- 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
- Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
- Knowledge of CPT, ICD-9 and HCPC codes
- 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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Penn State Health Reading, United States Full time**Penn State Health St Joseph Medical Center** is seeking a full-time **Neonatologist** to join our dynamic team here in **Reading, PA** · · **Job Details** · - We are recruiting to have a division of 3 Neonatologists, and 2 Advanced Practice Providers that with provide 24/7 co ...
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The Curare Group Allentown, United StatesThis wonderful, family-centered community in Pennsylvania needs a Urologist to join their successful hospital in an employed position. The ideal candidate will have Board Certification and a clean record of malpractice. This location offers everything from bucolic country views t ...
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Optum Reading, United States Full timeOptum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. · **Primary Responsibilities:** · * Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursi ...
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Store Supervisor
3 weeks ago
Sheetz Fleetwood, United States**Store Supervisor - #247**: · - 23468 · Kutztown Rd · - FLEETWOOD, Pennsylvania · - USD $18.00/Hr. · - Full-Time · - Evenings · - On-Site · **Job Description**: · **Additional $1.50/hr. for working 10pm-6am** · **OVERVIEW** · Ready for a career with limitless growth opportunitie ...
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St. Lukes University Health Network Lehighton, United States Full timeDo you want to grow your career at one of the nation's 100 Top Hospitals? St. Luke's University Health Network is seeking two new BC/BE Gastroenterologist to join our growing team of 32 young and dynamic physicians. Our team is shaping the future of gastroenterology services in t ...
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Fidelis Partners Fogelsville, United States Full time**Anesthesiology in Allentown, PA, and Surrounding Areas** · We are a well-established healthcare organization providing exceptional · anesthesia services to multiple surgical locations in and around Allentown, · PA. We are seeking a dedicated Anesthesiologist to join our team an ...
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St. Lukes University Health Network Bethlehem, United States Full timeSt. Luke's University Health Network is **seeking BE/BC Urologists** to join our collegial, dynamic, rapidly growing Urology practice with over 11 Urologists at a dozen area hospitals. St. Luke's has been recently ranked as the #1 teaching hospital in the nation, a recipient of t ...
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St. Lukes University Health Network Bethlehem, United States Full time**St. Luke's University Health Network, the region's largest, most established health system, a major teaching hospital, and one of the nation's 100 Top Hospitals** is seeking a Board Certified/Board Eligible General Pediatrician to join our growing Network and dedicated team of ...
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St. Lukes University Health Network Lehighton, United States Full time**St. Luke's University Health Network, the region's largest, most established health system, a major teaching hospital, and one of the nation's 100 Top Hospitals is seeking** a BC/BE Nephrologist to join our growing network. This is an excellent opportunity to join our dedicated ...
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St. Lukes University Health Network Orwigsburg, United States Full time**St. Luke's University Health Network, the region's largest, most established health system, a major teaching hospital, and one of the nation's 100 Top Hospitals is seeking** a BC/BE Nephrologist to join our growing network. This is an excellent opportunity to join our dedicated ...
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St. Lukes University Health Network Allentown, United States Full timeAre you looking for excellent quality of life in a culturally rich environment? St. Luke's University Health Network **is seeking Board-Certified/Board-Eligible Dermatologists** to expand our dermatology presence at our brand-new location in Allentown, PA. · **Applicants must be: ...
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St. Lukes University Health Network Bethlehem, United States Full timeSt. Luke's University Health Network, the region's largest, most established health system, a major teaching hospital, and one of the nation's 100 Top Hospitals is **seeking an BC/BE Non-Invasive Cardiologist** to join our growing Network and dedicated team of physicians and adva ...
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PearMed Bethlehem, United States TEMPORARY**Key Highlights:** · - **Compensation:** $2,700 per day for 9-hour shifts, Monday through Friday. · - **Coverage:** Comprehensive malpractice insurance coverage fully provided. · - **Specialization:** Focus primarily on anesthesia for ophthalmology cases. · - **Team Environment: ...
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Tower Health Phoenixville, United States Full timeThe Department of Neonatology at Tower Health is seeking a _**full-time Neonatologist for the NICU at Phoenixville Hospital**_. · - Ability to function in a Level II NICU · - Comfortable managing babies with CPAP and ventilation support · - Provide educational support to Resident ...
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St. Lukes University Health Network Allentown, United States Full timeSt. Luke's University Health Network is seeking **full time BC/BE Psychiatrists**. St. Luke's has been recently ranked one of the top teaching hospital in the nation, a recipient of the prestigious 15 Top Health System award as well as recognized as a 100 Top Hospital for the nin ...
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St. Lukes University Health Network Bethlehem, United States Full time**St. Luke's University Health Network is currently accepting applications for a Pediatric Vice Chair, St. Luke's Children's Hospital.** · **St. Luke's University Health Network, the region's largest, most established health system** is seeking an experienced and collaborative Pe ...
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St. Lukes University Health Network Bethlehem, United States Full time**Join a 100-top hospital with a established 4 year categorical neurology residency program St. Luke's University Health Network, the region's largest, most established health system, and major teaching hospital** is seeking full time Board Certified/Board Eligible general and fe ...
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St. Lukes University Health Network Bethlehem, United States Full time**St. Luke's University Health Network, the region's largest, most established health system, a major teaching hospital, and one of the nation's 100 Top Hospitals** is seeking a BC/BE Rheumatologist to join our dedicated team of physicians providing outstanding patient care. · We ...
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Grand View Health Sellersville, United States Full timeGrand View Health is adding two more BC/BE Non-Invasive Cardiologists, for our growing health system and expanding cardiology practices. BCA and ATC Cardiology, part of Grand View Health, have been established for decades and have busy practices, with multiple locations throughou ...
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Penn State Health Reading, United States Full timePenn State Health Medical is a full-time BC/BE Orthopedic Surgeon. This position would assist in growing the Orthopedic practice in Reading. This is an exceptional opportunity to be a part of a collegial, patient-focused group with a rich history of providing great care to the co ...
Geriatrics Full-Time position in Fleetwood, Pennsylvania - Optum
Description
$40,000 Student Loan Repayment or $20,000 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:
