Finance

Hospice RN Case Manager - Full Time

Explore opportunities with Elite Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Hospice Registered Nurse Case Manager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluating personal and professional performance and making necessary changes to increase productivity and quality of care delivered. You'll also develop the patient's Plan of care in collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical, psychosocial, emotional, and spiritual well-being. Familiar with the concepts and needs of patients/families who are facing death and dying. Primary Responsibilities: Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) days Initiates and coordinates the plan of care Documents problems, appropriate goals, interventions, and patient/family response to hospice care Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care daily Instructs and supervises the patient/family in self-care techniques when appropriate Maintains accurate and relevant clinical notes regarding the patient's condition Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current and unrestricted RN licensure in the state of practice Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation Preferred Qualifications: 1 years of clinical experience Current CPR certification or ability to complete within 90 days of hire Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $83,580 to $125,370 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

  • Galena Park, TX

  • no content

Registered Nurse, Quality Manager Gastroenterology

$10,000 Sign-on Bonus for External Candidates Full benefits within 30 days including annual bonus potential, annual merit reviews, generous PTO, paid holidays, 401K, tuition reimbursement and many more! Optum NY, is seeking a Registered Nurse Manager Gastroenterology to join our team in Lake Success, NY. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. The Nurse Manager will be primarily responsible for overseeing the operational efficiency and quality of GI services, including direct supervision of Registered Nurses and indirect supervision and training of clinical staff (RN, LPN, & Endotechs). The manager will lead efforts to improve quality outcomes and clinic operations in a way that contributes to an enhanced experience for staff and patients; these quality improvements include (but are not limited to) Practice, Health & Safety Assessments, and accreditation surveys. Collaborative responsibilities include building and maintaining safe policies and patient protocol to ensure efficient operations of endoscopy services. Position details: Locations: Syosset, Lake Success, Massapequa, and Hewlett The successful candidate can be located out of our Lake Sucess, Syosset or Hewlett locations! Specialty: Gastroenterology endoscopy procedural suite Primary responsibilities: Coordinates staff competency plan in collaboration with nursing education. Identifies and meets learning needs to maintain competency and respond to new clinical and management expectations Supervises and directs all Registered Nurses employed in the endoscopy units Analyzes quality data and information to identify areas for improving services and patient outcomes Prepares RN schedules Plans for unit staffing needs on a long term and short-term basis, adjusts these appropriately to maintain safe, efficient care in an effective manner Acts as a resource to staff for regulatory and policy matters Ensure strict adherence to Optum Practice, Health & Safety and third-party accreditor (TJC/AAAASF) policies, procedures, and standards Responsible for ongoing accreditation of the GI endoscopy practices; including all quality improvement, risk management, infection control, facility, and fire safety Oversees and participates on Performance Improvement Committee to facilitate improvement of nursing care and achievement of mission of the facility Recognizes legal and policy limits of individual practice Completes annual evaluations of assigned staff Optum NY/NJ was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical, Crystal Run Healthcare and ProHealth Care. The regional alignment combines resources and services across the care continuum - from preventative medicine to diagnostics to treatment and beyond across New York, New Jersey, and Southern Connecticut. As a Patient Centered Medical Home, Optum NY/NJ can provide patient-focused medical care to the entire family. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: BSN Nursing Leadership experience BLS/ACLS certification - Required within the first 6 months of employment Driver's License and access to reliable transportation Preferred Qualifications: PACU/OR and/or ambulatory care nursing experience Knowledge of and experienced with accreditation preferred (examples include but are not limited to Joint Commission accreditation, AAAHC accreditation, Quad A accreditation) Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

  • Hewlett Bay, NY

  • no content

LVN Healthcare Coordinator NW 410

$3,000 Sign On Bonus for External Candidates Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles. Join us and discover the meaning behind Caring. Connecting. Growing together. The Healthcare Coordinator is responsible for successfully supporting patients with high risk health conditions to navigate the healthcare system. The Healthcare Coordinator assists in developing patient empowerment by acting as an educator, resource, and advocate for patients and their families to ensure a maximum quality of life. The Healthcare Coordinator interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators to support the transition of care process. The Healthcare Coordinator acts as a resource for clinic staff. The Healthcare Coordinator works in a less structured, self-directed environment and performs all nursing duties within the scope of a LVN/LPN license of the applicable state board of nursing Primary Responsibilities: Works with the providers and clinic staff to identify patients at high risk through transitions of care. This is to support the market initiative of reducing utilizations, including ER visits, hospital admissions, and hospital readmissions. Supports longitudinal care of the patient with chronic care conditions by: performing assessment of health conditions initiating medication reconciliation for PCP to complete conducting Motivational Interviewing and Self-Management Goal setting providing patient education Supports transition of the patient with chronic care conditions from inpatient to outpatient setting, by: performing assessment of transitional needs initiating medication reconciliation for PCP to complete establishing and reviewing contingency plan and 24/7 patient support availability providing patient education in a self-management format completing 3 in 30 on all high risk members experiencing a discharge ensure a 7 calendar day follow up with PCP post discharge assisting with post discharge needs such as prescriptions, transportation, Durable Medical Equipment (DME), appointments by creating and following up on social work referrals refers to case management for complex case needs, longitudinal needs, and/or disease management Coordinate with providers to establish or update plan of care Performs accurate and timely documentation in the electronic medical record Participates in daily huddles and Patient Care Coordination (PCC) meetings Prepares accurate and timely reports, as required, for weekly meetings Maintains continued competence in nursing practice and knowledge of current evidence based practices May perform clinical tasks within their scope of practice Performs all other related duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Licensed Practical/Vocational Nurse with an active and unrestricted license to practice in the state of employment Current BLS certification 2 years of experience in a physician's office, clinical or hospital setting Proven knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD Proven excellent verbal and written skills Proven solid interpersonal skills Ability to interact productively with individuals and with multidisciplinary teams Proficient computer skills to work efficiently with electronic medical records Proven excellent organizational and prioritization skillsThis position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease Preferred Qualifications: IV Certification Experience related to patient education and/or motivational interviewing skills and self-management goal setting Experience with outbound patient telecommunications Fluent written and verbal skills in English and Spanish Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

  • San Antonio, TX

  • no content

Special Procedures RN (MNA) Urgent Care Atrius Health Kenmore (Per Diem)

Explore opportunities with Atrius Health, part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians, PA/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within our group practice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing together. Under the direction of the department chief, nurse leader, or designee, the Special Procedure Nurse provides practice management support and direct patient care in a procedural unit. Responsibilities include pre- and post-procedure assessment, monitoring, and intra-procedural care for specialty areas such as GYN Surgery, Oral & Maxillofacial Surgery, Oncology, and GI procedures. Primary Responsibilities: Support the procedural process as part of a collaborative care team Organize resources and activities to ensure safe, efficient procedural flow Provide specialty-specific care, including pre-op assessment, IV moderate sedation, intra-procedural support, and post-op monitoring for patients in areas such as GYN Surgery, Oral & Maxillofacial Surgery, and GI procedures Perform nursing procedures within scope of practice (eg, IV placement and medication administration, injections, wound care, EKGs, glucose testing) Deliver patient education and instructions for pre- and post-procedure care; maintain accurate documentation and confidentiality Monitor patient condition throughout the procedural process and communicate relevant data to the care team Administer medications per physician orders and assist with oncology care coordination and community resources Maintain compliance with safety standards, credentialing, and certifications (BCLS, ACLS, specialty certifications) Contribute to staff education, department meetings, and quality improvement initiatives Serve as a resource for patient flow management and program planning; foster collaborative relationships You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma or equivalent Completed an accredited Registered Nurse education program Active and unrestricted RN licensure in the state of MA American Heart Association Basic Life Support (BLS) Advanced Cardiac Life Support (ACLS) may be required based on specialty 3 years of relevant experience in medical/surgical or ambulatory nursing exceptions in consultation with VP of Nursing Willing or ability to participate in IVMS (Intravenous Moderate Sedation) seminar every two years Preferred Qualifications: Bachelor of Science in Nursing (BSN) Experience with an electronic medical records system, EPIC experienced Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $43.63 to $81.04 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

  • Boston, MA

  • no content

Senior Clinical Quality RN - Hybrid East Valley

Position is Hybrid serving the EAST VALLEY (Time spent in the field, working from home and occasionally in the office for meetings or training) For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Sr. Clinical Quality Consultant RN will drive consistency, efficient processes and share best practices, in a collaborative effort with the provider and large or complex groups, designed to facilitate a minimum 4 STAR quality performance. The Sr CQC will participate in quality improvement initiatives, attend monthly or joint operating committee meetings, develop recommendations for quality remediation plans and create tools and databases to capture relevant data for each region. This position will work collaboratively with each regional/market team and their leadership in a matrix relationship. This position may serve as the team lead for the clinical quality consultants in the assigned market and has responsibility for the network's quality performance. If you are located in the East Valley (Chandler, Mesa, Tempe, Gilbert, Queen Creek) you will have the flexibility to work from home and in the office in this hybrid role* as you take on some tough challenges. Primary Responsibilities: Develop business plans to motivate providers to improve STARS measure performance Provide analytical interpretation and STARS/HEDIS performance summaries to provider groups Be the subject matter expert for all STARS-related activities within their assigned territory working within a matrix relationship Participate and present in weekly, Monthly, Bi-monthly, Quarterly and/or Annual business Review meetings related to STAR activities which summarize provider performance Analyze and evaluate provider structure and characteristics, including EMR utilization, office operations, and personnel to identify the most effective approaches and strategies to improve STARS measure performance Assist in developing STARS/HEDIS presentation materials for provider performance meetings Visit patient homes in the East Valley to close gaps in care. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Registered Nurse (within AZ and/or a compact state) 4 years of healthcare experience 2 years of experience in provider-facing interactions Experience and proficiency using Microsoft Office applications, including Outlook, Word, PowerPoint, and Excel spreadsheets Ability to travel locally 50% Driver's license and access to reliable transportation Preferred Qualifications: 2 years of experience in HEDIS/STARS, preferably in a clinical quality consultant role 2 years of clinical data abstraction/quality chart review experience Billing and CPT coding experience Medicare and/or managed care experience Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

  • Scottsdale, AZ

  • no content

LVN Healthcare Coordinator NW 410

$3,000 Sign On Bonus for External Candidates Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles. Join us and discover the meaning behind Caring. Connecting. Growing together. The Healthcare Coordinator is responsible for successfully supporting patients with high risk health conditions to navigate the healthcare system. The Healthcare Coordinator assists in developing patient empowerment by acting as an educator, resource, and advocate for patients and their families to ensure a maximum quality of life. The Healthcare Coordinator interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators to support the transition of care process. The Healthcare Coordinator acts as a resource for clinic staff. The Healthcare Coordinator works in a less structured, self-directed environment and performs all nursing duties within the scope of a LVN/LPN license of the applicable state board of nursing Primary Responsibilities: Works with the providers and clinic staff to identify patients at high risk through transitions of care. This is to support the market initiative of reducing utilizations, including ER visits, hospital admissions, and hospital readmissions. Supports longitudinal care of the patient with chronic care conditions by: performing assessment of health conditions initiating medication reconciliation for PCP to complete conducting Motivational Interviewing and Self-Management Goal setting providing patient education Supports transition of the patient with chronic care conditions from inpatient to outpatient setting, by: performing assessment of transitional needs initiating medication reconciliation for PCP to complete establishing and reviewing contingency plan and 24/7 patient support availability providing patient education in a self-management format completing 3 in 30 on all high risk members experiencing a discharge ensure a 7 calendar day follow up with PCP post discharge assisting with post discharge needs such as prescriptions, transportation, Durable Medical Equipment (DME), appointments by creating and following up on social work referrals refers to case management for complex case needs, longitudinal needs, and/or disease management Coordinate with providers to establish or update plan of care Performs accurate and timely documentation in the electronic medical record Participates in daily huddles and Patient Care Coordination (PCC) meetings Prepares accurate and timely reports, as required, for weekly meetings Maintains continued competence in nursing practice and knowledge of current evidence based practices May perform clinical tasks within their scope of practice Performs all other related duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Licensed Practical/Vocational Nurse with an active and unrestricted license to practice in the state of employment Current BLS certification 2 years of experience in a physician's office, clinical or hospital setting Proven knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD Proven excellent verbal and written skills Proven solid interpersonal skills Ability to interact productively with individuals and with multidisciplinary teams Proficient computer skills to work efficiently with electronic medical records Proven excellent organizational and prioritization skillsThis position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease Preferred Qualifications: IV Certification Experience related to patient education and/or motivational interviewing skills and self-management goal setting Experience with outbound patient telecommunications Fluent written and verbal skills in English and Spanish Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

  • Converse, TX

  • no content

LVN Healthcare Coordinator NW 410

$3,000 Sign On Bonus for External Candidates Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles. Join us and discover the meaning behind Caring. Connecting. Growing together. The Healthcare Coordinator is responsible for successfully supporting patients with high risk health conditions to navigate the healthcare system. The Healthcare Coordinator assists in developing patient empowerment by acting as an educator, resource, and advocate for patients and their families to ensure a maximum quality of life. The Healthcare Coordinator interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators to support the transition of care process. The Healthcare Coordinator acts as a resource for clinic staff. The Healthcare Coordinator works in a less structured, self-directed environment and performs all nursing duties within the scope of a LVN/LPN license of the applicable state board of nursing Primary Responsibilities: Works with the providers and clinic staff to identify patients at high risk through transitions of care. This is to support the market initiative of reducing utilizations, including ER visits, hospital admissions, and hospital readmissions. Supports longitudinal care of the patient with chronic care conditions by: performing assessment of health conditions initiating medication reconciliation for PCP to complete conducting Motivational Interviewing and Self-Management Goal setting providing patient education Supports transition of the patient with chronic care conditions from inpatient to outpatient setting, by: performing assessment of transitional needs initiating medication reconciliation for PCP to complete establishing and reviewing contingency plan and 24/7 patient support availability providing patient education in a self-management format completing 3 in 30 on all high risk members experiencing a discharge ensure a 7 calendar day follow up with PCP post discharge assisting with post discharge needs such as prescriptions, transportation, Durable Medical Equipment (DME), appointments by creating and following up on social work referrals refers to case management for complex case needs, longitudinal needs, and/or disease management Coordinate with providers to establish or update plan of care Performs accurate and timely documentation in the electronic medical record Participates in daily huddles and Patient Care Coordination (PCC) meetings Prepares accurate and timely reports, as required, for weekly meetings Maintains continued competence in nursing practice and knowledge of current evidence based practices May perform clinical tasks within their scope of practice Performs all other related duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Licensed Practical/Vocational Nurse with an active and unrestricted license to practice in the state of employment Current BLS certification 2 years of experience in a physician's office, clinical or hospital setting Proven knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD Proven excellent verbal and written skills Proven solid interpersonal skills Ability to interact productively with individuals and with multidisciplinary teams Proficient computer skills to work efficiently with electronic medical records Proven excellent organizational and prioritization skillsThis position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease Preferred Qualifications: IV Certification Experience related to patient education and/or motivational interviewing skills and self-management goal setting Experience with outbound patient telecommunications Fluent written and verbal skills in English and Spanish Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

  • Seguin, TX

  • no content

Senior Clinical Quality RN - Hybrid East Valley

Position is Hybrid serving the EAST VALLEY (Time spent in the field, working from home and occasionally in the office for meetings or training) For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Sr. Clinical Quality Consultant RN will drive consistency, efficient processes and share best practices, in a collaborative effort with the provider and large or complex groups, designed to facilitate a minimum 4 STAR quality performance. The Sr CQC will participate in quality improvement initiatives, attend monthly or joint operating committee meetings, develop recommendations for quality remediation plans and create tools and databases to capture relevant data for each region. This position will work collaboratively with each regional/market team and their leadership in a matrix relationship. This position may serve as the team lead for the clinical quality consultants in the assigned market and has responsibility for the network's quality performance. If you are located in the East Valley (Chandler, Mesa, Tempe, Gilbert, Queen Creek) you will have the flexibility to work from home and in the office in this hybrid role* as you take on some tough challenges. Primary Responsibilities: Develop business plans to motivate providers to improve STARS measure performance Provide analytical interpretation and STARS/HEDIS performance summaries to provider groups Be the subject matter expert for all STARS-related activities within their assigned territory working within a matrix relationship Participate and present in weekly, Monthly, Bi-monthly, Quarterly and/or Annual business Review meetings related to STAR activities which summarize provider performance Analyze and evaluate provider structure and characteristics, including EMR utilization, office operations, and personnel to identify the most effective approaches and strategies to improve STARS measure performance Assist in developing STARS/HEDIS presentation materials for provider performance meetings Visit patient homes in the East Valley to close gaps in care. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Registered Nurse (within AZ and/or a compact state) 4 years of healthcare experience 2 years of experience in provider-facing interactions Experience and proficiency using Microsoft Office applications, including Outlook, Word, PowerPoint, and Excel spreadsheets Ability to travel locally 50% Driver's license and access to reliable transportation Preferred Qualifications: 2 years of experience in HEDIS/STARS, preferably in a clinical quality consultant role 2 years of clinical data abstraction/quality chart review experience Billing and CPT coding experience Medicare and/or managed care experience Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

  • Paradise Valley, AZ

  • no content

Case Manager RN WellMed Parkdale

WellMed, part of the Optum family of businesses, is seeking a Case Manager RN to join our team in Corpus Christi, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. The Case Manager II - Inpatient Services performs onsite review or telephonic clinical review of inpatient admissions in an acute hospital, rehabilitation facility, LTAC or skilled nursing facility. Actively implements a plan of care utilizing approved clinical guidelines to transition and provide continuity of care for members to an appropriate lower level of care in collaboration with the hospitals/physician team, acute or skilled facility staff, ambulatory care team, and the member and/or family/caregiver. The case manager is responsible for coordinating the care from admission through discharge. The Case Manager participates in Patient Care Conferences to review clinical status, update/finalize transition discharge needs, and identify members at risk for readmission. Primary Responsibilities: Independently collaborates effectively with Interdisciplinary care team (ICT) to establish an individualized transition plan for members Independently serves as the clinical liaison with hospital, clinical and administrative staff as well as performs a review for clinical authorizations for inpatient care utilizing evidenced-based criteria within our documentation system Performs expedited, standard, concurrent, and retrospective onsite or telephonic clinical reviews at in network and/or out of network facilities. The Case Manager documents medical necessity and appropriate level of care utilizing national recognized clinical guidelines for all authorizations Interacts and effectively communicates with facility staff, members and their families and/or designated representative to assess discharge needs, formulate discharge plan and provide health plan benefit information Identifies member's level of risk by utilizing the Population Stratification tools and communicates during transition process the member's transition discharge plan with the ICT Conducts a transition discharge assessment onsite and/or telephonically to identify member needs at time of transition to a lower level of care Manages assigned case load in an efficient and effective manner utilizing time management skills Demonstrates exemplary knowledge of utilization management and care coordination processes as a foundation for transition planning activities Independently confers with UM Medical Directors and/ or Market Medical Directors on a regular basis regarding inpatient cases and participates in department huddles Enters timely and accurate documentation into designated care management applications to comply with documentation requirements and achieve audit scores of 90% or better on a monthly basis Adheres to organizational and departmental policies and procedures Takes on-call assignment as directed The Case Manager will also maintain current licensure to work in State of employment and maintain hospital credentialing as indicated Decision-making is based on regulatory requirements, policy and procedures and current clinical guidelines Maintains current knowledge of health plan benefits and provider network including inclusions and exclusions in contract terms Refers cases to UM Medical Director as appropriate for review for cases not meeting medical necessity criteria or for complex case situations Monitors for any quality concerns regarding member care and reports as per policy and procedure Performs all other related duties as assigned In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000 primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000 older adults. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's degree in Nursing and/or, Associate's degree in Nursing combined with 4 years of experience above the required years of experience Current, unrestricted RN license specific to the state of employment Case Management Certification (CCM) or ability to obtain CCM within 12 months after the first year of employment. 4 years of diverse clinical experience in caring for the acutely ill patients with multiple disease conditions 3 years of managed care and/ or case management experience Knowledge of utilization management, quality improvement, and discharge planning Knowledgeable in Microsoft Office applications including Outlook, Word, and Excel Proven ability to read, analyze and interpret information in medical records, and health plan documents Proven ability to problem solve and identify community resources Proven planning, organizing, conflict resolution, negotiating and interpersonal skills Proven ability to utilize critical thinking skills, nursing judgement, and decision making skills Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously Proven ability to be in a stationary position or move for prolonged periods Reliable transportation and Case Manager is responsible for maintaining an active driver's license Preferred Qualifications: Experience working with psychiatric and geriatric patient populations Bilingual (English/Spanish) language proficiency Physical & Mental Requirements: Ability to lift up to 25 pounds Ability to push or pull heavy objects using up to 10 pounds of force Ability to sit for extended periods of time Ability to stand for extended periods of time Ability to use fine motor skills to operate office equipment and/or machinery Ability to receive and comprehend instructions verbally and/or in writing Ability to use logical reasoning for simple and complex problem solving Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

  • Corpus Christi, TX

  • no content

Per Diem Radiology Aide II - Atrius Health

Explore opportunities at Atrius Health , part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians, AP/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within our group practice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing together. Position Details: Location: Norwood, Weymouth, and Plymouth MA Department: Radiology - MRI Schedule: Float - Per Diem, As needed Primary Responsibilities: Under the direction of the department supervisor or designee, provides direct support to imaging technologists Interviews patients and provides education about imaging processes and procedures Positions patients for imaging exams Restores imaging studies for follow up patients Provides general organization of the imaging area Promotes effective working relationships to meet the goals and objectives of the Imaging Center Provides back-up coverage for other support staff You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualification: High School diploma or equivalency certificate (e.g. GED, HiSET, TASC Test) from an accredited institution or governmental unit Preferred Qualifications: BCLS (CPR) certified American Heart Association Basic Life Support (BLS) Advanced Cardiac Life Support (ACLS) may be required based on specialty Experience in an Advanced Imaging Center Computer experience Possess solid interpersonal, customer service, time management, and organizational skills Demonstrate flexibility and initiative in providing quality patient care Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.15 to $28.80 per hour based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

  • Plymouth, MA

  • no content

Medical Assistant - Adult Medicine - Float Pool

$3,000 Sign-on Bonus for External Candidates Opportunities with Reliant Medical Group, part of the Optum family of businesses. Join a community-based, multi-specialty, physician-led organization where you will work with talented peers on a common purpose: improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well-being as a team member. Join a team at the forefront of value-based care and discover the meaning behind Caring. Connecting. Growing together. Position Details: Locations : Westborough, Southborough, Shrewsbury, Milford, Framingham Hours: Monday - Friday, 8:30 AM - 5:00 PM Department: Float Pool - Adult Medicine This position performs a full range of medical support services while ensuring the highest level of patient care and satisfaction. Primary Responsibilities: Prepare examination rooms and sterilize medical equipment & instruments Room patients, obtain health history and check vital signs Document patient care using electronic medical record software Perform phlebotomy, urinalysis and handle patient specimen samples Administer medications and perform injections/immunizations Assist providers with minor, in-office procedures and perform point-of-care testing You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Medical Assistant diploma, technical certificate or certification OR 1 years of experience performing the critical skills of a medical assistant after on-the-job training OR Current enrollment in an accredited Medical Assistant program OR EMT certification Successful completion of Basic Life Support (BLS-CPR) or completed within 90 days of date of hire Preferred Qualifications: Active medical assistant certification (CMA, CCMA, NCMA, RMA and CMAC) CPR certification Experience working as a Medical Assistant or EMT Experience with electronic medical record software Experience performing medical back-office tasks including obtaining vital signs, injections/immunizations, phlebotomy, urinalysis and administering medications Proven excellent organizational, communication and interpersonal skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

  • West Side, MA

  • no content

Registered Nurse, Home Health - Corpus Christi, TX

$5,000 Sign On Bonus for External Candidates This position is full-time with excellent hourly compensation, benefits within 30 days that include PTO, scrubs provided, annual bonus potential, annual reviews, tuition reimbursement, mileage reimbursement along with opportunities for continued career progression! All clinical licensures and required CEU costs are covered. You will be traveling to patient homes in the Corpus Christie area. Business hours are Monday - Friday 8am to 6pm and there is additional on-call during the week and weekends required on a rotating schedule. You will receive additional overtime and differential pay. WellMed, part of the Optum family of businesses, is seeking a Registered Nurse, Home Health to join our team in Corpus Christie, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Position Highlights & Primary Responsibilities: Performs nursing assessments and develops, implements and evaluates plans of care in conjunction with the physician, patient and caregivers per agency policy and procedure Evaluates the effectiveness of the plan of care, the patient's response to care and outcomes of care and revises the plan of care as needed Re-evaluates patient nursing needs to include on-going assessments using the OASIS data set at appropriate time points Provides skilled nursing services that require substantial and specialized nursing care including medication administration, wound care, therapeutic treatments, and skilled teaching as ordered and indicated Plans and implements patient health teaching and health counseling regarding the disease process(es), self-care techniques and prevention and involves the patient's significant others in accomplishing health goals while promoting patient/family independence Participates in health promotion and disease prevention activities Initiates appropriate preventive and rehabilitative nursing procedures following the physician's plan of care Coordinates services and scheduling with the Clinical Team Manager (CTM) and Clinical Team Coordinator (CTC) to include recommendations for additional home health care services for patients to within 24 hours of Start of Care (SOC) Assesses the patient's condition during every home health care visit; insures assessments are communicated to the Clinical Team Manager on a daily basis; nursing interventions are implemented to meet patient needs and changed conditions Performs care management duties on patients as assigned including: notifying the physician of changes in the patient's condition or progress toward goals, obtaining needed physicians orders, reassessing the patient for recertification, supervision of LVNs and home health aides, attending and documenting case conferences, coordination of care by reporting of significant findings to others on the healthcare team, and planning for, notification of and documenting the discharge of the patient Documents all communications with the patient, family, physician, CTM, pharmacy, other disciplines, and appropriate others as indicated on communication notes Prepares a written plan for the Home Health Aide to follow, if applicable Expresses verbal and written communication in a clear, positive and cooperative manner Additional Home Health Aide duties as needed In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000 primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000 older adults. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Graduate of an accredited school of nursing Current unrestricted Texas RN license or compact license BLS certification or ability to obtain within 30 days of employment 1 years home health care or related environment Wound care experience Knowledgeable in Microsoft Office applications including Outlook, Word, and Excel Ability to read, analyze and interpret information in medical records, and health plan documents Driver's license and access to reliable transportation that will enable you to travel to client and / or patient sites within a designated are Preferred Qualifications: Bilingual (Spanish) OASIS experience Physical Requirements: Ability to lift and transfer patients Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

  • Alice, TX

  • no content