LTSS Service Coordinator RN Clinician (RN Field Nurse) – Texas Multiple Opportunities!

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LTSS Service Coordinator RN Clinician (RN Field Nurse) – Texas Multiple Opportunities!
Your Talent. Our Vision. At Amerigroup, a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, it’s a powerful combination.  It’s the foundation upon which we’re creating greater care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.
 
This is an exceptional opportunity to do innovative work that means more to you and those we serve. 
 
This is a field position supporting our LTSS (Long Term Services and Supports) members throughout Texas. You must live in this area where you will be working from home or in the field, coming into the Houston office as needed.  Training will be held in the office for the first 3-4 weeks.

Opportunities available in:
As a Service Coordinator, you will be responsible for overall management of member's case within the scope of  licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum serving members enrolled in the health plan; provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contract.
 
  • Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
  • Coordinates internal and external resources to meet identified needs.
  • Responsible for performing telephonic and face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports.
  • Manages members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits.
  • Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, physicians; identifies members that would benefit from an alternative level of care or other waiver programs.
  • The RN has overall responsibility to develop the care plan for services for the member and ensures the member's access to those services.
  • May also assist in problem solving with providers, claims or service issues.

Requirements
:
  • • 3-4 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background.
  • Current, unrestricted RN license in Texas required.
  • Travel required within assigned territory.
  • Computer literate: MS Word, Outlook, Excel
  • Preferred:
  • Masters in Health/Nursing preferred.
  • Previous pediatric experience
  • Behavioral health experience
  • Previous managed care experience
 
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2015 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at 
antheminc.com/careers. EOE. M/F/Disability/Veteran.
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Physician Assistant or Nurse Practitioner

Capital Digestive Care
Job Description

Job Title: Physician Assistant or Nurse Practitioner
FLSA Status: Exempt
Job Code: Department: Divisional

Job Purpose: An exempt position responsible for practicing medicine with physician supervision including conducting examinations and writing prescriptions. Contributes to the physician’s effectiveness by identifying short-term and long-range patient care issues that must be addressed; providing information and commentary pertinent to deliberations; recommending options and courses of action; implementing physician directives.

Duties/Responsibilities:

  • Assesses patient health by interviewing patients; performing physical examinations; obtaining, updating and studying medical histories
  • Determines abnormal conditions by administering or ordering diagnostic tests, such as x-rays, sonograms and other laboratory studies; interpreting test results
  • Monitors and documents therapies and provides continuity of care by charting in patient electronic medical records
  • Instructs and counsels patients by descripting therapeutic regimens; promoting wellness and health maintenance
  • Triages patient calls or emails through the secure patient portal; evaluates patient problems
  • Protects patients and employees by adhering to infection-control policies and protocols
  • Complies with federal, state and local legal and professional requirements by studying existing and new legislation; anticipating future legislation; enforcing adherence to requirements; advising management on needed actions
  • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies
  • Contributes to a team effort

Supervisory Responsibilities:
Reports to Practice Manager, Supervising Physician

Qualification Requirements: In order to perform this job successfully, an individual must be able to perform each essential duty satisfactorily and regular attendance is required. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Good understanding of CPT and ICD-10 codes and Modifiers
  • Good knowledge of Medical Insurance plans
  • Should be able to work in both a team and individual environment
  • Strong inter-personal skills
  • Computer skills

Education and/or Experience: Bachelor’s degree and successful completion of accredited program. Four years of health care experience prior to applying to a physician assistant or nurse practitioner program, plus one year of experience as a physician assistant or nurse practitioner.

Certifications/Licenses: National certification from the National Commission on Certifications of physician assistant. Must log 100 hours of continuing medical education every two years and sit for recertification every six years. State physician assistant license required. State DEA and CDS license required

Skills, Knowledge and Abilities:
Working knowledge of the following:
  • Knowledge of medical model and roles of physicians and physician assistants. Familiar with anatomy, pharmacology, pathophysiology, clinical medicine and physical diagnosis with special attention relation to Gastroenterology
  • Knowledge of patient assessment techniques including taking medical histories, performing physicals, evaluating health status including state of wellness, and compliance with care recommendations
  • Knowledge of diagnosing and treating medical problems and developing care plans.
  • Knowledge of documentation in electronic medical records in a confidential manner
  • ICD-10 and CPT coding – with a focus on Gastroenterology codes
Demonstrating skills of the following:
  • Skill in gathering and analyzing physiological, socioeconomic, and emotional patient data
  • Skill in accurately evaluating patient problems in person or via phone and providing appropriate advice, intervention, or referral
  • Skill in developing/revising patient care plan based on patient status
Ability to:
  • Problem Solve, prioritize
  • Multitask and be detail oriented
  • Use Active Listening Skills
  • Work independently as well as a in a team environment
  • Communicate effectively verbally and in writing
  • Communicate effectively with patients, co-workers and physicians

Physical Requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

While performing the duties of this job, the employee must be able to sit and stand for long periods of time. Fluency in English (spoken and written) is required. The employee is required to use dexterity of hands and fingers to operate a computer keyboard, mouse and other office equipment. Specific vision abilities required by this job include close vision and ability to focus.


Work Environment:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

While performing the duties of this position, the employee works in a clinical office environment and is exposed to a patient health issues daily. Before and after hour meetings are required. Some travel is required; the employee may travel by automobile and is exposed to the changing weather conditions.

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Associate Dean, College of Nursing

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Associate Dean, College of Nursing

The University of Wisconsin Oshkosh is currently seeking nominations and applications for Associate Dean of the College of Nursing. This is a full time, 12 month tenured/tenured-track faculty member. The ideal candidate will be a visionary who works as a part of the College of Nursing senior administration. The Associate Dean reports directly to the Dean of the College of Nursing and coordinates with the Dean to achieve the mission and vision of the college. The Associate Dean oversees the policies, and priorities that create, foster, and sustain excellence in teaching, research and scholarship in the College of Nursing. The Associate Dean will also oversee the Nursing Research Office and is responsible for the measurement and reporting of College of Nursing outcomes. To apply go to: http://www.uwosh.edu/hr/jobs.php.

UW Oshkosh is an EOE of women, minorities, individuals with disabilities and protected veterans

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Director, Certified Registered Nurse Anesthetist Emphasis, College of Nursing

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Director, Certified Registered Nurse Anesthetist Emphasis, College of Nursing

The University of Wisconsin Oshkosh is currently seeking nominations and applications for Director, Certified Registered Nurse Anesthetist Emphasis in the College of Nursing. The Director of the Certified Registered Nurse Anesthetist (CRNA) program is a doctoral prepared nurse with proven success as an academic educator who has the primary responsibility for curricular and programmatic aspects of post-licensure education in the College of Nursing (CON). The Director is responsible for overall leadership of the CRNA program. The Director will maintain professional role expectations. Director should be eligible for a tenure, tenure-track or clinical track position within the College of Nursing. To apply go to: http://www.uwosh.edu/hr/jobs.php.

UW Oshkosh is an EOE of women, minorities, individuals with disabilities and protected veterans.

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Assistant Director, Certified Registered Nurse Anesthetist Emphasis, College of Nursing


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Assistant Director, Certified Registered Nurse Anesthetist Emphasis, College of Nursing


The University of Wisconsin Oshkosh is currently seeking nominations and applications for Assistant Director, Certified Registered Nurse Anesthetist Emphasis in the College of Nursing. The Assistant Director of the Certified Registered Nurse Anesthetist (CRNA) program is a doctoral prepared nurse, practicing, CRNA who, in collaboration with the Director of the Certified Registered Nurse Anesthetist, has the primary responsibility of overall leadership related to the CRNA emphasis in the College of Nursing (CON). The Assistant Director will maintain professional role expectations. Director should be eligible for a tenure, tenure-track or clinical track position within the College of Nursing. To apply go to: http://www.uwosh.edu/hr/jobs.php.

UW Oshkosh is an EOE of women, minorities, individuals with disabilities and protected veterans.

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Tenure-Track Faculty Appointments

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Tenure-Track Faculty Appointments


Are you an innovative and team-oriented individual with a passion for nursing education?

The University of Wisconsin Oshkosh is seeking candidates to fill full-time, tenure-track appointments in the following specialities - Adult Health, Nursing Informatics and Primary Care. Persons with earned rank and tenure at a comparable university may be considered for senior rank and tenure upon appointment. Candidates with special interest and skill in teaching with technology are especially desired. For more information about the College of Nursing, visit our website: http://www.uwosh.edu/con.

Successful candidates will be doctorally prepared in nursing (PhD in Nursing, DNSc, or DNP with FNP certification). Salary is commensurate with experience. For complete position description and how to apply, see
http://www.uwosh.edu/hr/.

Send letter of interest, curriculum vitae, three letters of reference, contact information for five references, and official transcripts to:

Leslie Neal-Boylan, PhD, CRRN, APNP, FAAN
Dean, College of Nursing University of Wisconsin Oshkosh
800 Algoma Blvd Oshkosh, WI 54901
condean@uwosh.edu

UW Oshkosh is an EOE of women, minorities, individuals with disabilities and protected veterans.

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Starkloff Disability Institute is currently looking for DISABLED NURSES in Baton Rouge Louisiana

The Starkloff Disability Institute is currently looking for DISABLED NURSES in Baton Rouge Louisiana. We know of a company who is hiring NOW for disabled people with this experience.

These jobs will not stay open for long. If you have this type of experience or know of someone who does, and you live in Louisiana or would be willing to relocate for the right job, please call the Starkloff Disability Institute NOW!
314-588-7090. Ask for Susan Menhard or Tina Vinson. Read More...

TELEPHONIC RN CASE MANAGER - (MEO-537E)

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WORK AT HOME: SEEKING QUALIFIED CANDIDATES:  
REGISTERED NURSES

  • Are you a RN receiving SSDI or SSI disability benefits and want to return to work in a nursing position - using your education and previous work experience?  We have Work at Home jobs for you!

Employment Options (MyEmploymentOptions), a certified Employment Network (EN) in the national work program called Ticket to Work, specializes in Work-at-Home employment in 47 states. We partner with leading, national employers who send us their professional positions to fill. We helped over 400 job seekers nationwide return to work in 2013!

**Must apply for all positions online via Job Seeker’s link below.


NOTE: Only one pre-qualify application needed -  even if pursuing more than 1 position.
__________________________________________________________________


TELEPHONIC RN CASE MANAGER - (MEO-537E)

Primary Responsibilities:  Make outbound calls to assess members’ current health status, identify gaps/barriers in treatment plans, educate members on disease processes and encourage healthy lifestyle changes.  Provide referrals, care coordination with home health, physicians and others as needed.

Requirements:   Current, unrestricted RN license in the State;  Minimum 3 years experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company.   

TO READ MORE REQUIREMENTS FOR MEO-537E:
http://myemploymentoptions.com/job_opening/registered-nurse-rn-meo-537b/

TO APPLY FOR ANY POSITION & FREE SERVICES:
Submit Pre-Qualify Option #1 @
http://myemploymentoptions.com/for-job-seekers/
__________________________________________________________________

NOTE: Must apply online via Job seekers link above.  No telephone applications or resumes by email.  Can attach resume to online application form.  
__________________________________________________________________

WHO WE ARE:  Employment Options Inc., (MyEmploymentOptions.com) is a certified Social Security Administration Employment Network (EN) in the free Ticket to Work Program that specializes in Work at Home employment. Our company, which also has a Facebook and Twitter page, assists ticket-holders who receive SSDI/SSI (non-retirement) disability in 47 states and has a loyal following of national employers who consistently put aside job openings for our clients because they have been so well screened for each job description. We also offer on-site community job placement nationwide.  From pre-screening qualifications to resume prep and job placement; we offer a complete package and valuable tools for success.

UTILIZATION REVIEWER - REGISTERED NURSE: (MEO-537B)

Employment Options Logo

WORK AT HOME: SEEKING QUALIFIED CANDIDATES:  
REGISTERED NURSES

  • Are you a RN receiving SSDI or SSI disability benefits and want to return to work in a nursing position - using your education and previous work experience?  We have Work at Home jobs for you!

Employment Options (MyEmploymentOptions), a certified Employment Network (EN) in the national work program called Ticket to Work, specializes in Work-at-Home employment in 47 states. We partner with leading, national employers who send us their professional positions to fill. We helped over 400 job seekers nationwide return to work in 2013!

**Must apply for all positions online via Job Seeker’s link below.


NOTE: Only one pre-qualify application needed -  even if pursuing more than 1 position.
__________________________________________________________________

UTILIZATION REVIEWER - REGISTERED NURSE: (MEO-537B)

Primary Responsibilities:  Perform utilization management, utilization review, or concurrent review (on-site or telephonic inpatient care management).  Determine medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination.

Minimum Requirements:   Unrestricted RN license, 2+ years’ clinical experience within the hospital setting, with an understanding of the inpatient management and plan of care process.   Basic level of experience with Microsoft Word - with the ability to navigate a Windows environment.


TO READ MORE REQUIREMENTS FOR MEO-537B:
http://myemploymentoptions.com/job_opening/tele-interviewer/  

TO APPLY FOR ANY POSITION & FREE SERVICES:
Submit Pre-Qualify Option #1 @
http://myemploymentoptions.com/for-job-seekers/

__________________________________________________________________

NOTE: Must apply online via Job seekers link above.  No telephone applications or resumes by email.  Can attach resume to online application form.  
__________________________________________________________________

WHO WE ARE:  Employment Options Inc., (MyEmploymentOptions.com) is a certified Social Security Administration Employment Network (EN) in the free Ticket to Work Program that specializes in Work at Home employment. Our company, which also has a Facebook and Twitter page, assists ticket-holders who receive SSDI/SSI (non-retirement) disability in 47 states and has a loyal following of national employers who consistently put aside job openings for our clients because they have been so well screened for each job description. We also offer on-site community job placement nationwide.  From pre-screening qualifications to resume prep and job placement; we offer a complete package and valuable tools for success.