Complex cases rn case manager optum az

Detailed Information

LISTED SITE
  • Location: Arizona City, AZ

coordination of care for patients in the inpatient and community setting to determine medical appropriateness by following medical guidelines and benefit determination. The ultimate goal is to help the patient remain out of the hospital while remaining in a safe home with a quality of life.

The RN Case Manager acts as a longitudinal advocate for patients from the time the patient is admitted to the hospital until the patient with their care givers have returned to their home. They link the patient and care givers with the network of care team members to help them gain knowledge of their disease process and to identify community resources for continued growth toward the maximum level of

independence. The Nurse Case Manager is responsible for the case management activities across the continuum of care including coordination of care, development of a comprehensive care plan with any identified barriers, providing health education, coaching and treatment decision support for patients.

The NCM participates in interdisciplinary conferences to review clinical backssments, update care plans and determine follow-up frequency with the team. This is a full time, Monday-Friday position. The RN must be able to travel within assigned territory/location area which includes but not limited to: the Southeast Valley - areas such as Phoenix, Mesa, Tempe, Chandler, Scottsdale and other

areas as needed in order to conduct critical face to face backssments.

Territory Assignments are based on business needs and may change over time. Applicants must be willing to carry a diverse clinical caseload and visit the patient in their home, hospital, SNF and as needed in the PCP’s office. Primary Responsibilities: Collaborates effectively with interdisciplinary team (IDT) to establish an individualized plan of care for members, goals including both short and long term Works with the Utilization Management RNs, Social Worker (LMSWs) Case Managers and other internal and external providers to facilitate smooth care transitions Serves as the primary clinical liaison with hospital, clinical and administrative staff for a smooth, seamless transition to the next level of care Stratifies and / or validates patient level of risk and communicates during transition process with IDT Ensures standardized execution of workflow processes, such as increase in admissions, monthly audits, and referral to Social Workers (LMSWs) Provides backssments of physical, psycho-social and transition needs in settings not limited to the PCP office, hospital, or member's home Develops interventions and processes to assist Medicare and Medicaid patients in meeting short and long term plan of care goals Coordinates and attends member visits with PCP and specialists as needed Nurse Case Managers work with their supervisor to work their assigned case load in an efficient and effective manner utilizing time management skills to facilitate the total work process Confers with physician advisors on a regular basis regarding inpatient cases and participates in departmental conferencing Plans patient transitions with internal medical management staff and external providers Attends and participates in interdisciplinary team meetings as directed With the assistance of the UM team, guides physicians and hospital staff in their awareness of preferred contracts and providers as well as facilities Enters timely and accurate data into designated case management applications as needed to communicate patient needs and maintains audit scores of 95% or greater on a monthly basis as well as to be determined patient satisfactory scores Employee must complete their first attempted test by their second work anniversary.

If employee does not pass the exam, they will be offered a 1-year grace period during which there are 3 more opportunities to test, given CCMC testing schedule.

If employee does not pass the exam and obtain certification by the end of the 1-year grace period, next step would be termination 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, unrestricted RN license in the state of AZ Certified Case Manager (CCM) or the ability to obtain certification within 24 months of employment 3+ years of clinical experience in an acute care, home health, hospice, geriatric and / or hospital setting Experience using EMR and CM practice guidelines Experience with Microsoft Office applications including Word Proven knowledge of discharge planning alternatives options and interdisciplinary approaches Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area which includes but not limited to Phoenix, AZ Preferred Qualifications: 2+ years of case management experience Experience doing Case Management in Home Health or Hospice Setting Experience working with individuals with multiple co-morbidities and complex medical conditions Experience with Excel and Power Point Diabetes disease case management and/or educator experience Bilingual (English/Spanish) language proficiency Proven planning, organizing, conflict resolution, negotiating and interpersonal skills Proven independent problem identification/resolution and decision making skills Proven ability to prioritize, plan, and handle multiple tasks/demands simultaneously At United Health 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, interactionuality, 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. Diversity creates a healthier atmosphere: Optum Care is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, interaction, age, national origin, protected veteran status, disability status, interactionual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Optum Care is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. For more details: jobs-search. org/legal_arizona-city-c424763/complex-cases-rn-case-manager-optum-az-arizona-city_i1959077473

Legal in Casa Grande, AZ

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Assistant social work - licensed marriage and family therapist - $70k-80k per
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Ranch Wickenburg, AZ At Rosewood, we understand the intricate medical, emotional, and psychological complications experienced by someone with an eating disorder. Using a holistic and multidisciplinary approach, we treat patients with anorexia nervosa, bulimia nervosa, and binge eating disorders, as well as co-occurring addictions and disorders.

Our well-established model of care, experienced multidisciplinary staff, and intimate warm setting make Rosewood uniquely qualified to effectively treat an eating disorder. Rosewood is one of the nation’s leading eating disorder treatment programs for men, women and adolescents offering comprehensive treatment for all stages of recovery, from 24-hour

inpatient monitoring to a variety of residential, transitional and outpatient programs. We are seeking an Assistant Clinical Director to assist in leading the Rosewood team.

This is a Full-Time position with benefits, with possible on-call rotation. RESPONSIBILITIES: Assist the Clinical Director in oversight of the program and management of the milieu Provide effective leadership to the clinical staff and support to the multidisciplinary treatment team Provide individual, group, and family therapy Conduct clinical backssments Participate in discharge and aftercare planning Model healthy relationship with food when working during facility meal times QUALIFICATIONS: Master’s degree in a

clinical counseling discipline (e. g. Social Work, Marriage and Family Therapy, Counseling) Licensed in a clinical counseling field (e.

g. LPC, LMFT, LMSW, LCSW) Active Supervisory Certification One year of experience working in a behavioral health setting with management experience is preferred Prior experience treating individuals eating disorders in a residential or hospital setting helpful Experience with employee selection and performance management is a plus We are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, interactionual orientation, national origin, genetics, disability, age, or veteran status.

Monte Nido & Affiliates Job ID #. About Monte Nido & Affiliates Monte Nido & Affiliates delivers clinically comprehensive, research-backed treatment to adults and adolescents with eating and co-occurring disorders, within a healing environment. Monte Nido & Affiliates has over 50 programs in 15 states, offering a full continuum of care. Working here means having the opportunity to be a part of an extraordinary team that changes lives every day. Let’s work together to save lives!

Benefits Holiday Pay Guaranteed Hours Continuing Education 401k retirement plan Sick pay Wellness and fitness programs Employee assistance programs Medical benefits Dental benefits Vision benefits Life insurance Discount program For more details: jobs-search. org/legal_wickenburg-c424759/job_i1971445997

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Travel interventional radiology technologist - $2,036 per week
Gilbert
Dec 24, 2023

is an award-winning travel healthcare company with an immediate opening for this Interventional Radiologist Position in Gilbert, AZ. If you are interested in this position, please contact your recruiter and reference Job #1517112 Why choose Host Healthcare?

Because a great Host provides a worry-free travel experience and always puts your needs first. Our passionate and transparent team members have made Host Healthcare the #1 ranked Travel Healthcare company in the U. S. Our recruiters act not only as your dedicated travel career mentor but also as your #1 advocate. When you work with us, you can trust that we will help you with everything from travel, to housing, and acting as a liaison

between you and the facility. We’ve got your back! Travel Happy With Host Healthcare We offer the best pay for our travelers Day one medical, dental, and vision insurance License, travel, tuition, and scrub reimbursement Matching 401k Deluxe private housing or generous housing stipend Discounts to your favorite activities, restaurants, health & beauty brands, shopping and hotels Host Healthcare Job ID #a1f VJ000000EDi9YAG.

Pay package is based on 10 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Interventional Radiologist About Host Healthcare At Host Healthcare, we provide a truly comfortable experience as

you explore your travel nursing, therapy, or allied career.

We make your travel healthcare journey easy by taking care of all the details, so you don’t have to. We are on a mission to help others live better and we do this by helping the healers of the world be as comfortable as possible. With access to tens of thousands of travel nursing, therapy, and allied jobs in all 50 states, our responsive and friendly recruiters find your dream position based on what’s important to you. During your assignment, get access to premium benefits, including Day 1 medical that continues up to 30 days between assignments, 401K matching, travel reimbursements, dedicated housing support, and more.

We also offer 24/7 support from our team and access to our on-staff clinicians so you can feel comfortable and confident throughout your entire assignment. Travel comfortably with Host Healthcare. For more details: jobs-search. org/legal_gilbert-c424812/job_i1971745793

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Travel nurse rn - pediatric med surg - $2,394 per week
Show Low
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12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. About Planet Healthcare Delivering Vital Healthcare Talent. Today. Planet Healthcare is a global leader in clinical staffing because we take a candidate-first approach.

We pride ourselves on a consultative method and help to create the right opportunity, at the right time, with each healthcare professional. The recruitment engine at Planet Healthcare is driven by leaders in this market, who understand the market demands and trends within your specialty. With a wide array of job opportunities and geographic diversity in our client base, we are your advocate and will work to find

the best position for you. We are ready to go to work. Welcome to Planet Healthcare. Our Methodology Let’s face it; finding a new job can be scary. Whether you’re currently employed or in between positions, the search can feel overwhelming.

If you’re looking for support, guidance and an upper-hand on the competition, you’ve come to the right place. We know that not every job, company or commute is right for everyone, so Planet Healthcare recruiters are trained to not only discuss our open job orders, but to find out about your search and take a proactive approach to the market. Our recruiters are experts in this industry and we are your advocate and partner during your job search. We

look forward to working with you soon. CLEVELAND CHICAGO RALEIGH BOSTON PHOENIX Benefits Medical benefits Vision benefits Dental benefits 401k retirement plan Weekly pay Referral bonus For more details: jobs-search.

org/legal_fort-defiance-c424749/job_i1971742262

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Home health nurse (rn or lpn) - $5000 sign on bonus
Winslow
Dec 25, 2023

Nevada, New Mexico, Tennessee, Texas, and Utah. You’ll be a perfect fit for our team if you are a caring and compassionate individual, someone who takes a patient-first approach, and values collaborative, mission-driven work. If that sounds like you, apply now and become part of our team at Giving Home!

$5,000 sign on bonus available We are looking for a compassionate and skilled Registered Nurse (RN) or Licensed Practical Nurse (LPN) in Leupp, AZ to administer patient care in accordance with a physician established care plan. This role is a 1099 contract opportunity, with care being provided at the patient’s residence. Patient needs range from weekly hours to 24-hour care. This allows

for multiple scheduling options, from short visits on a weekly basis to full 12-hour shifts or a blend of both. Patients range from high acuity to those who only need basic medical management.

Once our patients are accepted into the program, there is no expiration for this benefit, which allows our team of caregivers to build lasting relationships with their patients for years to come. You’ll get to advocate for the patients and work one-on-one to provide them with the care that they need. This role will collaborate with CNA’s, HHA’s, Case Managers, and the patient’s physicians. Offers are contingent upon passing a background check. Given the remote location of the prospective patient,

potential opportunities exist to discuss permanent or temporary housing with the patient and his/her family.

However, those discussions and arrangements will need to be discussed and finalized, if at all, between the successful contracted caregiver candidate and the prospective patient and his/her family. In order to ensure the life-changing care our patients require, we know that we must have a team of exceptionally caring and passionate individuals who are committed to advocating for and empowering those in need. To develop an exceptional team, we are dedicated to ensuring we provide each team member with a collaborative company culture, competitive benefits and compensation, and growth opportunities to develop their skills and advance their career.

If you are ready to embark on a rewarding journey and be part of an organization that makes an impact on patients’ lives, we encourage you to apply for a position at Giving Home today! Giving Home Health Care is an equal-opportunity employer and welcomes candidates of all backgrounds to apply. Pando Logic. Keywords: Registered Nurse (RN), Location: Winslow, AZ - 86047For more details: jobs-search. org/legal_winslow-c424775/job_i1971799123

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Travel nurse rn - med surg - $1,421 per week
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Dec 24, 2023

and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN: Medical Surgical,21:00:00-09:00:00 About GLC On-The-Go At GLC, we’re more than a staffing partner. We’re advocates for elevating healthcare – recruiting, vetting, and onboarding top professionals who bring hospital departments, doctors, and patients a passion for excellence.

For nearly 20 years, we’ve matched the finest candidates with great opportunities, and helped institutions manage their staffing needs more efficiently, effectively, and affordably. At GLC , we take pride in doing right for both our candidates and our clients. Benefits Weekly pay Guaranteed Hours

401k retirement plan Company provided housing options Mileage reimbursement Referral bonus Medical benefits Dental benefits Vision benefits For more details: jobs-search. org/legal_goodyear-c424789/job_i1971853082

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Travel cardiovascular technologist - $2,914 per week
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travel healthcare company with an immediate opening for this CT Technologist Position in Kingman, AZ. If you are interested in this position, please contact your recruiter and reference Job #1582228 Why choose Host Healthcare? Because a great Host provides a worry-free travel experience and always puts your needs first.

Our passionate and transparent team members have made Host Healthcare the #1 ranked Travel Healthcare company in the U. S. Our recruiters act not only as your dedicated travel career mentor but also as your #1 advocate. When you work with us, you can trust that we will help you with everything from travel, to housing, and acting as a liaison between you and the facility.

We’ve got your back! Travel Happy With Host Healthcare We offer the best pay for our travelers Day one medical, dental, and vision insurance License, travel, tuition, and scrub reimbursement Matching 401k Deluxe private housing or generous housing stipend Discounts to your favorite activities, restaurants, health & beauty brands, shopping and hotels Host Healthcare Job ID #a1f VJ000000Tvir YAC.

Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: CT Technologist - Advanced Cardiovascular Life Support About Host Healthcare At Host Healthcare, we provide a truly comfortable experience as you

explore your travel nursing, therapy, or allied career.

We make your travel healthcare journey easy by taking care of all the details, so you don’t have to. We are on a mission to help others live better and we do this by helping the healers of the world be as comfortable as possible. With access to tens of thousands of travel nursing, therapy, and allied jobs in all 50 states, our responsive and friendly recruiters find your dream position based on what’s important to you. During your assignment, get access to premium benefits, including Day 1 medical that continues up to 30 days between assignments, 401K matching, travel reimbursements, dedicated housing support, and more.

We also offer 24/7 support from our team and access to our on-staff clinicians so you can feel comfortable and confident throughout your entire assignment. Travel comfortably with Host Healthcare. For more details: jobs-search. org/legal_kingman-c424794/job_i1971802356