Current jobs related to Case Manager Nurse - Wheeling - WVU Medicine
-
Social Services Case Manager
2 weeks ago
Wheeling, West Virginia, United States Youth Services System Full timeJob Title: Case Worker - Ohio CountyJoin Youth Services System, Inc. as a Case Worker in Ohio County, where you will play a vital role in providing support and services to youth and families in need.Job Summary:We are seeking a highly motivated and compassionate Case Worker to join our team. As a Case Worker, you will be responsible for managing a caseload...
-
Social Services Case Manager
2 weeks ago
Wheeling, West Virginia, United States Youth Services System Full timeJob SummaryWe are seeking a highly motivated and compassionate Social Services Case Manager to join our team at Youth Services System. As a key member of our team, you will be responsible for providing case work services to assigned clients, ensuring an adequate and comprehensive assessment of client needs, and developing and planning for identified...
-
Case Manager
2 weeks ago
Wheeling, West Virginia, United States Youth Services System Full timeJob SummaryWe are seeking a highly motivated and experienced Case Worker to join our team at Youth Services System, Inc. in Wheeling, WV. As a Case Worker, you will be responsible for providing case work services to assigned clients, ensuring an adequate and comprehensive assessment of client needs, and developing and planning for identified services.Key...
-
Social Services Case Manager
2 weeks ago
Wheeling, West Virginia, United States Youth Services System Full timeJob SummaryWe are seeking a highly motivated and experienced Case Worker to join our team at Youth Services System, Inc. in Hazel Atlas, WV. As a Case Worker, you will be responsible for providing case work services to assigned clients, ensuring an adequate and comprehensive assessment of client needs, and developing and planning for identified services.Key...
-
Travel Nurse RN
4 weeks ago
Wheeling, West Virginia, United States Travel Nurse Source Full timeTravel Nursing OpportunityWe are seeking a skilled Registered Nurse for a travel assignment in a dynamic Stepdown Unit setting. As a travel nurse, you will have the opportunity to work in a new environment, challenge yourself, and expand your professional growth and expertise.Benefits of Travel NursingConfront diverse medical cases that challenge and expand...
-
Travel Nurse RN
4 weeks ago
Wheeling, United States Travel Nurse Source Full timeTravelNurseSource is working with Trustaff to find a qualified Long-Term Care RN in Wheeling, West Virginia, 26003 About The Position About this job As a Long Term Care RN, you are an important part of patient care at skilled nursing and assisted living facilities. Typical LTC job duties include developing care plants for patients, monitoring their long-term...
-
Nurse Navigator
7 days ago
Wheeling, West Virginia, United States West Virginia Employer Full timeNurse Navigator Job DescriptionWe are seeking a skilled Nurse Navigator to join our team at West Virginia Employer. As a Nurse Navigator, you will play a critical role in coordinating and providing case management services to our health plan members.Key Responsibilities:Coordinate and provide case management services that are safe, timely, effective,...
-
Nurse Navigator
1 week ago
Wheeling, United States The Health Plan of West Virginia, Inc. Full timeResponsible to conduct systematic admission, concurrent and retrospective hospital reviews for severity of illness and length of stay, implements discharge planning, and to manage an inpatient authorization with required data and pertinent clinical information with intervention and follow-up and/or Coordinates and integrates through review, all services that...
-
Travel Nurse RN Position
4 weeks ago
Wheeling, West Virginia, United States Travel Nurse Source Full timeAbout the PositionTravel Nurse Source is working with Triage Staffing to find a qualified Stepdown RN for a 13-week assignment in Wheeling, WV.Job DetailsLocation: Wheeling, WVStart Date: 10/21/2024Shift Details: 12H Nights (12:00 AM-12:00 PM) 36 hours per weekLength: 13 weeksBenefits of Travel NursingAs a travel nurse, you will have the opportunity to work...
-
Nurse Navigator
2 days ago
Wheeling, West Virginia, United States The Health Plan of West Virginia Inc Full timeJob SummaryWe are seeking a skilled Nurse Navigator to join our team at The Health Plan of West Virginia Inc. As a key member of our care management team, you will play a vital role in ensuring our members receive high-quality, patient-centered care.Key Responsibilities:Conduct thorough assessments of member needs and develop personalized care plans to...
-
Travel Nurse RN
4 weeks ago
Wheeling, West Virginia, United States Travel Nurse Source Full timeAbout the PositionWe are seeking a qualified PCU RN to join our team at a top-rated hospital in Wheeling, West Virginia. As a PCU RN, you will be responsible for providing high-quality patient care in a fast-paced environment.What We OfferCompetitive Pay: $2,218 per weekFlexible Assignment Lengths: Choose from a variety of assignment lengths to suit your...
-
Travel Nurse RN
2 weeks ago
Wheeling, United States Travel Nurse Source Full timeTravelNurseSource is working with Cynet Health to find a qualified PCU RN in Wheeling, West Virginia, 26003 About The Position Job Title: Registered Nurse (RN) Job Specialty: Intermediate Care Unit (IMU) - Stepdown Job Duration: 13 weeks Shift: 12-hour nights or day/night rotation (traveler preference), weekends as scheduled Guaranteed Hours: 36 hours per...
-
Nurse Navigator
2 weeks ago
Wheeling, West Virginia, United States The Health Plan of West Virginia, Inc. Full timeJob Title: Nurse NavigatorJob Summary: We are seeking a highly skilled and experienced Nurse Navigator to join our team at The Health Plan of West Virginia, Inc. The successful candidate will be responsible for conducting systematic admission, concurrent, and retrospective hospital reviews to assess the severity of illness and length of stay. They will also...
-
Nurse Navigator
1 day ago
Wheeling, WV, United States West Virginia Employer Full timeJob SummaryAs a Nurse Navigator at West Virginia Employer, you will play a vital role in coordinating and providing case management services that are safe, timely, effective, efficient, equitable, and client-centered. Your primary responsibility will be to handle case assignments, perform comprehensive and thorough medical, behavioral, functional, and social...
-
Nurse Inpatient Navigator
3 weeks ago
Wheeling, United States The Health Plan of West Virginia, Inc. Full timeResponsible to conduct systematic admission, concurrent, and retrospective hospital reviews for severity of illness and length of stay, to manage an inpatient admission, and to implement discharge planning and make discharge survey calls as required with pertinent clinical information and mandatory data with intervention and follow-up as identified using...
-
Nurse Navigator
1 week ago
Wheeling, West Virginia, United States The Health Plan of West Virginia, Inc. Full timeNurse Navigator - Clinical Care CoordinatorAt The Health Plan of West Virginia, Inc., we are seeking a highly skilled and compassionate Nurse Navigator to join our team. As a Clinical Care Coordinator, you will play a vital role in ensuring our members receive the highest quality care and support.Key Responsibilities:Conduct thorough admission, concurrent,...
-
Nurse Practitioner
2 weeks ago
Wheeling, West Virginia, United States Matrix Medical Network Full timeAbout Matrix Medical NetworkMatrix Medical Network is a leading provider of clinical services and expertise that empower primary care providers and at-risk health plan members to better manage their health at home.Our comprehensive health assessments help identify chronic conditions, improve quality of care, and close care gaps with a single visit.Job...
-
Certified Nursing Assistant
5 months ago
Wheeling, United States Suncrest Hospice Full timeWhy Suncrest At Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff to patient ratios, thereby increasing clinical visits while lowering clinician caseloads. We are proud to be a Community Health...
-
Registered Nurse
4 months ago
Wheeling, United States Suncrest Home Health & Hospice Full timeWhy Suncrest At Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff to patient ratios, thereby increasing clinical visits while lowering clinician caseloads. We are proud to be a Community Health...
-
Nurse Unit Manager RN
4 weeks ago
Wheeling, United States Franciscan Ministries Full timeOverview: Nurse Unit Manager Registered NurseHighly Competitive Salary Addolorata Villa Wheeling, ILAward Winning Senior Living CommunityWe love our Nursing Staff! THAT'S WHY WE OFFER PayActiv - Immediately access up to 50% of your earned payTax Free Student Loan ForgivenessGreat Health PlansEmployer Funded Health Savings AccountCompany Paid Life...
Case Manager Nurse
3 months ago
This position comprehensively plans for targeted patient populations. Performs resource management, including denial management, utilization management, access to the appropriate level of care, discharge planning, care facilitation, and referral to other levels of care. Works collaboratively with the multidisciplinary care team to facilitate achievement of desired treatment outcomes.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Current West Virginia licensure as a Registered Professional Nurse or licensure as Registered Professional Nurse in another state with a temporary West Virginia practice permit.
EXPERIENCE:
1. Five (5) years clinical experience.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor's degree in Nursing (BSN)
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Manages all aspects of transition/discharge planning for assigned patients in a timely manner.
2. Collaborates with all members of the multidisciplinary team to facilitate the transition/discharge process for designated caseload.
3. Monitors the patient's progress; intervening as necessary and appropriate, to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective.
4. Provides education as needed to staff, physicians, and patients and their families to ensure effective transition planning.
5. Meets directly with the patient and/or family to assess needs and develop an individualized transition/discharge plan in collaboration with the physician team.
6. Communicates with the multidisciplinary team and post-acute providers when applicable, any complex family dynamics that may directly impact patient care and transition/discharge planning.
7. Initiates and facilitates referrals to post-acute services- including but not limited to: Homecare, Durable Medical Equipment, Hospice Care, Long Term Acute Care Facilities, Acute Rehab Facilities, and Skilled Nursing Facilities.
8. Communicates all necessary information regarding transition/discharge plan to the multidisciplinary team, patient and family.
9. Provides timely and comprehensive documentation of interactions with patient and/or families and all transition/discharge planning activities and progress according to departmental policy.
11. Assists patient/families with completion of medical power of attorney, health care surrogate, and advanced directives
12. Collaborates for appropriate resource and financial management which may include but is not limited to: financial assistance coordination/referrals, entitlement program coordination/referrals, or patient benefit coordination
13. Utilizes quality screens in the electronic record to identify potential issues including but not limited to- avoidable delays and readmissions.
14. Completes clinical reviews for patients.
15. Applies approved utilization criteria to ensure medical necessity of patient's admissions and continued stays, and documents the findings based on department standards, policy and procedure.
16. Screens for appropriate authorization and level of care.
17. Facilitates covered day reimbursement certification for assigned patients and discusses payor criteria and issues on a case by case basis with clinical staff (ie. Peer to Peer) and follows up to resolve problems with payors as needed.
18. Educates hospital staff and physicians to payer regulations and managed care principals to prevent denials.
19. Fosters the integration of staff and/or students into the healthcare team.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Working closely with others.
2. Working protracted or irregular hours.
3. Working around biohazards.
4. Working around infectious diseases.
5. Working with hands in water.
6. Working with electrical hazards associated with patient care equipment.
SKILLS AND ABILITIES:
1. Knowledge of patient's current medical insurance coverage and limitations and the precertification requirements for Durable Medical Equipment (DME), post-acute placements, infusions, transfers etc
2. Knowledge of relevant scientific principles, established standards of care and/or research findings.
3. Knowledge of procedures and techniques involved in administering routine and special treatments to patients.
4. Knowledge of and appropriate application of the nursing process.
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Exempt/Non-Exempt:
United States of America (Exempt)
Company:
WH Wheeling Hospital Inc.
Cost Center:
403 WH Care Management
Address:
1 Medical Park Drive
Wheeling
West Virginia
WVU Medicine is proud to be an Equal Opportunity employer. We value diversity among our workforce and invite applications from all qualified applicants regardless of race, ethnicity, culture, gender, sexual orientation, sexual identity, gender identity and expression, socioeconomic status, language, national origin, religious affiliation, spiritual practice, age, mental and physical ability/disability or Veteran status.
