field_job_employment_type

job_industry

field_job_occupational_field_parents_all

field_job_experience

job_organization_name

SUMMARYThe Acute Registered Nurse provides acute dialysis care and treatment to patients within a hospital environment. This position performs duties as assigned by the Charge Nurse or Acute Manager, including assisting and supervising Patient Care Technicians and Licensed Vocational Nurses. Acute nurses may report directly to an Acute Manager, Administrator or the first line of regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics.Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.GROWTH· Assist with clinical and operational processes to improve patient health and minimize hospitalizations and rehospitalization.· Ensure patient and treatment charge information and other related data are accurate and submitted appropriately. · Demonstrate effective use of supplies and staff labor hours.· May participate in inventory management, including end-of-month inventory reporting and adherence to company purchasing protocols.· Perform duties as assigned to meet the patient care or operational needs.OUTCOMES· Administer medications as ordered by the physician..· Provide patient education and follow up as needed.· Assist with program's target goals in meeting quality metrics for patient outcomes in accordance with quality patient care and Company goals.OPERATIONALREADINESS· Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements.· Perform duties at all times within limitations established by and in accordance with company policy and procedures, hospital policy, applicable state and federal laws and regulations.· Complete water quality verification and equipment safety checks prior to each treatment, to include second verification as required.· Complete pre and post treatment physical assessments.· Complete pre and post Handoff Communication with hospital nurses.· Initiate and terminate patient treatments to include connecting and disconnecting catheters and cleaning catheter sites.· Set up dialysis machines; report machine problems to biomedical technician and/or Acute Manager as appropriate.· Clean, disinfect and provide quality control of dialysis machines as required by policy and procedures.· Participate in infection control monitoring, implementation, and recording as requested.· Use personal protective equipment as necessary.· Be familiar with emergency equipment and all emergency operational procedures, as required by hospital.OPERATIONALREADINESS (cont.)· Demonstrate effective staffing based on acuity, skill mix and company guidelines.· Ensure provision of dialysis related services such as Hemodialysis, Peritoneal dialysis, Continuous Renal Replacement Therapy (CRRT) and Plasmapheresis (TPE) if contracted to do so.· Participate in all surveys as required.· Ensure nursing care is carried out as directed and treatment is administered in accordance with physician orders.· Ensure appropriate and required information is documented in patient records.· Inform Supervisor, Medical Director or Physician and Hospital Liaison of all incidents, conditions, and concerns related to patient care, staff and patient safety, and in accordance with company policy.· Prepare and maintain dialysis machines and systems per policy: maintain dialysis records, prepare dialysis water treatment system for use according to established procedure and understand technical operations to troubleshoot problems independently.· Notify Bio-Medical Technician regarding machine or water treatment malfunctions, values out of parameters and document as required. PARTNERSHIPS· Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician.· Maintain collaborative working relationship with physicians, nurse practitioners, and other hospital healthcare professionals.· Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization.· Address patient concerns timely and professionally; following hospital policy.STAFF DEVELOPMENT/ RETENTION· Participate in staff meetings as required. Attend and complete all company and hospital required in-service and continuing education.· May delegate tasks to competent licensed and unlicensed staff per applicable state practice act.· Assist with staff training as requested.· Lead staff in team concepts and promote a team effort.

U.S. Renal Care

Dialysis Registered Nurse - St. Joseph Acutes

<h4>How you'll change lives</h4>As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease.<h4>What you'll be doing</h4>Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios.Safety &amp; Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings.

Dialysis Registered Nurse- PRN

<h4>How you will change lives</h4>As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients.&nbsp; The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure.What you'll be doingPatient care. &nbsp;You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders.Technician Duties. &nbsp;You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed.Safety and Quality. &nbsp;You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings. PATIENT CARE TECHNICIAN STATE SPECIFIC BOARD OF NURSING REQUIREMENTS California<ul><li>Must possess current Certified Hemodialysis Technician (CHT) certificate from California Department of Public Health (CDPH) at time of hire OR</li><li>Hired at USRC location recognized by state of California as an approved dialysis technician training program and obtain California state certification (CHT) within six (6) weeks of successful completion of training program. </li></ul>Maryland<ul><li>Must possess current Certified Nursing Assistants -- Dialysis Technicians (CNA-DT) certificate from Maryland Board of Nursing OR</li><li>Hired at USRC location recognized by state of Maryland as an approved dialysis technician training program and obtain Maryland CNA-DT certificate within three (3) months from date of hire OR</li><li>Out-of-state applicant must have active BONENT certification and provide proof of initial application for CNA-DT certification.</li></ul>New Mexico<ul><li>Must have New Mexico dialysis technician certificate at time of hire OR</li><li>Hired at USRC location recognized by state of New Mexico as an approved dialysis technician training program and obtain New Mexico state certification within six (6) months of successful completion of training program OR</li><li>New Mexico certification of hemodialysis technician is required for out of state applicant with active state or national hemodialysis certification; must obtain New Mexico state certification prior to working as a Certified Hemodialysis Technician. </li><li>After January 1st, 2024, all initial applications for the certified hemodialysis technician will require a national hemodialysis technician certificate.</li><li>The applicant must submit proof of a valid national hemodialysis technician certificate from a recognized organization.</li><li>Hemodialysis technician students must have a current basic life support credential prior to and while the student has contact with patients</li></ul>OHIO<ul><li>Must have Ohio dialysis technician intern certificate at time of hire OR</li><li>Hired at USRC location recognized by state of Ohio as an approved dialysis technician training program and submit application for Ohio dialysis technician intern certificate to board no later than four (4) weeks prior to completion of the approved training program.</li><li>Must obtain Ohio Board of Nursing Certificate (OCDT) not less than twelve (12) months and not later than eighteen (18) months of enrolling in the USRC OCDT program.</li></ul>OREGON<ul><li>Must possess current Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division at time of hire OR</li><li>Must obtain Oregon dialysis technician provisional certificate within three (3) weeks of successful completion of training program and obtain Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division within eighteen (18) months. An Oregon Provisional Certification is valid for six months and can be renewed for one additional six month period.</li></ul>&nbsp;

Dialysis Patient Care Technician

The RN Charge Nurse is responsible for overseeing nursing services each shift and functions as a nursing supervisor. This position provides daily supervision of staff on duty during operational hours.Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.<ul><li> Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments.</li><li> Demonstrate effective use of supplies and staff labor hours.</li><li> Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician.</li><li> Assist physician during patient rounds and transcribe and implement physician orders timely.</li><li> Assist with the implementation of anemia management and medication protocols as requested.</li><li> Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements.</li><li> Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations.</li><li> May give direct patient care to the extent of performing efficient, safe dialysis, if allowed by state regulations.</li><li> Responds to all emergencies in clinic.</li><li> Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.</li><li> Maintain collaborative working relationship with Medical Director and physicians.</li><li> Participate as a member of the Interdisciplinary team in all required patient assessment and care planning activities.</li><li> Assist in orientation of new staff as a preceptor or in assigning a preceptor.</li><li> Acts as resource person and participates in implementing and evaluating dialysis services and assures that policies and procedures are updated.</li><li>Assists Administrator in interviewing, hiring, evaluating, and disciplinary actions of center staff</li></ul>

Dialysis Charge Nurse - RN Chronic In-center

Salary Range:&nbsp;&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. <h4>Job Summary</h4>The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that meet established criteria. Assures timely and accurate determination and notification of referrals and reconsiderations based on the referral determination status. Generates approval, modification and denial communications, to include member and provider notification of referral determination. Actively monitors for admissions in any inpatient setting. Performs telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, member/family interaction to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims medical review. Monitors and oversees the collection and transfer of data (medical records) and referral requests by Providers. Acts as a department resource for medical service requests /referral management and processes. Receives incoming calls from providers, professionally handles complex calls, researches to identify timely and accurate resolution steps. Follows up with caller to provide response or resolution steps. Answers all inquiries in a professional and courteous manner.<h4>Duties</h4>Promote and support team engagements, programs and activities to create and ensure a positive and productive workplace environment.Perform telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, the member and significant others to develop and implement a successful discharge plan. Process, finalize and facilitate inbound requests that are received from providers. Generate appropriate member and provider communication for all determinations within the required timelines as defined by the most current department policy.Facilitate/review requests for Higher level of care or skilled nursing/discharge planning needs. Research for appropriate facilities, specialty providers and ancillary providers to utilize for all lines of business. Identification of potential areas of improvement within the provider network.Identify and initiate referrals for appropriate members to the various L.A. Care programs/processes and external community based programs or Linked and Carve Out Services (e.g. DDS/CCS/MH). Potential quality of care/potential fraud issues are identified and documented per L.A. Care policy. High risk/high cost cases and reports are maintained and referred to the Physician Advisor/UM Director. Document in platform/system of record. Utilize designated software system to document reviews and/or notes. Receive incoming calls from providers, professionally handle complex calls, research to identify timely and accurate resolution steps. Follow up with caller to provide response or resolution steps. Answer all inquiries in a professional and courteous manner.<h4>Perform other duties as assigned. </h4><h4>Duties Continued</h4><h4>Education Required</h4>Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's Degree in Nursing<h4>Experience</h4>Required: At least 5 years of varied clinical experience in an acute hospital setting. At least 2 years of Utilization Management/Case Management experience in a hospital or HMO setting .&nbsp;Preferred: Managed Care experience performing UM and CM at a medical group or management services organization.Experience with Managed Medi-Cal, Medicare, and commercial lines of business.<h4>Skills</h4>Required: Must be computer literate, with expertise in Outlook, Word, Excel, PowerPoint. &nbsp;Effectively utilizes computer and appropriate software and interacts as needed with L.A. Care Information System. Knowledge of personal computer, keyboarding, and appropriate &nbsp;software to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Prepare clear, comprehensive written and oral reports and materials.&nbsp;Provision of excellent customer service required due to frequent communication with providers and other members of the interdisciplinary team &nbsp; Excellent time management and priority-setting skills.Maintains strict member confidentiality and complies with all HIPAA requirements.Strong verbal and written communication skills. &nbsp; &nbsp;Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM).&nbsp;Knowledge of Department of Health Care Services (DHCS) or Centers for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM.<h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4>Certified Case Manager (CCM)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4>May work on occasional weekends and some holidays depending on business needs.Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul> Nearest Major Market: Los Angeles Job Segment: Nursing, Registered Nurse, Medicare, Medicaid, Claims, Healthcare, Insurance

L.A. Care Health Plan

Utilization Management Nurse Specialist RN II

Position: Licensed Behavioral Health Practitioner - Full Time Position Summary:Join our agency as a Licensed Behavioral Health Provider and play a crucial role in shaping a brighter future for youth in our foster care program! We are actively seeking a compassionate and dedicated professional committed to providing counseling and education to help youth and their families develop essential skills to achieve their goals. In this vital role, you will have the opportunity to work remotely, engaging in community-based interventions as well. Collaborate closely with a multi-disciplinary team to establish personalized treatment goals and conduct comprehensive assessments. Your expertise will improve behavioral expectations by employing interventions to support positive change. If you have a genuine passion for making a lasting impact, apply now to empower youth and do your part to make the world a better place! New Directions is an equal opportunity employer committed to championing the principles of anti-racism, justice, and equity. We welcome prospective employees from diverse cultures and backgrounds, for all positions, who will uphold our values and contribute to our mission. We aim to have a leadership and workforce that is reflective of the communities we work in partnership with. Pay and benefits <ul><li>105 hours of paid time off your first year, not including an additional 13 agency holidays.</li><li>Access to affordable life, dental and medical insurance.</li><li>401k with up to 3% agency matching.</li><li>$47,000 - $53,050/yr, for your first year based on education and experience. Additional raises guaranteed.</li><li>Join our 100+ year old company, where over 30% of our staff have been with us for 10 years or more.</li><li>Flexible 35 hour schedule.</li></ul> Minimum Education and/or Professional Qualifications/Skills: <ul><li>Licensed Clinical Social Worker (LCSW), or Licensed Marriage and Family Therapist (LMFT), or Licensed Mental Health Counselor (LMHC or LMHC-P), or Licensed Psychoanalyst, or Licensed Master Social Worker (LMSW) under the supervision of LCSW/Licensed Psychologist, or Psychiatrist. LMSW or LMHC candidates may be considered with the stipulation that licensure must be obtained within 90 days of appointment.(required)</li><li>Experience in the provision of individual family and group psychotherapy to adolescents and their families (preferred)</li><li>Experience in providing services to those who are substance use disordered and/or in acute crisis (preferred)</li></ul> We want to emphasize that the preferred qualifications are not required and that we are committed to helping our future colleagues develop these preferred skills. We strongly encourage those who are passionate about fostering a diverse, inclusive and equitable human service organization to apply. Job Description Title: Licensed Behavioral Health Practitioners Department: 29I Health Facility Title of Immediate Supervisor: Clinical Director – South, Treatment Team Supervisor - North POSITION SUMMARY: LBHP provides counseling and education and assists youth to develop skills to meet their goals. RESPONSIBILITIES/DUTIES: ▪ Establishes individualized client and family centered treatment goals for children utilizing historical and current available information in collaboration with the multi-disciplinary team. ▪ Completes comprehensive assessments to assess for level of risk, trauma, daily living skills, substance use/abuse or dependency, risk of or exposure to violence, individual and family strengths, developmental and mental health diagnosis and needs, and other assessments as necessary. ▪ Assists children and youth to develop skills as defined in treatment goals. ▪ Provides psychiatric supports and therapy. ▪ Provides individual counseling and treatment, substance abuse counseling and treatment, trauma-informed counseling and treatment, family and group counseling and traditional counseling. ▪ Promotes integration with community resources and skill building. ▪ Provides psycho-education and wellness education. ▪ Communicates with family, case planning staff and medical practitioners.as part of a multi-disciplinary team. ▪ Enhances compliance with behavioral expectations. ▪ Utilizes interventions drawn from evidence-based psychotherapeutic methodology. ▪ Structures interventions to decrease problem behavior and increase developmentally appropriate pro-social behavior. ▪ Attends all mandatory in-service training and regularly attends supervision meetings. ▪ Attends other training and in-services as needed to maintain a level of expertise in the field. ▪ Any additional duties assigned by immediate supervisor SKILL, QUALIFICATIONS, KNOWLEDGE, ABILITY &amp; PHYSICAL REQUIREMENTS: Minimum Education and/or Professional Qualifications/Skills Education • Licensed Clinical Social Worker (LCSW), or Licensed Marriage and Family Therapist (LMFT), or Licensed Mental Health Counselor (LMHC or LMHC-P), or Licensed Psychoanalyst, or Licensed Master Social Worker (LMSW) under the supervision of LCSW/Licensed Psychologist, or Psychiatrist - Experience in the provision of individual family and group psychotherapy to adolescents and their families preferred. - Experience in providing services to those who are substance use disordered and/or in acute crisis preferred. • LMSW or LMHC candidates may be considered with the stipulation that licensure must be obtained within 90 days of appointment. All LBHPs must comply with all of the following: • Complete required background checks: - NYS Statewide Central Register of Child Abuse and Maltreatment (SCR) - NYS Sex Offender Registry (SOR) - NYS Division of Criminal Justice Services (DCJS) fingerprinting - NYS Justice Center Staff Exclusion List (SEL) - NYS OMIG Medicaid Exclusion List • Complete mandated reporter training • Compliance with applicable laws, rules and regulations to include NYSED guidance Special – Personal Skills, Qualities, Aptitudes and Physical Requirements New Directions Youth &amp; Family Services, Inc is an equal opportunity employer. Reasonable accommodations may be made to enable persons with disabilities to perform essential functions. 1. Ability to work effectively with youth, families, staff and community contacts from a variety of cultural and ethnic backgrounds. 2. Ability to deal effectively with youth and/or families. 3. Ability to accept supervision and perform as part of a team. 4. Ability to be flexible and adapt to change. 5. Ability to interface with people (groups and individuals) and communicate within various mediums (logbooks, E-mail, telephone, written). 6. Must have excellent organizational and communication/interaction skills. 7. Must have a valid driver’s license, adequate auto insurance and meet the criteria for driving set forth in the New Directions Driver’s License policy and Auto Insurance policy. 8. Ability to pass annual physical for Category 2 job classification in accordance with New Directions Employee Health policy. 9. Must comply with Agency safety standards and be responsible for own actions and conduct concerning safety and healthy working conditions.

New Directions Youth and Family Services

Licensed Social Worker / Mental Health Counselor

<h4>Introduction</h4> The State of Connecticut, Department of Developmental Services (DDS) – North Region - is accepting applications for a full-time Utilization Review Nurse Coordinator position, located at North Region, Private Services, Regional Directors Office, East Hartford, CT. Position Highlights: <ul><li>Full-time, 40 hours per week</li><li>First (1st) shift</li><li>Monday – Friday: 8:00 a.m. – 4:30 p.m.&nbsp;</li><li>Regular Days Off: Saturday and Sunday</li><li>North Region, East Hartford</li><li>Work schedule flexibility is required to meet the demands of the position</li></ul>Please Note: <ul><li>Incumbents must have a valid driver’s license.</li><li>Incumbents&nbsp;will be required to travel.</li></ul> What’s In It For You: Visit our new State Employee Benefits Overview page! <ul><li>To work for a Forbes top company: ‘Forbes’ State of Connecticut Ranked One of the Best Employers of 2023 - State of CT Receives National Recognition for Offering Job Growth, Competitive Benefits, and Flexible Schedule;</li><li>Professional growth and paid professional development opportunities.</li><li>A healthy work-life balance to all employees.</li><li>State of Connecticut is an eligible Public Service Loan Forgiveness employer, meaning you may be eligible to have qualifying student loan forgiveness after 10 years of service. Click here for more information.</li></ul> We hope you take this opportunity to continue your career and make an impaCT! <h4>Selection Plan</h4> In order to be considered for this job opening, you must be a current State of CT&nbsp;employee, who has worked for the state for at least six (6) months of full-time service or full-time equivalent service, absent any applicable collective bargaining language, and meet the Minimum Qualifications as listed on the job opening.&nbsp; You must&nbsp;specify your qualifications on your application. For Assistance in Applying: Please read or watch our Applicant Tips on How to Apply! Application Process: This position will be filled in accordance with contractual language, reemployment, SEBAC, transfer, promotion and merit employment rules. For current state employees, salary calculations are not necessarily comparable from branch to branch but it does not impact your state service credit. In order to comply with Public Act 21-69, the State of Connecticut is no longer asking for resumes during the initial application process. In order to be considered for this job opening, you must meet the minimum qualifications as listed on the job opening. You must specify your qualifications on your application. The minimum experience and training requirements must be met by the close date, unless otherwise specified. The immediate vacancy is listed above, however, applications to this recruitment may be used for future vacancies in this job class. All application materials must be received by the recruiting agency by the time specified on the job opening for the position for which you are applying. Late applications may not be submitted and will not be considered. Exceptions are rare and limited to documented events that incapacitate a candidate during the entire duration of the job posting time period. It is the candidate’s obligation and responsibility to request an exception and provide a legally recognized justification to accommodate such exception. Requests should be made to <a href="mailto:DAS.SHRM@ct.gov" target="_blank">DAS.SHRM@ct.gov</a>. Please ensure that your application is complete. You will be unable to make revisions once you officially submit your application to the state of Connecticut. Selection Process: This posting may require completion of additional referral questions (RQs) which will be sent to you via email after the closing date. The email notification will include an expiration date by which you must submit (Finish) your responses. Please regularly check your email for notifications. Please check your SPAM and/or Junk folders, as emails could end up there in error. During the recruitment process, applicants may be required to submit additional documentation supporting their qualification(s) for this position. These documents may include performance reviews, supervisory references, college transcripts, licensure, etc. at the discretion of the agency. Read through this helpful link toprepare for your interview. Contact Information: If you require an accommodation to participate fully and fairly under the provisions of the Americans with Disabilities Act (ADA), please contact Edward Magnano, EEO Manager at (860) 418-6148 or (<a href="mailto:Edward.Magnano@ct.gov" target="_blank">Edward.Magnano@ct.gov</a>) Due to the large volume of applications received, we are unable to provide confirmation of receipt or status during the recruitment process. Should you have any questions pertaining to this recruitment, please contact Christopher Lavallee at <a href="mailto:Christopher.Lavallee@ct.gov" target="_blank">Christopher.Lavallee@ct.gov</a>. <h4>PURPOSE OF JOB CLASS (NATURE OF WORK)</h4> In a state agency this class is accountable for coordinating a utilization review program which promotes effective cost recovery, quality of care and/or compliance with relevant federal and state laws, regulations and standards. In the Department of Developmental Services this class is accountable for performing investigations of abuse, neglect and death in individuals with an intellectual disability including individuals under the care of the Department of Developmental Services. <h4>EXAMPLES OF DUTIES</h4> WORKING LEAD (REGULATORY): <ul><li>Coordinates workflow and determines priorities to assure highest quality of care with efficient utilization of available services;</li><li>Schedules, assigns, oversees and reviews work;</li><li>Establishes and maintains program protocols and procedures;</li><li>Provides staff training and assistance;</li><li>Conducts or assists in conducting performance evaluations;</li><li>Acts as liaison with other operating units, agencies and outside officials regarding program policies and procedures;</li><li>Prepares reports and correspondence;</li><li>Assesses, evaluates and monitors documentation of all hospital disciplines when performing case reviews;</li><li>Attends professional workshops, seminars and in-service training;</li><li>May supervise Utilization Review Nurses and other staff engaged in review of medical records of individuals in state health care facilities for purposes of maximizing reimbursement revenue via Medicare Part B programs;</li><li>May review medical records and compile documents for case presentations;</li><li>May provide pre-certification for and coordination of inmates admitted to and discharged from acute care facilities;</li><li>May lead an inspection team in IPR/UR and licensing review functions;</li><li>May conduct entrance and exit interviews of care providers;</li><li>May supervise and participate in hospital Medicare and Medicaid reimbursement programs including preparation of appeals on behalf of a facility relative to intermediate denials;</li><li>May testify in court;</li><li>May coordinate review and audit of occupational injury and/or disease disability cases for purpose of determining medical management, cost containment, peer review and rehabilitation;</li><li>May notify acute care hospitals of scheduled utilization review including conducting second level review of cases and case referral to a physician consultant for final disposition;</li><li>Performs related duties as required.</li></ul>ADVANCED WORKING LEVEL (INVESTIGATORY): <ul><li>Conducts complex investigations into allegations of abuse or neglect of individuals with an intellectual disability;</li><li>Conducts complex investigations into cases where a death has resulted of an individual with an intellectual disability for whom the Department of Developmental Services has direct or oversight responsibility for medical care;</li><li>Reviews medical care that was provided to individuals;</li><li>Assists in the investigation to determine if the death is a result of abuse or neglect;</li><li>Participates in the reviews of events, overall care, quality of life and medical care preceding a death;</li><li>Works cooperatively with State and local police, State's Attorneys and other protective services organizations;</li><li>Interviews alleged victims, direct care providers, families and other potential witnesses;</li><li>Prepares comprehensive, complex investigative reports;</li><li>Maintains records and documentation;</li><li>Reviews medical records for pertinent information related to investigations;</li><li>May provide information and assistance to the Independent Mortality Review Board or Fatality Review Board for Persons with Disabilities;</li><li>May testify in court proceeding;</li><li>Performs related duties as required.</li></ul>DEPARTMENT OF VETERANS AFFAIRS: <ul><li>Coordinates activities of care team, plans and schedules meetings, tracks input and attendance;</li><li>Ensures outcome of process is accurate document for care planning;</li><li>Audits process according to utilization guidelines and ensures process is completed within appropriate regulatory time frames;</li><li>Trains all Health Care Team members on Resident Assessment Instrument (RAI) care planning system;</li><li>Acts as resource to all areas involved in Minimum Data Set (MDS) process;</li><li>Ensures compliance with state statutes, federal Veterans Affairs regulations and state Department of Veterans Affairs policies and procedures;</li><li>Monitors and manages timely electronic transmission of MDS program data;</li><li>Routinely conducts chart audits and maintains log of deficiencies and discrepancies;</li><li>Identifies errors in coding of MDS and RAI forms during completion process;</li><li>Communicates to leadership and interdisciplinary team members any changes to directives and guidelines;</li><li>Enters MDS data into information system;</li><li>Assures ongoing record documentation supports MDS and RAI coding;</li><li>Develops plan of action to correct identified quality deficiencies;</li><li>Performs related duties as required.</li></ul> <h4>KNOWLEDGE, SKILL AND ABILITY</h4> <ul><li>Considerable knowledge of <ul><li>principles, practices and current trends of nursing;</li><li>standards of medical care</li></ul></li><li>Considerable <ul><li>interpersonal skills;</li><li>oral and written communication skills;</li></ul></li><li>Considerable ability to analyze individual profiles and progress charts;</li><li>Supervisory ability.</li></ul>REGULATORY: <ul><li>Considerable knowledge of <ul><li>and ability to apply relevant state and federal laws, statutes and regulations;</li><li>regulations and standards pertaining to utilization review;</li><li>care and service delivery to injured workers.</li></ul></li></ul>INVESTIGATORY: <ul><li>Considerable knowledge of <ul><li>statutes, policies and procedures governing the care and treatment of individuals with an intellectual disability;</li><li>problems and needs of individuals with an intellectual disability;</li><li>various types of residential placement facilities;</li></ul></li><li>Knowledge of investigatory methods and techniques;</li><li>Considerable <ul><li>interviewing skills;</li><li>skills in the preparation of extensive written reports;</li></ul></li><li>Ability to research and analyze data.</li></ul>DEPARTMENT OF VETERANS AFFAIRS: <ul><li>Knowledge of Minimum Data Set process in a long-term care setting and coordination of an interdisciplinary team;</li><li>Ability to utilize computer software.</li></ul> <h4>MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE</h4> Five (5) years of experience as a registered professional nurse. <h4>MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE</h4> REGULATORY: Two (2) years of the General Experience must have been in the assessment of the quality and propriety of health care services as required by Joint Commission on Accreditation of Healthcare Organizations (JCAH) and/or Medicare and Medicaid standards and regulations at the level of Utilization Review Nurse. INVESTIGATORY: Two (2) years of the General Experience must have been working with persons with behavioral health disabilities or an intellectual disability. DEPARTMENT OF VETERANS AFFAIRS: Two (2) years of the General Experience must have been in the review and assessment of individuals in a long-term care setting. <h4>MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED</h4> A Bachelor's degree in nursing may be substituted for one (1) year of the General Experience. <h4>PREFERRED QUALIFICATIONS</h4> <ul><li>Experience working with individuals with intellectual and developmental disabilities, assessing their medical and behavioral needs across the life span.&nbsp;</li><li>Experience with discharge planning from hospitals or Skilled Nursing facilities, to family or own homes.&nbsp;</li><li>Experience providing nursing oversight regarding the Omnibus Budget Reconciliation Act (OBRA) or Preadmission Screening and Resident Review Process (PASRR).</li><li>Experience coordinating with Private Agency Providers, Skilled nursing Facilities.&nbsp;</li><li>Experience with current Department of Developmental Services Nursing Policies, Procedures, and Regulations and mortality review process.&nbsp;</li><li>Experience in a supervisory role.&nbsp;</li><li>Experience auditing charts for quality assurance compliance.</li><li>Experience using Microsoft applications, including Outlook, Excel, Teams, and Word.</li></ul> <h4>SPECIAL REQUIREMENTS</h4> <ul><li>Incumbents in this class must possess and retain a current license as a registered professional nurse in Connecticut.</li><li>Incumbents in this class may be required to travel.</li></ul> <h4>Conclusion</h4> AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER The State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities. <h4>ACKNOWLEDGEMENT</h4> As defined by Sec. 5-196 of the Connecticut General Statutes, a job class is a position or group of positions that share general characteristics and are categorized under a single title for administrative purposes. As such, a job class is not meant to be all-inclusive of every task and/or responsibility.

State of Connecticut

Utilization Review Nurse Coordinator (40 Hour)(Office/On-site)

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Role: The Per Diem RN is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient/family unit.Qualifications: • Current license as RN in the state where the employee will be working•&nbsp;Active BLS for healthcare professionals from the American Heart Association or Red Cross. Employees hired prior to 12/31/2022 must obtain certificate prior to 10/1/2023. For LPN in a Hospice House, the deadline is 3/31/2023.• Minimum one (1) year of in-patient nursing or hospice experience for external candidates; for internal applicants, minimum of 6-months of LPN experience with hospice/home health within an affiliate • Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system • Mobile Driver - Valid driver’s license and automobile insurance per Company policy • Reliable transportation to meet visit schedule • Ability to use equipment with visual and auditory mechanisms • Ability to effectively communicate in English (verbal and written) • Flexible schedule to meet the needs of Hospice House patients • Ability to manage the emotional stress of working with and caring for terminally ill patients and their families • Ability to physically access patient rooms, other areas of the Hospice House/Hospital/ALF, etc., and any home (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) within any part of the service area • Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodationSome locations may require:<ul><li>Cross training to hospice house or field (home/facility/admission) positions of equal licensure/certification and scope when census calls for flexible staffing</li><li>Completes clinical admissions for all Company services including, but not limited to:<ul><li>Explains services to potential patients/families and addresses questions regarding patient fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner&nbsp;</li><li>Identifies admission objections, concerns or other entry barriers and provides responses</li><li>Educates patient/family on admission requirements and addresses immediate needs</li><li>Completes informed consents and initial assessment according to regulations and Company policy</li><li>Provides information to Physicians and initiates Plan of Care to address patient’s immediate needs</li><li>Initiates skilled nursing interventions to prevent complications, alleviate symptoms and maximize physical and emotional comfort</li><li>Obtains Physician orders</li><li>Completes documentation per Company policy</li></ul></li></ul><ul><li>Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.</li><li>Communicates frequently with Admissions to ensure timely follow-up.&nbsp; When assignment is complete, informs Admissions and prepares for next assignment.</li><li>Provides all necessary clinical communication timely using SBAR.</li><li>Discusses any potential needs with after-hours staff.</li><li>Obtains consents for services and arranges safe discharge in an efficient manner for referred and eligible patients while meeting productivity expectations.</li><li>Obtains medical record information for the referral.</li><li>Develops strong relationships with case managers, physicians, etc. at facilities.</li><li>Works with Professional Relations Representatives (PRRs) to provide education on all available services.</li><li>Provides care for any GIP patients in a hospital including daily visits, professional management, documentation and efficient discharge.</li></ul> Competencies: • Satisfactorily complete competency requirements for this position. Responsibilities of all employees: • Represent the Company professionally at all times through care delivered and/or services provided to all clients. • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. • Comply with Company policies, procedures and standard practices. • Observe the Company's health, safety and security practices. • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company. • Use resources in a fiscally responsible manner. • Promote the Company through participation in community and professional organizations. • Participate proactively in improving performance at the organizational, departmental and individual levels. • Improve own professional knowledge and skill level. • Advance electronic media skills. • Support Company research and educational activities. • Share expertise with co-workers both formally and informally. • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Job Responsibilities: • Provides and manages direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up. • Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs. • Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process and safety practices. • Reports changes in the patient’s condition to appropriate members of the IDG or other health professionals. • Participates with the IDG to evaluate hospice referrals/admissions for level of care appropriateness. • Attends patient deaths; prepares body for transport; oversees disposal of medications. • Provides appropriate bereavement interventions to the family and caregiver in conjunction with psychosocial staff. • Presents concise and pertinent oral and written reports to IDG; respects and encourages input from all disciplines. • Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others. • Supervises patient care given by other nursing team members (i.e., LPNs, Hospice Aides, and contract nurses). • Performs other duties as assigned. Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.): While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel. Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance. Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs.This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

Chapters Health System

Per Diem RN-Hope Healthcare-Team 110

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!The Per Diem - CNA performs personal care, homemaker assistance and defined nursing procedures for patients and their caregivers while under RN direction and supervision.Qualifications:<ul><li>High school diploma or GED or an equivalent combination of education and experience</li><li>Current certification as CNA in the state in which employee will be working</li><li>Minimum of six (6) months of CNA or Home Health Aide experience preferred</li><li>Active BLS for healthcare professionals from the American Heart Association or Red Cross.</li><li>For current Hope Employees: BLS should be obtained by January 1, 2025</li><li>For current Capital Caring employees: BLS should be obtained by November 1, 2024</li><li>Mobile Driver - Valid driver’s license and automobile insurance per Company policy</li><li>Reliable transportation to meet work schedule</li><li>Ability to use equipment with visual and auditory mechanisms</li><li>Ability to communicate (written and verbal) in English</li><li>Ability to manage the emotional stress of working with and caring for ill patients and their families</li><li>Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation</li><li>Must be able to physically access any home or facility in assigned area (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning)</li><li>Must be able/willing to have contact with individuals with communicable diseases</li></ul>Competencies:<ul><li>Satisfactorily complete competency requirements for this position</li></ul>Responsibilities of all employees:<ul><li>Represent Company professionally at all times through care delivered and/or services provided to all clients</li><li>Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse</li><li>Comply with Company policies, procedures and standard practices</li><li>Observe Company's health, safety and security practices</li><li>Maintain the confidentiality of patients, families, colleagues and other sensitive situations within Company</li><li>Use resources in a fiscally responsible manner</li><li>Promote Company through participation in community and professional organizations</li><li>Participate proactively in improving performance at the organizational, departmental and individual levels • Improve own professional knowledge and skill level</li><li>Advance electronic media skills.</li><li>Support company research and educational activities</li><li>Share expertise with co-workers both formally and informally</li><li>Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.</li></ul>Job Responsibilities:<ul><li>Maintains competencies/contact hours as required by Company and regulations.</li><li>Provides only patient/caregiver services according to written Aide/Caregiver Plan of Care and Company policies and procedure.</li><li>Practices safe and proper body mechanics relative to moving, positioning and transferring patients.</li><li>Assists patient and or caregiver in maintaining a clean and safe home.</li><li>Provides caregiver relief as part of the Plan of Care.</li><li>Transports supplies, lab specimens, documents and other items needed to meet the Plan of Care as requested by the RN.</li><li>Under the direction or supervision of an RN, the Aide may perform activities that promote activities of daily living.</li><li>Contributes to the development of the Plan of Care by reporting observations to RN.</li><li>Communicates any significant issues or symptoms to the RN or Clinical Manager.</li><li>During times of emergencies (i.e. Hurricanes, etc.), the LPN may be required to report to work at a location designated by the company, to ensure continuity of services. This may include reporting to work ahead of your scheduled date/time due to planned lock down of unit, and staying overnight(s) based on duration of emergency</li><li>Performs other duties as assigned.</li></ul>Some locations may require:<ul><li>Cross training to field (home/facility/admission) positions of equal licensure/certification and scope when hospice house census calls for flexible staffing.</li></ul>Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.):While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel.Frequently required to: safely transfer/ambulate patients; stand; sit; reach with hands/arms; lift; bend; pull; push; balance.Occasionally required to: stoop/crouch; kneel; climb stairs.This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

875 Healthcare / Pharmacy Jobs