- Identifies high-risk/high-cost patients for possible case management intervention.
- Interfaces with providers of medical services and equipment to facilitate effective communication, referrals, development of discharge planning, and alternative treatment plan development.
- Identifies customer needs, coordinates and supports planned and unplanned transitions and post discharge follow up calls which may include primary care physician and specialist appointment scheduling
- Attend and participate in weekly Complete Health Team rounds
- Perform telephonic outreach or home visits, as needed
- Communicates with all departments to resolve issues or document trends.
- Understands and follows administrative guidelines (policy and procedure) of the unit.
- Attends and actively participates in staff meetings.
- S. in Nursing
- Three to Five (3-5) years recent experience in an acute-care environment, case-management or utilization management position (experience can be a combination of LVN/RN licensure)
- Previous HEDIS and/or CMS STARs experience a plus
- Bilingual - preferred Spanish both conversational and written
- Knowledge of current health care practices and appropriate treatments.
- Knowledge of community resources
- Ability to travel to and work at participating provider offices
- Works independently with minimum of supervision
-
Temple University Health System Philadelphia, United States**RN-STAFF/CLIN NURSE-Overnight Recovery-36HRS-Night Flex (7p-7a)** · Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursing ...
-
Temple University Health System Philadelphia, United States**RN-STAFF/CLIN NURSE-Operating Room-36HRS-Day Flex** · Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursing practice. Usin ...
-
Temple University Health System Philadelphia, United States**RN-STAFF/CLIN NURSE-7A-Medical Surgical-36HRS-Day Flex (7a-7:30p)** · Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursin ...
-
Staff Nurse
6 days ago
Temple University Hospital Philadelphia, PA, United StatesRN-STAFF/CLIN NURSE- Emergency Dept- 36HR Night Flex Shift · Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursing practice ...
-
Staff Nurse
1 week ago
Temple University Hospital Philadelphia, PA, United StatesRN Staff Clinical Registered Nurse Cardiovascular Cath Lab 40HR Rotating shifts (7am-5:30p, 8a-6:30p) with on-call responsibilities · Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about ...
-
Staff Nurse
6 days ago
Temple University Hospital Philadelphia, PA, United StatesRN-STAFF/CLIN NURSE- Maternity and L&D -Float Pool- 36HR Night Shift · Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursin ...
-
Staff Nurse- Labor
6 days ago
Temple University Hospital Philadelphia, PA, United StatesRN-STAFF/CLIN NURSE- Labor Delivery Room- 24HR Night Flex Shift · Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursing pra ...
-
Nurse (Medical Staff)
1 week ago
Temple University Hospital Philadelphia, PA, United StatesRN - Staff- TUHE-6A Medical Surgical- 24HR Day Flex Shift · Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursing practice. ...
-
RN Staff Nurse
1 week ago
Temple University Hospital Philadelphia, PA, United StatesRN Staff Clinical Registered Nurse 8A Med Surg Trauma 36HR Night Flex Shift · Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of ...
-
RN Staff Nurse
1 week ago
Temple University Hospital Philadelphia, PA, United StatesRN-STAFF/CLIN NURSE- Med Surg Float Pool- 36HR Night Flex Shift · Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursing pra ...
-
Cardiac Staff Nurse
4 days ago
Temple University Hospital Philadelphia, PA, United StatesRN Staff Clinical Registered Nurse 7 East Cardiac Stepdown 36hr Nights Flex shift 7p-7:30a · Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods an ...
-
RN Staff Nurse
4 days ago
Temple University Hospital Philadelphia, PA, United StatesRN-STAFF/CLIN NURSE-SICU-36HRS-Night Flex (7p-7a) · Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursing practice. Using th ...
-
Staff Nurse I
2 weeks ago
Temple University Hospital Philadelphia, PA, United StatesSTAFF RN-Radiology-Nursing-28HRS-Day Shift-FCCC · Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursing practice. Using the ...
-
Cardiac Staff Nurse
1 week ago
Temple University Hospital Philadelphia, PA, United StatesRN-STAFF/CLIN NURSE-7B-Medical Surgical-36HRS-Night Flex (7pm-7:30am) · Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursin ...
-
Staff Development Nurse
2 days ago
The Symicor Group Philadelphia, PA, United StatesThe Position · We seek to fill a Staff Development Nurse role in the Philadelphia, PA area. The candidate will be responsible for the effective direction, management, and operation of the infection prevention department. · The position includes a generous salary of up to $33/hr a ...
-
Staff Nurse I
4 days ago
Temple University Hospital Philadelphia, PA, United StatesRN-STAFF/CLIN NURSE - Urology (Temple Faculty Practice / 40HR Day Shift) · Provides professional nursing care at the proficient level which includes assessment, planning, implementation, and evaluation in accordance with care standards, under the direction of a licensed physician ...
-
Staff Nurse I
1 week ago
Temple University Hospital Philadelphia, PA, United StatesRN-STAFF/CLIN NURSE - OBGYN (Temple Faculty Practice / 40HR Day Shift) · Provides professional nursing care at the proficient level which includes assessment, planning, implementation, and evaluation in accordance with care standards, under the direction of a licensed physician o ...
-
Staff Nurse I
6 days ago
Temple University Hospital Philadelphia, PA, United StatesRN-STAFF/CLIN NURSE - Cardiology Medicine (Temple Faculty Practice / 36HR Day Shift) · Provides professional nursing care at the proficient level which includes assessment, planning, implementation, and evaluation in accordance with care standards, under the direction of a licens ...
-
Nurse Staff Coordinator
5 days ago
Wesley Enhanced Living Philadelphia, PA, United StatesHiring Immediately · The Registered Nurse Assessment Coordinator (RNAC) provides for the initial assessment and periodic re-evaluation of all residents admitted to Skilled Nursing. Conduct Interdisciplinary Team Care Conference and implement and update resident Plan of Care. · En ...
-
RN Night Staff Nurse
3 days ago
Temple University Hospital Philadelphia, PA, United StatesRN-STAFF/CLIN NURSE-8N-Medical Surgical-3/12's-Night Flex (7p-7a) · Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursing pr ...
Staff Nurse - Philadelphia, PA, United States - Cigna
Description
RN Value Based Care Nurse (Onsite at Providers Office) PhiladelphiaCoordinate and manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to ensure all customers in participating provider practices meet all quality metrics.
Responsible for coordinating the delivery of cost-effective, quality -based health care services for health plan customers by development and implementation of alternative treatment plans that address individual needs of the customer, their benefit plan, and community resources.
Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan.Utilizes clinical skills to assess, plan, implement, coordinates, monitor and evaluates options and services in order to facilitate appropriate healthcare outcomes for customers.
Identifies gaps in needed quality metrics for customers and communicates to providerIf you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Cigna HealthcareCigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.
We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.
