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Job Summary: As a member of a multidisciplinary team, in a leadership role, is responsible for coordination of patient care along the full continuum and/or for a target population. Through intervention, promotes the appropriate utilization of resources, identifies and addresses care gaps, promotes health behavior changes for patients to better manage their illnesses and recovery (if not chronic), and analyses readmissions to the acute setting post hospitalization. As a result, optimal clinical, financial, functional and health status improvements in the target population will be accomplished. Incumbents will use professional judgment, independent analysis and critical-thinking skills to apply clinical guidelines, policies, and regulatory requirements, etc. to determine the appropriate level of care. Monitor’s patient’s clinical status and needs in order to ensure appropriate intensity of services and anticipate and prepare for transitions of care. Interventions will be targeted towards effective management of each episode of care and the seamless transition to the next level of care. The goal will be towards promoting patient engagement and participation in their care at their highest attainable level. The desired result is management of the patient in the least restrictive environment possible.   Incumbents are also accountable for demonstrating a strong commitment to promoting excellence every day by maintaining and demonstrating competent professional practice and engaging in opportunities for professional growth.   Essential Duties: - Facilitates coordination of a multidisciplinary plan of care to guide patient progress to promote the achievement of optimal clinical, quality, and cost effective outcomes. - Completes documentation responsibilities in keeping with hospital and department policy. - Performs evaluation of patient’s care and progress for the episode of care and/or across the continuum for the identified population. - Attends and participates in process improvement activities related to specific populations, department(s) and organization wide initiatives. - Adheres to and exhibits CHI Franciscan Health’s Core Values of Reverence, Integrity, Compassion and Excellence.
Job ID
2021-159866
Department
Care Management
Shift
Day
Facility / Process Level : Name
CHI Franciscan
Employment Type
Full Time
Location
WA-TACOMA
Job Summary: As a member of a multidisciplinary team, in a leadership role, is responsible for coordination of patient care along the full continuum and/or for a target population.  Through intervention, promotes the appropriate utilization of resources, identifies and addresses care gaps, promotes health behavior changes for patients to better manage their illnesses and recovery (if not chronic), and analyses readmissions to the acute setting post hospitalization.  As a result, optimal clinical, financial, functional and health status improvements in the target population will be accomplished.   Incumbents will use professional judgment, independent analysis and critical-thinking skills to apply clinical guidelines, policies, and regulatory requirements, etc. to determine the appropriate level of care.  Monitor’s patient’s clinical status and needs in order to ensure appropriate intensity of services and anticipate and prepare for transitions of care.  Interventions will be targeted towards effective management of each episode of care and the seamless transition to the next level of care.  The goal will be towards promoting patient engagement and participation in their care at their highest attainable level.  The desired result is management of the patient in the least restrictive environment possible.   Incumbents are also accountable for demonstrating a strong commitment to promoting excellence every day by maintaining and demonstrating competent professional practice and engaging in opportunities for professional growth. Essential Duties: - Facilitates coordination of a multidisciplinary plan of care to guide patient progress to promote the achievement of optimal clinical, quality, and cost effective outcomes. - Completes documentation responsibilities in keeping with hospital and department policy. - Performs evaluation of patient’s care and progress for the episode of care and/or across the continuum for the identified population.   - Attends and participates in process improvement activities related to specific populations, department(s) and organization wide initiatives. - Adheres to and exhibits CHI Franciscan Health’s Core Values of Reverence, Integrity, Compassion and Excellence.  
Job ID
2021-157973
Department
Care Management
Shift
Varied
Facility / Process Level : Name
CHI Franciscan
Employment Type
Per Diem
Location
WA-BURIEN
Responsibilities - Coordinates/facilitates patient care progression throughout the continuum. - Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. - Completes Utilization Management and screening for assigned patients. - Actively participates in clinical performance improvement activities. - Ensures safe care to patients adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice. - Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
Job ID
2020-139156
Department
Care Management
Shift
Day
Facility / Process Level : Name
CHI Health Saint Elizabeth Reg Med Ctr
Employment Type
Full Time
Location
NE-LINCOLN
$7,500 Sign-on Bonus Available   What you will do: - Coordinates/facilitates patient care progression throughout the continuum. - Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. - Completes Utilization Management and screening for assigned patients. - Actively participates in clinical performance improvement activities. - Ensures safe care to patients adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice. - Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
Job ID
2020-144084
Department
Social Work Services
Shift
Day
Facility / Process Level : Name
CHI Health Creighton University - Bergan Mercy
Employment Type
Full Time
Location
NE-OMAHA
Job Summary: This position will be apart of our Denials Management group based in Bremerton, Washington. As a member of a multidisciplinary team, is responsible for the management of concurrent denials, for the Virginia Mason Franciscan Health system. Through intervention, promotes appropriate utilization management, identifies denial root cause, and follow a process for ameliorating the denial to ensure proper reimbursement. Identifies trends in denials and payer behavior, works with the team to propose solutions, and strategies to address those trends. Work with providers to overturn denials via peer-to-peer review. Collaborate with numerous internal departments. As a result, optimal clinical and financial improvements in denial and claim processing will be accomplished.   Incumbents will use professional judgment, independent analysis and critical-thinking skills to apply clinical guidelines, policies, and regulatory requirements, etc. to determine the appropriate level of care. Interventions will be targeted towards effective management of each denial, with the goal of resolving any issues that hamper the correct billing and reimbursement.   Incumbents are also accountable for demonstrating a strong commitment to promoting excellence every day by maintaining and demonstrating competent professional practice and engaging in opportunities for professional growth.   Essential Duties: - Clinical chart review, to determine most appropriate admission status - Complete documentation responsibilities in keeping with hospital and department policy. - Identification of root cause associated with each concurrent denial. - Identification and implementation of denial resolution strategies. - Facilitates coordination of a multidisciplinary plan to address each individual denial. - Data collection and analysis for the purpose of identifying and tracking hospital and payer specific trends. - Promote the achievement of optimal utilization management, quality, billing, and reimbursement outcomes. - Attends and participates in process improvement activities related to specific populations, department(s) and organization wide initiatives. - Other duties as assigned by the manager including reports, presentations, and in-depth case research. - Adheres to and exhibits the organization's core values of Reverence, Integrity, Compassion and Excellence.
Job ID
2021-159861
Department
Utilization Review
Shift
Day
Facility / Process Level : Name
CHI Franciscan
Employment Type
Part Time
Location
WA-BREMERTON
RN Care Manager in Emergency Department $7,500 Sign-on Bonus Available The purpose of the Case Manager position is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors.  The role integrates and coordinates utilization management, care facilitation and discharge planning functions. Additional responsibilities for this health care role include:   Coordinates/facilitates patient care progression throughout the continuum. Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Completes Utilization Management and screening for assigned patients. Actively participates in clinical performance improvement activities.  Ensures safe care to patients adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply  management, productivity, and accuracy of practice.  Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
Job ID
2021-152305
Department
Care Management
Shift
Evening
Facility / Process Level : Name
CHI Health Immanuel
Employment Type
Full Time
Location
NE-OMAHA
  Emergency Department$7,500 Sign-on Bonus Available   As a RN- Care Manager you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits. Additional responsibilities for this health care role include: 1. Coordinates/facilitates patient care progression throughout the continuum.  2. Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting.   3. Completes Utilization Management and screening for assigned patients.   4. Actively participates in clinical performance improvement activities.   5. Ensures safe care to patients adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.   6. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
Job ID
2020-143166
Department
Care Management
Shift
Day
Facility / Process Level : Name
CHI Health Creighton University - Bergan Mercy
Employment Type
Full Time
Location
NE-OMAHA
Position Type: PRN Scheduled Hours per 2 week Pay Period: 0 Primary Location: IA > COUNCIL BLUFFS > MERCY CB
Job ID
2020-112486
Department
Care Management
Shift
Day
Facility / Process Level : Name
CHI Health Mercy Council Bluffs
Employment Type
Per Diem
Location
IA-COUNCIL BLUFFS
- Acts as a liaison among the individual/family, community, provider and physician as well as other health care team members. - Consults with interdisciplinary teams in the delivery of client/community care necessary to meet identified/negotiated goals across all health care settings. - Collaborates in developing, implementing and evaluating teaching/learning strategies for client/family in the hospital community. - Provides clinical leadership by being a preceptor for visiting professionals, students and new graduates. - Coordinates appropriate educational material/instructions for patients, families, medical staff and multidisciplinary personnel to accomplish patient care outcomes. - Establishes and coordinates patient/community rounds, as appropriate. - Identifies specific needs for continuing education based on outcomes. - Participates in planning and presentation of continuing education programs, seminars and meetings. - Utilizes expert knowledge and teamwork to facilitate cohesive efforts to achieve optimal outcomes in providing for patient/populations, and/or communities. - Assists with the development, implementation and evaluation of clinical tools that targets time frames for expected outcome events determined through collaboration with health care team members. - Coordinates with the health care team to develop a mechanism to monitor patient outcomes and follows up on variances. - Ensures collection and input of risk stratification data. Reports results to the health care team and participates in interpretation of data and formulation of action plan. - Acts as a steward of resources in providing prudent health care services. - Serves on selected hospital, group practice and community-based committees. - Writes article(s) to be published in Clinician Newsletters and/or other print media. - Identifies need for and participates in research projects relevant to specific patient population.
Job ID
2021-161960
Department
Care Coordination
Shift
Day
Facility / Process Level : Name
MercyOne West Des Moines
Employment Type
Full Time
Location
IA-WEST DES MOINES
As a Case Manager with CHI you will coordinate patient care between patients, caregivers, and the multidisciplinary team; collect and evaluate information to facilitate care by assuring that admissions, continued stays, and ancillary services are medically necessary, cost-effective, and providing the appropriate setting to qualify for reimbursement.  The case manager intervenes when necessary to assure that care is coordinated and timely. Come join our Care Management team today! Our world needs compassion like never before. Our communities need caring, and our families need protection. With our combined resources, we are committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community. This role will allow you to give back to our community and broaden your healthcare skills. related skills: Registered Nurse, RN, Nurse, ADN, BSN, ACLS, Care Manager, Case Management, inpatient, hospital, acute care, hospital, compassion, patience, kindness, respect 
Job ID
2021-163040
Department
Care Management
Shift
Weekend
Facility / Process Level : Name
CHI St. Luke's Brazosport
Employment Type
Per Diem
Location
TX-LAKE JACKSON
Works collaboratively with physicians, staff and other health care professionals within his/her Division to coordinate the care and service of selected patient populations across the continuum within the acute care setting. The role works collaboratively with patient, family, physician and other members of the health care team to achieve the highest quality clinical outcomes with the most cost effective use of available resources. The Case Manager assumes responsibility for an interdisciplinary process which assesses, plans, implements, monitors and measures the effectiveness of interventions to meet patients' treatment and transitional needs. The Case Manager is knowledgeable about various age-related care protocols and functions within their scope of practice. The Case Manager an integral member of the health care team as well as the Divisional Care Management department. Collaborates with the Divisional Care Management team on system-wide quality improvement/performance improvement initiatives.
Job ID
2021-165237
Department
Case Management
Shift
Day
Facility / Process Level : Name
CHI Saint Joseph London
Employment Type
Full Time
Location
KY-LONDON
The care manager coordinates the care and service of selected patient populations across the continuum. He/she works collaboratively with physicians and other members of the health care team to achieve the highest quality clinical outcomes with the most cost effective use of available resources. The care manager assumes responsibility for an interdisciplinary process which assesses plans, implements, monitors and measures the effectiveness of interventions to meet patients’ treatment and transitional needs. The care manager provides services to neonate, pediatric, adolescent, adult and geriatric patients and demonstrates the knowledge and skills necessary to offer care appropriate to the age of the patient.   We offer the following benefits to support you and your family: Free Premium Membership to our Care@Work program to help employees with child care, pet care, senior caregivers, housekeepers & more. Health/Dental/Vision Insurance Flexible spending accounts Voluntary Protection: Group Accident, Critical Illness, and Identity Theft Adoption Assistance Employee Assistance Program (EAP) for you and your family Paid Time Off (PTO) Tuition Assistance for career growth and development Matching 401(k) and 457(b) Retirement Programs Wellness Programs
Job ID
2021-159645
Department
Case Management
Shift
Day
Facility / Process Level : Name
CHI St. Vincent Health
Employment Type
Full Time
Location
AR-LITTLE ROCK
As a Case Manager with CHI you will coordinate patient care between patients, caregivers, and the multidisciplinary team; collect and evaluate information to facilitate care by assuring that admissions, continued stays, and ancillary services are medically necessary, cost-effective, and providing the appropriate setting to qualify for reimbursement.  The case manager intervenes when necessary to assure that care is coordinated and timely. Join our Care Management team today!   Our world needs compassion like never before. Our communities need caring, and our families need protection. With our combined resources, we are committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community. This role will allow you to give back to our community and broaden your healthcare skills.  related skills: Registered Nurse, RN, Nurse, ADN, BSN, ACLS,Case Management, Case Manager, EPIC, inpatient, hospital , acute care, clinic, hospital, compassion, patience, kindness, respect
Job ID
2021-153630
Department
Case Management
Shift
Day
Facility / Process Level : Name
CHI St. Luke's Health - The Woodlands Campus
Employment Type
Per Diem
Location
TX-THE WOODLANDS
PRN Position As a case manager with CHI health, you will coordinate the care and services of patients across the continuum of illness; promote effective utilization; monitor health care resources; and assume a leadership role with the interdisciplinary team to achieve optimal outcomes through the tools of case management. The case manager will perform a wide variety of high-level patient care activities to include admission assessment, screen for appropriateness, and development of a discharge plan. Timely and appropriate discharges will be accomplished by evaluating the patient's post-discharge needs and the provision of services necessary to meet those needs. The case manager must be knowledgeable in community resources and alternate care facilities.   Our world needs compassion like never before. Our communities need caring, and our families need protection. With our combined resources, we are committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community. This role will allow you to give back to our community and broaden your healthcare skills.  related skills: Registered Nurse, RN, Nurse, ADN, BSN, ACLS, Care Manager, Case Management, EPIC, inpatient, hospital, acute care, clinic, hospital, compassion, patience, kindness, respect, #missioncritical 
Job ID
2021-148286
Department
Case Management
Shift
Varied
Facility / Process Level : Name
CHI St. Luke's Health–Patients Medical Center
Employment Type
Per Diem
Location
TX-Pasadena
The role of this job is to coordinate care across a continuum or episode of care; facilitating the achievement of quality outcomes, negotiating, procuring, and coordinating services and resources needed by patient/families; intervening at key points (and/or at significant variances from the usual pattern of care: for individual patients; identify issues that consistently have a negative quality/cost impact; and creating opportunities and systems to enhance outcomes.   We offer the following benefits to support you and your family: Free Premium Membership to our Care@Work program to help employees with child care, pet care, senior caregivers, housekeepers & more. Health/Dental/Vision Insurance Flexible spending accounts Voluntary Protection: Group Accident, Critical Illness, and Identity Theft Adoption Assistance Employee Assistance Program (EAP) for you and your family Paid Time Off (PTO) Tuition Assistance for career growth and development Matching 401(k) and 457(b) Retirement Programs Wellness Programs  
Job ID
2021-160442
Department
Case Management
Shift
Weekend
Facility / Process Level : Name
CHI St. Vincent Health
Employment Type
Full Time
Location
AR-LITTLE ROCK
Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives! As a Cath Lab Nurse, will assist the doctor in performing interventional procedures like cardiac catheterizations, valvuloplasties, and angioplasties. Other procedures include inserting pacemakers and implantable cardioverter-defirbrillators (ICDs). Additional responsibilities for this health care role include:   • Monitoring patients’ conditions and assessing their needs • Collaborating with physicians and nurses to devise individualized care plans for patients • Administering patients’ medications and providing treatments according to physicians’ orders • Fostering a supportive and compassionate environment to care for patients and their families  
Job ID
2021-158776
Department
Cath Lab
Shift
Day
Facility / Process Level : Name
CHI St. Vincent Health
Employment Type
Full Time
Location
AR-LITTLE ROCK
Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives! As a Cath Lab Nurse, will assist the doctor in performing interventional procedures like cardiac catheterizations, valvuloplasties, and angioplasties. Other procedures include inserting pacemakers and implantable cardioverter-defirbrillators (ICDs). Additional responsibilities for this health care role include: • Monitoring patients’ conditions and assessing their needs • Collaborating with physicians and nurses to devise individualized care plans for patients • Administering patients’ medications and providing treatments according to physicians’ orders • Fostering a supportive and compassionate environment to care for patients and their families   We offer the following benefits to support you and your family: • Free Premium Membership to our Care@Work program to help employees with child care, pet care, senior caregivers, housekeepers & more. • Health/Dental/Vision Insurance • Flexible spending accounts • Voluntary Protection: Group Accident, Critical Illness, and Identity Theft • Adoption Assistance • Employee Assistance Program (EAP) for you and your family • Paid Time Off (PTO) • Tuition Assistance for career growth and development • Matching 401(k) and 457(b) Retirement Programs • Wellness Programs  
Job ID
2021-158149
Department
Cath Lab
Shift
Day
Facility / Process Level : Name
CHI St. Vincent Health
Employment Type
Full Time
Location
AR-LITTLE ROCK
Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives! As a Cath Lab Nurse, will assist the doctor in performing interventional procedures like cardiac catheterizations, valvuloplasties, and angioplasties. Other procedures include inserting pacemakers and implantable cardioverter-defirbrillators (ICDs). Additional responsibilities for this health care role include:   • Monitoring patients’ conditions and assessing their needs • Collaborating with physicians and nurses to devise individualized care plans for patients • Administering patients’ medications and providing treatments according to physicians’ orders • Fostering a supportive and compassionate environment to care for patients and their families   We offer the following benefits to support you and your family: • Free Premium Membership to our Care@Work program to help employees with child care, pet care, senior caregivers, housekeepers & more. • Health/Dental/Vision Insurance • Flexible spending accounts • Voluntary Protection: Group Accident, Critical Illness, and Identity Theft • Adoption Assistance • Employee Assistance Program (EAP) for you and your family • Paid Time Off (PTO) • Tuition Assistance for career growth and development • Matching 401(k) and 457(b) Retirement Programs • Wellness Programs
Job ID
2021-154444
Department
Cath Lab
Shift
Day
Facility / Process Level : Name
CHI St. Vincent Health
Employment Type
Full Time
Location
AR-LITTLE ROCK
This position is accountable for the daily patient care operations of the assigned department, working under the direction of the Nurse Manager on assigned shifts.  Responsible for daily patient care assignments, maintaining clinical standards of care, maintaining labor productivity and supervision of the patient care environment; supporting the care team.  Supports the activities of the Nurse Manager.  Maintains positive inter- and intra-departmental relationships.  Directs patient throughput activities in the assigned unit. Maintains evidence-based nursing practices to achieve desirable patient outcomes in accordance with the Kentucky Nurse Practice Act. Essential Key Job Responsibilities - Provides direct supervision of personnel practicing on Nursing Units, makes patient care assignments, evaluates assignments, facilitates patient throughout, and directly observes staff performance on assigned shift. - Proactively matches existing resources seeking ways to provide patient care that supports staff and maintains a therapeutic environment. - Monitors productivity and assures that staffing and resources are aligned with patient care needs. - Communicates personnel related concerns to Unit Manager. - Uses a logical, systematic approach to problems and problem-solving. - Facilitates Patient Experience best practices on the unit (hourly rounding, etc.) - Maintains Unit Professional standards. Holds staff accountable for behaviors and attitudes. - Maintains confidentiality of information of the department. Assists in audits and data collection as requested. - Contributes to the efficient operation of the department. - Performs direct patient care and accepts an assigned group of patients as needed. - Other duties as assigned by management.  
Job ID
2021-155419
Department
Progressive Care Unit
Shift
Day
Facility / Process Level : Name
CHI Saint Joseph Health System
Employment Type
Full Time
Location
KY-LEXINGTON
Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives! As a Registered Nurse, you will be responsible for delivering the highest quality patient care according to the specific orders of each patient’s individual physician. This will involve, utilizing your knowledge and skills to educate patients and their families on prevention and healthy habits.   Additional responsibilities for this health care role include: • Responsible for implementing and supervising nursing services in the medical detoxification and residential programs. • Monitoring patients’ conditions and assessing their needs • Collaborating with physicians and nurses to devise individualized care plans for patients • Administering patients’ medications and providing treatments according to physicians’ orders • Fostering a supportive and compassionate environment to care for patients and their families
Job ID
2021-156064
Department
Rehab Psych Therapy
Shift
Day
Facility / Process Level : Name
CHI St. Vincent Health
Employment Type
Full Time
Location
AR-LITTLE ROCK
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