Caregiver - DSP or CNA

Job Description Job Description ALL SHIFTS, FT and PT available. We are seeking DSTs and/or CNAs to join our team! You will work alongside fellow caregivers to provide high quality patient care. EXPERIENCE IN COMMUNITY RESIDENTIAL SETTINGS A PLUS. Responsibilities: Provide direct patient care Assist in administration of prescribed medications to patients Assist in the transport of patients Provide companionship and basic care to patients Maintain a clean and healthy environment ​ Qualifications: Previous experience in nursing, patient care, or other related fields Ability to build rapport with patients Compassionate and caring demeanor Familiarity with medical terminology Ability to work well in teams Company Description Established company which provides services to the adult IDD community with a customized, hands-on approach looking for quality staff. Professionalism and efficiency are a must. Both integrity and ability to complete tasks in a timely manner are required. We have day, evening and weekend positions available. Will consider part time for the right candidate. Company Description Established company which provides services to the adult IDD community with a customized, hands-on approach looking for quality staff. Professionalism and efficiency are a must. Both integrity and ability to complete tasks in a timely manner are required. We have day, evening and weekend positions available.\r\n\r\nWill consider part time for the right candidate.

Personal care Assistant/Certified Nursing Assistant

Job Description Job Description Position Title: Personal Care Assistant (PCA) / Certified Nursing Assistant (CNA) Company: Tender Hands LLC Location : Hartford County Position Type: Full-Time, Part-Time, Per Diem Pay: $17.00–$19.00 per hour Position Summary Tender Hands LLC is seeking compassionate, dependable, and dedicated Personal Care Assistants (PCAs) and Certified Nursing Assistants (CNAs) to provide high-quality, person-centered care to clients in their homes. The ideal candidate is committed to promoting independence, dignity, and quality of life while assisting clients with daily living activities in a respectful and professional manner. Essential Duties and Responsibilities Assist clients with activities of daily living (ADLs), including: Bathing Dressing Grooming Toileting Mobility and transfers Assist with meal planning, preparation, and feeding when necessary. Perform light housekeeping, including: Laundry Dishwashing Vacuuming Changing bed linens General tidying of the client's living area Provide companionship and emotional support. Assist with medication reminders (as permitted by state regulations and company policy). Monitor and report changes in the client's physical, emotional, or mental condition. Record and maintain accurate documentation of services provided. Follow individualized care plans and company policies. Maintain confidentiality and protect client privacy. Communicate effectively with clients, family members, supervisors, and healthcare professionals. Ensure a safe and clean environment for clients. Respond appropriately to emergencies and report incidents immediately. Qualifications Personal Care Assistant (PCA) Previous caregiving experience is preferred but not required. Ability to perform physical tasks associated with client care. Reliable transportation. Valid driver's license (preferred). Ability to pass required background checks. Excellent communication and interpersonal skills. Certified Nursing Assistant (CNA) Current CNA certification in the state of employment. Current CPR certification (preferred). Minimum of one year of caregiving or healthcare experience preferred. Ability to safely assist clients with transfers and mobility. Reliable transportation. Valid driver's license (preferred). Ability to pass required background checks. Required Skills Compassion and patience Dependability and punctuality Strong communication skills Professionalism Time management Problem-solving abilities Ability to work independently Attention to detail Physical Requirements Ability to lift up to 50 pounds. Ability to stand, walk, bend, kneel, and reach for extended periods. Ability to assist clients with transfers and mobility. Ability to perform repetitive physical tasks. Schedule Day shifts Evening shifts Overnight shifts Weekends as needed Holidays as needed What We Offer Competitive pay of $17.00–$19.00 per hour Paid Time Off (PTO) Supportive and respectful work environment Flexible scheduling Opportunity to make a meaningful difference in the lives of clients and their families Training and Development Why Join Tender Hands LLC? At Tender Hands LLC, we believe exceptional care begins with exceptional caregivers. We are committed to creating a supportive work environment where our employees are respected, appreciated, and empowered to make a meaningful difference in the lives of those we serve. Tender Hands LLC is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive workplace for all employees.

Full Time CNA 7-3 Monday-Friday

Job Description Job Description Department: Nursing Reports to: Unit Nurse Manager, or Director of Nursing, Charge Nurse Position Purpose: Provides certified nursing assistant services to assigned residents in accordance with care plans, facility policies and procedures and at the direction of supervisor(s). Required Qualifications: Minimum requirements include the following: ❖ Certified Nursing Assistant in good standing with the state. ❖ High school diploma or equivalent. ❖ Current CPR/BLS certification. Must have no disciplinary action in effect against certification. At least one year of experience as a certified nursing assistant in long-term care. Major Duties and Responsibilities Provides supportive services to nurse(s) and other staff as needed and performs duties as assigned. Assists resident with or performs activities of daily living for resident in accordance with care plans and established policies and procedures. Assists resident with lifting, turning, moving, positioning, and transporting into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc. Coordinates dining room services at assigned mealtimes, including set-up and clean-up, meal tray delivery, feeding assistance, and documentation of meal intake. Delivers nutritional supplements to residents at assigned times and provides assistance as necessary to ensure intake. Documents intake accordingly. Assists with weighing residents according to facility policy, and records weight in designated locations. Reports weight changes to nurse and supervisor. Assists with tracking the condition of the resident’s skin. Reports any presence of pressure areas, skin breakdown or skin tears to nurse and supervisor. Assists nursing staff in carrying out toileting program activities. Completes flow sheets daily to indicate that the specified task was done. Documents the progress of each resident as directed by supervisor. Keeps nurse and supervisor informed of factors that interfere with being able to perform the work as assigned (i.e. resident refusal, reassigned to nursing unit). Reports changes in a resident’s condition to the resident’s nurse and supervisor. Additional Assigned Tasks: ❖ Treats all residents with dignity and respect. Promotes and protects all residents’ rights. ❖ Establishes a culture of compliance by adhering to all facility policies and procedures. Complies with standards of business conduct, and state/federal regulations and guidelines. ❖ Follows appropriate safety and hygiene measures at all times to protect residents and themselves. ❖ Maintains confidentiality of protected health information, including verbal, written, and electronic communications. ❖ Reports noncompliance with policies, procedures, regulations, or breaches in confidentiality to appropriate personnel. Reports any retaliation or discrimination to HR or compliance officer. ❖ Reports any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator. Protects residents from abuse, and cooperates with all investigations. ❖ Reports any occupational exposures to blood, body fluids, infectious materials, and/or hazardous chemicals in accordance with facility policy. ❖ Participates in all life safety and emergency drills and trainings. Fulfills responsibilities as assigned during implementation or activation of the facility’s emergency plan. ❖ Reports work-related injuries and illnesses immediately to supervisor. ❖ Follows established infection control policies and procedures. ❖ As a condition of employment, completes all assigned training and skills competency. ❖ Attend care-plan meetings of assigned residents. ❖ Participate in QAPI or facility assessment activities as needed, such as carrying out duties assigned as part of a performance improvement committee. ❖ Accept certified nursing assistant assignments as staffing needs require. Perform certified nursing assistant duties as assigned, in accordance with facility policies and procedures. ❖ Use proper lifting and body mechanics while delivering care to residents. Personal Skills and Traits Desired/Physical Requirements/Working Conditions ❖ Ability to read, write, speak and understand the English language. ❖ Must be a supportive team member, contribute to and be an example of team work. ❖ Ability to make independent decisions when circumstances warrant such action. ❖ Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public. ❖ Must have patience, tact, and willingness to deal with difficult residents, family and staff. ❖ Must be able to relay information concerning a resident’s condition. ❖ Must not pose a threat to the health and safety of other individuals in the workplace. ❖ Must be able to move intermittently throughout the workday. ❖ Meets general health requirements according to facility policy, including medical and physical exams and checking immunity status to various infectious diseases. ❖ Ability to work beyond normal working hours and on weekends and holidays when necessary. ❖ Ability to assist in evacuation of residents during emergency situations. ❖ Ability to bend, stoop, kneel, crouch, perform overhead lifting and perform other common physical movements as needed for the position. ❖ May be subject to falls, burns from equipment, and/or odors throughout the day; encounter reactions from dust, tobacco smoke, disinfectants, and other air contaminants. ❖ Subject to exposure to infectious waste, diseases and/or conditions which include AIDS, Coronavirus, Hepatitis B, and Tuberculosis. ❖ May be subject to hostile or emotional residents, family members, visitors or personnel. ❖ Strong listening skills and ability to deal with conflict with professionalism and courtesy. ❖ Basic computer skills, including ability to navigate electronic medical record systems. ❖ Positive interpersonal relationship skills, including with persons of all ages and cultures. ❖ Ability to walk, stand, sit, bend, and stoop for extended periods. ❖ Dexterity of hands and fingers to perform resident care. ❖ Ability to lift, move, push or pull a minimum of 35 pounds. ❖ May work beyond assigned working hours, including weekends and holidays, when necessary.

Medical Front Office Associate | DME/Respiratory Care Associate

Job Description Job Description At Medical Pharmacy, we strive to make health and happiness simpler, easier, and more accessible. As a trusted neighborhood healthcare provider, we offer convenient access to essential services, including retail and home-delivered prescription medicines, respiratory care treatments and equipment, and home-care medical devices. We are seeking a dedicated Medical Front Office Associate | DME/Respiratory Care Associate to join our team and help deliver high-quality service to our patients. Job Description: This part/full-time position involves processing requests for home medical equipment and supplies from customers, patients, and referral sources. You will provide one-on-one guidance to patients in purchasing medically prescribed medical equipment and respiratory care products, ensuring accurate data entry for insurance coverage approvals. Additionally, you will assist in selecting appropriate supplies as needed. As a member of our Durable Medical Equipment & Respiratory Care Department, you will work in an exciting and supportive environment that focuses on the well-being of our customers, team members, and community. If you share our values, we welcome you to join our family-owned business. Job Responsibilities: Serve as the primary contact for receiving orders for respiratory care equipment, home medical equipment, and supplies from healthcare providers and patients. Gather necessary information to fill orders and meet insurance requirements. Verify insurance benefits by calling insurance carriers for patients needing durable medical equipment and respiratory equipment. Contact physician offices to obtain and verify valid medical documentation to secure insurance coverage. Assist with maintaining initial and ongoing prior authorizations for respiratory patients. Process medical orders to refill supplies as requested by patients. Help patients complete medical forms to meet compliance requirements for their insurance carriers. Act as a resource for information on equipment, supplies, and services to referral sources. Assist walk-in customers with equipment and supply selection and send out physician orders when needed. Manage ordering, receiving, and stocking of respiratory care and durable medical equipment. Prepare and organize orders for delivery, setup, or pickup with technicians. Ensure patient charts are current and properly maintained. Comply with all accreditation, regulatory requirements, and company policies. Qualifications: Attention to detail. Computer and keyboard skills (40 wpm). Excellent written and verbal communication skills. Strong interpersonal skills and a team player. Ability to take direction and work collaboratively. One-year certificate from a college or technical school; or 3-6 months of related experience and/or training; or an equivalent combination of job experience. Preferred Qualifications (Optional): Associates degree, some college, or advanced training. Previous experience in a medical setting (physician’s office, hospital, or respiratory care/DME provider) is preferred. Schedule: Flexible 40-hour work week (Monday-Friday). Hours assigned between 8:30 am – 7:00 pm. Occasional weekend shifts: Saturday (9:00 am – 5:00 pm) and Sunday (9:00 am – 1:00 pm). Employee Benefits: 401(k) with matching. Dental insurance. Employee discount. Health insurance. Paid time off (PTO). Vision insurance.

Licensed Home Health Aide

Job Description Job Description Job Title : Licensed Home Health Aide at Angelic Care Living Location: 207 Bogden BLVD, Millville, NJ 08332 Are you a dedicated and compassionate Licensed Home Health Aide looking for a rewarding career? At Angelic Care Living, we believe in making a meaningful difference in the lives of seniors within our community. We are more than just a home care agency—we are a family. Why Choose Angelic Care Living? ✔ Make a Meaningful Impact : Join a team passionate about improving seniors' lives every day. ✔ Competitive Compensation : Enjoy competitive wages that recognize your experience and skills. ✔ Flexible Schedules : Achieve work-life balance with customizable schedules that meet your personal needs. ✔ Ongoing Training and Support : Access professional development opportunities to enhance your caregiving expertise. ✔ A Supportive and Rewarding Environment : Work in a positive, team-oriented space where your contributions are valued. What We Offer Flexible Schedules : Options to fit your availability and lifestyle. Ongoing Training and Education : Opportunities to grow your knowledge and caregiving skills. Career Advancement : Pathways for growth and leadership roles within the organization. Qualifications Graduation: Graduated from an accredited Home Health Aide program. Driver's License: A current, valid driver’s license and Insurance Compassionate and Caring : A genuine desire to help others and provide empathetic care. Reliable and Responsible : Commitment to delivering high-quality care with consistency. Strong Communication Skills : Effective interpersonal and communication abilities. Experience (Preferred) : License and prior experience in home care are a plus. - Key Responsibilities: - Personalized Patient Care : Assist patients with daily activities such as bathing, grooming, dressing, and mobility to enhance their quality of life. Household Support: Provide essential home care services, including changing bed linens, doing laundry, and light cleaning, to maintain a healthy living environment. Record Keeping : Maintain accurate records of patient conditions, progress, and concerns to ensure effective communication with the healthcare team. Engagement: Foster meaningful relationships with clients through conversation, reading, and engaging in activities that promote mental and emotional well-being. Medication Management : Remind patients about their medications to ensure adherence to prescribed treatment plans. Activity Assistance : Engage patients in exercises and social activities to encourage physical health and social interaction. Are you ready to make a difference in the lives of those in need ? Apply Today! If so, we would love to hear from you! Submit your application today and join the Angelic Care Living family.

Pourline Technician 1st shift

Job Description Job Description We are a global manufacturer and distributor of polyurethane comfort products, specializing in memory foams. Our mattresses, pillows and mattress toppers are sold in more than 6,000 stores around the world. As a leading industry expert, Sinomax USA has provided millions of comfort solutions to consumers around the world. We carry an unwavering willingness to deliver products that dramatically enhance comfort and well-being. Whether you're sitting, standing or sleeping, our premium memory foam products cradle you with optimal body support to relieve your pressure points, ease your muscles and allow you to fully relax in comfort. Sinomax is currently hiring for a Pour Line Operator (Entry Level) . *This is an entry level position. Sinomax will train the right individual. There is substantial opportunity for growth with this position* Department: Pour Line Reports directly: Pour Line Manager Summary : Perform various visual inspections, gauge monitoring, film changes and manual duties to ensure proper processing of foam production to meet production quality and quotas. Responsible for machine and pour line area cleanup. Must be willing to work on a team, also work independently. Communicate with Pour Line Manager and Pour Line production workers in a cooperative and positive manner. Must be comfortable working around chemicals and adhere to safety policies that are site specific and within industry standards. Must have natural attention to detail and be physically fit to work in an area specific environment and pass annual respirator fit testing. Essential Duties and Responsibilities: 1.Will work to coordinate and implement all directives in a positive and professional manner for Pour Line Production. 2.Responsible for safely loading, unloading, and transferring chemicals from totes and drums to holding tanks for production. 3.Will monitor valves, gauges, and pumps. 4.Communicate professionally, effectively, and with courtesy with employees, managers, customers, vendors, and other departments. 5.Make sound decisions, anticipate and adapt to changing needs 6.Meet company standards and follow company policies including safety. 7.Perform duties efficiently and in the best interest and long-term success of the company. 8.All materials, equipment procedures, and training associated with this position and department are deemed "Confidential and Proprietary Information. “Misuse or removal from the premises without proper authorization from the Plant Manager may result in termination and liability exposure. 9.Perform other duties as assigned. Qualifications: To perform this position successfully, an individual must be able to perform each essential duty satisfactory. The requirements below are representative of the knowledge, skill, and/or ability required. Education/Experience: High School Diploma or General Education Degree (GED) Language Skills: Strong communication skills are required with a good command of the English language and the ability to read, write, and comprehend information, reports, instructions, and correspondence. Mathematical Skill: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Reasoning Ability: Ability to apply common sense to carry out detailed written or oral instructions. This may include decision making, compiling information, and analyzing information along with the ability to problem solve involving some concrete variable in standardized and emergency situations. The ability to read, comprehend, and communicate in English is a necessity. Certifications Required (provided by company): Respiratory fit Hazard Communications (Right to Know) Lockout/Tagout Bloodborne Pathogens Forklift License (Flexible Foam) - Preferred, but not required Emergency Action/Contingency Plan Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. While performing the duties of this position, the employee is frequently required to stand; walk; use hands to finger, handle, feel; or grip objects, stretch and/or reach with hands and arms; stoop; crouch or work in cramped or awkward positions; repetitive motions. This person may regularly lift and/or move ten to one hundred pounds. Occasionally may move up to 2000 lbs. with the assistance of a flat cart or pallet jack. Specific vision abilities required by this position include close vision, distance vision, depth perception, and ability to adjust to focus. This position may require the wearing of Personnel Protective Equipment (PPE) which will require the employee's face be free of facial hair, this requirement is to ensure appropriate seal of a full-face mask. Eye protection will be worn while on the production floor. Work Environment: The environment characteristics described here are representative of those an employee encounters while performing the essential functions of the position. While performing the duties of this position, the employee can be exposed to hazardous chemicals, moving mechanical parts, regularly exposed to noise levels in the work environment which are moderate, and exposed to temperature ranging from moderate to high depending on the time of year and location of the work being done. Uniform provided as you will get dirty in this role. \nCompany Description It’s all about innovation. For over 20 years, we’ve been designing and manufacturing top-quality memory foam products—including mattresses, toppers, and pillows—to help people sleep better. Our memory foam products are sold at fine retailers throughout the U.S., and our ongoing success depends on great people like you. Company Description It’s all about innovation. For over 20 years, we’ve been designing and manufacturing top-quality memory foam products—including mattresses, toppers, and pillows—to help people sleep better. Our memory foam products are sold at fine retailers throughout the U.S., and our ongoing success depends on great people like you.

Certified Nurses Assistant

Job Description Job Description Position Summary Openings for Evenings, 2:00pm- 10:00pm- Rehabilitation and Skilled Nursing Are you looking for a team focused and energizing role in a skilled nursing facility and rehab center? Then Hartsfield Village’s CNA position may be what you are looking for! The CNA provides basic patient care. CNA practices in accordance with current established standards of care, the Powers Health policies and procedures, and supports the mission and philosophy of Powers Health. Job Responsibilities · Provides basic care to patients under the guidelines set forth according to policies and procedures. · Answers call lights, telephones, and/or respond to patient requests; acts on routine requests and/or relays information to proper personnel. · Serves patient food trays, snacks, and/or nourishment · Assists with patient mobility, (i.e., lifts, positions patient in bed, transfer between wheelchair and bed, and between cart and bed) · Assists with patient ambulation as directed. · Assists in preparing patient transfer and/or discharge. · Maintains a safe, clean, and aseptic environment in assigned work areas. Education/Experience Excellent verbal and written skills. Education equivalent to high school diploma or GED. Completion of a certified nurse assistant training course and examination. Over 1 year of CNA work experience preferred. Current valid State certification is required. Maintains current CPR Certification. Must be able to demonstrate the ability to perform required competencies within allotted time periods. Comprehensive Benefits Program (Not all inclusive) Medical, dental and vision coverage Healthcare and Dependent Care Spending Accounts Retirement savings plan Life insurance and disability coverage options Fitness center discount program Tuition assistance and career development Paid Time Off Wellness, reward and recognition programs Employee Assistance Program – Counseling, nutritional and financial education, etc. Perks - Instant Discounts & Exclusive Deals on hotels, food, clothing, etc. Who we are: Hartsfield Village is a Continuing Care Retirement Community (CCRC) that celebrates the full continuum of life and promotes successful aging. Our Rehabilitation and Skilled Nursing building is rated 4-Stars by CMS and has a total of 112 beds. Our Customer Service Excellence, Advanced Rehabilitation Techniques, and Highly Skilled Clinical Professionals are the reason that Hartsfield Village Rehabilitation Center is a leader in Eldercare. We believe the most effective way to provide optimal care is to maintain high medical integrity, build a team spirit among staff, and provide friendly and beautiful surroundings for our patients and their visitors – Join the Team that combines caring, compassion, and personal connection! Join our team of healthcare professionals at Powers Health Apply today! We invite you to join our team of professionals where your unique talents will be well utilized in a work environment that promotes your further growth and development. In return for your valuable service and contributions, Powers Health offers a competitive wage and benefits package along with the necessary tools, resources and mentoring opportunities to support your career advancement goals.

Certified Home Health Aide Hourly Shifts

Job Description Job Description Now Hiring CHHAs for Bergen County Cases ✅ Requirements • Current New Jersey CHHA Certification • Valid Driver's License • Strong English communication skills • Experience with mobility assistance, transfers, and hands-on personal care Benefits & Compensation • 401(k) Retirement Plan • Health, Dental, and Vision Insurance • Paid Overtime Opportunities • NJ Sick Time • Time-and-a-Half Pay on Major Holidays and your birthday Base pay: $20/hour additional case differential based on: Hours per day / days per week Distance traveled Pets in the home Couples Cases Level of care required • Earn an additional $1-$10 per hour depending on the case Available Shifts Day Shifts (Thursday-Saturday or Sunday-Wednesday ) • 7am-7pm (12 Hours) • 8am-8pm (12 Hours) • 8am-6pm (10 Hours) • 9am-7pm (10 Hours) • 8am-4pm (8 Hours) • 9am-5pm (8 Hours) About the Role Provide essential, hands-on care in clients' homes while helping them remain safe, comfortable, and independent. About The Senior Company Founded in 2018, The Senior Company provides personalized, high-quality in-home care throughout New Jersey. We value our caregivers and are committed to supporting them with competitive pay, benefits, and opportunities for growth. Book an Interview Today Join a team that values your heart, your skills, and your time. Apply today and let’s grow together! Join our team, today! We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Powered by JazzHR xMG5RIrGcV

CNA Certified

Job Description Job Description The CNA Certified provides essential patient care under the supervision of Registered Nurses (RNs), supporting hygiene, mobility, and safety needs in a healthcare environment. This role involves close teamwork and accurate documentation to promote patient well-being and operational efficiency within a setting that follows rotating shifts. Responsibilities Assist patients with daily hygiene and personal care activities Support patient mobility and positioning Monitor and document patient vital signs and care details Collaborate effectively with nursing staff and healthcare team members Maintain patient safety and comfort during care delivery Follow protocols under RN supervision Adhere to rotating shift schedules to ensure continuous patient support Required Qualifications Certified Nursing Assistant (CNA) certification Current CPR Certification Preferred Qualifications 1 years of patient care experience High school diploma or equivalent Experience with patient care and vital signs monitoring Basic Life Support (BLS) certification Strong empathy and teamwork skills \nCompany Description If you are looking for a job in Farmville, look no further than TJ's Safety Training and Staffing. Our expert recruiters have decades of experience and will see you through the hiring process, working tirelessly to find you the perfect job. We help place talented individuals in an array of fields, including administrative, light industrial, manufacturing, and warehouse. We work with candidates at all levels, from entry level to management. We will assist you in finding your next job quickly, ensuring weekly pay and a flexible schedule tailored to your needs. Company Description If you are looking for a job in Farmville, look no further than TJ's Safety Training and Staffing. Our expert recruiters have decades of experience and will see you through the hiring process, working tirelessly to find you the perfect job. We help place talented individuals in an array of fields, including administrative, light industrial, manufacturing, and warehouse. We work with candidates at all levels, from entry level to management. We will assist you in finding your next job quickly, ensuring weekly pay and a flexible schedule tailored to your needs.

Utilization Review Nurse Health Plans - HP Utilization Management

Description Summary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services “CMS” Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and guidelines related to UM. This nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services. The Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. The prior authorization role completes an assessment of a proposed service to determine if the beneficiary has eligible coverage for the service and if it is medically necessary. Promote quality, cost-effective outcomes through prior authorization and concurrent review of requested services for medical necessity based upon evidence-based clinical guidelines. Identify and present cases of possible quality of care deviations, questionable admissions, and prolonged lengths of stay to the Medical Director for further determination. Appropriately refer beneficiaries who have complex or chronic conditions, a need for transition of care, disease management support, or other identifiable needs for coordination of the beneficiary’s member’s health care for behavioral health care management. Follow CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent, or detect unauthorized disclosure of Protected Health Information (PHI). Protect the confidentiality of data and intellectual property; assures compliance with national health information guidelines. Analyze clinical information submitted by medical providers to evaluate the medical necessity, appropriateness, and efficiency of the use of medical services, procedures, and facilities. Perform provider outreach to address post-hospital discharge services, redirection to in-network providers for appropriate steerage, durable equipment usage, and utilization of other medical services and/or procedures and other necessary telephonic follow-up. Utilize the nursing process and critical thinking skills to provide oversight of services and evaluation of service options. Ability to work in a variety of settings with culturally diverse communities with the ability to be culturally sensitive and appropriate. Must have excellent communication skills (written and verbal), clinical judgment, initiative, critical thinking, and problem-solving abilities. Must be able to take after hour calls to meet business requirements as needed. Job Requirements: Education/Skills Graduate of an accredited school of vocational nursing or equivalent required Associate’s (ADN) or Bachelor’s (BSN) in Nursing preferred Experience 3 – 5 years of nursing experience preferred Experience in Microsoft software (e.g., Outlook, Teams, Word, and Excel) required General computer knowledge and capability to use computers required Licenses, Registrations, or Certifications LVN license in the state of employment or compact required RN license in state of employment or compact preferred Work Schedule: 5 Days - 8 Hours Work Type: Full Time