Current jobs related to Case Manager RN - Midland - MyMichigan Health
-
Care Coach RN Case Manager
1 day ago
Midland, Texas, United States UnitedHealth Group Inc Full timeCare Coach RN Case ManagerAt UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As a Care Coach RN Case Manager, you'll play a vital role in achieving this mission.Job SummaryWe're seeking a skilled RN Case Manager to join our Care Coach Connect team in Midland, TX. As a Care...
-
Care Coach RN Case Manager Midland TX
1 day ago
Midland, Texas, United States UnitedHealth Group Inc Full timeCare Coach RN Case Manager Job SummaryWe are seeking a skilled and compassionate Care Coach RN Case Manager to join our team in Midland, TX. As a Care Coach RN Case Manager, you will play a vital role in coordinating care and providing ongoing nursing assessments for patients and their families. Your expertise will help ensure that patients receive the...
-
Care Coach Connect RN Case Manager
2 weeks ago
Midland, Texas, United States UnitedHealth Group Inc Full timeAbout the RoleWe are seeking a highly skilled and compassionate RN Case Manager to join our team at UnitedHealth Group Inc. As a Care Coach Connect RN Case Manager, you will play a vital role in coordinating care and providing ongoing nursing assessment of patients and their families.Key ResponsibilitiesConduct medical home visits on established patients,...
-
midland, United States UnitedHealth Group Inc Full timeCare Coach Connect RN Case Manager Midland, TX and Surrounding CitiesOpportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and...
-
Care Coach Connect RN Case Manager
2 weeks ago
Midland, Texas, United States UnitedHealth Group Inc Full timeAbout the RoleWe are seeking a highly skilled and compassionate RN Case Manager to join our Care Coach Connect team at UnitedHealth Group Inc. As a key member of our interdisciplinary team, you will play a vital role in coordinating care and providing ongoing nursing assessment of patients and their families.Key ResponsibilitiesConduct home visits and...
-
TB Nurse Case Management
3 weeks ago
Midland, United States Texas Department of Aging & Disability Services Full timeJob Description: Public Health Nurse II Brief job description: Under the supervision of the Tuberculosis (TB) Program Supervisor, performs complex, specialized and comprehensive TB services. Works under general supervision with moderate degree of latitude for the use of initiative and independent judgement. Provides direct client care and case...
-
Midland, United States Optum Full timeOpportunities at WellMed , part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you...
-
Midland, TX, United States UnitedHealth Group Inc Full timeCare Coach Connect RN Case Manager Midland, TX and Surrounding CitiesOpportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and...
-
Social Worker
2 weeks ago
Midland, Michigan, United States MyMichigan Health Full timeJob SummaryThe BSW Case Manager plays a pivotal role in maintaining the quality-of-care patients receive during medical center hospitalization and post-discharge while ensuring the organization is fully reimbursed.Key ResponsibilitiesProvide Social Work Intervention: Provide social work intervention as it relates to hospitalization, including crisis...
-
RN - Home Health - Home Health
3 days ago
midland, United States Enhabit Inc Full timeRN - Home HealthOverview Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible for...
-
Private Duty Nurse RN
2 weeks ago
Midland, Texas, United States Aveanna Healthcare Full timeAbout the RoleAveanna Healthcare is seeking a skilled and compassionate Private Duty Nurse RN to join our team of dedicated healthcare professionals. As a Private Duty Nurse RN, you will play a vital role in providing high-quality, patient-centered care to our clients in the comfort of their own homes.Key ResponsibilitiesImplement and manage physicians'...
-
ER RN- Nights
2 months ago
Midland, United States HexaQuEST Health, Inc. Full timeMidland Health is seeking an experienced ER RNShift and Schedule NIGHTS 7p - 7a Position Summary We are looking for experienced ED RNs for our Emergency Department. Will provide care in emergency rooms and other critical care settings. Work to quickly assess conditions and stabilize patients in life-threatening emergencies such as strokes, heart attacks or...
-
Travel Nurse RN
3 weeks ago
Midland, Texas, United States TravelNurseSource Full timeAbout the PositionTravelNurseSource is working with ICONMA, L.L.C. to find a qualified Endoscopy RN in a dynamic healthcare setting.Job OverviewJob Title: Endoscopy RNSpecialty: NursingFacility Type: HospitalShift: Days with call - will be discussed in interviewDuration: 13 WeeksRequired Certifications/Education: BLS, ACLS, NIHSS, TX or Multistate RN...
-
RN Care Coordinator
3 hours ago
Midland, Texas, United States Quad Full timeJob Title: RN Care CoordinatorQuadMed is seeking a highly skilled RN Care Coordinator to join our team. As a RN Care Coordinator, you will play a critical role in providing patient education, facilitating services, and ensuring effective care coordination.Key Responsibilities:Implement the Patient Centered Medical Home Model philosophy into the patient...
-
RN Care Coordinator
21 hours ago
Midland, Texas, United States Quad Full timeJob Title: RN Care CoordinatorQuadMed is seeking a highly skilled RN Care Coordinator to join our team. As a RN Care Coordinator, you will play a critical role in providing patient education, facilitating services, and ensuring effective care coordination.Key Responsibilities:Implement the Patient Centered Medical Home Model philosophy into the patient...
-
Aveanna Healthcare Private Duty Nurse RN
2 weeks ago
Midland, United States Aveanna Healthcare Full timeAveanna Private Duty Nurse - RN Aveanna's Private Duty nurses assist our patients with transitioning home from the hospital and provide the continuous care needed to remain at home with their loved ones. We match our nurses to their patients based on skill, age, health condition, and acuity level. Our nurses make a positive and lasting impact on their...
-
TX - ER RN- Nights 1p - 1a - Housing NOT Included
2 months ago
Midland, United States SOS Healthcare Staffing Full timeJob Description:Midland Health is seeking an experienced ER RN Shift and ScheduleNIGHTS 1p - 1a Position SummaryWe are looking for experienced ED RNs for our Emergency Department. Will provide care in emergency rooms and other critical care settings. Work to quickly assess conditions and stabilize patients in life-threatening emergencies such as strokes,...
-
Physician Opportunity in Pain Management
1 week ago
Midland, Texas, United States Physician Empire Full timePhysician Opportunity in Pain ManagementWe are seeking a skilled pain management physician to join our team at Physician Empire. Our current pain management suite has 6 exam rooms and is available 3 days a week, with an additional out-patient OR available for cases that require surgical intervention.As a pain management physician, you will work alongside one...
-
RN - Home Health - Home Health
4 weeks ago
Midland, TX, United States Enhabit Inc Full timeRN - Home Health Overview Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible...
-
Registered Nurse
2 months ago
Midland, United States Heartland Home Health Full timeOur Company: Heartland Home Health is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for...
Case Manager RN
4 months ago
Summary:
The RN Case Manager plays a pivotal role in maintaining the quality of care patients receive during medical centerization and post discharge while ensuring the organization is fully reimbursed. The RN CM must have a high level of expertise and skill to create highly effective strategies for short term and long term goals in order to prevent readmissions and address unpredictable situations. CM must be proficient in planning, executing and monitoring effectiveness of the care provided to ensure timely transition through the continuum of care. Educating and consulting with the physician and the healthcare team to ensure accuracy of medical necessity criteria and to ensure timely and appropriate level of care is achieved. This requires effective skills in conflict resolution, decision making and team building. The Nurse Case Manger practices in accordance with the care management process utilizing tools, standards, models, goals and objectives, and performance improvement concepts. The Nurse Case Manager provides pertinent clinical data to outside agencies as needed to assure compliance with their requirements and represents the organization professionally. The ability to analyze, evaluate and distribute resources and educational information to ensure understanding of services to all educational level is key to the role.
Responsibilities:(30%)* Work with healthcare team, patient, family and/or significant others to continually transition the patient to the appropriate level/place of care. Advocate, mediate, and negotiate, with an emphasis on self-determination for the patient system, to formulate a cohesive plan for maintaining the patient's health status, improving social supports, and moving the patient safely into less restrictive, less costly levels of care according to available resources.
(20%)* Collaborates with all members of the Care Management Team including physicians, nurses, medical social workers, health information analysts, and others to provide information relating to admission, continued stay, discharge criteria, managed care, federal program regulations, reimbursement fundamentals, and regulatory standards on a daily basis.
(20%)* Actively participate in care coordination efforts to successfully identify high-risk factors and respond appropriately so that key information, next steps and available days are captured and documented. Is able to lead, with the case management team, daily care coordination meetings.
(10%)* Facilitates discharge planning for patients i.e. extended care placements, other facility transfers, and home care arrangements in collaboration with the health care team.
(10%)* Determines the necessity for second-level review and implement process per hospital policy. Collaborates with physicians to determine appropriate patient status and successfully negotiates patient status with the payer.
(10%)* Analyzes the clinical information on admission, concurrently, and retrospectively (per medical necessity criteria/InterQual Guidelines) to assure quality care is being provided to the patient, in the appropriate location, on a daily basis.
OTHER DUTIES AND RESPONSIBILITIES:
Accepts accountability for the clinical outcomes that the Utilization Review and Discharge Planning role can facilitate.
Provides pertinent clinical data to designated outside agencies to assure compliance with their requirements.
Assures compliance with regulatory requirements and acts as a resource/liaison to physicians and hospital staff regarding all aspects of Case Management activities.
Provides education to the physicians and healthcare team regarding medical necessity criteria, resources to ensure a safe and timely discharge.
During Care Coordination Rounds, RN CM communicates with the healthcare team a patient-centered plan that is needs based, appropriate to patient resources, timely and addresses the risk of readmission.
Builds professional relationships with patient, families, facilities and resources to address conflict resolution with positive outcomes.
Maintains timely, clear and concise documentation in all required systems. Is skilled in determining the need for and implementing the hospital notices of non-coverage.
Identifies high risk population and addresses opportunities for intervention.
Willingly and consistently offer to help peers as needed. Communicates teamwork, caring and compassion.
Provide excellent customer service with internal and external customers.
Assume responsibility for professional development and education requirements for maintenance of professional licensure.
RN CM may be responsible for Utilization Review and Discharge Planning simultaneously or separately based on department and health system needs. Additional cross training will be available when required or requested.
Other duties as assigned.
Certifications and Licensures:RN: Registered Nurse
Certification in case management preferred. Recommend that the Case Manager receives their ACM certification after two years of experience
Associate's degree is required
BSN preferred
EXPERIENCE, TRAINING AND SKILLS:
Three to five years clinical experience.
MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.
Certification in case management preferred.
Recommend that the Case Manager receives their ACM certification after two years of experience.
PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:
Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.
Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.
Overall vision and hearing is necessary with or without assisted device(s).
Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.
Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.
Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.
Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.
Physical Demand Level: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.
