resident care manager rn

Sentara

<div><div>Sentara Medical Group Clinical Administration is now hiring a Full-time RN Integrated Care Manager.
Hours: 36 hours weekly, dayshift
Location: Remote in Virginia Beach, VA
Overview
Responsible and accountable for the provision and facilitation of comprehensive care coordination services and quality outcomes for patients across the continuum. Promotes effective utilization and monitoring of health services, collaborates and communicates with the healthcare team and patient/caregiver to manage care and transitions. Develops and/or implements a comprehensive care plan based on assessment and evaluation of patient/caregiver needs. Functions in one of the following practice settings: Acute Care, Service Lines, Ambulatory/Community-based, Home Health, and Long-Term Care.
Education
<ul><li>Diploma RN/ADN/BSN/MSN</li>
</ul>Certification/Licensure
<ul><li>RN License - Virginia/Compact/Multistate</li>
<li>Basic Life Support (BLS) required within 90 days from hire</li>
</ul>Experience
<ul><li>RN Nursing experience 3 years required</li>
<li>Case Management experience 3 years preferred</li>
<li>Previous experience with the pediatric population preferred</li>
</ul>Keywords : Integrated Care Manager, RN, Case Manager, Talroo-RN, Monster</div></div>

RN Integrated Care Manager

Rady Children's Hospital

This position is for a RN Case Manager in the Peckham Center for Cancer and Blood Disorders. This open position will be managing the Leukemia and Lymphoma population. The hours are Monday to Friday 0830-1700. We are looking for someone with Pediatric Hematology/Oncology experience and case management experience.
 
JOB SUMMARY: 
Peckham Center Case Manager coordinates provision of care across the continuum for pediatric patients with a hematology and/or oncology diagnosis. The Case Manager advocates for the patient and family through triage, education, and navigation of insurance authorization requirements, as appropriate, to the nursing role. The Case Manager identifies, accesses, and allocates resources to meet the goals of care, as identified by the multidisciplinary team, in partnership with the patient and family.
 
MINIMUM QUALIFICATIONS: 
Bachelor's Degree
 
3 years of experience
 
California RN License
 
BLS for Healthcare Providers, issued by American Heart Association
 
Must qualify for California Children's Services (CCS) Paneling
 
Excellent oral and written communication skills
 
Able to manage large call volumes and triage patient care needs appropriately
 
Experience working with children and adolescents with hematology and/or oncology diagnoses
 
PREFERRED QUALIFICATIONS: 
Master's Degree
 
5 years of experience
 
Bilingual - English/Spanish
 
The current salary range for this position is $58.87 to $101.33
 
A candidate’s placement in the range will be determined based on the terms and conditions of the applicable collective bargaining agreement. Rady Children’s Hospital is committed to being externally competitive and internally equitable. We demonstrate this commitment by reviewing market data to remain competitive within the nonprofit, healthcare sector. This posting will remain open from the “date posted” until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.

RN Case Manager (Peckham)

Wellspring assisted living

Assisted Living Facility hiring Med tech/ Resident careAvailable schedule11p-7amMondayTuesdaySaturday and SundayPlease text 352-467-2201 for more infoplease only apply if able to work the available shiftsThank youJob Type: Full-timePay: $16.00 - $17.00 per hourWork Location: In person

11p-7a Resident care/med tech

US Department of Veterans Affairs

Registered Nurse (Community Living Center)

Highmark Health

<div><h2 class="jobSectionHeader">Company :
</h2>Highmark Inc.
<h2 class="jobSectionHeader">Job Description :
</h2>JOB SUMMARY
This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members on a proactive basis; and analyzes qualitative and quantitative data in developing strategies to improve provider performance/satisfaction and member satisfaction. Responds to customer inquiries and offers interventions and/or alternatives.
ESSENTIAL RESPONSIBILITIES
<ul><li>Implement care management review processes that are consistent with established industry and corporate standards and are within the care manager&rsquo;s professional discipline.
</li><li>Function in accordance with applicable state, federal laws and regulatory compliance.
</li><li>Implement all care management reviews according to accepted and established criteria, as well as other approved guidelines and medical policies.
</li><li>Promote quality and efficiency in the delivery of care management services.
</li><li>Respect the member&rsquo;s right to privacy, sharing only information relevant to the member&rsquo;s care and within the framework of applicable laws.
</li><li>Practice within the scope of ethical principles.
</li><li>Identify and refer members whose healthcare outcomes might be enhanced by Health Coaching/case management interventions.
</li><li>Employ collaborative interventions which focus, facilitate, and maximize the member&rsquo;s health care outcomes. Is familiar with the various care options and provider resources available to the member.
</li><li>Educate professional and facility providers and vendors for the purpose of streamlining and improving processes, while developing network rapport and relationships.
</li><li>Develop and sustain positive working relationships with internal and external customers.
</li><li>Utilize outcomes data to improve ongoing care management services.
</li><li>Other duties as assigned or requested
</li></ul>EDUCATION
Required
<ul><li>None
</li></ul>Substitutions
<ul><li>None
</li></ul>Preferred
<ul><li>Bachelor&rsquo;s Degree in Nursing
</li></ul>EXPERIENCE
Required
<ul><li>3 years of related, progressive clinical experience in the area of specialization
</li><li>Experience in a clinical setting
</li></ul>Preferred
<ul><li>Experience in UM/CM/QA/Managed Care
</li></ul>LICENSES AND CERTIFICATIONS
Required
<ul><li>Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). Additional specific state licensure(s) may be required depending on where clinical care is being provided.
</li></ul>Preferred
<ul><li>Certification in utilization management or a related field
</li></ul>SKILLS
<ul><li>Working knowledge of pertinent regulatory and compliance guidelines and medical policies
</li><li>Ability to multi task and perform in a fast paced and often intense environment
</li><li>Excellent written and verbal communication skills
</li><li>Ability to analyze data, measure outcomes, and develop action plans
</li><li>Be enthusiastic, innovative, and flexible
</li><li>Be a team player who possesses strong analytical and organizational skills
</li><li>Demonstrated ability to prioritize work demands and meet deadlines
</li><li>Excellent computer and software knowledge and skills
</li></ul>Languages (Other than English)
None 
 
Travel Requirement
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based
Teaches/trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Does Not Apply
Works primarily out-of-the office selling products/services (sales employees)
Does Not Apply
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely, Occasionally
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company&rsquo;s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee&rsquo;s responsibility to comply with the company&rsquo;s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$68,400.00
Pay Range Maximum:
$105,900.00
Base pay is determined by a variety of factors including a candidate&rsquo;s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice</div>

Care Manager RN (Remote)

Capital Blue Cross

<div>
 Position Description
 
 
 
 Base pay is influenced by several factors including a candidate&rsquo;s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates. The salary range displayed has not been adjusted for geographical location. This range has been created in good faith based on information known to Capital Blue Cross at the time of posting and may be modified in the future. Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental &amp; Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more.
 
 
 
 At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it&rsquo;s why our employees consistently vote us one of the &ldquo;Best Places to Work in PA.&rdquo;
 
 
 The Care Manager is responsible for the coordination of services for members who meet established criteria, with an emphasis on education/self-management and promoting quality care and cost-effective outcomes. The Care Manager uses a collaborative process to assess Member needs, review options for services and resources, develop and implement a plan of care, coordinate resources, monitor progress, evaluate Member status, discharge Members, and fully document the individualized member care management process and outcome. The care manager will address, medical, psychosocial, clinical needs, and behavioral health needs including members with mental health and substance use disorder needs. Care Managers provide counseling and referrals to community/local/state programs; collaborate with caregivers, providers, community agencies, behavioral health, and other resources to coordinate care to achieve member&rsquo;s optimal health status. The Care Manager is responsible for the management and oversight of a caseload of moderate - high risk Members with complex medical/behavioral /psychosocial needs.
 
 
 
 Responsibilities And Qualifications
 
 
 
 <ul>
 <li>
 Uses a collaborative process and serves as a liaison between the participant, family and significant others, behavioral and medical physician(s) and other members of the treatment team. Develops prioritized goals and health actions that assist participants with the implementation of appropriate self-directed care decisions and support improvement in health and self-reliance. Advocates for members and families by helping them to coordinate care and navigate resources to reduce barriers and meet healthcare needs.
 </li>
 <li>
 Analyzes and evaluates referrals for potential enrollment of Members into Care Management Program(s) using established criteria. Conducts assessments to obtain information for a participant-centered plan of care and determination of acuity level, functional status, psychosocial status, and barriers. Obtains consent forms necessary for candidates accepted into the Care Management Program.
 </li>
 <li>
 Applies established criteria for discharge and discharges the Member from the Care Management Program(s) when the criteria are met.
 </li>
 <li>
 Conducts all care management activities, including documentation, in accordance with established departmental policies and procedures. Complies with all Clinical Management and corporate policies and procedures.
 </li>
 <li>
 Builds relationships with members, their families, and implements interventions that move assigned members toward goals of improved knowledge, self-management, and long term care outcomes of stabilization.
 </li>
 <li>
 Identifies and reports quality of care issues in accordance with established departmental policies and procedures. Maintains member confidentiality at all times.
 </li>
 <li>
 Attends company and departmental meetings and training sessions as required.
 
 
 </li>
 </ul>
 
 Skills
 
 
 
 <ul>
 <li>
 Strong communication skills and the ability to positively interact with customers, peers, leadership, family members, caregivers, visitors, contracted agencies/personnel and the general public.
 </li>
 <li>
 Superior clinical process, critical thinking, and problem-solving skills; and ability to handle critical situations.
 </li>
 <li>
 Excellent written, oral communication, listening, and organizational skills.
 </li>
 <li>
 Ability to use computer system while conversing telephonically
 </li>
 <li>
 Able to demonstrate strong customer service skills, including tact and diplomacy, both in person and telephonically when communicating with internal and external customers
 </li>
 <li>
 Ability to appropriately prioritize workload and assignments and perform accurate, detailed and timely completion of assigned duties.
 </li>
 <li>
 Ability to work autonomously and as part of an interdisciplinary team
 </li>
 <li>
 Demonstrates sound judgment that affirms the rights and responsibilities of Member&rsquo;s, families, health care professionals and health care organizations.
 </li>
 <li>
 Ability to operate a personal computer (PC), including proficiency in Microsoft Office Products.
 
 
 </li>
 </ul>
 
 Knowledge
 
 
 
 <ul>
 <li>
 Knowledge of NCQA standards for Population Health Management for health plan accreditation, DMAA standards for disease management and CMSA Standards of Practice for Case Management, Act 68, , CMS and ERISA.
 </li>
 <li>
 Maintains knowledge of evidence-based guidelines for chronic conditions/care management.
 </li>
 <li>
 Knowledge of clinical and managed care principles and operations.
 </li>
 <li>
 Knowledge of current and emerging medical treatment modalities and best practice guidelines with the ability to analyze and interpret medical and benefit coverage interrelationships.
 </li>
 <li>
 Knowledge of adult learning principles, motivational interviewing, and intrinsic coaching techniques.
 
 
 </li>
 </ul>
 
 Experience
 
 
 
 <ul>
 <li>
 At least three (3) years&rsquo; recent/related experience; care management, home health, medical/surgical behavioral health, and/or critical care preferred. Health plan experience preferred. Additional experience related to specialized positions (Oncology, Transplant, Maternity, Behavioral Health) will also be considered.
 </li>
 <li>
 Experience in health coaching and motivational interviewing techniques preferred.
 
 
 </li>
 </ul>
 
 Education And Certifications
 
 
 
 <ul>
 <li>
 Registered Nurse with active licensure in home state; additional state&rsquo;s licensure as needed/required to meet customer needs
 </li>
 <li>
 Certified Case Management certification within 2 years of employment.
 </li>
 <li>
 Compact license preferred
 
 
 </li>
 </ul>
 
 Physical Demands
 
 
 
 <ul>
 <li>
 Ability to travel to provider, facility, employer group and/or member locations using own vehicle, if appropriate.
 
 
 </li>
 </ul>
 
 About Us
 
 
 
 We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a caring team of supportive colleagues, and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career.
 
 
 And by doing your best, you&rsquo;ll help us live our mission of improving the health and well-being of our members and the communities in which they live.
 
 
 Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association. We are an equal opportunity employer and do not discriminate on the basis of race, color, religion, national origin, gender, sexual orientation, gender identity, age, genetic information, physical or mental disability, veteran status, or marital status, or any other status protected by applicable law.
</div>

RN Care Manager

Timber Ridge at Talus

<div>Position Title: AL/MC Nurse Manager LPN/RN
Department: Briarwood Health Center
Schedule: Full time 8am-5pm Able to be on call weekends
Pay: $36-$50 DOE/License 
Who we are:
Nestled at the base of Cougar Mountain is a senior living community in Issaquah, Washington unlike any other in the East Seattle area: Timber Ridge at Talus. When our community of well-traveled, outdoor-loving seniors aren&rsquo;t visiting other parts of the world, you&rsquo;ll find them socializing over dinner, hiking a nearby trail or just enjoying the spectacular views. As the area&rsquo;s first Silver LEED-certified Life Plan Community, our campus and natural setting reflects our residents&rsquo; love of the Pacific Northwest. You won't find our unique combination of an all-inclusive lifestyle, superior hospitality, and beautiful location anywhere else. We are currently looking for a Nurse Manager LPN/RN to work in assisted living and memory care center.
You will enjoy:
<ul><li>Medical, Dental, and Vision Insurance
</li><li>Now Offering DailyPay!
</li><li>Life and disability insurance
</li><li>401(k) with company match
</li><li>Health Savings Account &amp; Flexible Savings Account
</li><li>Employee assistance program
</li><li>PTO and eight paid holidays
</li><li>Pet insurance and employee discounts (including wireless plan and retail discounts)
</li><li>Tuition reimbursement
</li><li>Free Lyft rides if needed, to and from the Issaquah Transit Center.
</li><li>Free Underground parking
</li><li>Free meals
</li><li>Your personal and professional growth is important to us, so we provide continual professional training and career advancement opportunities.
</li><li>You will enjoy being part of a great team in a fun, engaging work environment!
</li></ul>Who you are:
<ul><li>RN/LPN currently licensed in the State.
</li><li>Current American Heart CPR certification.
</li><li>Geriatric/rehabilitation and Supervisory experience preferred.
</li><li>Fluent in both verbal and written English
</li><li>Professional and high ethical standards
</li><li>Communicates effectively and creates positive relationships.
</li></ul>General Summary:
The RN Unit Manager is an RN/LPN responsible for the supervision of nursing care in the Assisted Living / Memory Care Center.
Essential Job Duties:
<div><ul><li>Supervises direct nursing care in the AL/ MC Center.
</li></ul><ul><li>Administers direct nursing care as needed.
</li></ul><ul><li>Makes routine rounds to assure proper care and a safe, clean resident environment.
</li></ul><ul><li>Assures accuracy and completeness of daily nursing documentation (ADL sheets, follow-up charting). Fall follow-up, I/R tracking.
</li></ul><ul><li>Assists with admission of new residents. Does preadmission screenings.
</li></ul><ul><li>Supervises nursing personnel on assigned shifts. Participates in counseling, orientation, discipline, and evaluation of nursing staff.
</li></ul><ul><li>Responds to emergency calls, as necessary, in AL / MC, Independent Living, and Health Center.
</li></ul><ul><li>Completes monthly pharmacy rewrites in a timely manner.
</li></ul><ul><li>Assures effective communication with other shifts and departments as it relates to resident care.
</li></ul><ul><li>&ldquo;On-call&rdquo; is required on a rotation schedule.
</li></ul><ul><li>Track infection control for AL/MC
</li></ul><ul><li>Attend Risk Meeting and assures proper follow-up.
</li></ul><ul><li>Assists with recruitment, supervision and training of health care staff for AL/SNF.
</li></ul><ul><li>Provides support for RHS with resident assessment, recommendations, and coordination of care.
</li></ul><ul><li>Submit daily written report to Director of Nursing.
</li></ul></div>Other Duties:
<div><ul><li>Accompanies physicians when making rounds, as needed.
</li></ul><ul><li>Notifies physicians and family of changes in resident&rsquo;s condition, as needed.
</li></ul><ul><li>Assures proper functioning of medical equipment and adequate medical supplies.
</li></ul><ul><li>Attends in-service training and education sessions, as assigned.
</li></ul><ul><li>Risk Management: Appointed as Risk Manager role for Briarwood Health Center &ndash; Conducts investigations, makes recommendations and implements interventions and policy changes as needed. Works directly with law enforcement and other State agencies as required during the course of investigations. Prepares QA reports for committee.
</li></ul><ul><li>Performs specific work duties and responsibilities assigned by supervisor.
</li></ul></div>PHYSICAL REQUIREMENTS/WORKING CONDITIONS:
Frequent standing, stooping, bending, stretching, squatting; must be able to stand/walk for up to 70% of the workday; must be able to lift, transfer, turn and position residents weighing up to 125 lbs. unassisted, or with the assistance of one for a resident weight over 125 lbs. May be subjected to offensive odors and combative behavior. Must be able to lift and carry up to 20 lbs. frequently, and 50lbs. occasionally. May be exposed to communicable diseases including the HIV and HBV viruses. Must be able to work paying close attention to detail with frequent interruptions</div>

AL/MC manager LPN/RN

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