Registered Nurse
2 weeks ago
VNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review professional. As a key member of our quality improvement team, you will play a vital role in ensuring the highest level of patient care and satisfaction.
Job Summary:We are looking for a dedicated and detail-oriented Registered Nurse to conduct clinical assessments, reviews, and audits to ensure compliance with regulatory requirements and industry benchmarks. The ideal candidate will have a strong background in quality improvement, with experience in conducting clinical reviews, audits, and quality assessments.
Responsibilities:- Conduct clinical assessments, including medication reconciliations, post-discharge transitions of care, and emergency department assessments.
- Collaborate with programs to ensure compliance with DOH/CMS/NCQA requirements.
- Coach, facilitate, and monitor continuous improvement to attain strategic quality objectives and industry benchmarks for patient outcomes, satisfaction, cost, and regulatory requirements.
- Conduct clinical reviews with primary care providers or specialists to address non-adherence and/or clinical diagnosis for HEDIS/QARR exclusion.
- Participate and lead improvement teams and projects, and other committees related to performance improvement, measurement, and documentation.
- Perform audits on medical records and provide counseling/guidance to PCPs on VNS Health Medical Record Documentation Standards.
- Conduct audits of patient care records, develop forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review.
- Perform utilization and quality assessment reviews to maintain compliance with Federal and State regulatory requirements.
- Identify and analyze results to inform the development of correction plans.
- Develop action plans in collaboration with management staff based on quality reviews and root cause analysis findings.
- Make recommendations to appropriate staff and/or committees about findings of reviews, surveys, and studies.
- Participate in the preparation for and assist with site visits of outside providers for the purpose of regulatory quality compliance.
- Investigate patient-related complaints, at the direction of the Director. Prepare related reports of investigations and recommendations for correction/improvement.
- Develop training materials for and spread protocols/standards for patient populations within a collaborative framework.
- Conduct follow-ups and reassessment and report findings to evaluate whether corrective actions for regulatory issues, compliance, or deficiencies identified in patient complaints/incidents were implemented effectively.
- Develop processes, policies, and procedures related to current practice and changes in regulatory and industry requirements.
- Collect and feed back data on performance improvement for teams within a region/program.
- Participate in special projects and perform other duties as assigned.
- License and current registration to practice as a Registered Professional Nurse in New York State required.
- License and current registration to practice as a Nurse Practitioner.
- Bachelor's Degree in Nursing required.
- Master's Degree in Nursing preferred.
- Enrollment in an accredited program within the first year and completion of a Bachelor's degree in Nursing by 2015 from a program approved by the New York State Department of Education required.
- Minimum of three years quality improvement experience in a health plan or healthcare setting required.
- Minimum of one year experience in quality management, practice improvement, and compliance preferred.
- Demonstrated leadership experience preferred.
- Excellent oral, written, and interpersonal communication skills, including group facilitation skills required.
- Knowledge of basic Performance Improvement tools and methodologies preferred.
VNS Health is one of the nation's largest nonprofit home and community-based healthcare organizations. We innovate in healthcare for more than 125 years, driven by our commitment to health and well-being. We help people live, age, and heal where they feel most comfortable, in their own homes, connected to their family and community.
Benefits:- Guaranteed Hours
- 401k retirement plan
- Employee assistance programs
- Dental benefits
- Vision benefits
- License and certification reimbursement
- Life insurance
- Discount program
- Holiday Pay
- Continuing Education
- Wellness and fitness programs
- Mileage reimbursement
- Medical benefits
- Benefits start day 1
-
Registered Nurse Skilled Nursing Position
3 days ago
Ridgefield, New Jersey, United States VNS Health Full timeJob Title: Registered Nurse Skilled Nursing PositionVNS Health is seeking a skilled and compassionate Registered Nurse to join our team in Ridgefield, New Jersey. As a Registered Nurse, you will play a vital role in providing high-quality care to our patients in their homes.Job Summary:We are looking for a dedicated and experienced Registered Nurse to work...
-
Registered Nurse Skilled Nursing Position
3 days ago
Ridgefield, New Jersey, United States VNS Health Full timeJob Title: Registered Nurse Skilled Nursing PositionVNS Health is seeking a skilled and compassionate Registered Nurse to join our team in Ridgefield, New Jersey. As a Registered Nurse, you will play a vital role in providing high-quality care to our patients in their homes.Job Summary:We are looking for a dedicated and experienced Registered Nurse to work...
-
Registered Nurse Skilled Nursing Position
3 days ago
Ridgefield, New Jersey, United States VNS Health Full timeJob Title: Registered Nurse Skilled Nursing PositionVNS Health is seeking a skilled and compassionate Registered Nurse to join our team in a part-time nursing role in an assisted living setting.Job Summary:We are looking for a dedicated and experienced Registered Nurse to provide high-quality patient care in a skilled nursing facility. The ideal candidate...
-
Registered Nurse
3 days ago
Ridgefield, New Jersey, United States VNS Health Full timeJob Title: Registered Nurse - Home Health Care SpecialistVNS Health is seeking a skilled Registered Nurse to join our Home Health team as a Home Health Care Specialist. As a key member of our interdisciplinary care team, you will be responsible for providing high-quality patient care and support to individuals in their homes.Responsibilities:Conduct...
-
Registered Nurse
3 days ago
Ridgefield, New Jersey, United States VNS Health Full timeJob Title: Registered Nurse - Home Health Care SpecialistVNS Health is seeking a skilled Registered Nurse to join our Home Health team as a Care Specialist. As a key member of our interdisciplinary care team, you will be responsible for providing high-quality patient care and support to individuals in their homes.Responsibilities:Conduct comprehensive...
-
Registered Nurse Case Manager
2 weeks ago
Ridgefield, New Jersey, United States VNS Health Full timeJob Title: Registered Nurse Case ManagerVNS Health is seeking a skilled Registered Nurse Case Manager to join our team in Ridgefield, New Jersey.Job Summary:We are looking for a highly motivated and experienced Registered Nurse Case Manager to work in our Acute Care Case Management department. The successful candidate will be responsible for assessing member...
-
Registered Nurse
4 days ago
Ridgefield, New Jersey, United States VNS Health Full timeJob Title: Registered Nurse - Home Health Care SpecialistVNS Health is seeking a skilled Registered Nurse to join our Home Health team as a Care Specialist. This role involves providing high-quality patient care and coordination of services to ensure the best possible outcomes for our patients.Key Responsibilities:Conduct comprehensive assessments of...
-
Registered Nurse Care Manager
3 weeks ago
Ridgefield, New Jersey, United States VNS Health Full timeAbout the RoleVNS Health is seeking a highly skilled Registered Nurse Care Manager to join our team. As a key member of our care management team, you will play a vital role in ensuring our members receive high-quality, cost-effective healthcare services.Key ResponsibilitiesAssess Member Needs: Conduct comprehensive reviews of member requests for services,...
-
**Care Manager
3 weeks ago
Ridgefield, New Jersey, United States VNS Health Full timeAbout the RoleVNS Health is seeking a skilled Care Manager - Registered Nurse to join our team. As a key member of our healthcare team, you will play a vital role in ensuring our patients receive the highest quality care.Key ResponsibilitiesConduct comprehensive reviews of patient requests for services, including clinical record reviews and interviews with...
-
Registered Nurse
3 weeks ago
Ridgefield, New Jersey, United States VNS Health Full timeAbout the Role:VNS Health is seeking a skilled Registered Nurse to join our Home Health Infusion team. As a Home Health Infusion Nurse, you will provide high-quality patient care and deliver infusion therapy services in the comfort of patients' homes.Key Responsibilities:Assess patient needs and develop individualized care plans to ensure effective and safe...
-
Nurse Educator
2 weeks ago
Ridgefield, New Jersey, United States VNS Health Full timeJob Title: Registered Nurse EducatorVNS Health is seeking a highly skilled Registered Nurse Educator to join our team in Ridgefield, New Jersey.About the Role:We are looking for a dedicated and experienced Registered Nurse to lead our clinical education programs. As a Registered Nurse Educator, you will be responsible for designing and delivering educational...
-
Nurse Practitioner
3 weeks ago
Ridgefield, New Jersey, United States VNS Health Full timeJob Title: Registered Nurse - Skilled NursingVNS Health is seeking a skilled and compassionate Registered Nurse to join our team as a Skilled Nursing Professional. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and support to individuals in their homes.Job Summary:We are looking for a dedicated and...
-
Nurse Practitioner
2 weeks ago
Ridgefield, New Jersey, United States VNS Health Full timeAbout the RoleVNS Health is seeking a skilled Registered Nurse to join our team as a Home Health Care Specialist. As a key member of our interdisciplinary care team, you will provide personalized nursing and care management to patients in their homes or care facilities.ResponsibilitiesDeliver high-quality, patient-centered care in a community-based...
-
Nurse Manager
2 weeks ago
Ridgefield, New Jersey, United States VNS Health Full timeJob Title: Registered Nurse ManagerVNS Health is seeking a highly skilled Registered Nurse Manager to lead our nursing team in Ridgefield, New Jersey.Job Summary:We are looking for a seasoned nurse manager to oversee the day-to-day activities of our specialized programs and products. The ideal candidate will have a strong background in nursing, leadership,...
-
Nurse Field Supervisor
2 weeks ago
Ridgefield, New Jersey, United States VNS Health Full timeJob Title: Registered Nurse Field SupervisorVNS Health is seeking a skilled Registered Nurse to serve as a Field Supervisor in our Home Health division. As a key member of our team, you will be responsible for providing clinical guidance and support to our Home Health Aides, ensuring that our patients receive high-quality care in the comfort of their own...
-
Nurse Care Manager
2 weeks ago
Ridgefield, New Jersey, United States VNS Health Full timeJob Title: Registered Nurse (RN) Home HealthVNS Health is seeking a skilled Registered Nurse (RN) to join our Home Health team in Ridgefield, New Jersey.Job Summary:As a Registered Nurse (RN) Home Health, you will work as a member of an interdisciplinary care team to provide high-quality, patient-centered care to seniors in their homes. Your primary...
-
Skilled Nursing Professional
2 weeks ago
Ridgefield, New Jersey, United States VNS Health Full timeVNS Health is seeking a skilled nursing professional to join our team in Ridgefield, New Jersey.Job SummaryWe are looking for a registered nurse with experience in skilled nursing to provide high-quality care to our patients in their homes. As a skilled nursing professional, you will be responsible for assessing patient needs, developing care plans, and...
-
Nurse Field Supervisor
2 weeks ago
Ridgefield, New Jersey, United States VNS Health Full timeJob SummaryVNS Health is seeking a skilled Registered Nurse to serve as a Field Supervisor in our Home Health department. As a key member of our team, you will be responsible for providing clinical guidance and support to our Home Health Aides, ensuring that our patients receive high-quality care in the comfort of their own homes.Key ResponsibilitiesConduct...
-
Nurse Field Supervisor
5 days ago
Ridgefield, New Jersey, United States Recruitics JB Full timeJob SummaryVNS Health is seeking a skilled Registered Nurse to fill the role of Field Supervisor in our Home Health department. As a Field Supervisor, you will be responsible for providing clinical guidance and support to our Home Health Aides, ensuring that patients receive high-quality care in the comfort of their own homes.Key ResponsibilitiesConduct...
-
Nurse Field Supervisor
2 weeks ago
Ridgefield, New Jersey, United States CMP Full timeJob Title: Registered NurseVNS Health is seeking a skilled Registered Nurse to serve as a Field Supervisor in our Home Health department. As a key member of our team, you will be responsible for providing clinical guidance and support to our Home Health Aides, ensuring that our patients receive high-quality care and exceptional...
