We have other current jobs related to this field that you can find below
-
Care Navigator
1 month ago
Manchester, United States BMC HealthNet Plan Full timeJob Description It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary: The Care Navigator is a valued non-clinical team member of the Wellsense Health Plan, dedicated to engaging members in...
-
Care Navigator
2 months ago
Manchester, United States ECHN Full timeNEW HIRE SIGN ON BONUS ELIGIBLE POSITION - $8K! # POSITION SUMMARY: Responsible for transitioning patient care through the health care system which includes coordinating care with the payer organizations, physicians and providers. Monitors all admissions for the appropriateness of observation or inpatient level of care according to InterQual Criteria....
-
Patient Navigator Representative
4 weeks ago
Manchester, United States Amoskeag Health Full timeDescription Amoskeag Health is a Federally Qualified Health Center (FQHC) and progressive, nonprofit primary healthcare organization that had a 30th anniversary in 2023! Our team of healthcare professionals positively impacts the health, well-being and quality of life for those we serve providing comprehensive, integrated, affordable healthcare and education...
-
Nurse Navigator
3 months ago
Manchester, United States Hartford HealthCare Full timeDescription Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Monday-Friday Work where every moment matters.Every day, almost 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most...
-
Patient Care Coordinator
6 days ago
Manchester, Connecticut, United States ECHN Full timePOSITION SUMMARY: The Patient Care Coordinator plays a crucial role in guiding patients through the healthcare continuum. This includes effective collaboration with insurance providers, medical professionals, and healthcare facilities to ensure seamless care transitions. Responsibilities include monitoring patient admissions to determine the necessity of...
-
Care Coordination Specialist
6 days ago
Manchester, New Hampshire, United States Dartmouth Health Full timeOverviewFacilitates the effective management of health conditions, aiming to achieve measurable improvements in patient health outcomes.Key ResponsibilitiesOversees and orchestrates interdisciplinary care for specific populations throughout the care continuum, from wellness to end-of-life considerations, focusing on psychological, social, and environmental...
-
Care Coordination Manager
6 days ago
Manchester, New Hampshire, United States Dartmouth Health Full timeOverviewFacilitates the oversight of health conditions, aiming to achieve measurable improvements in the patient's health outcomes.ResponsibilitiesOversees and orchestrates interdisciplinary care for designated populations throughout the care continuum, from wellness to end-of-life considerations, focusing on psychological, social, and environmental...
-
Emergency Care Support Specialist
6 days ago
Manchester, New Hampshire, United States Catholic Medical Center Full timeAbout You: As a vital contributor to the healthcare team, you will engage in a range of technical tasks that are crucial for the continuous provision of exceptional patient care. Your role will encompass various general and demographic-specific technical functions that facilitate the delivery of superior patient care while ensuring the utmost level of...
-
Nursing Assistant
4 days ago
Manchester, United States Catholic Medical Center Full timeWho you are: As a Licensed Nursing Assistant for the ICU at Catholic Medical Center, you are the first impression for our patients/families. Your empathy and compassion are evident as your care for our patients and you take pride in a job well done. You are a consummate team player and always available to make a difference in our patient's experience. What...
-
Nursing Assistant- Intensive Care Unit
3 months ago
Manchester, United States Catholic Medical Center Full timeWho you are: As a Licensed Nursing Assistant for the ICU at Catholic Medical Center, you are the first impression for our patients/families. Your empathy and compassion are evident as your care for our patients and you take pride in a job well done. You are a consummate team player and always available to make a difference in our patient's experience. This...
-
Public Space Care Specialist
6 days ago
Manchester, Vermont, United States The Equinox Resort Full timeOverviewPosition Summary: The cleanliness and organization of a hotel are pivotal factors that encourage guests to return and recommend our establishment to others. The housekeeping team plays a crucial role in maintaining these standards daily.We are seeking detail-oriented individuals to join our Housekeeping team as a Public Space Care Specialist. The...
-
Home Care Licensing Specialist
2 months ago
Manchester, United States Certified Homecare Consulting Full timeJob DescriptionJob DescriptionJob Ad: Home Care Licensing Specialist / Account ManagerLocation: Salem, NH (Relocating to Manchester, NH soon)Salary: Starting at $42,000+ annuallyBenefits: We cover half of health, vision, and dental insurance through a BCBS planAbout Us: At Certified Homecare Consulting, we assist clients across nearly every state in...
-
Primary Care Physician
6 days ago
Manchester, United States ConvenientMD Full timeAt ConvenientMD we are on a mission to make quality health and well-being more convenient for all - working to improve how patients and providers experience healthcare. Today, we are a full-service urgent care group making it easier for people to address their simple, immediate health needs at a reasonable cost. As we continue to grow, we are expanding our...
-
Personal Care Assistant
3 months ago
Manchester, United States AbaCares Services Full timeJob DescriptionJob DescriptionAbaCares Services, a leading home care provider based in Manchester, PA, seeks a compassionate and dedicated Personal Care Assistant (PCA) to join our team. This rewarding position is perfect for someone passionate about making a difference in the lives of others through attentive, personalized care. With a focus on enhancing...
-
Physician-Advanced Primary Care
3 months ago
Manchester, United States ConvenientMD Full timeJob DescriptionJob DescriptionAt ConvenientMD we are on a mission to make quality health and well-being more convenient for all – working to improve how patients and providers experience healthcare. Today, we are a full-service urgent care group making it easier for people to address their simple, immediate health needs at a reasonable cost. As we continue...
-
Travel Nurse RN
4 weeks ago
Manchester, United States TravelNurseSource Full timeTravelNurseSource is working with GetMed Staffing to find a qualified ICU/Critical Care RN in Peterborough, New Hampshire, 03458!Pay Information$1,964 per weekAbout The PositionGetMed Staffing is searching for a strong ICU RN to assist our traveler-friendly client. A minimum of 1-2 years of experience is required. Traveling with GetMed Staffing offers the...
-
Visiting Nurses Association
1 month ago
Manchester, United States SolutioNHealth Full timeCome work at the best place to give and receive care! Job Description: Who We Are: The VNA of Manchester and Southern New Hampshire provides 24/7 in-home support and services to patients in Manchester and the surrounding communities. We are committed to helping our patients navigate the challenges they face at home while recovering from surgery or coping...
-
Visiting Nurses Association
1 month ago
Manchester, United States SolutioNHealth Full timeCome work at the best place to give and receive care! Job Description: NEW!! $12,500 Sign-On Bonus! Who We Are: The VNA of Manchester and Southern New Hampshire provides 24/7 in-home support and services to patients in Manchester and the surrounding communities. We are committed to helping our patients navigate the challenges they face at home while...
-
Visiting Nurses Association
2 months ago
Manchester, United States SolutioNHealth Full timeCome work at the best place to give and receive care! Job Description: $5,000 Sign-On Bonus!! Who We Are: The VNA of Manchester and Southern New Hampshire provides 24/7 in-home support and services to patients in Manchester and the surrounding communities. We are committed to helping our patients navigate the challenges they face at home while recovering...
-
Infusion Nurse
2 months ago
Manchester, United States New Hampshire Oncology - Hematology, PA Full timeJob DescriptionJob DescriptionDescription:Infusion Nurse: Full time (36 hrs/week - 4, 9-hour days), Infusion Nurse position available with regional medical oncology practice. We are looking for a caring and highly motivated Infusion Nurse for our Manchester location. Duties include but are not limited to: administering chemotherapy and other infusion...
Care Navigator
2 months ago
POSITION SUMMARY:
Responsible for transitioning patient care through the health care system which includes coordinating care with the payer organizations, physicians and providers. Monitors all admissions for the appropriateness of observation or inpatient level of care according to InterQual Criteria. Initiates proactive discharge planning by utilizing the nursing process and identifying patients with discharge planning needs and coordinating necessary services in the home or skilled nursing facility settings.
EDUCATION/CERTIFICATION
- Currently licensed as a Registered Nurse in the state of Connecticut.
- BSN preferred
- Two to five years' work experience in an RN role in a medical/ surgical acute care setting.
- Additional experience in case management, home care, and utilization review/management is preferred.
- Requires good analytical, organizational and interpersonal skills as well as the ability to communicate effectively in English, both verbally and in writing.
- Basic proficiency in personal computers is required.
ESSENTIAL DUTIES and RESPONSIBILITIES:
Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. They are intended to be accurate reflections of the principal duties and responsibilities of this position. These responsibilities and competencies listed below may change from time to time.
Job-Specific Competency
1. Assures and facilitates appropriate and efficient utilization of hospital services utilizing InterQual criteria in determining whether the patient meets observation or inpatient level of care and takes appropriate action when variances are identified.
2. Collaborates with the Physician Advisor to ensure appropriateness of care, cost-effectiveness and best patient outcomes.
3. Provides clinical information to managed care companies in a timely manner to receive authorization for payment while preventing denials through pro-active interventions with payors, physicians and hospital staff.
4. Performs high risk assessments utilizing high risk stratification tool and refers complex high risk patients to the complex care navigator.
5. Demonstrates understanding of level of care criteria and reimbursement factors for home care, rehabilitation, residential treatment and long term care in development of discharge plans.
6. Performs comprehensive assessments and re-assessments of the patient's condition and discharge planning needs including the psychosocial, physical, educational and cultural aspects.
7. Collaborates with the interdisciplinary team during interdisciplinary daily rounds to develop and modify the care plan to meets the needs of the patient.
