- 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 Physician Assistant accredited program
- Current state professional license
- Current PA license
- 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 clinical experience
- Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems
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TRA Tennessee Clinical Position
1 week ago
Tenet Healthcare Corporation Memphis, United StatesThis role provides direct clinical patient care. The role will assume responsibility for assessing, planning, implementing direct clinical care to assigned patients on a per shift basis, and unit level. The role is responsible for supervision of staff to which appropriate care is ...
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The Curare Group Memphis, United StatesMultiple physicians needed for a western Tennessee Emergency Medicine position at a 225-bed acute care facility. Location is accessible to both Memphis and Nashville. For this position we can utilize residency trained physicians as well as Primary Care physicians that have been w ...
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Quest Healthcare Solutions Memphis, United StatesHospitalist Locum Tenens Position in TennesseeGreat Metro Area · •Ongoing Coverage Needed · •7on/7off or Flexible Block Scheduling · •12-18 Shifts per Month Open · •12 Hour Shifts · •NO Procedures or Call Required · •Average 15-18 Patients per DayTo learn more about this and ot ...
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Sunbelt Staffing Memphis, United StatesJob Description · Job DescriptionMinimum 1+ years school psychologist experience required. · We are looking for a motivated and passionate Tennessee School Psychologist to join the VocoVision team. As a virtual School Psychologist, you will provideteletherapy services to students ...
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Sunbelt Staffing Memphis, United StatesJob Description · Job DescriptionMinimum 1+ years school psychologist experience required. · We are looking for a motivated and passionate Tennessee School Psychologist to join the VocoVision team. As a virtual School Psychologist, you will provideteletherapy services to students ...
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VocoVision Memphis, United StatesJob Description · Job DescriptionMinimum 1+ years speech therapy experience required. · We are looking for a highly motivated and experienced SLP to join our team as a virtual contractor. The ideal candidate will be responsible for providing virtual speech and language therapy se ...
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ICON Medical Network Memphis, United States Full time: · - Large case variety-cardiac, transplant, OB heads, minimal peds and general · - 16 rooms, 20k cases, 14 MDs, 24 CRNAs · - Flexible Shifts: 8's, 10's, 12's, 14's or 24's · - J1 and H1B Visa Waiver Offered · - New Graduates Welcome · Benefits: · - Base Compensation: $530,000 · ...
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The Curare Group Memphis, United StatesDue to growth, a single-specialty group in Memphis, Tennessee is seeking a full-time Pain Management provider. A Monday through Friday schedule with no weekends, minimal call, and no holidays will provide the perfect work/life balance. You'll get to run your own practice without ...
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Fidelis Partners Memphis, United States Full time**Opportunity Overview:** · **Memphis Radiological PC, a leading name in diagnostic services, is · expanding its team We are actively seeking a dedicated Breast Imager, both · American and International graduates, for a minimum commitment of 2 years.** · Memphis Radiological, PC ...
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ApolloMD Memphis, United States Full timeApolloMD is seeking Emergency Medicine Physicians for our Methodist LeBonheur system in Memphis, TN and Olive Branch, MS areas. MUST BE ABEM/AOBEM/ BE/BC · · Tennessee has NO income tax · · **Methodist University Hospital** · Annual Patient Volume: 55,000 · ED Beds: 58 · Admi ...
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TeamHealth Memphis, United States Full timeBaptist Memorial Memphis is expanding and we\'re looking for excellent hospitalists to join our team This flagship location offers a high level of care including complete subspecialty backup, a women and children\'s hospital, cancer center, various clinics and an affiliated Colle ...
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Fidelis Partners Memphis, United States Full timeClinical Pediatric Rheumatology · Memphis, TN Proper · Premier Health System Dedicated to Pediatrics · Join this well-respected and well-established organization located within · walking distance of Downtown Memphis, TN. Being one of the nation's elite · children's hospitals, we' ...
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AAAS Memphis, United StatesPostdoctoral Research Position · Epigenetic and exosomal regulation of cardiovascular and renal function · Department of Physiology · University of Tennessee Health Sciences Center · A Postdoctoral Research position is available for studying epigenetic and exosomal mechanisms of ...
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Heartland Dental Cordova, United StatesReq ID: 90467 Supported Practice: Dentistry on Walnut Grove Category: General Dentist Location: 8790 Walnut Grove Rd, Cordova, TN 38018 · Work in an environment that encourages full clinical autonomy, balanced with the ability to tap into a robust mentor program and a network of ...
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Intercare Recruitment Memphis, TN, United StatesIntercare Recruitment is collaborating with an established facility in Memphis, Tennessee, with an opening for a Pain Management physician to join their team. · Position Overview: · Schedule: 7a-4p, 5 days/week · Minimal call, rotating 1:5 · Daily Volume: 35 procedures in ASC, ...
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The Curare Group Memphis, TN, United StatesPhysician owned, multi-specialty group is seeking a Board Certified/Board Eligible Pediatrician to join their 50 year old practice. This group consists of over 100 physicians in over 25 medical specialties and sub-specialties and over 50 mid-levels. Large Primary Care presence wh ...
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Certified Registered Nurse Anesthetist
3 weeks ago
Methodist Le Bonheur Healthcare Memphis, United States Full timeTitle: Certified Registered Nurse Anesthetist (CRNA) | Le Bonheur Children's Hospital Job · Date: Apr 13, 2024 · Facility: Le Bonheur · Summary · A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice registered nurse (APRN) who practices both autonomously and ...
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Tennessee State Parks Maintenance Supervisor
3 days ago
State of Tennessee Memphis, United States**Location**: Shelby County · **Last Day to Apply**: Jun 17, 2024 · **Business Unit**: Labor/Trades/Facility Mgmt · **Job Family**: Environment and Conservation · **Job Opening ID**: 58204 · **Job Information** · **State of Tennessee Job Information** · Opening Date/Time · - 05/2 ...
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Total Care ABA Memphis, United States**Bilingual BCBA Position** · **(MOST SPEAK ARABIC OR SPANISH FLUENTLY)** · Flexible Schedule · Create your own workweek · No Need to Travel · Competitive Salary · Suportive Staff · **Hourly Pay Rates**: · $65-$75 per hour (based on experience) · Options for salary · **About Tota ...
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Registered Nurse
5 days ago
Kirby Pines Memphis, United States**Kirby Pines is a faith-based organization.** · **ESSENTIAL FUNCTIONS**: To perform this job, an individual must perform essential functions satisfactorily with or without a reasonable accommodation; including, but not limited to: · - Regulates and maintains the MDS/PPS program ...
General Practice Full-Time position in Memphis, Tennessee - Optum
Description
$10,000 Sign-on Bonus for External Candidates
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:
General Practice Full-Time position in Memphis, Tennessee professionals in Memphis
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Candance Roby
Candance Roby