Registered Nurse (Rn) Chariton Valley AssociationRegistered Nurse (Rn)Hillsboro, MORemoteAs the Community RN, you will: Promotes the physical and mental health of individuals served by coordinating and monitoring medical services, including health and medication services, in accordance with the requirements of regulatory agencies and in response to individual needs; providing at least 1.25 hours of service to each individual supported each month; participating in the admission of new individuals to assigned programs; clarifying medical information and advocating for individuals in hospital admissions and/or discharges, including communicating with relevant healthcare providers or pharmacists to review individual health statuses and medication plans; conducting full health assessments (including skin assessments) of individuals within 7 days of discharge from hospitalization or ER visits; coordinating ongoing care with clinics, external healthcare providers, hospitals and pharmacies; coordinating and reviewing lab work as required; traveling as needed to provide medical related support to individuals as directed; reviewing and teaching health and nutrition per individual needs; conducting Professional Assessment and Monitoring services as authorized; promoting individual empowerment and self-care activities including self-medication; and participating in on-call rotations with other community nursing staff, as directed and required by staffing and support needs; Ensures medically qualified staff by providing nursing delegations related to medical diagnoses, allergies, medication, diet and special emergency plans related to ongoing medical conditions; becoming certified to instruct Level 1 Medication Administration and CPR/First Aid training; developing instruction methods and selecting teaching aids including, but not limited to handbooks, study aids, demonstration models, visual aids, online tutorials and reference works; conducting in-person, recorded, or virtual training via diverse and appropriate instructional methods including, but not limited to individual training, group instruction, lecture, demonstration, conferences, meetings, or workshops and testing trainees to measure progress and effectiveness; reporting progress of employees in training to departmental management when advisable; and supervising Community Licensed Practical Nursing (LPN) services as required. Supports regulatory compliance by documenting services in accordance with agency policy, and the requirements associated with Medicaid, DMH certification and other contractual compliance; conducting regular review of the accuracy and completion of medication administration documents at locations where individuals are supported; ensuring all CIMOR and APTS 2 referrals are completed in a timely fashion; inputting information into the state HRST system and updating monthly as needed; maintaining current and accurate knowledge of company and departmental policies and procedures; protecting confidentiality of information and following HIPAA guidelines; maintaining licensing and certifications necessary for work; participating in continuing education to remain current with modern best practices and acting as local medical advisors in matters of infectious disease control, or health crises per policy and protocols, including serving as an infectious disease control authority if so directed by the CEO, or his/her designee.
RN Clinical Documentation Integrity Specialist TalentBurst, Inc.RN Clinical Documentation Integrity SpecialistSaint Louis, ILRemote$40–$45 / hourBacked by precision, transparency, and results, we connect top talent with leading organizations through trusted partnerships. We partner with you to move quickly and connect you to opportunities aligned with your skills and long term growth.
Registered Nurse - General Surgery Clinic Saint Luke's Health System Kansas CityRegistered Nurse - General Surgery ClinicKansas City, MORemoteBasic Life Support- American Heart Association or Red Cross, Registered Nurse (KS) - National Council of State Boards of Nursing (NURSYS), Registered Nurse (MO) - National Council of State Boards of Nursing (NURSYS). Delegates tasks to clinical staff in accordance with demonstrated competencies and consideration to Scope of Practice.
NewRN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorSt. Louis, MissouriRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
NewManager, Care Management Humana IncManager, Care ManagementMORemote$86,300–$118,700 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Manager, Care Management leads teams of nurses, social workers, behavioral health professionals, and care coordinators responsible for the care management of Medicaid members in Humana''s Illinois market.
Home Health Nurse Specialist Home Care Field Staff The Children's Mercy HospitalHome Health Nurse Specialist Home Care Field StaffMORemoteOur Home Health Nurse Specialists provide comprehensive medical care and perform a wide range of skilled nursing services including acute and rehabilitative care, assessment of high-risk newborns, assessment and teaching of various systems, diabetes and asthma teaching, wound care, infusion therapies and central line care, wellness and/or disease-focused education, and other specialized treatments. We see patients from birth to 18 years of age for a broad range of conditions including pre- and post- transplant care, multi-congenital abnormalities, cancer care, wound care, failure to thrive and feeding difficulties, and preterm newborns to name a few.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorSt. Louis, MORemote$75,000–$90,000 / yearThe Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Clinical - Care Manager (RN) - J01007 MindlanceClinical - Care Manager (RN) - J01007Remote-MO, MORemoteEducation/Certification Required: Requires a Degree from an Accredited School of Nursing OR a Bachelor's degree in Nursing AND 2 4 years of related experience Preferred: Licensure Required: MO RN License preferred Preferred: Years of experience required: 4+ years RNs with experience in OB/NICU, Preferred: Preferred managed care/clinic but not a requirement. Job Profile Summary: Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.
Home Health Nurse Specialist - Home Care Field Staff Children's Mercy KCHome Health Nurse Specialist - Home Care Field StaffRiverside, MissouriRemoteFull timeOur Home Health Nurse Specialists provide comprehensive medical care and perform a wide range of skilled nursing services including acute and rehabilitative care, assessment of high-risk newborns, assessment and teaching of various systems, diabetes and asthma teaching, wound care, infusion therapies and central line care, wellness and/or disease-focused education, and other specialized treatments. We see patients from birth to 18 years of age for a broad range of conditions including pre- and post- transplant care, multi-congenital abnormalities, cancer care, wound care, failure to thrive and feeding difficulties, and preterm newborns to name a few.
NewClinical Review Nurse - Concurrent Review Centene Corporation GroupClinical Review Nurse - Concurrent ReviewMORemote$27.02–$48.55 / hourPosition Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementKansas City, MORemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Future Opening: Assistant & Research Intern ComForcare Senior ServicesFuture Opening: Assistant & Research InternSt. Louis, MORemoteParticipates in establishing and maintaining public relations and marketing programs that increase the public's understanding of home care, foster relationships with other members of the health care community, and contributes to Agency growth. Works toward developing and maintaining data collection, recording, and reporting systems to ensure proper service, uniform accounting, data collection, and measurement of outcomes.
Associate Clinical Editor RELX Group plcAssociate Clinical Editormissouri, MORemote$71,600–$119,400 / yearIf performed in Colorado, the base pay range is $71,600 - $119,400.If performed in Illinois, the base pay range is $75,200 - $125,500.If performed in Chicago, IL, the base pay range is $78,700 - $131,400.If performed in Maryland, the base pay range is $75,200 - $125,500.If performed in Ohio, the base pay range is $68,000 - $113,400. Responsibilities: Review, update, and revise assigned content based on scheduled and triggered review cycles, as well as customer needs and requests, and current events in health care such as guideline update under the guidance of a Clinical Editor.
NewClinical Trainer Government Employees Health Association, Inc.Clinical TrainerLee's Summit, MORemote$88,488–$111,943 / yearThis role will collaborate with clinical leaders to identify training needs outside the core curriculum to maximize the effectiveness of our employees to deliver on G.E.H.A's vision to inspire our members to live their best lives in pursuit of their overall health and well-being. Develops a trusted advisor relationship with clinical operations by collaborating with leaders and key stakeholders to assess clinical learning and development needs, develop curriculum and other offerings to align with business needs and strategic goals.
Clinical Psychologist BetterHelpClinical PsychologistMissouriRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world’s largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Clinical Social Worker BetterHelpLicensed Clinical Social WorkerMissouriRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world’s largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
NewHome Health Quality Assurance RN Haven Home Health & HospiceHome Health Quality Assurance RNOzark, MORemoteYou’re the one clinicians call when they’re stuck on OASIS, the one who catches what others miss, and the one who understands how one answer can impact everything from outcomes to reimbursement. This role is built for an RN who wants to use that expertise to support clinicians and strengthen quality across the agency.
Clinical Retention Specialist (South Central - OK, MO, AR, NM, MS, TX, LA, AL) Insulet CorpClinical Retention Specialist (South Central - OK, MO, AR, NM, MS, TX, LA, AL)Missouri, MORemote$79,300–$118,900 / yearInsulet's flagship innovation, the Omnipod 5 Automated Insulin Delivery System, integrates with a continuous glucose monitor to manage blood sugar with no multiple daily injections, zero fingersticks, and can be controlled by a compatible personal smartphone in the U.S. or by the Omnipod 5 Controller. Identify early indicators of disengagement or churn through data assessment and analytics in partnership with the data science teams and collaborate with Customer Success teams to deploy targeted, regionally informed save strategies.
Maternal Child Clinical Visiting Professor (Part-Time) Covista IncMaternal Child Clinical Visiting Professor (Part-Time)St. Louis, MORemoteChamberlain students experience practice settings that include large and small hospitals, long-term care facilities, community and public-health agencies, faith-based service organizations, independent practices, ambulatory care centers, public health agencies, military services (Army, Navy, and Air Force), VA Medical Centers, schools, home health environments…anywhere healthcare is delivered. From individual professor support and student-led study groups to diverse clinical and career networking opportunities, the institution"s community shares a common goal: to give each other the care we need to succeed and make a difference by transforming healthcare.
Revenue Cycle Medical Billing Appeal Resource Utilization Clinical Writer Global Medical Response IncRevenue Cycle Medical Billing Appeal Resource Utilization Clinical WriterWest Plains, MORemoteGMR's Core Behaviors-keep care at the center, raise your hand, seek to understand, find a way together and be accountable-unite our teams and set us apart in emergency medical services. Works with the Appeal team to determine the best approach to each clinical denial in order to maximize claim reimbursement and minimize the financial risk to patients and GMR.