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RN Care Mgr (UM) - Relocation Offered! MEDSTAR HEALTH General Summary of Position Responsible for the care management and care coordination of Medicare beneficiaries attributed to a medical practice(s). Serves as the liaison between the medical practice and the CTO's (Care Transformation Organization) interdisciplinary care team.
Primary Duties and Responsibilities
Under the direction of the practicing physician, perform direct patient care including wellness visits, transitional care; administer vaccinations, screenings, etc. Assesses, plans, implements, monitors and evaluates options and services to meet the health needs of attributed beneficiaries. Manages a caseload in compliance with contractual obligations and the MD Primary Care Program (MDPCP) standards. Conducts comprehensive member assessments through root cause analysis based on members' needs and performs clinical intervention through the development of a care management treatment plan specific to each member with high level acuity needs. Monitors and evaluates the effectiveness of the care plan and modifies the plan as needed. Supports member access to appropriate quality and cost-effective care. Coordinates with internal and external resources to meet identified needs of the member's care plan and collaborates with providers. Acts as a liaison and member advocate between the member/family, physician, and facilities/agencies. Provides clinical consultation to physicians, professional staff, and other teams members/supervisors to provide optimal quality patient care and effective operations. Interacts continuously with members, family, physician(s), and other resources to determine appropriate behavioral action needed to address medical needs. Reviews benefits options, researches community resources, trains/creates behavioral routines, and enables members to be active participants in their own healthcare. Ensures members are engaging with their PCP to complete their care management treatment plan or preventive care services. In collaboration with the interdisciplinary care team, acts as primary care team agent for the coordination of care for a panel of attributed Medicare beneficiaries by ensuring the following: Attributed beneficiaries have timely access to care (same day or next-day access to the patient's own practitioner and/or care team for urgent care or transition management). Support and facilitate alternatives for care outside of the traditional office visit to increase access to the care team and the practitioner, such as e-visits, phone visits, group visits, home visits, and visits in alternate locations (senior centers, assisted living) captured in the medical record. Assist patients with scheduling appointments with providers including annual wellness visits. Attributed beneficiaries receive a follow-up interaction from the practice within 2 days for hospital discharge and within one week for Emergency Department (ED) discharges. Coordinates referral management for attributed beneficiaries seeking care from high-volume and/or high-cost specialists as well as EDs and hospitals. Facilitate connection to services for patients who may benefit from behavioral health services, including patients with serious mental illness; patients with substance use disorders' patients with depression, anxiety, or other mental health conditions; patients with behavioral and social risk factors and BH issues; patients with multiple co-morbidities and BH issues. Assist with identifying patients to participate in the Patient-Family/ Caregiver Advisory Council (PFAC) and help to organize and facilitate the PFAC annual meetings. Engage attributed beneficiaries and caregivers in a collaborative process for advance care planning (MOLST, Advanced Directives, Proxy). Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations. Daily telephonic patient communication to help to close gaps in care and provide up-to-date healthcare information helping to facilitate the member's understanding of his/her health status using available reports including quality m page and HIE CRISP to ensure relevant medical history/encounter are accessible in EMR. Facilitates ongoing communication amongst practice and care team by participating in huddles, hosting regular conference calls, in-person meetings, or coordinating regular email updates to ensure alignment of activity, discuss new developments, and exchange information. Perform analysis of attributed beneficiary data and presents data intelligently and creatively in a way that can be easily and quickly grasped by the practice and interdisciplinary care team as appropriate. Participates and supports multidisciplinary quality initiatives to close care gaps and service improvement teams as appropriate. Participates in meetings including: regular staff meetings, training classes for safety, infection control, OSHA, EMR, CPR, TJC, safety, compliance, and others as required; Serves on committees and represents the department and facility in community outreach efforts as appropriate.
Minimum Qualifications Education
Bachelor's degree in Nursing (BSN) required
Experience
3-4 years Work experience. Familiarity with the local area and/or population health workforce integration required and Experience with data collection and reporting and community outreach experience. Experience working in an ambulatory setting preferred
Licenses and Certifications
Registered Nurse licensed in Maryland required Certified Case Manager (CCM) from a nationally recognized certification agency preferred or CCM certification within 1 Year preferred
Knowledge, Skills, and Abilities
Effective verbal and written communication skills. Excellent interpersonal and customer service skills especially serving geriatric patients. Strong analytical and critical thinking skills. Strong community engagement and facilitation skills. Advanced project management skills. Commitment to collective impact concepts. Flexibility and the ability to work autonomously as well as take direction as needed. Cultural competency. Proficient computer skills along with experience using Microsoft applications-Word, Excel, etc. and familiarity with entering data in an electronic medical record (EMR).
This position has a hiring range of $87,318 - $157,289
Baltimore, MD, US, 21237Posted an hour ago LPN - Framingham. Tufts Medical Center This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following duties: Functions as part of the health care team in providing safe and effective therapy for assigned patients under the direct supervision of a registered nurse. Participates in the implementation and evaluation of patient care. Requires an LPN license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. An entry level role that applies broad theoretical job knowledge typically obtained through advanced education. May require the following proficiency: work is closely supervised, problems faced are not typically difficult or complex, and explains facts, policies and practices related to job area. Framingham, MA, US, 01702Posted an hour ago Ambulatory Care Graduate Nurse Residency Program (GN) (RN) Hartford HealthCare Hartford Healthcare Medical Group (HHCMG) NEW Ambulatory Care Nurse Residency Program for Graduate Nurses
Hartford HealthCare Medical Group is thrilled to introduce an exciting opportunity to explore the dynamic world of ambulatory care nursing and embark on a rewarding journey as part of our dedicated healthcare team. Your future in ambulatory care nursing starts here.
Every day, more than 30,000 Hartford HealthCare employees come to work with one thing in common: pride in what we do, knowing that every moment matters. We invite you to become part of Connecticut's most comprehensive healthcare network. Hartford HealthCare Medical Group is one of the largest medical practices in New England, with hundreds of locations throughout Connecticut and Rhode Island. Our team of clinical professionals range from medical assistants, to nurses, to physician. We have earned an excellent reputation with patients and the medical community, offering primary care, urgent care and more than 30 different specialties.
Job Description
The Nurse Residency Program is designed for new graduate RNs who are looking for an entry-level ambulatory care nursing position. This position provides opportunities for full time Monday through Friday - Days All new graduate RNs will be automatically enrolled in a one-year NEW Nurse Residency Program that is designed to support the transition from academia to professional nursing practice. The program’s evidence-based curriculum aligns with HHC’s mission and values. We are committed to improving access to care, as well as investment in technology and training, to ensure the timeliness, effectiveness and accuracy of our services.
Qualifications • Graduate from an accredited School of Nursing required. BSN preferred. • All newly hired Registered Nurses must have current BLS certification or must obtain within one month of hire. • Must be eligible for CT State RN License.
Bilingual English/Spanish preferred
We take great care of careers.
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. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment. New Haven, CT, US, 06503Posted an hour ago Radiologic Technologist (U) MelroseWakefield Healthcare This role focuses on using various imaging techniques and practices to aid in the diagnosis and treatment of patients. In addition, this role focuses on performing the following Diagnostic Radiology duties: Evaluates physical conditions related to diagnostics are typically technically skilled and able to operate medical imaging equipment for this purpose. A clinical technologist role that has specialized knowledge or skills gained through a combination of vocational education, training, and experience. This role will be most commonly applied to patient care and/or scientific/laboratory jobs. An entry-level role typically requiring little to no prior knowledge or experience and requiring vocational or technical education. Work is routine or follows standard procedures, is closely supervised, and communicates information that requires little explanation or interpretation. Melrose, MA, US, 02176Posted an hour ago Diesel Technician. Hogan Transportation Are you currently seeking a new career opportunity? Hogan Truck Leasing is constantly growing and ready to help you succeed!? Take your career to the next level and apply today.
www.Work4Hogan.com
What Does Hogan offer?
Competitive Hourly Wages
Advancement Opportunities
Paid Time Off Upon Hire
Paid Training & ASE Reimbursement / Incentives
Excellent Benefits including 401(k) Match, Medical, Dental, Life Insurance and an Employee Assistance Program.
Qualifications:
Dedication to Excellence
Goal Driven
Team Oriented
Desire to Succeed
Mechanical Aptitude
Hogan’s dedicated maintenance professionals are a vital part of our continued success for over 100 years! We provide our team with state-of-the-art equipment and tools to guarantee their success. The progression opportunities within the organization are limited only to your desire to succeed!
See why our technicians chose Hogan and continue to grow within the company! Joplin, MO, US, 64803Posted an hour ago Queens Borough - Entry Level to Experienced Teaching. Success Academy Thanks for your interest in Success Academy! Running the largest, fastest-growing, and highest-performing network of public charter schools in New York City takes a village - families, children, teachers, staff and faculty, advocates and supporters alike. We would love to welcome you to our community! We work tirelessly every day to ensure each child in NYC has access to a fun, rigorous, whole-child education regardless of zip code or economic status. When you join SA, you play a part in giving every student who walks through the doors of one of our 53 schools in NYC a fair shot at reaching his or her potential. Montclair, NJ, US, 07042Posted an hour ago Charge Nurse Outpatient - Urology. UCHealth UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization. Littleton, CO, US, 80161Posted an hour ago Charge Nurse Outpatient - Cancer Center. UCHealth UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization. Parker, CO, US, 80138Posted an hour ago Construction Project Manager. Pyramid Global Technologies About the job Construction Project ManagerEssential Position FunctionsPlan, coordinate, oversee and inspect new, rebuild and upgrade (Fiber, and HFC) construction projects with in-house and subcontractor crews.Perform (Fiber and HFC) field engineering, and work with (Fiber and HFC) Network drafters/designers to create efficient route designs and cost estimates.Coordinate and obtain access and ROW (right-of-way) agreements when required.Coordinate permitting and pole applications, joint-trenching, and make-ready for utility poles.Function as the company representative with other utility and state/local entities for field meetings when opening/closing permits.Inspect (Fiber and HFC) networks and ensure backbone is available for launch or product deployments.Ensure all customer standards, processes and procedures for network design and deployment are followed.Estimate network construction costs, prepare budgets and track expenses.Coordinate all customer implementation activities including site walk-throughs, node placements and subcontract labor.Oversee all in-house and sub-contractor invoices and process billing to TrueNet accounts billing team.Responsible for all material inventory including quantifying orders, receiving and issuing equipment/materials out to crews.Coordinate and assign daily tasks to project team.Education and Experience:5+ years of experience in Telecommunications OSP infrastructure design, and construction including node splits, plant extensions and building entrance facilities.Working knowledge of Fiber and HFC (hybrid fiber coaxial) infrastructure design and construction principles for broadband plant required.Ability to learn, utilize and work efficiently in customer systems and databases required.Strong analytical and problem-solving skills required.Intermediate ability with Windows operating systems.Intermediate level ability with Microsoft office applications - Excel, Word, PowerPoint.Ability to prioritize and complete assignments accurately and in a timely manner.Able to effectively handle multiple priorities with a strong attention to detail in a fast-paced environment.Strong interpersonal, organizational, oral and written communications skills.
#J-18808-Ljbffr Melbourne, Victoria, AU, 3001Posted 2 hours ago Operations Coordinator. Wilmar Sugar We are currently seeking an Operations Coordinator to join our team at Kalamia Mill in Ayr - located in the Burdekin region, known for its picturesque landscapes and rich agricultural heritage.As an Operations Coordinator at Wilmar Sugar & Renewables, you will lead and coordinate your team during production to ensure efficient and smooth operations. Your role will involve overseeing daily activities, troubleshooting issues, and implementing process improvements to enhance productivity. You will be responsible for maintaining high safety standards, optimizing resource use, and ensuring consistent product quality. Your leadership will be crucial in fostering a collaborative and motivated team environment.This role requires shift work during the crushing season on a 12-hour rotational roster. Weekends and some overtime will be required.If you are looking for the next challenge or seeking to advance your career - we are looking for you!ResponsibilitiesMonitoring production performance indicators including process quality indicators and down time. Report on deviations and major downtime.Establishing and managing any necessary action plan to improve product flow, stock level, quality, break downs and efficiency of the production process.Leading, directing and motivating a team comprised of maintenance personnel, operators and lab personnel.Managing and documenting the performance of direct reports (including time, attendance, absenteeism, coaching/mentoring, training initiatives, and performance reviews).Being a leader of the Notification procedure onsite, including notification SAP entry and quality control of notifications.Providing Technical leadership in the development of process improvements.The Successful CandidateWe are seeking a motivated individual with previous leadership experience who can effectively communicate, influence and negotiate at all levels. You will be able to successfully engage and motivate a team towards common goals to achieve performance targets and business goals. You will hold tertiary or trade qualifications in mechanical or chemical disciplines or be able to demonstrate practical experience within the sugar industry or similar heavy industrial environments.What Wilmar will offer youAt Wilmar, you'll be embraced as a valued member of our team, appreciated for your unique contributions. We offer competitive pay and benefits, including additional leave and superannuation entitlements and exclusive partner discounts, enhancing your overall experience. Our emphasis on safety and innovation creates a supportive work environment where you can thrive.Interested in ApplyingIf you believe you are a good fit for this role, we invite you to apply online via Wilmar Careers before midnight on 30th March 2025 by clicking the "Apply" button. For any enquiries or assistance with the application process, please don't hesitate to contact our People & Culture team on . We look forward to receiving your application.About the BusinessWilmar Sugar and Renewables is Australia's largest manufacturer and exporter of raw sugar, and among the top 10 producers globally.We own and operate eight sugar factories across the Herbert, Burdekin, Proserpine and Sarina regions and employ more than 2,000 people during the annual sugar production season.We are one of Australia's largest generators of renewable electricity from biomass and one of only two bioethanol producers in Australia. We are also the largest sugarcane grower in Australia and a leading supplier of sustainable liquid fertiliser and stockfeed products.Reference # 47781Posted on 17 Mar 2025Closes on 30 Mar 2025 23:55Location(s) Kalamia MillExpertise: Electrical, Maintenance, Packing, Production, Quality, Warehouse, Operations
#J-18808-Ljbffr Ayr, Queensland, AU, 4807Posted 2 hours ago Description
General Summary of Position Responsible for the care management and care coordination of Medicare beneficiaries attributed to a medical practice(s). Serves as the liaison between the medical practice and the CTO's (Care Transformation Organization) interdisciplinary care team.
Primary Duties and Responsibilities
Under the direction of the practicing physician, perform direct patient care including wellness visits, transitional care; administer vaccinations, screenings, etc. Assesses, plans, implements, monitors and evaluates options and services to meet the health needs of attributed beneficiaries. Manages a caseload in compliance with contractual obligations and the MD Primary Care Program (MDPCP) standards. Conducts comprehensive member assessments through root cause analysis based on members' needs and performs clinical intervention through the development of a care management treatment plan specific to each member with high level acuity needs. Monitors and evaluates the effectiveness of the care plan and modifies the plan as needed. Supports member access to appropriate quality and cost-effective care. Coordinates with internal and external resources to meet identified needs of the member's care plan and collaborates with providers. Acts as a liaison and member advocate between the member/family, physician, and facilities/agencies. Provides clinical consultation to physicians, professional staff, and other teams members/supervisors to provide optimal quality patient care and effective operations. Interacts continuously with members, family, physician(s), and other resources to determine appropriate behavioral action needed to address medical needs. Reviews benefits options, researches community resources, trains/creates behavioral routines, and enables members to be active participants in their own healthcare. Ensures members are engaging with their PCP to complete their care management treatment plan or preventive care services. In collaboration with the interdisciplinary care team, acts as primary care team agent for the coordination of care for a panel of attributed Medicare beneficiaries by ensuring the following: Attributed beneficiaries have timely access to care (same day or next-day access to the patient's own practitioner and/or care team for urgent care or transition management). Support and facilitate alternatives for care outside of the traditional office visit to increase access to the care team and the practitioner, such as e-visits, phone visits, group visits, home visits, and visits in alternate locations (senior centers, assisted living) captured in the medical record. Assist patients with scheduling appointments with providers including annual wellness visits. Attributed beneficiaries receive a follow-up interaction from the practice within 2 days for hospital discharge and within one week for Emergency Department (ED) discharges. Coordinates referral management for attributed beneficiaries seeking care from high-volume and/or high-cost specialists as well as EDs and hospitals. Facilitate connection to services for patients who may benefit from behavioral health services, including patients with serious mental illness; patients with substance use disorders' patients with depression, anxiety, or other mental health conditions; patients with behavioral and social risk factors and BH issues; patients with multiple co-morbidities and BH issues. Assist with identifying patients to participate in the Patient-Family/ Caregiver Advisory Council (PFAC) and help to organize and facilitate the PFAC annual meetings. Engage attributed beneficiaries and caregivers in a collaborative process for advance care planning (MOLST, Advanced Directives, Proxy). Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations. Daily telephonic patient communication to help to close gaps in care and provide up-to-date healthcare information helping to facilitate the member's understanding of his/her health status using available reports including quality m page and HIE CRISP to ensure relevant medical history/encounter are accessible in EMR. Facilitates ongoing communication amongst practice and care team by participating in huddles, hosting regular conference calls, in-person meetings, or coordinating regular email updates to ensure alignment of activity, discuss new developments, and exchange information. Perform analysis of attributed beneficiary data and presents data intelligently and creatively in a way that can be easily and quickly grasped by the practice and interdisciplinary care team as appropriate. Participates and supports multidisciplinary quality initiatives to close care gaps and service improvement teams as appropriate. Participates in meetings including: regular staff meetings, training classes for safety, infection control, OSHA, EMR, CPR, TJC, safety, compliance, and others as required; Serves on committees and represents the department and facility in community outreach efforts as appropriate.
Minimum Qualifications Education
Bachelor's degree in Nursing (BSN) required
Experience
3-4 years Work experience. Familiarity with the local area and/or population health workforce integration required and Experience with data collection and reporting and community outreach experience. Experience working in an ambulatory setting preferred
Licenses and Certifications
Registered Nurse licensed in Maryland required Certified Case Manager (CCM) from a nationally recognized certification agency preferred or CCM certification within 1 Year preferred
Knowledge, Skills, and Abilities
Effective verbal and written communication skills. Excellent interpersonal and customer service skills especially serving geriatric patients. Strong analytical and critical thinking skills. Strong community engagement and facilitation skills. Advanced project management skills. Commitment to collective impact concepts. Flexibility and the ability to work autonomously as well as take direction as needed. Cultural competency. Proficient computer skills along with experience using Microsoft applications-Word, Excel, etc. and familiarity with entering data in an electronic medical record (EMR).
This position has a hiring range of $87,318 - $157,289
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