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Registered Nurse
2 weeks ago
North Idaho Home Health Coeur D Alene, United States Full timeWeekend with Full Time Option or Part/time/PRN · We are hiring for a Registered Nurse. · At North Idaho Home Health , a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their fa ...
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Licensed Practical Nurse
2 weeks ago
North Idaho Home Health Coeur D Alene, United States Full timeWe are hiring for a Licensed Practical Nurse. Full Time · At North Idaho Home Health , a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the comm ...
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Registered Nurse
1 week ago
Fresenius Medical Care Coeur D Alene, United States Full timePOSITION FEATURES: · Required to float and cover 75-mile radius when needed. · Highlights · Schedule allows a great work/life balance with flexibility, and some paid on-call · Supports peritoneal and home hemodialysis treatments. Training Provided · Primarily works in the clinic ...
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Nursing service manager
3 days ago
Aurora Technologies Orchards, United StatesNursing Management (m/f/d) for the area of traditional outpatient care in the Odenthal region · Ensuring general basic care and treatment care for our clients through effective and efficient service and tour planning · Ensuring the quality of care in close cooperation with our cl ...
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Assistant Nurse Manager
1 day ago
Life Care Center of Coeur d'Alene Coeur D Alene, ID, United States Full time $45 - $48Tuition reimbursement available for qualified candidates: · Like the look of this opportunity Make sure to apply fast, as a high volume of applications is expected Scroll down to read the complete job description. · The RN - Assistant Director of Nursing assists the Director of ...
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Nursing Service Management
4 days ago
Oceanic Ventures Pinehurst, ID, United States FreelanceNursing Director - Complex Facility (m/f/d) · We are currently seeking a Nursing Director (m/f/d) for a senior care facility offering both inpatient care and outpatient services, as well as assisted living, located in Pinehurst, ID. · Our client, a provider of elderly care, is lo ...
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Assistant Nurse Manager
2 weeks ago
Life Care Center of Coeur d'Alene Coeur D Alene, ID, United States Full timeTuition reimbursement available for qualified candidates: · The RN - Assistant Director of Nursing assists the Director of Nursing (DON) in planning, organizing, developing, and directing the overall operation of the Nursing Services department to ensure the highest degree of qu ...
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Remote Care Management Nurse
2 days ago
Cambia Health Coeur D'Alene, United StatesThis job was posted by : For more information, please see: Care Management Nurse (Future Opportunities) · Remote within WA, OR, ID, UT. Candidates outside of these states will not be considered. · Primary Job Purpose · The Care Management Nurse provides clinical care management ...
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Deputy Nursing Service Manager
3 weeks ago
Titan Industries Sun Valley, United StatesAbout us: · AWO Sozialstation gGmbH is an outpatient care service in Langenfeld that enables a largely independent life in familiar surroundings through holistic, needs-oriented care. With a passion for our profession and sound expertise, we support people in their daily activiti ...
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Nursing Service Management for Senior Care
3 weeks ago
BlueWave Ventures Smelterville, United StatesWe are currently seeking a Nursing Service Manager (m/f/d) for our client, a private provider of senior care near Duisburg, through our recruitment services. As a candidate (m/f/d), our services are completely free of charge for you. We are looking for a Nursing Service Manager w ...
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Nurse Manager
2 weeks ago
Deaconess Hospital Spokane, United StatesYou Belong Here. · At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mis ...
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Nurse Manager
3 weeks ago
MultiCare Health System, Inc. Spokane, United StatesNurse Manager - Operating Room page is loaded · Nurse Manager - Operating Room · Apply · locations · Spokane, Washington · time type · Full time · posted on · Posted 30+ Days Ago · job requisition id · JR11310 · You Belong Here. · At MultiCare, we strive to offer a tru ...
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Nurse Manager Full Time
3 weeks ago
Ernest Health Post Falls, United States Full timeOverview: · At Northern Idaho Advanced Care Hospital, we are passionate about patient care We provide critical care services to patients recovering from serious illnesses or injuries and has earned The Joint Commissions Respiratory Failure Certification. Often our patients requi ...
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Nurse Manager
2 weeks ago
Deaconess Hospital Spokane, United StatesJob Description · You Belong Here. · At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are co ...
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Nurse Manager
3 weeks ago
Frontier Behavioral Health Spokane, United StatesFrontier Behavioral Health's presence in Spokane is more than 100 years strong, allowing our non-profit organization to understand the varied needs of our clients and the larger community. Our programs are designed to provide evidence-based treatment to adults, youth and seniors ...
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Nurse Manager
3 weeks ago
Deaconess Hospital Spokane, United StatesYou Belong Here. · At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mi ...
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Manager Nursing, Endoscopy
3 weeks ago
Providence Manito, United StatesDescription · Providence St. Joseph Health is calling a Manager Nursing, Endoscopy to work at our Sacred Heart Medical Center in Spokane. · Under the general direction of the Service Line Director/VP, assumes twenty-four hour accountability for the human resource development, ope ...
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Travel Nurse RN
1 week ago
MedPro Healthcare Staffing Coeur D Alene, ID, United StatesMedPro Healthcare Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Coeur D Alene, Idaho. · Job Description & Requirements · Specialty: Med Surg · Discipline: RN · Start Date: 06/10/2024 · Duration: 13 weeks · 36 hours per week · Shift: 12 hours, nights · ...
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Commercial employee
4 days ago
Apex Ventures Rathdrum, ID, United States Freelance**Craftsmanship runs in our blood** · For generations, we have been a master company. We stand for quality, experience, and reliability. What do we do best? We provide professional and customized solutions in the areas of plumbing, heating, ventilation, renewable energy, and pool ...
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RN Nurse Manager
3 weeks ago
Providence Manito, United StatesDescription · Under the general direction of the Service Line Director/VP, assumes twenty-four hour accountability for the human resource development, operational and patient care management of a specified unit/service. The Nurse Manager is a Registered Nurse who has a comprehens ...
Remote Care Management Nurse - Coeur D'Alene, United States - Cambia Health
Description
This job was posted by : For more information, please see: Care Management Nurse (Future Opportunities)Remote within WA, OR, ID, UT. Candidates outside of these states will not be considered.
Primary Job Purpose
The Care Management Nurse provides clinical care management (such as case management, disease management, and/or care coordination) to best meet the member\'s specific healthcare needs and to promote quality and cost-effective outcomes.
Oversees a collaborative process with the member and those involved in the member\'s care to assess, plan, implement, coordinate, monitor and evaluate care as needed.
Please note this role is a candidate pool, and we are always looking for top talent. We do not always have open positions but we encourage you to submit your resume so you will be considered for all open roles as they become available.
General Functions and Outcomes
Responsible for essential activities of case management including assessment, planning, implementation, coordination, monitoring and evaluation.
Assessment:
collection of in-depth information about a member\'s situation and functioning to identify individual needs.
Planning:
identification of specific objectives, goals, and actions designed to meet the member\'s needs as identified in the assessment.
Implementation:
execution of the specific case management activities that will lead to accomplishing the goals set forth in the plan.
Coordination:
organization, securing, integrating and modifying resources.
Monitoring:
gathering sufficient information to determine the plan\'s effectiveness and the evaluation phase should determine the effectiveness of reaching the desired outcomes.
Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care.Utilizes evidence-based criteria that incorporates current and validated clinical research findings.
Practices within the scope of their license.
Consults with physician advisors to ensure clinically appropriate determinations.
Serves as a resource to internal and external customers.
Collaborates with other departments to resolve claims, quality of care, member or provider issues.
Identifies problems or needed changes, recommends resolution, and participates in quality improvement efforts.
Responds in writing or by phone to members, providers and regulatory organizations in a professional manner while protecting confidentiality of sensitive documents and issues.
Provides consistent and accurate documentation.Plans, organizes and prioritizes assignments to comply with performance standards, corporate goals, and established timelines.
Minimum Requirements
Knowledge of health insurance industry trends, technology and contractual arrangements.
General computer skills (including use of Microsoft Office, Outlook, internet search). Familiarity with health care documentation systems.
Strong oral, written and interpersonal communication and customer service skills.
Ability to interpret policies and procedures, make decisions, and communicate complex topics effectively.
Strong organization and time management skills with the ability to manage workload independently.
Ability to think critically and make decision within individual role and responsibility.
Normally to be proficient in the competencies listed above
Care Management Nurse would have a/an Associate or Bachelor\'s Degree in Nursing or related field and 3 years of case management, utilization management, disease management, or behavioral health case management experience or equivalent combination of education and experience.
Must have licensure or certification, in a state or territory of the United States, in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice for the discipline (e.g. medical vs. behavioral health) and at least 3 years (or full time equivalent) of direct clinical care
Must have at least one of the following: Certification as a case manager from the URAC-approved list of certifications; or Bachelor\'s degree (or higher) in a health or human services-related field (psychiatric RN or Master\'s degree in Behavioral Health preferred for behavioral health care management); or Registered nurse (RN) license (must have a current unrestricted RN license for medical care management)
#LI-Remote
The expected hiring range for a Care Management Nurse is \$ \$41.50 an hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history.
