Legal Nurse Consulting Careers

The RN Case Manager (Discharge Planner) is responsible for coordinating patient care from pre-admission through post-discharge, applying clinical expertise to ensure quality, patient-centered outcomes.. Serves as a member of the Case Management Team and applies RN clinical expertise and medical appropriateness to care coordination and discharge planning.. Demonstrates the ability to develop a plan of care that addresses needs across the continuum; have an intervention for problems identified; develop long- and short-term goals with specific time frames for resolution; identify specific services to be provided in the care plan; include the family/care-giver in the plan of care; and show life planning contingencies such as power of attorney and/or advance directives.. Assists in program evaluation through customer service surveys, LOS data analysis, charge/discharge data, comparison to state averages, and best practice/benchmark data.. RN Case Manager, Discharge Planning, Patient Care Coordination, Clinical Expertise, Multidisciplinary Team, Care Management, Healthcare Compliance, Quality Improvement, Healthcare Resources, Patient Outcomes

Relocation Assistance Available. Patient care assignment may include Neonate, Pediatric, Adolescent, Adult and Geriatric age groups.. DISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN's, and other health care team members. INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary. ORIENTATION - Participate in orientation, continuing education of staff RN's and other health care team members as appropriate

ID: 53956571 Shift: Unknown Description: The Director of Case Management is responsible for the oversight of Case Management unit, including but not limited to clinical resource management, discharge planning activities, patient advocacy, clinical social work and best practice in medical necessity determination and concurrent review. Essential Functions: The Director is responsible for the overall direction and management of these areas, including planning, organizing and directing all activities, staffing, performance improvement in the delivery of clinical services (such as LOS reduction), and reporting needs within the RRHS, as well as government and regulatory reporting. This position will work closely with all departments at the medical center and the post-acute service providers to streamline the patient transition through the health care system and into the community post discharge. Works with physicians, nurses, ancillary staff and social services at the point of care to facilitate multi-disciplinary decision-making that is consistent with the goals and objectives of the plan of care and the wishes of both the patient and family. Educates Physicians and staff in Case Management standards and assists them in meeting the regulations and standards as requested by Joint Commission, OSHA, CMS, HCFA, AHCA and other regulatory agencies.

Day Shift, inpatient RN CM Acute hospital experience, Day shift – 0800-1630, Monday through Friday, every other weekend commitment; 40-hour work week.. This is for Inpatient Case Management with focus on timely Discharge Planning.. Coordinates a continuum of care for a defined population of patients from pre-admission through post discharge.. Registered Nurse (RN) licensure in the state of practice: Required. Focuses on complex patients, frequent emergency department utilizers, chronic pain patients, substance abuse patients and homeless patients.

Continues to develop the ability to cope with and manage contingencies of clinical nursing.. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.. Documents patient history, symptoms, medication, and care given.

Continues to develop the ability to cope with and manage contingencies of clinical nursing.. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

Collaborates with the leadership team, clinical education team, and clinical staff in the planning and implementation of organizational and departmental goals, creating a climate of innovation through role-modeling, consultation, research, and the facilitation of learning.. Assists in the development of ongoing competencies for clinical ICU/CVICU staff prioritizing based on practice competency gaps, new skills requirements, changes in process or procedure, high risk and problematic aspects of the clinical role based on quality improvement and process improvement data.. Promotes the development of ICU/CVICU nurses by offering a variety of learning opportunities planned for nurses in different stages of the Novice to the Expert continuum.. Recommends practice changes based on the synthesis, appraisal, of research, evidence-based practices, and quality improvement findings.. Adherence to credentialing requirements of AAMC as stated in the nursing bylaws.

Hybrid RN Case Manager. Coordinates with the Primary Care Physician (PCP) and functions as part of an interdisciplinary team to guide high risk patients across care delivery sites, including inpatient, ambulatory and post-acute care settings.. Ensures continuity of care through defined, evidence-based methods, including, but not limited to, medication reconciliation, self-management plan, engagement of family and care giver, health education and referrals.. Participates in the development and execution of the Plan of Care across the continuum of care, including acute, post acute and home settings. Utilizes and incorporates knowledge of efficiency and effectiveness indicators (example-Process Metrics, NCQA, URAC and HEDIS) when coordinating and facilitating Plan of Care

As an integral member of the Yale New Haven Health System (YNHHS) healthcare team, the Registered Professional Nurse (RN) upholds the YNHHS mission, vision, values and strategic initiatives to provide the highest level of patient centered care.. The RN practices professional nursing as a registered nurse within the legal and ethical framework established by the Connecticut Nurse Practice Act, American Nurses Association Scope and Standards for Nursing Practice, ANA Code of Ethics for Nurses and the YNHHS Professional Practice Model.. Includes respecting the patient's values, preferences, expressed needs and knowledge of the healthcare situation in holistic data collection, in formulating health care outcomes and in the evaluation process.. Health Teaching and Health Promotion: The RN employs strategies to promote health and a safe environment.. The RN practices in a manner that is congruent with cultural diversity and inclusion principles.

Access Nursecare Inc. is a Medicare-certified Home Health and Private Duty agency dedicated to impressing, wowing, and surpassing all expectations of service for our clients i.e. customer-centric.. The RN Case Manager will employ a process of ongoing assessment, care coordination, reporting, and collaboration with clients, families, and all providers involved in the client’s care.. Care Management Monitoring and Evaluation, Education, Advocacy, Family and Caregiver Coaching. Responsible for a comprehensive set of services/ interventions that assists patients with chronic or complex conditions to manage their holistic health.. A minimum of 3-5 years experience as a Medicare Home Health and or Case Management, Care Management, Utilization, Long Term Care Coordination

Eligible candidates are hired (offer accepted) into a Full or Part time RN position. The Registered Nurse - Case Manager – LH role collaborates in case finding/screening, assessment, planning, implementation, evaluation, monitoring, service referrals, medication reconciliation, risk call backs and documentation of patient’s discharge transition needs. Acute care experience and knowledge of discharge planning, home care and case management required. MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you have questions about this role, please contact Lisa M. Bickford at lisa.bickford@mainehealth.org

Designs educational offerings (courses, simulations, programs) using processes and methodologies that incorporate the principles of adult education and learning styles.. Maintains educational and competency records in compliance with hospital, Department of Healthcare Services (DHS), Office of Statewide Health Planning and Development (OSHPD), The Joint Commission (TJC), and the Institute for Medical Quality (IMQ) standards.. Participates in the development, implementation and delivery of centralized education offerings (skill modules, self-study series, interactive online courses, audio-visual aides, etc.). OR CNOR-Certified Perioperative Nurse. Intermediate knowledge of word processing, presentation, and email software, such as Microsoft Word, PowerPoint, Publisher, and Outlook, in addition to a working understanding of Microsoft SharePoint, Adobe Captivate, HealthStream and Epic, and an aptitude for learning new programs.

The APN-Practitioner maintains a therapeutic relationship with the patients, caregivers, and staff throughout the health care continuum.. Serving as a liaison, translator and negotiator for staff, patients and families.. Utilizing clinical pathways to coordinate patient care across the full continuum of services: inpatient, ambulatory and home health, or through the patient's trajectory of illness.. License to practice as NP in the specialty area in the Commonwealth of Virginia. The ideal candidate will have a Pediatric Nurse Practitioner and be capable of providing care across all age groups.

Eligible candidates are hired (offer accepted) into a Full or Part time RN position.. The Registered Nurse - Case Manager - LH role collaborates in case finding/screening, assessment, planning, implementation, evaluation, monitoring, service referrals, medication reconciliation, risk call backs and documentation of patient's discharge transition needs.. Acute care experience and knowledge of discharge planning, home care and case management required.. MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential.. If you have questions about this role, please contact Lisa M. Bickford at [email protected]

The Utilization Review Nurse role supports managing a utilization review program through planning, data analysis, and goal setting to ensure entitled reimbursement and compliance with guidelines.. Actively supports utilization review services to obtain authorization for payment from 3rd party payers in preadmission, admission, continued stay areas, and outpatient certification.. Provides evaluation, recommendations, and/or referrals for performance improvement, patient safety, and risk.. Associate's Degree in Nursing (ADN) required; Bachelor's Degree in Nursing (BSN) preferred. Five years of experience as a Registered Nurse in acute care required; Case Management/Utilization Review experience preferred

Acts as principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate status is assigned.. Coordinating ambulance and DME.3.. Ensures the completion of a discharge needs assessment as well as formulation of a plan on all admissions using appropriate resources (CARL tool for bundled payment cases, Navihealth, etc.). Registered Nurse license State of CT with minimum of one year as an acute Care Coordinator.. Knowledge and expertise with use of electronic medical record and use of both Interqual and Milliman screening criteria.

General Summary of PositionThe Assistant Director of Nursing is a member of MedStar Health entity-based Division of Nursing and leadership team.. Collaborates with the Director of Nursing in maintaining adherence to regulatory and accreditation standards, and MedStar Health's policies and procedures.. Escalates care delivery concerns to the Director of Nursing and other leaders asAssists with developing unit-specific orientation of newly hired associates, and preceptor and charge/resource nurse programs.. C-EFM - Electronic Fetal Monitoring from the National Certification Corporation (NCC) is required for Perinatal nurses (labor and delivery, antepartum, antenatal testing) within 12 months from date of hire.. New graduate nurses or new to specialty nurses (labor and delivery, antepartum, antenatal testing) will have 15 months from date of hire to obtain the EFM certification.

Demonstrates the ability to implement instructional design skills (methodology selected is appropriate for topic, etc) and assists others in instructional design.. Maintains a knowledge base of the Joint Commission, OSHA and other regulatory standards.. Healthcare Staffing Plus is a US based national per diem, local contract, and locum tenens agency.. We are located in the beautiful rolling hills of southern Indiana just outside of Louisville, KY.. Never resting on our laurels of sourcing candidates thoroughly and presenting our clients only the cream of the crop.

This key leadership position ensures effective patient care coordination, regulatory compliance, and financial stewardship through strategic utilization review and case management practices.. Leadership: Guide and manage a team of skilled case management and utilization review professionals, fostering alignment with organizational standards and best practices.. Case Management: Oversee patient care coordination, emphasizing efficient discharge planning and smooth care transitions in collaboration with interdisciplinary healthcare teams.. Licensure/Certification: Active RN license in Texas; certifications in case management (e.g., CCM, ACM, CPHQ) are highly preferred.. Experience: Minimum of 2 years in a healthcare management role, with direct experience in case management or utilization review.

This position collaborates with the nursing leadership team to support quality patient care and strategic initiatives.. This position has responsibities on a (system wide) level to help create and present education at an organizational wide level to include Professional Nurse Residency program.. Participates in review of current literature/research and CMS regulatory changes.. Respect cultural and spiritual differences and honor individual preferences.. Pick up trash, ensuring the physical environment is clean and safe.

Join our dedicated Case Management team as an RN Case Manager, where you will play a vital role in ensuring patients receive optimal care.. Coordinate discharge planning to ensure patients progress smoothly through the continuum of care and are discharged to the least restrictive environment.. At least two (2) years of experience in utilization review, case management, or social work.. Bachelor's or Master's Degree in related healthcare fields (such as respiratory therapy or social work) may be considered.. Certification in case management is highly desirable (e.g., from the Commission for Case Management Certification (CCMC) or the Association of Rehabilitation Nurses).