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Registered Nurse
3 weeks ago
Registered Nurse (Clinical Analyst) - Full Time (Onsite) Clinix Healthcare is currently seeking a Registered Nurse (Clinical Analyst) to join their team in Dublin, Ohio, 43016. Clinix Healthcare offers complete medical management services to help ensure benefits are optimally and effectively used by your members. Clinix collaborates with you to make certain quality healthcare is accessed appropriately. And it’s provided at an appropriate cost. We combine our expertise in the traditional clinical review products of Utilization Management, Specialty Case Management, Disability Management, Disease Management and Medical Claims Review. Our services help ensure better clinical outcomes for patients. And we help encourage members to assume more accountability for their health. About the Job: Responsible for the Medical Necessity reviews and member education of the Clinical Management Department. These responsibilities include management of program outcomes. Supports management and staff members with adherence to client expectations, URAC Standards, State Regulations and the Quality Management Program. Also performs functions of Utilization Review and /or Case Management. Salary: $34 - $40 per hour Training: 6 months of extensive paid training. Shift: Monday - Friday (8 hours a day) Job Duties: A. Clinical Management: 1. Co-ordinates processes with clinical and non-clinical personnel:
- Assists with hiring of new employees.
- Assists with training of new employees.
- Promotes ongoing staff development/education programs.
- Delegates staffing assignments equitably according to strengths and limitations of staff members.
- Communicates regularly with staff members to provide opportunities for discussion of staff concerns, orientation to new products, procedures or changes in clinical policy/procedures.
- Promotes a positive and efficient working environment.
- Participates in the quality monitoring of processes and staff.
- Coordinate with CEO in establishing annual department goals and objectives.
- Oversees clinical management of cases, including evaluation of clinical assessments, care planning, coordination and evaluation of the clinical process.
- Application of clinical management principles across the continuum of care
- Ability to assess all physical and psychological factors that could affect the patient
- Knowledge of various health plans. Assists with processes impact on care outcomes and cost benefit analysis.
- Development of process to promote collaboration with relevant healthcare providers and family members, coordination and delivery of health care services, including the availability of community resources in augmenting the patient’s health care delivery needs.
- Performs individual case reports
- Establishes and maintains effective working relationships with all clients, providers and internal departments.
- Provides statistics and analysis for client reports as requested.
- Number of cases
- Outcomes of managed cases
- Timeliness
- Clinical documentation
- Client expectations
- Maintains client and patient confidentiality at all times.
- Adheres to Cyber Security policies and procedures and assists with staff compliance monitoring of such.
- Supports management and staff member participation in the QMP by participating at any stage of the quality process.
- Initiates quality teams and/or participates on quality teams as requested.
- Supports data system enhancements by suggesting appropriate modifications to facilitate clinical data collection.
- Participates in the functions of the Quality Committee that review complaints, grievances and suggestions for processes change.
- Ensures that URAC Standards and other regulations are met.
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Registered Nurse
2 weeks ago
Dublin, United States Jackson Nurse Professionals Full timeEnjoy a new, rewarding position if you're a Registered Nurse with experience caring for patients in need of treatment for general medical conditions or surgical procedures in a 13 week contract at a state-of-the-art area hospital. Experience an incredibly supportive and ambitious team at Jackson Nurse Professionals where Traveling Nurses have been building...
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Registered Nurse
2 weeks ago
Dublin, United States Jackson Nurse Professionals Full timeEnjoy a new, rewarding position if you're a Registered Nurse with experience caring for patients in need of treatment for general medical conditions or surgical procedures in a 13 week contract at a state-of-the-art area hospital. Experience an incredibly supportive and ambitious team at Jackson Nurse Professionals where Traveling Nurses have been building...
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Registered Nurse
3 weeks ago
Dublin, United States Southland Healthcare and Rehab Full timeJob DescriptionJob DescriptionSouthland Nursing & Rehab, a 90 bed facility located at 606 Simmons St., Dublin, GA, is hiring a Registered Nurse to work both short term rehabilitation and long-term care.Position Summary: Under the supervision of the Director of Nursing, the Unit Manager utilizes a general understanding of the principles of Nursing and basic...
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Registered Nurse
2 weeks ago
Dublin, United States Southland Healthcare and Rehab Full timeJob DescriptionJob DescriptionSouthland Nursing & Rehab, a 90 bed facility located at 606 Simmons St., Dublin, GA, is hiring a Registered Nurse to work both short term rehabilitation and long-term care.Position Summary: Under the supervision of the Director of Nursing, the Unit Manager utilizes a general understanding of the principles of Nursing and basic...
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Hospice Registered Nurse
2 days ago
Dublin, United States Compassus Full timeCompanyCompassus“I am inspired by the ability to truly tailor the care I provide to each and every unique patient and family…Being able to provide what patients need in the moment they need it is the best part of working in hospice.”Laura, Registered NurseAs a Compassus nurse, you have the autonomy to utilize your nursing skills. You are invited into...
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Registered Nurse
3 weeks ago
Dublin, United States Innovative Renal Care Careers Full timeRegistered Nurse, RNOur Registered Nurses provide high quality patient care to patients suffering from the most advanced stage of chronic kidney disease, known as End Stage Renal Disease (ESRD). Nurses are on the front line of patient care, improving the quality of life of every patient. This role is all about the relationships and bond you will create with...
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Registered Nurse
2 weeks ago
Dublin, United States Innovative Renal Care Careers Full timeRegistered Nurse, RNOur Registered Nurses provide high quality patient care to patients suffering from the most advanced stage of chronic kidney disease, known as End Stage Renal Disease (ESRD). Nurses are on the front line of patient care, improving the quality of life of every patient. This role is all about the relationships and bond you will create with...
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Hospice Registered Nurse
6 days ago
Dublin, United States Compassus Full timeCompany:CompassusAt Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance work and life including flexible scheduling , a supportive family-focused culture and first-class compensation and benefits.Your position perks as a Hospice...
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Registered Nurse, ER
2 weeks ago
Dublin, United States NR Consulting Full timeJob Summary and Qualifications As a Registered Nurse in the Emergency Room, you are responsible to triage, assess and treat patients of all ages presenting for emergency care. We provide timely, compassionate care for patients with emergency and life-threatening conditions. Our range of services include everything from broken bone care to heart attack and...
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MS/Tele Registered Nurse
4 weeks ago
Dublin, OH, 43016, Franklin County, OH, United States TotalMed Full timeWe are seeking a Registered Nurse-Medical Surgical / Telemetry for a travel assignment in Dublin Ohio.
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Registered Nurses
4 weeks ago
Cleveland, OH, United States Critical Nurse Staffing Full timeRegistered Nurse - RNPart time available - 6 hours per month$40 p/h DOE - Private duty caregiverCome work for CNS Cares and make a difference! As a direct care professional in home healthcare, you will get the opportunity to provide compassionate care to individuals in their home and give back to the heroes who gave so much to our nation. CNS provides...
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Registered Nurse
4 weeks ago
Dublin, United States Encompass Health Full timeThe Registered Nurse provides direct patient care to inpatients. This position assesses patients and creates a plan of care that is individualized and is reflective of each patient's needs and goals. The Registered Nurse supervises activities of care, treatment and services of patient provided by LPN/LVNs, RNTs/CNAs, and other staff on assigned unit and...
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Registered Nurse
2 weeks ago
Dublin, United States Encompass Health Full timeThe Registered Nurse provides direct patient care to inpatients. This position assesses patients and creates a plan of care that is individualized and is reflective of each patient's needs and goals. The Registered Nurse supervises activities of care, treatment and services of patient provided by LPN/LVNs, RNTs/CNAs, and other staff on assigned unit and...
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Registered Nurse Pediatrics
3 weeks ago
Dublin, United States Fairview Park Hospital Full timeDescription IntroductionDo you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at Fairview Park Hospital have the opportunity to make a real impact. As a Registered Nurse Pediatrics you can be a part of change.Shift: Nights...
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Registered Nurse Pediatrics
3 weeks ago
Dublin, United States Fairview Park Hospital Full timeDescription IntroductionDo you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at Fairview Park Hospital have the opportunity to make a real impact. As a Registered Nurse Pediatrics you can be a part of change.Shift: Nights...
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Registered Nurse Pediatrics
3 weeks ago
Dublin, United States Fairview Park Hospital Full timeDescription IntroductionDo you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at Fairview Park Hospital have the opportunity to make a real impact. As a Registered Nurse Pediatrics you can be a part of change.Shift: Nights...
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Registered Nurse Pediatrics
2 weeks ago
Dublin, United States Fairview Park Hospital Full timeDescription IntroductionDo you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at Fairview Park Hospital have the opportunity to make a real impact. As a Registered Nurse Pediatrics you can be a part of change.Shift: Nights...
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Registered Nurse Pediatrics
7 days ago
Dublin, United States Fairview Park Hospital Full timeJob DescriptionDescription IntroductionDo you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at Fairview Park Hospital have the opportunity to make a real impact. As a Registered Nurse Pediatrics you can be a part of change.Shift: Nights...
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Registered Nurse Pediatrics
2 weeks ago
Dublin, United States Fairview Park Hospital Full timeDescription IntroductionDo you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at Fairview Park Hospital have the opportunity to make a real impact. As a Registered Nurse Pediatrics you can be a part of change.Shift: Nights...
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Registered Nurse Pediatrics
3 weeks ago
Dublin, Ohio, United States HCA Healthcare Full timeDescription IntroductionDo you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at Fairview Park Hospital have the opportunity to make a real impact. As a Registered Nurse Pediatrics you can be a part of change.Shift: Nights...