A bit about us:
Devoted Health is a Medicare Advantage insurance startup, co-founded by brothers and health tech veterans Todd & Ed Park. We’re on a mission to chang...
The Director of Case Management is responsible for Program Management for the Case Management Program, primarily for the Medallion Medicaid program, with some interface with the MLTSS, MAPD, and D...
Job Title: Case Manager
Location: Detroit, MI
Duration: 12+ Months Contract / Permanent Position
Job Description:
2+ years of clinical experience, Case ...
Hello!
Aveanna Healthcare is currently looking for full time and part time registered Nurses/Licensed Practical Nurses. Aveanna is the largest pediatric private duty nursing company a...
The Register Nurse is responsible for the implementation of the health care plan for each program participant. The Register Nurse Coordinator gives nursing care under the supervision of...
Pediatric Nursing, Home Health Nursing/Visiting Nurses, Critical Care Nursing, Nursing Home Care
Firely Pediatric Services is currently hiring Licensed Practical Nurses and Registered Nurses for our Residential homes and Home Care cases throughout the Tri- County area for full time and part ti...
Our Home Health Agency is seeking a strong RN Clinical Supervisor with potential to become DON With a census of 600 and 6 case managers, we are in need of a strong Supervisor who can guide office ...
Looking to hire a full time day RN, LPN, PCT or CNA to take care of a 14-year-old son who is a paraplegic, on a vent and g-tub feedings. Will do some traveling to therapy or Doctors appoin...
Medical-Surgical Nursing, Pediatric Nursing, Maternal Health Nursing, Home Health Nursing/Visiting Nurses, Primary Care Nursing
My husband is travels for work M-Th and I have been put on bedrest. I am looking for help during the week with my one year old son. He is healthy, just need someone who can give him love, attention...
Job Title: Staff Nurse Inpatient-Labor & Delivery Location: Sacramento CA 95823 Duration: 03 months (Part Time) Job Description:
The Staff Nurse (SN) II is a professional careg...
Devoted Health is a Medicare Advantage insurance startup, co-founded by brothers and health tech veterans Todd & Ed Park. We’re on a mission to change healthcare — how it’s paid for, how it's delivered, and how it's experienced. We're guided by the belief that every person should be treated like a member of the family — with care and respect, and a genuine commitment to their health and well-being. It's why we’re building a team of smart, talented people with big hearts to develop a new kind of healthcare company - one that combines compassion with health insurance, clinical care, and technology.
A bit about this role:
As a Clinical Guide, you'll have the opportunity to make a difference in the lives of our members. You'll be responsible for providing member support through assessment, care and conservation. You'll serve as an advocate for our members, coordinating care and ensuring they have the necessary resources and support to achieve their health goals (recovering from an illness, improving quality of life, overall well-being, etc.) Our Clinical Guide is committed to integrity and excellence and empowering members to confidently navigate the healthcare system and live healthier lives. Our ideal Clinical Guide is caring, compassionate and solutions-oriented, and is enthusiastic about providing an outstanding experience for Devoted Health’s members.
Responsibilities will include:
Engage with members and understand their needs, using technology and data to better understand the member and any unspoken needs
Conduct holistic assessment to identify co-morbid conditions, ED/ hospitalization history, medications, psycho-social factors, and member values and preferences
Collaborate with our PCP partners
Develop care plans in partnership with members and their caregivers - problems, goals, interventions - continuously evaluating the member’s progress
Apply knowledge to suggest safe exercise routines, dietary plans, meditation or stress reduction techniques
Work closely with Local Service Guides to identify community-based organizations to support the member in meeting their goals
Collaborate with members, providers, and caregivers to ensure a positive outcome
Explain complicated medical terms in plain language
Educate members on appropriate care and settings based upon their healthcare needs
Support members in understanding diagnostic tests and treatments, including costs, risks, and alternatives so they can make an informed decisions
Prepare members for their inpatient and outpatient treatments and coordinate post-treatment care
Support and coach members to improve management of their chronic conditions, including medication adherence and compliance
Attributes to success:
A desire to make a change in the health care experience: you love to serve and make a difference
Proven success in building relationships
The ability to adjust your tone and approach to different people
The ability to articulate and break down complex information
Adaptability and comfort in a dynamic, startup environment
Transparency in your work - what’s going well and what’s not
Must-haves:
A unrestricted RN license
A minimum of 4 years of RN experience
The ability to comfortably multi- task: you’ll be listening, talking and typing all at the same time
Team player mentality with a can-do attitude
Nice-to-haves:
Bilingual in English and Creole or Spanish
Health insurance experience, particularly Medicare Advantage
If you love running towards complex challenges and transforming them into solutions, if you want to make a potentially huge impact on many lives, and if you are looking for a disruptive startup with an inspiring and talented team, Devoted Health may be the place for you!
The Director of Case Management is responsible for Program Management for the Case Management Program, primarily for the Medallion Medicaid program, with some interface with the MLTSS, MAPD, and DSNP programs. This includes the overall Case Management Program design, which involves the functions of the Case Management staff as well as monitoring staff performance in accordance with the DMAS contract and applicable Virginia Premier policies and procedures. Additional responsibilities include coordinating, conducting and documenting simple to complex Health Services projects and operational procedures and identification of process improvements/enhancements for care management. Also is responsible for assisting in creating a strategic vision, process tools, and procedures to assure ongoing viability of operational performance of the Medical Management department and the organization
Provides clinical and operational oversight of each Health Services initiative which includes Case Management and the analysis of clinical data to drive performance improvement.
Reviews and revises Case Management Program Description annually or as indicated by contract or accreditation requirements.
Conducts annual evaluation of Case Management programs per contract or regulatory requirements.
Identifies, assesses, develops, and implements cross-functional, cross-departmental work processes that impact various departments or the company to improve clinical outcomes.
Identifies opportunities to improve clinical care, customer service and internal business processes.
Represents Medical Management for Medicaid Special Programs, including Foster Care and Medallion Care System Partnership (MCSP).
Ensures assessment, planning, implementation, tracking, monitoring, coordination, reconciliation and evaluation of Embedded Care Management programs in a variety of settings.
Collects, reports, trends, and analyzes Care Management program elements for departmental productivity and performance outcome reporting.
Validates Care Management quality audit results for accuracy and individual developmental needs.
Develops, implements, and monitors policies and procedures for contract and accreditation compliance.
MINIMUM EDUCATION REQUIRED
Minimum education degree of Bachelors of Science in a health care field
License – Current Registered Nurse licensed to practice nursing in Virginia;
Certified Case Manager (CCM) preferred
Master’s degree preferred
SPECIAL KNOWLEDGE AND/OR SKILLS
Highly motivated individual with the ability to work independently as well as part of a team
Excellent verbal and written communication skills
Knowledge of NCQA and HEDIS
Knowledge of Medicaid and Medicare programs
Demonstrated knowledge of Care Management principles
Strong analytical problem-solving, time management, and organizational skills
Proficient Microsoft Office product computer skills
Proficient in Six Sigma or other performance improvement methodology
Ability to travel frequently to various VPHP locations throughout Virginia
Knowledge in program start-up and/or enhancements
WORK BACKGROUND/EXPERIENCE
Minimum of 5 years of case management experience preferably in a managed care setting
Minimum of 5 years of management experience
Knowledge of utilization management, preferably service authorizations related to waiver services
Minimum of 2 years of experience in Medicaid and Medicare managed care
PHYSICAL REQUIREMENTS
Physical health sufficient to meet the ergonomic standards and demands of the position.
Duration: 12+ Months Contract / Permanent Position
Job Description:
2+ years of clinical experience, Case Management Experience, Proficient in MS Office
The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person-centric care management program to a diverse health plan population with a variety of health and social needs.
They serve as the single point of contact for members and their families using a variety of digital channels to meet members where they are.
The Care Manager RN uses the case management process to assess, develop, implement, monitor and evaluate care plans designed to optimize the member's health across the care continuum.
They work in partnership with the member, providers of care and community resources to develop and implement the plan of care and achieve stated goals.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Lead the coordination of a regionally aligned, multidisciplinary team to provide holistic care to meet member needs. This team will work with internal and external partners to maximize impact.
Use the case management process to assess, develop, implement, monitor and evaluate care plans designed to optimize the member's health across the care continuum.
Assess the member's health and psychosocial needs and support systems and consider their cultural preferences.
Engage the member and/or caregiver to develop an individualized plan of care.
Arrange resources necessary to meet identified needs (e.g., community resources, mental health services, substance abuse services, financial support services, and disease-specific services).
Coordinate care delivery and support among member support systems, including providers, community-based agencies and family.
Deliver education to include health literacy, self-management skills, medication plans, nutrition, weight management etc.
Monitor and evaluate the effectiveness of the care management plan and change as necessary.
Prepare the member and/or caregiver for discharge from a facility to home or for transfer to another healthcare facility to support continuity of care.
Educate the member and/or caregiver about post-transition care and needed follow-up, summarizing what happened during an episode of care.
Secure durable medical equipment and transportation services and communicate this to the member and/or caregiver and to key individuals at the receiving facility or home care agency.
Assess adherence to care plan and report feedback to necessary stakeholders (e.g., PCPs, caregivers).
Measure and document the results of the care plan toward meeting members goals.
Adhere to professional standards as outlined by protocols, rules, and guidelines meeting quality and production goals.
Continue professional development by completing relevant continuing education and maintaining CMC (Case Manager Certification).
EDUCATION AND/OR EXPERIENCE
Associates degree in nursing required
Bachelors degree in nursing preferred
2+ years of clinical nursing experience in clinical, acute care, or community setting required
1+ year of case management experience in a managed care setting required
Aveanna Healthcare is currently looking for full time and part time registered Nurses/Licensed Practical Nurses. Aveanna is the largest pediatric private duty nursing company and we provide services in home and school settings.
Why work for Aveanna? -Thorough training, both initial and ongoing -Flexible schedules for the perfect work-life balance -Electronic charting eliminates the need to drop off or mail paper notes and allows you to spend more time with your patient -Access to a clinical supervisor 24/7 so you can meet your full potential as a healthcare professional while receiving the support you need -Scholarship programs that provide continuing education to help you advance in a specialty or to LPN/LVN or RN programs -Advancement opportunities – we promote from within -Weekly pay via multiple payment options, including debit card
Please send me an email at zarina.jamal@aveanna.com or call the Brookline office at 857-576-6924 to schedule an interview.
Looking forward to meeting you!
Zarina Jamal, MS
Client Services coordinator
Aveanna Healthcare
Hello!
I wouto apply for a Registered Nurse/Licensed Practical Nurse role with Aveanna Healthcare. Aveanna Healthcare is the largest pediatric private duty nursing company and we provide services in home and school settings. We are currently looking for Based on your profile, your skill set would be an excellent asset to our team.
Why work for Aveanna? -Thorough training, both initial and ongoing -Flexible schedules for the perfect work-life balance -Electronic charting eliminates the need to drop off or mail paper notes and allows you to spend more time with your patient -Access to a clinical supervisor 24/7 so you can meet your full potential as a healthcare professional while receiving the support you need -Scholarship programs that provide continuing education to help you advance in a specialty or to LPN/LVN or RN programs -Advancement opportunities – we promote from within -Weekly pay via multiple payment options, including debit card
Please send me an email at zarina.jamal@aveanna.com or call the Brookline office at 857-576-6924 to schedule an interview.
The Register Nurse is responsible for the implementation of the health care plan for each program participant. The Register Nurse Coordinator gives nursing care under the supervision of the physician and provides supervision to the certified nursing attendants of the Adult Day Health Services Program One to three years experience as a charge nurse in a community setting preferred
Firely Pediatric Services is currently hiring Licensed Practical Nurses and Registered Nurses for our Residential homes and Home Care cases throughout the Tri- County area for full time and part time positions.
Firely Pediatric Services offers paid training utilizing our on staff Nurse Educator and Respiratory Therapist. We prepare you for your future with our company and value long term relationships with our clients and staff members.
Opportunities abound at Firely Services to include flexible schedules, competitive salaries, and benefits including tuition reimbursement for anyone who wishes to continue their education in the nursing field.
Contact us today to discuss a future with a well known and highly respected organization whose purpose is to provide safe, thoughtful and exceptional care to the community at large.
Our Home Health Agency is seeking a strong RN Clinical Supervisor with potential to become DON
With a census of 600 and 6 case managers, we are in need of a strong Supervisor who can guide office and field staff in an organized manner while ensuring agency stays compliant with all regulations.
Job Description includes: Develop policies and procedures on an as needed basis. Maintain census Coordinate and lead case conferences Organize ongoing training for field nurses
We offer very competitive pay, health insurance, PTO, 401k, and much more!
Looking to hire a full time day RN, LPN, PCT or CNA
to take care of a 14-year-old son who is a paraplegic, on a vent and g-tub feedings. Will do some traveling to therapy or Doctors appointments. Will need help with diaper changes, bathing, lift transfers from bed to wheelchair.
Looking for someone who likes to read books, play games, watch TV, go to the movies, have fun and keep him busy. He is a fun typical teenager.
We currently have 24/7 nursing, and a parent with him at all times. You would assist our current nurses. It will be a 40 hr salary job. Hours will vary depending on what appointments he has on particular days. We will discuss schedule. We live in Park Ridge.
My husband is travels for work M-Th and I have been put on bedrest. I am looking for help during the week with my one year old son. He is healthy, just need someone who can give him love, attention and care while I rest. Ideally, a student nurse with an interest in children would be the ideal candidate.
Please message me if interested. Position will start the week of March 18 and go for as long as needed.
Location: Sacramento CA 95823 Duration: 03 months (Part Time)
Job Description:
The Staff Nurse (SN) II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame.
The SN II provides care to patients via the therapeutic use of self, the nursing process, the environment and instrumentation, and other health care team members.
One year recent (within the last 3 years) experience in L&D required.
Successful completion of advanced fetal monitoring course within the past two years.
May be expected to cross train to at least 1 other Maternal Child Health/Family Centered Care area with appropriate certifications.
Must complete circulating and recovery competencies as required.
Ability to scrub and circulate as required.
Certifications:
Current BLS and ACLS card may be required and is required in units where patients are recovered.
Minimum Qualifications:
High School Diploma/GED.
Graduate of an accredited registered nursing program and completion of the current hours required by the BRN of RN student clinical experience or Graduate of registered nursing and either 2000 hours of RN experience in clinical area of specialty from a licensed acute care facility within 3 years of graduation; or graduate of an accredited licensed vocational nursing program that includes clinical student experience in acute care and has worked 2000 hours as an licensed vocational nurse within the clinical area of specialty within three (3) years before graduation or currently enrolled in an accredited entry level MSN program and has completed pre-licensure requirements to practice nursing.
Current license to practice as a Registered Nurse in California.
Minimum of 6 months experience.
See job duties for specific experience requirements for specialty units.
Demonstrated knowledge of the RN scope of practice.
Demonstrated commitment to service orientation (members, staff, and providers).
Demonstrated effective written and oral communication skills (in English).
Good interpersonal skills. 9) Also refer to Position Specifications outlined in the appropriate collective bargaining agreement.
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