Living &amp; Health Care is guided by one single purpose: To live the YOUNITE philosophy in every decision, every day. Based on genuine respect, YOUNITE is how we get to know residents and team members on a personal level. By asking about our employees&rsquo; and residents&rsquo; unique needs and preferences, we actively listen and then deliver. Do you want to work for a company where you are the driving force behind every decision made?</li><li>
Tutera offers stability; our family-owned company was founded in 1985!</li><li>
Tutera offers a competitive starting wage and amazing benefits! We take care of you so you can be a rockstar at work and at home!</li><li>
Tutera Senior Living &amp; Health Care is dedicated to growing and developing our Tutera rockstars. Through Tutera University, every employee has the opportunity to learn new skills and become the best health care rockstar they can be!</li></ul> 
Apply today and let us show you how we are inspired by you. 
Equal Opportunity Employer. The wage and benefit information provided in this listing is subject to change. Benefits eligibility criteria must be met to enroll in available benefits.
Benefits:
<div>
How Can You Benefit?</div><div></div><ul><li> 
Advanced Pay</li><li>
Financial Literacy Classes</li><li>
Employee Assistance Program offering Mental Health Resources, Legal Guidance, Financial Information, and more!</li><li>
Child Care Discount</li><li>
Health Insurance</li><li>
Dental Insurance</li><li>
Vision Insurance</li><li>
Life Insurance</li><li>
401(k) for Eligible Locations</li><li>
Tuition Reimbursement</li><li>
Paid Time Off</li><li>
Holiday Pay</li><li>
Exclusive Tutera Perks</li><li>
Tutera University</li><li>
Advancement Opportunities</li><li>
Free AAPACN Membership</li></ul>
Job ID: 2026-16561</div>

Registered Nurse | RN

TriHealth Inc.

*** Advance Practice Nurse or Physician Assistant- TriHealth Heart Institute- Advanced Heart Failure Inpatient***TriHealth Heart Institute is looking for an experienced Advance Practice Provider for our Inpatient department. It involves a variety of responsibilities, including assessment, diagnosis, and management of complex cardiac conditions. This position also includes being a member of the Shock team, managing various cardiac devices and assisting in the evaluation for LVAD/Transplant candidacy. The APP would work closely with the heart failure physician to manage patients with pulmonary hypertension, hypertrophic cardiomyopathy, and various forms of infiltrative cardiomyopathies. The candidate will act as a patient advocate, helping to provide high quality care and education to heart failure patients and their families as part of a multidisciplinary team comprised of physicians, APPs, pharmacists, and nurses. If you are an APN you must have an Acute Care Specialty Certification. Location:Bethesda North Hospital: 10500 Montgomery Rd, Montgomery, OH 45242Work Schedule:<ul><li>6:00am-4:30pm</li><li>Weekend and Holiday rotation</li></ul>Incentives &amp; Benefits:In addition to a comprehensive benefits package&mdash;including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement&mdash;this role offers competitive pay based on education level and experience. Please view our benefits page https://careers.trihealth.com/what-we-offer/benefitsJob Requirements: Master's Degree in Nursing Graduate from NP, CNS or midwife program Specialty certification in area of expertise- Must be Acute Care Certified Registered Nurse with APRN Licensure Demonstrated expertise in area of clinical specialization Professional membership in specialty nursing organization required within one year of start date 3-4 years experience Clinical in Nursing Nursing practice in geriatric, occupational health, or other applicable setting.Job Overview: The APRN II is a nurse prepared with graduate level nursing education and authorized to practice and prescribe as a Clinical Nurse Specialist or Certified Nurse Practitioner in collaboration with one or more physicians or podiatrists. Advanced clinical practice in nursing includes the following components: assessment of patient health status, diagnostic testing, diagnoses, development of treatment plans, implementation of treatment plans, follow-up and evaluation of the patient&rsquo;s response to treatment, accurate documentation of the patient&rsquo;s status, and patient advocacy. APRNs are clinical experts who design, implement and evaluate patient-specific and population-based programs of care and promote care through a variety of methods. APRNs function at all levels of the healthcare system within three sphere of influence: client, personnel, and organization. APRNs must have a collaborating physician(s) in an associated Standard Care Arrangement. The APRN II must spend 50% of hours worked utilizing prescriptive authority in their advanced clinical practice role.Job Responsibilities: Collaborates and consults with the interdisciplinary healthcare team, the patient and family when diagnosing, prioritizing problems, and implementing interventions. Provides consultation and initiates referrals to other healthcare team members and promotes collaboration among other members of the interdisciplinary healthcare team. Assists interdisciplinary team members, patients, and families in selecting therapies that integrate perspectives of cost and quality of benefits. Collaborates with other disciplines in teaching, consultation, management, and research activities to improve outcomes in nursing practice and enhance the healthcare environment. Provides effective leadership. Integrates analysis of cost and benefits in care decisions. Designs/Develops innovative solutions for patient care problems that utilize resource efficiency while maintaining or improving quality and advancing best practices. Provides leadership in the development and application of consensus derived protocols or evidence-based practice (EBP) guidelines in the clinical setting. Participates, as opportunities arise, in healthcare-related decision-making at the system, local, state, and national levels with an emphasis on improving patient outcomes. Serves in key roles by participating in/leading committees, councils, and administrative teams. Utilizes, participates in, and disseminates research, evidence-based practice, or quality improvement projects to enhance clinical practice and patient outcomes. May serve as primary or co-investigator, or member of the investigative team in conducting nursing or collaborative research. Critically evaluates existing practice based on current research findings and integrates changes into practice through an EBP project. Evaluates processes of care by serving a as leader or team member in relevant Quality Improvement projects. Promotes mentoring and education to nursing by serving as a Journal Club mentor and facilitates learning in critically appraising the literature. Provides education to patients, families, and healthcare providers to promote best practice. Serves as a teacher, mentor, role model to nurses in the promotion of nursing research, EBP. Serves as preceptor, role model and mentor to staff nurses and colleagues as well as nursing students. Teaches, coaches, and supports nurses and other healthcare professionals to advance the care of patients. Provides education to the patient and their family for health promotion including secondary prevention strategies. Collaborates in the assessment, development, implementation and evaluation of patient and staff educational needs. Ensures nursing practice is conducted in an ethical and legal manner. Abides by the Ohio Scope of Practice as an APRN. Provides safe, compassionate, competent, and ethical care. Demonstrates the highest level of accountability for professional practice. Preserves the patient&rsquo;s dignity. Serves as a patient advocate by promoting advanced directives and adherence to the patient's wishes. Contributes and promotes the discussions of end-of-life decisions and palliative care with the patient, family members, physician and the health care team as appropriate. At least 50% of position involves direct management of the patient&rsquo;s and/or family&rsquo;s care. Independently performs and documents a complete history and physical examination, including psychosocial assessment. Prescribes drugs and therapeutic devices consistent with the formulary under section 4723.50 of the Ohio Revised Code. Assesses for interactive and synergistic effects of multiple pharmacologic and non-pharmacologic interventions. Orders laboratory and radiologic tests and interprets the results. Collaborates with physician(s) to plan to implement a comprehensive plan of care. Discusses patient&rsquo;s care with family members. Performs duties per the Standard Care Arrangement.Other Job-Related Information:The TriHealth Nursing Vision, Mission, and Philosophy speak to professional development, collaboration, and our nursing culture. To achieve excellence in nursing care, TriHealth encourages: pursuit of improved knowledge through continuing education classes, formal education leading to advanced degrees, and the attainment of specialty certification; nurse membership in local, regional, and national nursing organizations related to the appropriate nurse specialty; involvement in activities that better the health of our community; nursing research activities and use of evidence-based practice, and all nurses to foster, support, and personally model collaborative relationships amongst nurses, physicians, and other caregivers for the betterment of patient care.Working Conditions:Climbing - Occasionally Concentrating - Consistently Continuous Learning - Consistently Hearing: Conversation - Consistently Hearing: Other Sounds - Consistently Interpersonal Communication - Consistently Kneeling - Occasionally Lifting &lt;10 Lbs. - Frequently Lifting 50+ Lbs - Frequently Lifting &lt;50 Lbs - Frequently Pulling - Frequently Pushing - Frequently Reaching - Consistently Reading - Consistently Sitting - Frequently Standing - Frequently Stooping - Frequently Talking - Consistently Thinking/Reasoning - Consistently Use of Hands - Consistently Color Vision - Consistently Visual Acuity: Far - Consistently Visual Acuity: Near - Consistently Walking - FrequentlyTriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:Serve: ALWAYS&hellip;<ul><li>Welcome everyone by making eye contact, greeting with a smile, and saying &quot;hello&quot;</li><li>Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist</li><li>Refrain from using cell phones for personal reasons in public spaces or patient care areas</li><li>Excel: ALWAYS&hellip;</li><li>Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met</li><li>Offer patients and guests priority when waiting (lines, elevators)</li><li>Work on improving quality, safety, and service</li></ul>Respect: ALWAYS&hellip;Value: ALWAYS&hellip;Engage: ALWAYS&hellip;<ul><li>Respect cultural and spiritual differences and honor individual preferences.</li><li>Respect everyone&rsquo;s opinion and contribution, regardless of title/role.</li><li>Speak positively about my team members and other departments in front of patients and guests.</li><li>Value the time of others by striving to be on time, prepared and actively participating.</li><li>Pick up trash, ensuring the physical environment is clean and safe.</li><li>Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.</li><li>Acknowledge wins and frequently thank team members and others for contributions.</li><li>Show courtesy and compassion with customers, team members and the community</li></ul>Pay: $97,000.00 - $166,000.00 per yearBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Flexible schedule</li><li>Flexible spending account</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Parental leave</li><li>Professional development assistance</li><li>Referral program</li><li>Retirement plan</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul>Work Location: In person

Advanced Heart Failure Nurse Practitioner or Physician Assistant Inpatient

Amedisys

<div>Overview:
<div><div><div>Full-time days</div><div>
</div><div><div>
Make a difference every day as an Amedisys registered nurse case manager</div><div>
Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home.</div></div><div>
</div><div>
Attractive pay</div><ul><li>
$62,000 - $81,000</li></ul>
What's in it for you<ul><li>
Choice of PPO or HSA medical plans with free telehealth.</li><li>
Paid time off.</li><li>
Up to $1,000 in free healthcare services with Amedisys HSA plan.</li><li>
Up to $500 in wellness rewards for activities-use for spa, gym, sports, hobbies, pets and more.*</li><li>
Mental health support with up to five free counseling sessions through the Employee Assistance program.</li><li>
401(k) with a company match.</li><li>
Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave.</li><li>
Fleet vehicle program (restrictions apply) and mileage reimbursement.</li><li>
And more.</li></ul><ul><li>Benefit eligibility can vary by position and shift status.
</li><li>Participation requires enrollment in an Amedisys medical plan.</li></ul></div></div>
Responsibilities:
<div><div><div><div><div><ul><li><div>
Performs patient assessments and collaborates with the care team to develop and implement a plan of care.</div></li><li>
Makes referrals to other disciplines as indicated by the patient's identified needs or documents rationale for not doing so.</li><li>
Promotes patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate self-care techniques.</li><li>
Supervises LPNs and HHAs.</li><li>
Completes documentation timely and accurately.</li><li>
Regularly communicate patient progress to the clinical manager and care team.</li><li>
Plans and provides staff education.</li><li>
Performs on-call responsibilities and on-call services to patients/families as assigned.</li><li>
Participates in clinical development and continuing education programs.</li><li>
Other duties as assigned.</li></ul></div></div></div></div></div>
Qualifications:
<div><div><ul><li>One (1+) year of clinical experience as a Registered Nurse (RN). If less than 1 year clinical experience as a RN, candidate must be approved by VP Clinical.*</li><li>
Current RN license, specific to the state(s) you are assigned to work.</li><li>
Current CPR certification.</li><li>
Valid driver's license, reliable transportation and liability insurance.</li><li>Note - If less than 6 months clinical experience as a RN, candidate must participate in RN Intern program.</li></ul><div></div><div>
Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience.</div></div></div>
Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.</div>

RN Case Manager

CVS Health

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.
Position Summary
This is a remote work from home role anywhere in the US with virtual training.
American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members.
Key Responsibilities<ul><li>
This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients.</li><li>
Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing benefits and/or member&rsquo;s needs to ensure appropriate administration of benefits.</li><li>
Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.</li><li>
Assessments utilize information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.</li><li>
Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.</li><li>
Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives.</li><li>
Utilizes case management processes in compliance with regulatory and company policies and procedures.</li><li>
Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversations.</li><li>
Identifies and escalates member&rsquo;s needs appropriately following set guidelines and protocols.</li><li>
Need to actively reach out to members to collaborate/guide their care.</li><li>
Perform medical necessity reviews.</li></ul> 
Required Qualifications<ul><li>
5+ years&rsquo; experience as a Registered Nurse, including at least 1 year in a hospital setting.</li><li>
The AHH RN Case manager position requires the nurse to support members across multiple states. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license. Nurses residing in non‑compact states must hold an individual, state‑specific RN license for each state they support</li><li>
1+ years&rsquo; experience documenting electronically using a keyboard.</li><li>
1+ years&rsquo; current or previous experience in Oncology.</li></ul> 
Preferred Qualifications<ul><li>
1+ years&rsquo; Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience with transferring patients to lower levels of care.</li><li>
1+ years' experience in Utilization Review.</li><li>
CCM and/or other URAC recognized accreditation preferred.</li><li>
1+ years&rsquo; experience with MCG, NCCN and/or Lexicomp.</li><li>
Bilingual in Spanish preferred.</li><li>
Bachelors Degree</li></ul> 
Education<ul><li>
Diploma or Associates Degree in Nursing required.</li></ul>
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$54,095.00 - $155,538.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. 
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul><li>
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li><li>
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li><li>
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li></ul>
For more information, visit https://jobs.cvshealth.com/us/en/benefits
This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Case Manager, Registered Nurse (Oncology experience required)

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.
Position Summary
This is a remote work from home role anywhere in the US with virtual training.
American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members.
Key Responsibilities<ul><li>
This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients.</li><li>
Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing benefits and/or member&rsquo;s needs to ensure appropriate administration of benefits.</li><li>
Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.</li><li>
Assessments utilize information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.</li><li>
Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.</li><li>
Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives.</li><li>
Utilizes case management processes in compliance with regulatory and company policies and procedures.</li><li>
Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversations.</li><li>
Identifies and escalates member&rsquo;s needs appropriately following set guidelines and protocols.</li><li>
Need to actively reach out to members to collaborate/guide their care.</li><li>
Perform medical necessity reviews.</li></ul> 
Required Qualifications<ul><li>
5+ years&rsquo; experience as a Registered Nurse with at least 1 year of experience in a hospital setting.</li><li>
The AHH RN Case manager position requires the nurse to support members across multiple states. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license. Nurses residing in non‑compact states must hold an individual, state‑specific RN license for each state they support.</li><li>
1+ years&rsquo; experience documenting electronically using a keyboard.</li><li>
1+ years&rsquo; current or previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health/Substance Abuse or Maternity/ Obstetrics experience.</li></ul> 
Preferred Qualifications<ul><li>
1+ years&rsquo; Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience with transferring patients to lower levels of care.</li><li>
1+ years' experience in Utilization Review.</li><li>
CCM and/or other URAC recognized accreditation preferred.</li><li>
1+ years&rsquo; experience with MCG, NCCN and/or Lexicomp.</li><li>
Bilingual in Spanish preferred.</li></ul> 
Education<ul><li>
Diploma or Associates Degree in Nursing required.</li><li>
BSN preferred.</li></ul>
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$54,095.00 - $155,538.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. 
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul><li>
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li><li>
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li><li>
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li></ul>
For more information, visit https://jobs.cvshealth.com/us/en/benefits
This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Case Manager, Registered Nurse - Fully Remote

Explore 32+ Psychiatric mental health nurse practitioner in Montgomery this March. Find roles across top companies and apply now to boost your career.