6 manager jobs found

Job Summary The RN - Clinical Risk Manager (“CRM”) is responsible for identifying, assessing, and mitigating risks across the MVHS system while enhancing patient safety and quality of care.  This position will administer MVHS’s risk management program on a day-to-day basis, documenting, managing and analyzing risk management data, conducting proactive risk assessments, delivering targeted risk management education, and providing risk management consultation to ensure compliance with regulatory standards, promoting a culture of safety, throughout the organization. Responsible for management of pending insurance claims and partnering with brokers and insurers.  Core Job Responsibilities Coordinates MVHS’s clinical risk management program to meet the system’s needs in a manner that fulfills our mission and strategic goals while complying with regulations, laws and accreditation standards.  Follows a comprehensive enterprise risk management approach in risk...

Job Summary The Care Manager is responsible for completing a comprehensive assessment to determine the correct services and benefits based on medical necessity for an enrollee. Provides plan education, transition of enrollees to clinical services based on Department of Health (DOH) guidelines. Care management providing advocacy, coordination and oversight of all healthcare services for an enrollee striving to deliver the best care at the right time and in the most-cost effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal regulations including Health Insurance Portability and Accountability Act (HIPAA).  Core Job Responsibilities Identifies and coordinates enrollee services as provided by the plan and services that are not a benefit of the plan (Medicare Services). Completes comprehensive assessment using the DOH approved tool to determine eligibility of medically necessary services....

Job Summary Reports to and is under direct supervision of Case Management Department. Provides ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Promotes continuity of care and cost effectiveness through the integrating and functions of case management. Core Job Responsibilities Coordinates discharge planning to assure that the patient progresses through the continuum of care and is discharged to the least restrictive environment. Coordinate the hospital activities concerned with case management and discharge planning. Ensure compliance with quality patient care and regulatory compliance. Education/Experience Requirements Required:  Minimum of two (2) years utilization review/case management experience or social work experience. Preferred:   Associate degree in healthcare related filed. Bachelor’s degree is preferred. Licensed professional nurse may...

Benefits Benefits for qualified employees include: 401(K) plus match; health, dental, life and vision insurance; FSA and HSA accounts; paid time off; tuition reimbursement:mileage reimbursement; company phone and tablet; competitive compensation.   Pay Range $33.00 - $43.46 Hourly Job Summary Join Our Team as a Home Health Registered Nurse (RN) - Make a Real Difference! Are you a compassionate and skilled nurse looking for a rewarding career outside of the hospital setting? Join our dedicated team at the Visiting Nurses Association (VNA) and bring quality care directly to patients in the comfort of their homes! As a Home Health Registered Nurse, you will: - Provide one-on-one, patient-centered care in a home setting - Perform skilled assessments, administer treatments, and educate patients and families on disease management and medications - Work independently while collaborating with a supportive multidisciplinary team - Build meaningful relationships and...

Job Summary Assesses, plans, implements and evaluates the nursing care of residents within the skilled nursing setting. Responsible for ensuring continuity of care of the residents between shifts by providing direct care as well as supervising the care given by CNA’s, LPN’s and supportive staff members. Participates in resident and family teaching/conferences.  Maintains a role as a resident advocate with a focus on the facility’s mission.   Core Job Responsibilities Assesses residents on admission and, as well as when conditions change. Documents appropriately including Care Plans and Medical Record. Educates LPNs on PPS documentation requirements and ensures compliance. Assesses and reassesses pain using appropriate pain management techniques. Educates the resident and family regarding pain management.  Reviews all records and ensures pain log is complete. Assesses the resident’s condition and nursing needs; sets goals; prescribes appropriate nursing action....

Job Summary Assesses, plans, implements and evaluates the nursing care of residents within the skilled nursing setting. Responsible for ensuring continuity of care of the residents between shifts by providing direct care as well as supervising the care given by CNA’s, LPN’s and supportive staff members. Participates in resident and family teaching/conferences.  Maintains a role as a resident advocate with a focus on the facility’s mission.   Core Job Responsibilities Assesses residents on admission and, as well as when conditions change. Documents appropriately including Care Plans and Medical Record. Educates LPNs on PPS documentation requirements and ensures compliance. Assesses and reassesses pain using appropriate pain management techniques. Educates the resident and family regarding pain management.  Reviews all records and ensures pain log is complete. Assesses the resident’s condition and nursing needs; sets goals; prescribes appropriate nursing action....