39707 rn or jobs found

Summary The Surgery OR Registered Nurse will provide nursing care to a wide variety of patients within the facility. During each shift, the RN may be a resource to another unit based upon patient care needs and within the nurse’s scope of RN practice. This Registered Nurse will provide strong patient care skills, excellent customer service focusing on quality and safety while being an advocate for the patient and the organization Qualifications: Graduate of an accredited nursing program Minimum of 6 months of nursing experience required Current permit or license to practice professional nursing in the State of Texas CPR - Current BLS required with PALS required within 1 year of hire This position requires call. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer Additional Information CCMCP

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Seeking an LPN or RN in Tampa, FL with 3+ years of experience in HEDIS record collection and risk adjustment (coding)Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures,...

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Develop, recommend and implement interventions at the practice and membership level to improve clinical quality and operational efficiency. Collaborate with practices to facilitate redesign efforts, support care teams, introduce population health management and support achievement towards improved financial, process and clinical outcomes. Serve as a liaison to practices to provide on-site and remote assistance and facilitation to the clinicians, care teams and their associated practices to drive improvement in clinical quality and operational efficiency. Develop and execute set of intervention work plans to drive practice improve quality measures and transformation....

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: Supervise the day to day operations of the case management function. Communicate with departmental and plan administrative staff to facilitate daily department functions. Assure compliance with established referral, pre-certification and authorization policies, procedures and processes by related Medical Services staff. Assure compliance with established onsite and concurrent review, case management, referral, pre-certification and authorization policies, procedures and processes. Assure compliance with emergency management policies, procedures and processes. Facilitate on-going communication between case management staff, utilization management staff and contracted providers....

Allergan Aesthetics is committed to the ongoing training and development of our customers. To meet the growing needs of our educational programs Allergan Aesthetics is expanding and adding new members to the training team. We are seeking highly talented clinical educators who will contribute to advance the development and success of our programs and strive to make the CoolSculpting ® procedure a leader in aesthetics. Our goal is to consistently provide our customers with innovation, education, exceptional service, and a commitment to excellence, all with a personal touch. The Sr. Training Manager, Clinical Education - Body Contouring will support the development of body contouring training strategies, with main responsibilities of creation of clinical content, clinical messaging, clinical training presentations and treatment protocols for body contouring customers attending CoolSculpting University. In addition, will perform medical assessments, treatments, training, and provide...

At Medigas, the healthcare division of Linde Canada, Inc., you'll join talented and diverse people throughout Canada, all working hard to make a difference in our client's lives and make our organization successful. You will work to support, develop and implement challenging and meaningful client-focused programs and you will be trusted to take on responsibility early in your career. Our employees' contributions are valuable to our company, our clients, our communities and our shareholders. Since the late 1960s, Medigas has been a leader in serving the Canadian healthcare market with the provision of home oxygen therapy, respiratory services, medical gases and related medical equipment. Everything we do is born out of our commitment to help people live better lives and to support the medical professionals who make it all possible. For more information about the company and its products and services, please visit www.linde.com At Medigas, every day is an opportunity: 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: Develop, implement and manage projects and business relationships related to new and existing business as it relates to clinical application(s). Manage the day to day operations of the unit. ** Applicants for this position have the flexibility to work remotely from their home anywhere within the United States. Expected business hours are 9am - 6pm Central ** • Provide training and mentoring to the clinical management systems staff • Provide day to day operational oversight for the Clinical System Management (CSM) unit • Provide consultation and direction to corporate, health plan, and speciaty staff regarding the opportunities that exist within the clinical management systems •...

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: Develop, implement and manage projects and business relationships related to new and existing business as it relates to clinical application(s). Manage the day to day operations of the unit. ** Applicants for this position have the flexibility to work remotely home their home anywhere within the United States ** • Provide training and mentoring to the clinical management systems staff • Provide day to day operational oversight for the Clinical System Management (CSM) unit • Provide consultation and direction to corporate, health plan, and speciaty staff regarding the opportunities that exist within the clinical management systems • Drive the processes required for all clinical...

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Lead data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA and/or any other custom measurements. • Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards • Review medical records and abstract data for HEDIS and other measure sets in compliance with standards • Track and report on issues and outcomes related to abstractions and over-reads • Communicate outcomes of abstraction and over-sight activities with health plans and vendors when required • Perform other quality initiatives as necessary Education/Experience: Associate’s degree in related field or...

Sleep Lab Technologist (Casual) - Newmarket & Barrie, ON We are currently seeking summer students studying in the Respiratory Therapy or Nursing fields to join our sleep lab team. What Linde has to offer: Stable schedule (Night shifts - up to 4 nights per week) Ability to work in multiple locations Guaranteed Statutory Holidays Competitive salary Training in Polysomnography Role Responsibilities : Meet and Greet Patients. Educate patients as directed. Ensure completion of patient Pre and Post Sleep Questionnaire, Patient Satisfaction Survey and overnight Technologist sheets. Perform overnight polysomnography Titrate CPAP, B-PAP and oral appliance as required About Linde Canada Inc.: Linde is a leading global industrial gases and engineering company with 2020 sales of $27 billion (₠24 billion). We live our mission of making our world more productive every day by providing high-quality solutions, technologies and services which are making our...

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Provide facilitation, quality assessments via audits, content development, teaching and monitoring trainee’s progress. Create learning paths. Assist with developing educational platforms. Responsibilities: • Conduct training needs analyses to determine specific training needs for department staff • Identify, select, and develop appropriate training programs, including the selection or design of appropriate training aids • Evaluate effectiveness of training programs, including cost and benefit analyses • Research, analyze and recommend external training programs • Maintain records of training activities and employee progress • Assist in auditing work performed by staff 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: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Develop, assess and adjust, as necessary, the care plan and promote desired outcome. Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options. Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of members. Develop plan of care based upon...

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: Perform care coordination function for members with behavioral health and medical concerns Education/Experience: Graduate from an Accredited School of Nursing (RN or Practical Nursing), Bachelor’s degree in Social Work, Counseling, Healthcare or related field preferred. A minimum of 3 years of medical or behavioral health or utilization care coordination experience required.   Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement 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: Direct medical management program including utilization management, case management, quality improvement and credentialing in accordance with the mission, philosophy, and objectives of plan and in conjunction with Corporate goals and objectives. • Develop department objectives and organize activities to achieve objectives. • Evaluate and implement changes to medical service functions and performance in relation to company mission, philosophy objectives and policies. • Manage budget and forecast for strategic planning and key initiatives. • Coordinate with operating departments on research and implementation of best practices. • Responsible for the statistical analysis of utilization...

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Develop, recommend and implement interventions at the practice and membership level to improve clinical quality and operational efficiency. Collaborate with practices to facilitate redesign efforts, support care teams, introduce population health management and support achievement towards improved financial, process and clinical outcomes. Serve as a liaison to practices to provide on-site and remote assistance and facilitation to the clinicians, care teams and their associated practices to drive improvement in clinical quality and operational efficiency. Develop and execute set of intervention work plans to drive practice improve quality measures and transformation....

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. THIS ROLE IS REMOTE/WORK FROM HOME WITH TRAVEL UP TO 50% OF THE TIME IN ALLEGHENY COUNTY, PA; MILEAGE REIMURSED AT CURRENT IRS GUIDELINE RATE ROUND TRIP. Position Purpose: Responsible for assisting participants with gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, person centered care plan development, assessment, and service coordination. Complete assessments with participants, caregivers, natural and community supports, or providers to obtain information regarding client status, support system, and need for services for person centered care plan development Monitor delivery of services and follow-up...

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. The position supports Military Families and requires RN or LCSW with Certified Case Manager (CCM); as well as additional background check as well as US Citizenship. Position Purpose: Provides Case Management services to a specific clientele. Systematically identify and addresses fragmentation of care, and fill gaps in are using proactive initiatives. Assesses medical records for appropriateness, level of care provided and criteria determination. Identifies appropriate care for patients by evaluating high-risk cases, intensity and complexity of services, health care costs and non-compliance issues. Coordinates care between multiple providers. Develops care plans in coordination with providers,...

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Develop, recommend and implement interventions at the practice and membership level to improve clinical quality and operational efficiency. Collaborate with practices to facilitate redesign efforts, support care teams, introduce population health management and support achievement towards improved financial, process and clinical outcomes. Serve as a liaison to practices to provide on-site and remote assistance and facilitation to the clinicians, care teams and their associated practices to drive improvement in clinical quality and operational efficiency. Develop and execute set of intervention work plans to drive practice improve quality measures and transformation....

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: The Clinical Reviewer performs medical record reviews to determine the quality of care; identifies quality issues and assures compliance with medical record standards and regulatory mandates; works collaboratively with Fidelis Care New York providers and educates them on all aspects of medical record review criteria including QARR/HEDIS; conducts member and/or provider telephonic outreach when needed. Stays abreast to changes in Fidelis’ Performance Management measures and systems and changes in clinical guidelines. Perform reviews of medical records and standards; post completed review reports with the number of records reviewed and quality issues noted. Collaborate with providers...

At Medigas, the healthcare division of Linde Canada, Inc., you'll join talented and diverse people throughout Canada, all working hard to make a difference in our client's lives and make our organization successful. You will work to support, develop and implement challenging and meaningful client-focused programs and you will be trusted to take on responsibility early in your career. Our employees' contributions are valuable to our company, our clients, our communities and our shareholders. Since the late 1960s, Medigas has been a leader in serving the Canadian healthcare market with the provision of home oxygen therapy, respiratory services, medical gases and related medical equipment. Everything we do is born out of our commitment to help people live better lives and to support the medical professionals who make it all possible. We are currently seeking our next Healthcare Account Manager to join our team. What we have to offer: Company vehicle provided...