NewTrauma Performance Improvement Coordinator Nurse Clinician VCU HealthTrauma Performance Improvement Coordinator Nurse ClinicianRichmond, VA$78,250–$133,578 / yearResponsible for driving outcomes through direct and indirect patient care, assists with guideline development, trauma related education initiatives both internally and externally, and evaluates and monitors the quality of clinical care of the injured patient across the continuum of care from point of injury to discharge from the hospital. Serves as a clinical resource on trauma care for pre-hospital personnel, referring hospitals, units, departments, and staff involved in the care of the trauma patient.
NewQuality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCare Hartford HealthCare at HomeQuality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCareManchester, CTThe QAPI Specialist compiles trends and reports quality data in patient care, safety, risk management, infection control, outcomes and customer satisfaction and performs and uses audit results to lead development of Performance Improvement Plans. The Quality Assurance & Performance Improvement (“QAPI”) Specialist is an individual that will be assisting with agency efforts toward the process of improving clinical documentation and outcomes by taking a systematic, comprehensive, and data-drive approach to maintaining and improving safety and quality.
NewHospice Quality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCare Hartford HealthCare at HomeHospice Quality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCareNorwich, CTThe QAPI Specialist compiles trends and reports quality data in patient care, safety, risk management, infection control, outcomes and customer satisfaction and performs and uses audit results to lead development of Performance Improvement Plans. The Quality Assurance & Performance Improvement (“QAPI”) Specialist is an individual that will be assisting with agency efforts toward the process of improving clinical documentation and outcomes by taking a systematic, comprehensive, and data-drive approach to maintaining and improving safety and quality.
NewDirector of Quality Management, Hospice & Palliative Care MJHSDirector of Quality Management, Hospice & Palliative CareYonkers, NYMaintains knowledge of current trends and developments in areas of responsibility through membership in appropriate professional organizations, attend in services and continuing education to maintain current knowledge and expertise, maintain up to date knowledge of the laws regulation and payor requirements that affect policy and procedure. Ensures the consistent development, implementation and accountability of performance improvement initiatives to enhance processes that support the provision of high-quality care and ensures effectiveness of performance improvement projects.
NewPerformance Excellence Clinician II - Performance Excellence Christus HealthPerformance Excellence Clinician II - Performance ExcellenceIrving, TXCollaborating with experienced Performance Excellence Team Members, the Performance Excellence Clinician II identifies potential patient safety risks and explores opportunities for improving operations while integrating them with clinical workflows. Minimum of 3 years of professional experience or substantial clinical experience in a healthcare setting, preferably in roles involving patient care and operations.
Newstaff - Director Registered Nurse (RN) - Case Management - $38-53 per hour Baptist Health System - San Antonio TXstaff - Director Registered Nurse (RN) - Case Management - $38-53 per hourSan Antonio, TX$38–$53 / hourResponsible for hospital utilization performance improvement and operational management of the Case Management Department in order to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services. Baptist Health System - San Antonio TX is seeking a Registered Nurse (RN) Case Management Director for a nursing job in San Antonio, Texas.
NewDenial and Appeals RN / Clinical Resource Management Hartford HealthCare Corp.Denial and Appeals RN / Clinical Resource ManagementWindsor, CTIntegrated Care Partners (ICP) is a physician-led, clinically integrated health care network whose mission is to assist our members in providing the highest quality care at the most reasonable cost for our patients in the current, rapidly changing medical environment. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.
Engineer II, Performance Improvement University Medical Center of El PasoEngineer II, Performance ImprovementEl Paso, TXFive years of experience in engineering in the areas of process improvement, data analysis, process design, Malcolm Baldrige excellence framework and preferably with three years’ work experience in a hospital setting. The Performance Improvement Engineer II works on projects which involve process design and implementation or improvement of current processes within the hospital setting.
Travel Nurse RN - Case Management - $3,500 per week LanceSoftTravel Nurse RN - Case Management - $3,500 per weekJuneau, AKLanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Job DescriptionJob DescriptionPatient CareNursing Judgment & Clinical Decision-Making (Alaska BON-Aligned)Consistent with the Alaska Board of Nursing scope of practice for Registered Nurses, nursing judgment is essential to the safe, effective, and accountable delivery of nursing care.
NewRN Manager - Medical Transition Management (F/T Days) MercyRN Manager - Medical Transition Management (F/T Days)Chesterfield, MOThe CNM is responsible for the quality of care of patients; delegates appropriately and directs staff in the delivery of care; assumes responsibility for the appropriate utilization of resources; collaborates with medical staff and others in the provision of care; demonstrates positive interpersonal relationships with others in communication and problem resolution; is sensitive to the needs of patients, families, and fellow co-workers; plan and provide professional nursing care for patients in accordance with age specific needs; plans and provide professional nursing care for patients in accordance with any identified cultural diversity needs, (such as religions, lifestyles, beliefs, physical capabilities and cultures); plan and provide professional nursing care for patients by assuring appropriate and effective pain management; assess, report, and assist any patients that present with evidence of abuse and/or neglect; and supports the mission of Mercy Hospital. See Mercy Terms & Conditions at https://www.mercy.net/about/legal-notices/ and Privacy Policy at https://www.mercy.net/about/legal-notices/ and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewDirector Registered Nurse (RN) - Case Management - $59-95 per hour Tenet DesertDirector Registered Nurse (RN) - Case Management - $59-95 per hourLa Quinta, CA$59–$95 / hourThe individual in this position has overall responsibility for hospital utilization performance improvement and operational management of the Case Management Department in order to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services. Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent and authorizations or denials documented and followed up, and that transition planning assessments are completed timely.
NewDirector Care Management ProvidenceDirector Care ManagementEureka, CA$7,417–$11,710 / monthExperience: 10+ years in acute healthcare care management, 8 years in leadership, knowledge of payer billing, regulatory requirements, and clinical assessments. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.
Registered Nurse (RN) - Home Health Case Management - $38-46 per hour VNA AlbanyRegistered Nurse (RN) - Home Health Case Management - $38-46 per hourRensselaer, NY$38–$46 / hourProvides direct nursing skills under the direction of an authorized Medical Practitioner including health teaching, health counseling, and patient care (i.e. infusion therapy, wound care, collection of laboratory tests, medication orders, medication administration, and reconciliation etc.). • Identifies patient problems based on assessment and works with the patient and caregivers to develop, implement, revise and evaluate a plan for care including other disciplines and community services considering resources available to the patient.
NewRN Trauma Performance Improvement Coordinator HCA Florida Memorial HospitalRN Trauma Performance Improvement CoordinatorJacksonville, FLMemorial Hospital has provided quality healthcare services since 1969, giving patients access to highly-trained physicians and advanced technology. Other specialized programs include our accredited Chest Pain Center, certified Stroke Center, Heart Center, Bone and Joint Center, maternity center and much more.
NewDirector Revenue Cycle Management Vaco LLCDirector Revenue Cycle ManagementNovato, CAOur client, an established nonprofit healthcare organization providing integrated medical, behavioral health, dental, and specialty services to underserved populations throughout a multi-site clinic network, is seeking a Director of Revenue Cycle Management with FQHC experience to lead and continuously improve end-to-end patient revenue cycle operations. Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs.
Registered Nurse (RN) - Home Health Case Management - $100K-120K per year FreedomCareRegistered Nurse (RN) - Home Health Case Management - $100K-120K per yearColorado Springs, CO$100,000–$120,000 / yearMinimum 3–5 years clinical nursing experience working with elders and/or adults with disabilities in home- and community-based settings (HCBS), long-term services and supports (LTSS), case management, or chronic disease management. This role serves as the primary clinical resource for Colorado, supporting Care Managers in delivering exceptional patient care while ensuring adherence to Colorado Medicaid requirements, FreedomCare policies, and industry best practices.
NewCare Management Outcome Specialist OU Medicine, Inc.Care Management Outcome SpecialistOklahoma City, OKFull timeIf applying as a Social Worker: Current Licensed Master Social Worker (LMSW) or under supervision for Licensed Clinical Social Worker (LCSW) or LCSW from the Oklahoma State Board of Licensed Social Workers. Planning, Implementation, and Evaluation of Care Coordination Programs: Responsible for organizing and executing comprehensive patient care programs that improve health outcomes, focusing on both short- and long-term goals.
Ambulatory Care Management Manager OU Medicine, Inc.Ambulatory Care Management ManagerOklahoma City, OKFull timeCurrent Registered Nurse License (RN License issued by the Oklahoma State Board of Nursing, or a current multistate compact Registered Nurse (eNLC)) or Current Clinical Social Worker license (LCSW) from the Oklahoma State Board of Licensed Social Workers required. Demonstrated knowledge of clinical care management and social work programs in the inpatient or ambulatory setting, and healthcare operations, healthcare finance, health technology systems, and healthcare innovation.
Pediatric Care Management Social Worker - PRN (Weekends) OU Medicine, Inc.Pediatric Care Management Social Worker - PRN (Weekends)Oklahoma City, OKPart timeThe Care Management Social Worker is responsible for managing care for high-risk members with chronic behavioral and health conditions, collaborating with members, caregivers, physicians, and the healthcare team to ensure timely access to necessary care, continuity across all settings, shared decision-making, and connections to supportive services and community resources. License/Certification/Registration Requirements: Current Licensed Master Social Worker (LMSW) or under supervision for Licensed Clinical Social Work (LCSW) or LCSW from the Oklahoma State Board of Licensed Social Workers.
Adult Care Management Social Worker PRN - Emergency Dept OU Medicine, Inc.Adult Care Management Social Worker PRN - Emergency DeptOklahoma City, OKPart timeThe Care Management Social Worker is responsible for managing care for high-risk members with chronic behavioral and health conditions, collaborating with members, caregivers, physicians, and the healthcare team to ensure timely access to necessary care, continuity across all settings, shared decision-making, and connections to supportive services and community resources. License/Certification/Registration Requirements: Current Licensed Master Social Worker (LMSW) or under supervision for Licensed Clinical Social Work (LCSW) or LCSW from the Oklahoma State Board of Licensed Social Workers.