Description Clinical Program Coordinator RN in Quality Assurance Unit at Queen of the Valley Medical Center, CA. This position is Full time and will work 8-hour Day Shifts.. Providence Queen of the Valley Medical Center is committed to delivering top-notch healthcare, earning recognition from U.S. News & World Report as a High-Performance Hospital for heart attack, heart & kidney failure, hip fracture, stroke, and maternity care.. The Coordinator is accountable for the overall management, leadership, and direction of the clinical and operational activities of the Sepsis program in accordance with Providence Queen of the Valley Medical Center's Mission and Core Values.. Join our team at Queen Of The Valley Medical Ctr and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect.. 3 years of Inpatient clinical nursing practice or 2 years of Inpatient clinical nursing practice if candidate possesses a Master of Science in Nursing (MSN) with specialty training as a Clinical Nurse Specialist (CNS), Clinical Nurse Leader (CNL), or Nursing Education.
Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here.. This position works in collaboration with nursing leadership to foster and influence competency management, clinical nursing education, professional role development, policy standardization, collaborative partnerships, scientific inquiry, transition to practice and onboarding/orientation of new Hartford HealthCare colleagues.. Licensed Registered Nurse from the CT DPH obtained prior to hire date.. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth.. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children.
Marshall Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Vacaville, California.. This is a [degree] position in the NBAX UTILIZATION MANAGEMENT:.. Active state licensure in relevant state (e.g., RN, LPN, PT, OT).. BLS/CPR certification (ACLS, PALS, or others as required by specialty).. Join our team of dedicated healthcare professionals and embark on a rewarding travel healthcare career with Marshall Healthcare Staffing.
American Heart Association (AHA) or American Red Cross Basic Life Support (BLS), or UC Davis Health CPR. Proficient ability to collaborate with unit and hospital leadership across disciplines. Lean Six Sigma of any color belt, or Certified Professional in Healthcare Quality (CPHQ), or Clinical Nurse Leader (CNL). This position is not eligible for H1B Visa sponsorship. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals.
In this role you will perform accurate and timely clinical review of post service claims focused primarily on Behavioral Health outpatient services, Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP).. The successful RN candidate will review outpatient post service cases for benefits, medical necessity, coding accuracy and medical policy compliance.. Prepare and present cases to Medical Director (MD) for medical director oversight and necessity determination and communicate determinations to providers and/or members to in compliance with state, federal and accreditation requirements Perform retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare. Conducts clinical review of claims for medical necessity, coding accuracy, and medical policy compliance. Knowledge of CPT-4, ICD-9, HCPCs, with 1-2 years' experience in coding.
The Nurse Manager works closely and collaboratively with the practice managers within a dyad model, providing clinical oversight and supervision for nurses.. Supervise and mentor a team of RNs and LVNs.. Manage specialized program areas such as Quality Improvement, Utilization Management, Infection Control, or Epidemiology, as required.. Experience working in an FQHC or similar healthcare setting.. Demonstrated person-centered approach and familiarity with trauma-informed systems and restorative practices