Registered Nurse
4 weeks ago
USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community.
USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's most advanced medicine at multiple facilities, campuses, clinics and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall wellbeing of our community.
Responsibilities
Performs functions independently, according to policy and third party payor requirements, to include: quality reviews, prior authorizations, initial/admission reviews, continued stay reviews, discharge reviews, retrospective reviews, appeals as appropriate for denials, and case management reviews for DRG payors; analyzes medical record data to complete functions; collaborates with members of the healthcare team, patients, families, and managed care workers to formulate appropriate discharge plans and promote a safe and timely flow through inpatient setting; ensures optimal reimbursement from third party payors through appropriate implementation of Care Management functions; communicates with healthcare providers via telephone, in person, and email (i.e., discussion with physicians regarding plan of care, length of stay, and stay type); establishes and maintains a professional relationship with third party payor representatives; participates in interdisciplinary patient care meetings as assigned; utilizes a PC to access the Hospital Information System; enhances professional growth and development through participation in educational programs; completes annual education on nationally recognized level of care criteria; participates in all Care Management audit activities as assigned; orients new staff to the Care Management process as assigned; reports quality of care concerns discovered during Care Management functions to the Director; facilitates timely patient throughput through discharge planning commensurate with the care needs of the patient; evaluates chart documentation for completeness relative to current ICD requirements and communicates deficiencies; demonstrates proficiency in Early Periodic Screening Diagnosis and Treatment (EPSDT) by performing independently, according to regulatory requirements, the following functions as assigned: identification of patient eligibility, collection of data required to perform screening, performance of Inter-periodic Screening Components, and communication of screening findings to all related parties; maintains accurate and complete records both written and via personal computer; documents reviews according to hospital policy; completes/documents forms/requests from third party payors and regulatory parties; documents variances, discharge plans and EPSDT functions; utilizes proper body mechanics when moving equipment that is necessary to perform essential functions; communicates and uses appropriate customer relation skills with physicians, patients, families and healthcare team in person and via telephone; adheres to current Infection Control and Safety Standards; responds to overhead pages; accesses and accurately maintains electronic and paper medical records; participates on committees as assigned; participates in Performance Improvement activities as assigned; regular and prompt attendance; ability to work schedule as defined and additional hours and call as needed; related duties as required.
Qualifications
Graduation from an accredited school of nursing, two years professional nursing experience, and licensure with the state of Alabama as a registered nurse. Previous utilization review experience preferred.
Equal Employment Opportunity/Affirmative Action Employer
USA Health is an EO/AA employer and does not discriminate on the basis of race, color, national origin, sex, pregnancy, sexual orientation, gender identity, gender expression, religion, age, genetic information, disability, protected veteran status or any other applicable legally-protected basis.
-
Registered Nurse
4 weeks ago
Mobile, United States NCG Associates Full timeNCG Associates is a reputable healthcare staffing agency dedicated to providing exceptional nursing professionals to healthcare facilities nationwide. We are currently seeking experienced and compassionate Registered Nurses (RNs) to join our team. As a Registered Nurse at NCG Associates, you will play a vital role in delivering quality patient care. You will...
-
Registered Nurse
4 weeks ago
Mobile, United States NCG Associates Full timeJob DescriptionJob DescriptionNCG Associates is a reputable healthcare staffing agency dedicated to providing exceptional nursing professionals to healthcare facilities nationwide. We are currently seeking experienced and compassionate Registered Nurses (RNs) to join our team.As a Registered Nurse at NCG Associates, you will play a vital role in delivering...
-
Mobile, United States Nurse Job Board Full timeHospital Moving Forward With Hiring During COVID-19 NEW Med-Surg RN OR Medical Surgical Nurse outside of Mobile, Alabama! This small hospital provides a wide range of services including (but not limited to) imaging, emergency services, inpatient acute care, inpatient and outpatient surgery. This hospital is looking to add a permanent and full time - Medical...
-
Mobile, United States Nurse Job Board Full timeHospital Moving Forward With Hiring During COVID-19 NEW Med-Surg RN OR Medical Surgical Nurse outside of Mobile, Alabama! This small hospital provides a wide range of services including (but not limited to) imaging, emergency services, inpatient acute care, inpatient and outpatient surgery. This hospital is looking to add a permanent and full time - Medical...
-
Registered Nurse
4 weeks ago
Mobile, United States Cardiology Associates Full timeJob DescriptionJob DescriptionSalary: Registered Nurse - Mobile CountyImmediate full-time opening for a Registered Nurse in Mobile County's most progressive cardiology practice. Job duties include triage, patient care, diagnostic testing and other related responsibilities. Qualified candidates should possess 2 years of critical care and/or telemetry...
-
Registered Nurse OR Circulator Trainee
4 weeks ago
Mobile, United States USA Health Full timeOverviewUSA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's most...
-
Registered Nurse
1 month ago
Mobile, United States Fresenius Medical Care Full timePURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may...
-
Registered Nurse
2 months ago
Mobile, United States Infirmary HomeCare Full timeWe are hiring for a Registered Nurse. At Infirmary HomeCare, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a home for your career here. As a...
-
Registered Nurse
2 months ago
Mobile, United States Infirmary HomeCare Full timeWe are hiring for a Registered Nurse. At Infirmary HomeCare, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a home for your career here. As a...
-
Registered Nurse
1 month ago
Mobile, Alabama, United States Department Of Veterans Affairs Full timeSummary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to...
-
Registered Nurse
4 weeks ago
Mobile, Alabama, United States Department Of Veterans Affairs Full timeSummary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to...
-
Registered Nurse Medical Unit
1 week ago
Mobile, Alabama, United States Palm Gardens Health And Rehabilitation LLC Full timeJoin Our RN Float Pool in Mobile, AL Are you a passionate Registered Nurse looking for a diverse and dynamic work environment? Our RN Float Pool in Mobile, AL offers you the opportunity to showcase your skills across a variety of nursing specialties. Collaborate with a supportive team of healthcare professionals Play a crucial role in delivering exceptional...
-
CVOR Registered Nurse
4 weeks ago
Mobile, United States Palm Health Resources Full timeAmazing travel RN Opportunity!! Hiring CVOR Registered Nurses for 13 -16 weeks assignment at a Mobile, Al area Hospital NOW!!! Great travel rate and other perks! 13 to 16 weeks but may consider permanent All expenses paid (lodging and travel) Competitive pay rate Our team is seeking strong candidates to help their CVOR surgical team! This is a great...
-
CVOR Registered Nurse
3 weeks ago
Mobile, United States Palm Health Resources Full timeAmazing travel RN Opportunity Hiring CVOR Registered Nurses for 13 -16 weeks assignment at a Mobile, Al area Hospital NOW Great travel rate and other perks!13 to 16 weeks but may consider permanentAll expenses paid (lodging and travel)Competitive pay rateOur team is seeking strong candidates to help their CVOR surgical team! This is a great opportunity to...
-
Home Therapy Registered Nurse
1 month ago
Mobile, United States Fresenius Medical Care Full timePURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients....
-
Hospice Registered Nurse
4 weeks ago
Mobile, United States SouthernCare Full timeOur Company SouthernCare, part of the Gentiva family of hospice, home health, palliative, and community care providers, focuses on clinical excellence with compassion and dignity. Our company culture centers around humility, servant leadership, empathy, and innovation while we serve as a leader in the home care industry. Our people and our patient care...
-
Perioperative RN
1 month ago
Mobile, United States USA Health Full timeOverview USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's most...
-
Home Health Registered Nurse RN Full Time
2 weeks ago
Mobile, United States Aveanna Healthcare Full timePosition Overview : The Registered Nurse – Home Health is responsible for providing and documenting skilled nursing care in accordance with the developed care plan and physicians’ orders for each individual patient while adhering to confidentiality standards and professional boundaries at all times. Full Time hours needed with on-call rotation ...
-
Registered Nurse PACU
2 months ago
Mobile, United States SCA Health Full timeOverview:Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...
-
Registered Nurse PACU
4 weeks ago
Mobile, United States SCA Health Full timeOverview:Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...
