51667 clinical nurse jobs found

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. *REMOTE IN NC* Position Purpose: Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams. Implement and manage procedures for tracking, identifying and problem-solving operational issues Interpret and present program results and develop data-driven analysis and metrics used to measure effectiveness and ROI of all current and new products Act as the clinical representative in various meetings Collaborate with staff to identify internal and external opportunities and initiate process changes to increase quality and improve staff, provider and member satisfaction Serve as a resource and liaison on utilization, quality...

Atrius Health is a healthcare leader delivering a system of connected care that enables us to know our patients better so that we can serve them well. Across 30 clinical locations, more than 50 specialties and 615 physicians, we provide proactive, customized care to more than 690, 000 adult and pediatric patients across eastern Massachusetts. The Atrius Health practices - Dedham Medical Associates, Granite Medical Group, Harvard Vanguard Medical Associates and PMG Physician Associates work in collaboration with hospital partners, community specialists and skilled nursing facilities, to develop innovative and effective ways of delivering care in the most appropriate setting, making it easier for patients to be healthy. We believe that by establishing a solid foundation of knowledge, understanding and trust with each of our patients, we enrich their health and enhance their lives SUMMARY Responsible for the management and oversight of the daily clinical operations in a...

Atrius Health is a nonprofit healthcare leader delivering a system of connected care that enables us to know our patients better so that we can serve them well. Across 32 clinical locations, more than 50 specialties and 825 physicians, we provide proactive, customized care to more than 720,000 adult and pediatric patients across eastern Massachusetts. The Atrius Health practices including Dedham Medical Associates, Granite Medical Group, Harvard Vanguard Medical Associates and PMG Physician Associates - together with VNA Care - work in collaboration with hospital partners, community specialists and skilled nursing facilities, to develop innovative and effective ways of delivering care in the most appropriate setting, making it easier for patients to be healthy. We believe that by establishing a solid foundation of knowledge, understanding and trust with each of our patients, we enrich their health and enhance their lives. SUMMARY Responsible for the management and...

SUMMARY Responsible for the management and oversight of the daily clinical operations in a service line in one or more practice locations. Responsibilities include but are not limited to: clinical leadership, clinical operations, patient and employee safety and satisfaction, quality care, fiscal management and personnel management. Partners and co-creates a dynamic and collaborative relationship and partnership with members of the triad - Chiefs of Service Line and Operations leaders and/or local administration leaders in service to exemplary patient care. Ensures the continuity and advancement of systems, care model critical success factors and service standards. Supervises RNs and LPNs assuring that they are practicing in accordance with legal parameters, guidelines, and standards for clinical care. Ensures the strict adherence to collective bargaining contracts across sites. Serves as a clinical nursing resource and clinical operations partner in the areas of quality...

SUMMARY Responsible for the management and oversight of the daily clinical operations in a service line in one or more practice locations. Responsibilities include but are not limited to: clinical leadership, clinical operations, patient and employee safety and satisfaction, quality care, fiscal management and personnel management. Partners and co-creates a dynamic and collaborative relationship and partnership with members of the triad - Chiefs of Service Line and Operations leaders and/or local administration leaders in service to exemplary patient care. Ensures the continuity and advancement of systems, care model critical success factors and service standards. Supervises RNs and LPNs assuring that they are practicing in accordance with legal parameters, guidelines, and standards for clinical care. Ensures the strict adherence to collective bargaining contracts across sites. Serves as a clinical nursing resource and clinical operations partner in the areas of quality...

Atrius Health is a nonprofit healthcare leader delivering a system of connected care that enables us to know our patients better so that we can serve them well. Across 32 clinical locations, more than 50 specialties and 825 physicians, we provide proactive, customized care to more than 720,000 adult and pediatric patients across eastern Massachusetts. The Atrius Health practices including Dedham Medical Associates, Granite Medical Group, Harvard Vanguard Medical Associates and PMG Physician Associates - together with VNA Care - work in collaboration with hospital partners, community specialists and skilled nursing facilities, to develop innovative and effective ways of delivering care in the most appropriate setting, making it easier for patients to be healthy. We believe that by establishing a solid foundation of knowledge, understanding and trust with each of our patients, we enrich their health and enhance their lives. SUMMARY Responsible for the management and...

Atrius Health is a nonprofit healthcare leader delivering a system of connected care that enables us to know our patients better so that we can serve them well. Across 32 clinical locations, more than 50 specialties and 825 physicians, we provide proactive, customized care to more than 720,000 adult and pediatric patients across eastern Massachusetts. The Atrius Health practices including Dedham Medical Associates, Granite Medical Group, Harvard Vanguard Medical Associates and PMG Physician Associates - together with VNA Care - work in collaboration with hospital partners, community specialists and skilled nursing facilities, to develop innovative and effective ways of delivering care in the most appropriate setting, making it easier for patients to be healthy. We believe that by establishing a solid foundation of knowledge, understanding and trust with each of our patients, we enrich their health and enhance their lives. SUMMARY Responsible for the management and...

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Seeking an RN, LPN or LVN in Northern Louisiana for this Remote/Field based position. Serve as a Clinical Nurse Liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams Implement and manage procedures for tracking, identifying and problem-solving operational issues Interpret and present program results and develop data-driven analysis and metrics used to measure effectiveness and ROI of all current and new products Act as the clinical representative in various meetings Collaborate with staff to identify internal and external opportunities and initiate process changes to increase quality and improve staff, provider...

Job description to be created Atrius Health is an equal opportunity/affirmative action employer and does not discriminate in recruiting, hiring, training, promoting or any other employment practices on the basis of race, color, religion, sex, marital status, age, sexual orientation, gender identity, national origin, military service or application for military service, veteran or disability status.Applicants have rights under Federal Employment Laws: Family and Medical Leave Act (FMLA);Equal Employment Opportunity (EEO); and Employee Polygraph Protection Act (EPPA).VEVRAA Federal ContractorRequest Priority Protected Veteran & Disabled Referrals for all of our locations within the statePDN-96e3caa9-1389-4f93-86ce-8d263ea36e41

TBD Atrius Health is an equal opportunity/affirmative action employer and does not discriminate in recruiting, hiring, training, promoting or any other employment practices on the basis of race, color, religion, sex, marital status, age, sexual orientation, gender identity, national origin, military service or application for military service, veteran or disability status.Applicants have rights under Federal Employment Laws: Family and Medical Leave Act (FMLA);Equal Employment Opportunity (EEO); and Employee Polygraph Protection Act (EPPA).VEVRAA Federal ContractorRequest Priority Protected Veteran & Disabled Referrals for all of our locations within the statePDN-970e0949-fc02-4069-83bc-dbf971070b52

The Position Therapeutic Area Manager (TAM)- Lytics Location: Louisiana, Mississippi. It is expected that the candidate selected will reside within this ecosystem. This opportunity does not include relocation benefits. Level: SE6/SE7 Position Overview: From the beginning, Genentech has been a team of highly dedicated, passionate individuals. We are a place where people are united around a single purpose and an ambitious vision. Together, we aspire to deliver ever better health outcomes for patients while lowering overall healthcare costs. The Therapeutic Area Manager (TAM) is integral to successfully delivering this vision, working closely with healthcare providers. The TAM deeply understands the specific needs of healthcare practitioners in their therapeutic area to identify and address their clinical and business goals and challenges in support of improved patient outcomes, lower costs and improved quality of care. The TAM is empowered to own the business for their...

Atrius Health is a nonprofit healthcare leader delivering a system of connected care that enables us to know our patients better so that we can serve them well. Across 32 clinical locations, more than 50 specialties and 825 physicians, we provide proactive, customized care to more than 720,000 adult and pediatric patients across eastern Massachusetts. The Atrius Health practices including Dedham Medical Associates, Granite Medical Group, Harvard Vanguard Medical Associates and PMG Physician Associates - together with VNA Care - work in collaboration with hospital partners, community specialists and skilled nursing facilities, to develop innovative and effective ways of delivering care in the most appropriate setting, making it easier for patients to be healthy. We believe that by establishing a solid foundation of knowledge, understanding and trust with each of our patients, we enrich their health and enhance their lives. SUMMARY We are currenty seeking an experienced...

Atrius Health is a nonprofit healthcare leader delivering a system of connected care that enables us to know our patients better so that we can serve them well. Across 32 clinical locations, more than 50 specialties and 825 physicians, we provide proactive, customized care to more than 720,000 adult and pediatric patients across eastern Massachusetts. The Atrius Health practices including Dedham Medical Associates, Granite Medical Group, Harvard Vanguard Medical Associates and PMG Physician Associates - together with VNA Care - work in collaboration with hospital partners, community specialists and skilled nursing facilities, to develop innovative and effective ways of delivering care in the most appropriate setting, making it easier for patients to be healthy. We believe that by establishing a solid foundation of knowledge, understanding and trust with each of our patients, we enrich their health and enhance their lives. SUMMARY We are currently seeking an...

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Position is responsible for ensuring that the MCO’s behavioral health operations, which include the operations of any MCO behavioral health subcontractors, are in compliance with the terms of the MCO’s contract with the State ****Position is REMOTE but must reside in MO***** Coordinate with all MCO functional areas, including quality management, utilization management, network development and management, provider relations, member outreach and education, member services, contract compliance, and reporting. • Participate in all quality management and improvement activities, including participating in key State stakeholder committees • Work closely with MCO network development and...

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Position is responsible for ensuring that the MCO’s behavioral health operations, which include the operations of any MCO behavioral health subcontractors, are in compliance with the terms of the MCO’s contract with the State • Coordinate with all MCO functional areas, including quality management, utilization management, network development and management, provider relations, member outreach and education, member services, contract compliance, and reporting. • Participate in all quality management and improvement activities, including participating in key State stakeholder committees • Work closely with MCO network development and provider relations staff to develop and maintain...

Facilitate and participate the execution of study-related activities of a Phase I clinical research study conducted at the Phase 1 Unit in relation to areas of responsibility.Maintain safety and confidentiality of study subjects throughout the studyEvaluate adverse events and manage safety reporting activities in a timely manner.Review protocols and informed consent forms for scheduled studies, identify, and communicate potential issues to the appropriate personnel. Conduct nursing study related activities as required by protocol in compliance with corporate, divisional, and department SOP’s and external (CFR, ICH, GCP) regulatory guidelines. Interact with the Principal Investigator and other study physicians, Recruiting/Screening, Data Systems, and other personnel to organize study-specific nursing activities. Participate in quality and compliance improvement initiatives and provide feedback as a nursing subject matter expert.Maintain accurate and complete source data in PIMS...

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: This position reviews and audits all adverse decisions for members of the health plan while utilizing clinical expertise and specific tools for best practice and compliance. Clinical audits focus on medical and behavioral health utilization denials. Maintains Federal and Local guidelines to meet general accreditation status with regard to denial letters. Writes all denial letters. • Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations • Complete medical necessity and level of...

Summary The Registered Nurse (RN) Manager, Clinical Operations supports the planning, organization, implementation and maintenance of the daily clinical practice operations within Cook Children’s Physician Network (CCPN) in the areas of non-physician clinical skills and competencies, clinical orientation, clinical processes and clinical programs. This position conducts the bi-monthly CCPN Safety and Clinical Orientation classes, Quality Initiatives and Process Improvement and may provide hands-on training as needed to new and established clinical staff in regard to clinical practice (competency and skills) and clinical programs (technology development). The RN nurse manager will provide guidance for the clinic staff with a team-orientation, an emphasis on good customer relations; sound clinical judgment and appropriate decision-making abilities that take into consideration evidenced based practice. Education and Experience Graduate of an accredited school of nursing...

Summary The Licensed Vocational Nurse will deliver competent and skilled care to patients and families according to their identified needs. This care is delivered under the supervision of a Registered Nurse and is guided by the documented nursing care plan. Nursing care is based on the nursing process and augments the medical plan of treatment. The Licensed Vocational Nurse will deliver care with a team-orientation, an emphasis on good customer relations; sound clinical judgment and appropriate decision-making abilities that take into consideration evidenced based practice. Education & Experience Graduate of an accredited nursing program or met the educational requirements to test for licensure. Licensure & Certification Current permit or license to practice vocational nursing in the State of Texas Current BLS Certification as necessary in certain areas in the Medical Center Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran...

Summary A Registered Nurse skilled to deliver individualized nursing care to patients/families according to their identified needs. The nursing care is based on the nursing process and augments the medical plan of treatment appropriate to the Specialty Clinic. Education & Experience: Graduate of accredited nursing program. Minimum of one year pediatric nursing experience preferred. Experience in a clinical setting preferred. Licensure, Registration, and/or Certification Current permit or license to practice professional nursing in the State of Texas. Current BLS Certification. Will obtain advanced life support certification within two years from their date of hire/transfer date. Other certification may be required by department. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer. Additional Information CCMC