Current jobs related to Clinical Resource Manager Full Time Days - Nampa - Trinity Health
-
RN OR Circulator Full-Time Days
3 weeks ago
Nampa, United States Saint Alphonsus Health System Full timeJob DescriptionEmployment Type:Full timeShift:Day ShiftDescription:At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.We are...
-
RN OR Circulator Full-Time Days
3 weeks ago
Nampa, United States Saint Alphonsus Health System Full timeEmployment Type:Full timeShift:Day ShiftDescription:At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.We are looking to hire...
-
Nampa, United States Trinity Health Full timeEmployment Type: Full timeShift: Day Shift Description: At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. Position Purpose:...
-
CNA/Nurse Apprentice
4 weeks ago
Nampa, United States Trinity Health Corporation Full timeEmployment Type: Full time Shift: 12 Hour Day Shift Description: At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of...
-
Nampa, United States Trinity Health Full timeEmployment Type: Full timeShift: Day Shift Description: At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. We are looking to...
-
CNA/Nurse Apprentice
1 month ago
Nampa, United States Trinity Health Full timeEmployment Type:Full timeShift:12 Hour Day ShiftDescription:At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.Position...
-
MA Karcher Family Medicine Full-Time Days
1 week ago
Nampa, United States Saint Alphonsus Health System Full timeEmployment Type:Full timeShift:Day ShiftDescription:At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.The Karcher Family...
-
MA Karcher Family Medicine Full-Time Days
1 week ago
Nampa, United States Saint Alphonsus Health System Full timeJob DescriptionEmployment Type:Full timeShift:Day ShiftDescription:At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.The...
-
Nampa, Idaho, United States Saint Alphonsus Health System Full timeJob Summary:We are seeking a highly skilled Patient Service Representative to join our team at the Nampa Pain and Spine Clinic. As a key member of our clinical operations team, you will play a vital role in ensuring the smooth delivery of patient care services.Key Responsibilities:Provide exceptional customer service to patients and families, responding to...
-
RN Circulator Full-Time Days
5 days ago
Nampa, Idaho, United States Trinity Health Full timeAbout the RoleWe are seeking a skilled Registered Nurse to join our Operating Room team in Nampa. As a Circulator RN, you will play a vital role in ensuring the smooth operation of our surgical services.Key ResponsibilitiesProvide hands-on patient care while collaborating with colleagues to maintain accurate documentation and utilize resources wisely.Serve...
-
CNA/Nurse Assistant
3 weeks ago
Nampa, United States Trinity Health Corporation Full timeEmployment Type: Full time Shift: 12 Hour Day Shift Description: At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of...
-
Nampa, United States Trinity Health Full timeEmployment Type:Full timeShift:Day ShiftDescription:At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.Position Purpose:As a...
-
Nampa, United States Trinity Health Full timeEmployment Type:Full timeShift:Day ShiftDescription:At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.We are looking to hire...
-
RN PACU Full Time Days
7 days ago
Nampa, Idaho, United States Saint Alphonsus Health System Full timeAbout the JobWe are seeking a highly skilled and compassionate Registered Nurse to join our team in the PACU department at Saint Alphonsus Health System. As a RN in this role, you will have the opportunity to provide exceptional care to patients and contribute to a dynamic and supportive team environment.ResponsibilitiesProvide high-quality patient care,...
-
Nampa, United States Trinity Health Full timeEmployment Type: Full timeShift: Day Shift Description: At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. As a Patient...
-
Nampa, Idaho, United States Trinity Health Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Patient Service Representative to join our team at the Nampa Pain and Spine Clinic. As a Patient Service Representative, you will play a vital role in creating a positive experience for patients and their families by providing exceptional customer service and administrative support.Key...
-
RN PACU Full Time Days
1 week ago
Nampa, Idaho, United States Trinity Health Full timeAbout This RoleWe are seeking a skilled and compassionate Registered Nurse to join our PACU team in Nampa, Idaho. As a key member of our healthcare team, you will provide high-quality patient care and contribute to a positive and supportive work environment.ResponsibilitiesProvide comprehensive physical and psychosocial assessments to patients of all...
-
RN PACU Full Time Days
2 days ago
Nampa, Idaho, United States Trinity Health Full timeAbout the RoleWe are seeking a skilled and compassionate Registered Nurse to join our PACU team at Saint Alphonsus Health System. As a key member of our healthcare team, you will provide high-quality patient care and contribute to a positive and supportive work environment.ResponsibilitiesProvide direct patient care to patients in the PACU, including...
-
Strategic Human Resources Advisor
4 weeks ago
Nampa, Idaho, United States Gymreapers Full timeEmployment Status: Full-time, benefits eligible Location: Preferably Nampa, ID (on-site); Open to Remote Schedule: M-F, 8-5/flex according to business need Position Title: Human Resources Business Partner (HRBP)About UsGymreapers is a leading direct-to-consumer e-commerce brand specializing in high-quality lifting gear, apparel, and equipment for both men...
-
Nampa, Idaho, United States Trinity Health Full timeJoin Trinity Health as a Critical Care Nurse Residency Full Time Nights and embark on a rewarding career journey. Our Critical Care Residency program is designed to provide you with the skills and knowledge needed to succeed in this challenging and rewarding field. As a resident, you will gain experience through Idaho's only critical care residency program...
Clinical Resource Manager Full Time Days
4 months ago
Full timeShift:
Day Shift
Description:
Job Description Summary
At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.
GENERAL SUMMARY AND PURPOSE:
Provides hospital case management/utilization review and discharge planning collaboratively determining level of care needs beyond acute care, providing decision support to patients/families and physicians, managing patient and family expectations, and ensuring a smooth transition to the next level of care and services. Coordinates the integration of social services into patient care as appropriate. Coordinates the hospital activities concerned with case management/utilization review and discharge planning. Adheres to departmental goals, objectives, standards of practice, and policies and procedures. Ensures quality patient care and adheres to regulatory compliance. Provides concurrent assistance and support to physicians and other clinical members of the health care team in coordinating the delivery of services for a select group of patients. To help achieve quality clinical and cost outcomes, incorporates real-time contacts with physicians, nursing, and ancillary care givers to establish specific treatment, cost, and transition targets and to facilitate transition planning.
SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:
Colleague must have an RN license, as defined by their primary work state (Idaho or Oregon)
- IDAHO ONLY: Multistate licenses must establish residency with the Idaho Board of Nursing within 60 days from hire.
- All colleagues must provide licensure or proof of application in process for an Oregon RN license within 90 days of the hire date.
BSN required. Master's degree preferred. A minimum of 2 years of varied hospital clinical experience is required. Experience in case management, home health, and/or insurance industry preferred.
ESSENTIAL FUNCTIONS:
Knows, understands, incorporates, and demonstrates the Organization's Mission, Vision, and Values in behaviors, practices, and decisions. Demonstrates knowledge and skills to competently care for all assigned age groups (Neonate, Child, Adolescent, Adult, Geriatric as applicable). Revenue Management: ensures the accuracy of documenting services and supplies provided to the patients. Coordinates the integration of social services/case management functions into patient care, discharge, and home planning process with other hospital departments, external service organizations, agencies and healthcare facilities. Completes a screening/assessment of physician assigned cases to determine medical necessity/status determinations and transition needs. Reassesses, monitors, and modifies transition needs as appropriate. Conducts concurrent medical record review using established medical necessity criteria to determine correct level of care for acute patients. Assists physicians with completing transfer and discharge orders. Maintains knowledge of federal, state, and private agency review requirements and regulations. Provides education to all health care team members including physicians regarding requirements to meet regulatory standards. Promotes effective and efficient utilization of clinical resources from admission to discharge. Initiates and presents "denial letters" as appropriate. Completes PASRRs for admission to skilled nursing facilities. Delivers Condition Code 44 letters to patients and educates them on Medicare benefits. Researches and locates resources for patients for example: assistance in competing medication applications for financial assistance through pharmaceutical companies, works closely with our Patient Financial Advocates in the Medicaid pending process, and works closely with outside facilities to obtain equipment in situations when patients have limited funding available to them. Communicates with physicians at regular intervals throughout hospitalization and develops an effective working relationship. Assists physicians to maintain appropriate cost, cases, and desired patient outcomes. Introduces self to patient and family and explains clinical resource manager role and the process for patient and family to contact clinical resource manager. Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient's and family's ability to make informed decisions. Participates in multidisciplinary patient care rounds and/or conferences as appropriate to review treatment goals, optimize resource utilization, provides family education and identification of post-hospital needs. Utilizes physician advisor referral as appropriate. Adheres to department established process in reviewing 30 day re-admissions. Follows established patient choice policy. Documents assessment of primary and back up plans along with communications to patient, family and care team. Documents interventions taken to meet the needs of their individual patients in Power Chart. Actively participates in department staff meetings and department sub teams.
Ensures discharge planning compliance with Medicare Conditions of Participation/regulations and Joint Commission standards
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
