Regional Home Care RN Specialist
3 weeks ago
As a Regional Home Care RN Consultant, you will provide clinical expertise to ensure compliance with medical necessity and quality concerns. You will work closely with Member Services, clinical, and administrative leaders to investigate and resolve complex member requests and appeals.
Key Responsibilities- Collaborate with Member Services and clinical leaders to investigate and resolve member requests and appeals.
- Identify gaps in clinical expertise and develop resources to address them.
- Conduct investigations and seek input from other clinical professionals as needed.
- Act as a liaison, problem-solver, and project manager to close clinical, quality, and compliance gaps.
- Review member complaints and identify potential quality issues.
- Develop and implement solutions for Home Care staff to ensure compliance with policies and procedures.
- Provide direct support and consultation on corrective actions for non-compliance issues.
- Assist in developing policies and procedures related to compliance, clinical, and quality.
- Participate in the development and implementation of educational programs to ensure compliance responsibilities are understood.
- Lead high-visibility projects to identify and resolve strategic issues in Home Care.
- Minimum 5 years of nursing experience in ambulatory, inpatient, or care at home settings.
- Graduate of an accredited school of nursing required.
- Registered Nurse degree required.
- Registered Nurse License (California) required.
- Excellent interpersonal, verbal, and written communication skills.
- Ability to work in a Labor/Management Partnership environment.
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Regional Home Care RN Specialist
3 weeks ago
Pasadena, California, United States Kaiser Permanente Full timeJob Summary:We are seeking a highly skilled Regional Home Care RN Consultant to join our team at Kaiser Permanente. As a key member of our Home Care Services department, you will provide clinical expertise and guidance to ensure high-quality patient care and compliance with regulatory requirements.Key Responsibilities:Collaborate with Member Services...
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Regional Home Care RN Specialist
4 weeks ago
Pasadena, California, United States Recruitics JB Full timeJob SummaryWe are seeking a highly skilled and experienced Registered Nurse to join our team as a Regional Home Care RN Consultant. As a key member of our clinical leadership team, you will provide clinical expertise and guidance to our Home Care Services organization, ensuring the highest quality of care for our patients.Key ResponsibilitiesInvestigate and...
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Regional Home Care RN Consultant
2 weeks ago
Pasadena, California, United States Kaiser Permanente Full timeJob SummaryAs a Regional Home Care RN Consultant at Kaiser Permanente, you will provide clinical expertise to ensure compliance with medical necessity and quality concerns. You will work closely with Member Services, clinical, and administrative leadership to investigate and resolve complex member requests and appeals. Your expertise will be utilized to...
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Regional Home Care RN Consultant
1 month ago
Pasadena, California, United States Kaiser Permanente Full timeJob SummaryWe are seeking a highly skilled Registered Nurse to join our team as a Regional Home Care RN Consultant. In this role, you will provide clinical expertise to ensure compliance with medical necessity and quality concerns. You will work closely with our Member Services organization and other clinical and administrative leaders to investigate and...
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Home Health Aide
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Physician - CenterWell Home Health
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Occupational Therapist
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Licensed Vocational Nurse
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Physician - CenterWell Senior Primary Care
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Pasadena, California, United States CenterWell Home Health Full timeAbout the RoleWe are seeking a highly skilled Physician to join our team at CenterWell Senior Primary Care. As a Physician, you will play a critical role in providing high-quality, patient-centered care to our seniors.ResponsibilitiesEvaluate and treat patients in accordance with standards of care.Follow level of medical care and quality for patients and...
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LVN Home Health Care Specialist
3 weeks ago
Pasadena, California, United States Interim Healthcare - Houston Full timeJob Title: LVN Home HealthInterim Healthcare is seeking a skilled LVN to join our team in the Houston area. As a home health nurse, you will be responsible for providing high-quality patient care in a home setting.Key Responsibilities:Follow a designated care plan in accordance with patient needsPerform assigned duties, including administration of...
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Caregiver - Home Care Professional
4 weeks ago
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Physical Therapist Assistant
19 hours ago
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Home Care Specialist
2 days ago
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Clinical Consultant
4 weeks ago
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Physician - CenterWell Senior Primary Care
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