- Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing
- Understands and complies with long-term care policies and procedures, including those that regulate nursing facilities and assisted living communities
- Establishes and maintains effective relationships with members and their legal representatives, facility staff, PCPs and other collaborating physicians/providers
- Performs an initial comprehensive assessment on all newly enrolled members and bi-annually thereafter. Develops a member management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization. Meets with members and/or their legal representatives to review newly developed or modified care plans; involves the PCP in these meetings
- Completes follow-up and post-hospital assessments according to documented standard operating procedure
- Prescribes appropriate diagnostics and interventions to avoid unnecessary transfers/acute admissions
- Consults with hospital physicians following notification of member transfer
- Collaborates with UM staff and PCPs/facility staff to enable medical necessity determinations for requested medical services
- Educates members and/or their legal representatives in disease processes affecting members and ways to manage them effectively, as well as to promote wellness
- Provides counsel, support and education to facility staff
- Supports FCMs in developing and providing in-service educational programs to facility staff
- Participates in management meetings that include, but may not be limited to:
- Weekly case conference reviews
- Monthly staff meetings
- Schedule Joint Operating Committee meetings
- Quarterly Quality Improvement Committee meetings
- Continuing education/journal club programs
- Implements HEDIS measure campaigns and other quality initiatives as directed by Corporate Health Services to ensure the highest standards of care and to promote the improvement of care management and delivery
- On-call for caseload during business hours. May require some participation in clinical on-call program as plan expands
- Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews
- Perform related duties as necessary and other duties as assigned
- Completion of Nurse Practitioner accredited program
- Licensed as NP in State where you will be practicing
- Proven knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
- Proven knowledge of CPT, ICD-9 and HCPC codes
- Proven knowledge of clinical standards of care
- Access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Landmark Motor Vehicle Safety policy
- 2+ years of clinical experience
- Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems
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InsideHigherEd Philadelphia, United States Faculty Jobs ,University of Pennsylvania Nephrology Faculty Position with the Philadelphia (CMC) VA Medical Center · Location: · Philadelphia, PA · Open Date: · Sep 22, 2023 · Close Date: · Sep 22, 2025 · Description: · The Philadelphia VA Medical Center (PVAMC) and the Division of Renal-Elect ...
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Soliant Philadelphia, United StatesMinimum 1+ years speech therapy experience required. · Responsibilities: · Conduct assessments to evaluate students' speech and language abilities. · Develop and implement personalized treatment plans to address communication disorders. · Collaborate with educators, parents, an ...
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Soliant Philadelphia, United StatesMinimum 1+ years imaging experience required. · Ready for your next travel assignment? This facility near Philadelphia, Pennsylvania is looking forMRI Technician who is ready to jump in and help See details below. · Position Details: · 13 Weeks · ARRT (MR), andBLS Certification ...
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Soliant Philadelphia, United StatesMinimum 1+ years imaging experience required. · Wouldn't you love to be near Philadephia, PA for your next travel Ultrasound Tech position? Don't you want to be a part of helping where you are needed most? Don't miss this chance · Overview: · ARDMS and BLS required · 2 years mini ...
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InsideHigherEd Philadelphia, United States Faculty Jobs ,AC Track Faculty Position, Division of Sleep Medicine, Pennsylvania Hospital · Location: · Philadelphia, PA · Open Date: · Feb 9, 2023 · Close Date: · Feb 9, 2025 · Description: · The Division of Sleep Medicine in the Department of Medicine at the Perelman School of Medicine at t ...
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Ipraxia Philadelphia, United States Part time · -Tele-psychiatrist to receive consult requests from small hospitals that do not have inpatient psych units · -Hospitals located in _**Pennsylvania**_ as well as others in _**OH, TX, MO, FL**_ & _**IN**_ · -Coverage needs are for Monday-Monday from 8:00 AM-8:00 PM · -Consult r ...
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InsideHigherEd Philadelphia, United States Faculty Jobs ,· University of Pennsylvania Nephrology Faculty Position with the Philadelphia (CMC) VA Medical Center · Location: Philadelphia, PA · Open Date: Sep 22, 2023 · Deadline: Sep 22, 2025 at 11:59 PM Eastern Time · The Philadelphia VA Medical Center (PVAMC) and the Division of Renal- ...
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VocoVision Philadelphia, United StatesJob Description · Job DescriptionMinimum 1+ years school psychologist experience required. · Title: Virtual School Psychologist Job - K-12 Teletherapy-Pennsylvania · Job Description: VocoVision has partnered with a school district in Vermont to recruit a licensed School Psycholog ...
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Imagen Technology Inc. Philadelphia, United States Part time · Imagen Technologies is expanding our team by adding world-class non-invasive cardiologists to join on a part time, remote basis to interpret echocardiogram studies. Our ideal candidate is collegial, dependable, and collaborative. Our physician team has comprehensive support f ...
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LifeStance Health Philadelphia, United States Full timeWe are actively looking to hire talented Nurse Practitioners in the area, who are passionate about patient care and committed to clinical excellence. · **Is This You?** · * Wanting to deliver high quality behavioral healthcare. · * Seeking work life balance. · * Interested in gro ...
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AMN Healthcare Philadelphia, United States Full time- Schedule: 4-5 days/per week, 8 Hour shifts · - Job Setting: Onsite inpatient Psychiatrist · - Types of Cases: Minimum 1 year of addictions experience. Must have comfortability and experience with methadone. · - Credentialing Timeframe: 3-4 weeks · - Must be Board Certified · ...
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Medical Search International Philadelphia, United States TEMPORARYMedical Search International currently has multiple Radiology opportunities for **Neuroradiologists, Body Imaging Radiologists, and Breast Imaging Radiologists** in Philadelphia, PA. · · Please see the details below and let us know if you'd be interested in discussing the oppor ...
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LifeStance Health Philadelphia, United States Full timeAt LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. E ...
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Medestar Philadelphia, United States TEMPORARYA housing first team in Pennsylvania needs a Psychiatric Nurse Practitioner to · provide quality patient care for a locum tenens coverage assignment. · * **_About the Job:_** · * **Coverage Needed** : Quick Start for 3 - 6 months with the option to extend · * **Schedule/Hours** : ...
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LifeStance Health Philadelphia, United States Full timeWe are actively looking to hire talented Adult Psychiatrists in the area, who are passionate about patient care and committed to clinical excellence. · **We offer Psychiatrists:** · * Flexible work schedules. · * Full-time and part-time available. · * Full time income ranges from ...
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Soliant Philadelphia, United States ContractMinimum 1+ years imaging experience required. · Wouldn't you love to be near Philadephia, PA for your next travel Ultrasound Tech position? Don't you want to be a part of helping where you are needed most? Don't miss this chance · Overview: · ARDMS and BLS required · 2 years mini ...
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Tower Health Medical Group Philadelphia, United States Full time**St. Christopher's Hospital for Children is looking for a Pediatric Pathology Chief to lead the section.** · **Highlights:** · - The department of pathology's volume is 2400 cases/year and you will join 1 full time pathologist, a transfusion medicine expert and a microbilogist i ...
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Tower Health Medical Group Philadelphia, United States Full timeSt. Christopher's Hospital for Children is seeking a **Pediatric Cardiologist** with a **focus on imaging**. Perform inpatient and outpatient pediatric cardiology evaluations and testing, including interpretation of ECGs, echocardiograms, ambulatory electrocardiography, and exerc ...
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Providence Healthcare Group Philadelphia, United States Full timeSt. Christopher's Hospital for Children, a 188-bed children's hospital in Philadelphia, PA, is seeking a Section Chief of Pediatric Nephrology. Through our partnership with Tower Health and Drexel University, we provide exceptional care to children throughout the Greater Philadel ...
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Tower Health Philadelphia, United States Full time**St. Christopher's Hospital for Children** is recruiting for a Chief of Pulmonary Medicine for our **hospital campus in Philadelphia, PA**. · · **Position Highlights:** · - Oversee the daily clinical operations of medical staff · - Create a vision and direction for the departm ...
Geriatrics Full-Time position in Philadelphia, Pennsylvania - Optum
Description
$20,000 Student Loan Repayment Or $40,000 Sign-on Bonus For Individuals Who Have Not Previously Participated In This Program
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care.
Primary Responsibilities:
Required Qualifications:
Preferred Qualifications:
Geriatrics Full-Time position in Philadelphia, Pennsylvania professionals in Philadelphia
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Anna Nicholaides
Clinical Psychologist/postdoctoral position at Philadelphia Couples Therapy · If you are a psycholog ...
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Tracey Williamson
Senior Mortgage Underwriter
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Michael Ayo
Full Time Biology Student