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Overland Park Regional Medical Center has been serving the healthcare needs of Johnson County and the surrounding counties since December of 1978. The hospital is a licensed 343-bed facility offering acute medical care services to our patients.

Under the supervision of the Clinical Manager, performs the primary function of an RN in assessing, planning, implementing and evaluating the care of patients in the Advance Wound Care Center. Is responsible for meeting the established Center Standards of Nursing Practice in the management of all assigned patients. Assists physicians with the development and implementation of wound treatment plans and participates in performance improvement review activities. Acts within the guidelines of federal and state laws, JCAHO Standards and professional and ethical practice. Also administers hyperbaric oxygen therapy and diagnostic testing to patients under the supervision of a hyperbaric physician. All therapeutic and diagnostic modalities will be ordered by the hyperbaric physician.Qualifications Must be a graduate of an accredited school of nursing. Kansas RN license required. Minimum of 2 years Med/Surg experience. Wound care experience preferred

Overview: Position serves as a clinical case manager. Reviews clinical services and coordinates with physicians to ensure quality and cost effective out comes. Responsibilities: Minimum Education: Nursing Degree from an Accredited Nursing School. Minimum Experience: 5 years recent clinical experience in acute, home health, hospice or managed care. Preferred Experience: 3-5 years experience in Case Management, Utilization Management or Discharge Planning, in acute care. Required Certifications/Licensure: Current Registered Nurse License in the State of Arizona. Certified Case Manager, CCM. Special Skills: The optical knowledge base of nursing process, clinical pathways, continuum of care and case management methods and standards. Excellent communication and documentation skills. Knowledge of the application of UR criteria. We offer excellent benefits for full and part time positions, including comprehensive medical, dental and vision insurance. We are located on the corner of 40th Street and Bell Road in North Phoenix.

Established in 1988, Spectrum Healthcare Resources (SHR) has earned a solid reputation in the health care staffing industry.

Position Title / Key Words: Case Manager Potential Opening for a permanent position as an Case Manager at the Family Health Centers located in Fairfax and Woodbridge, Virginia area Company Overview: Established in 1988, Spectrum Healthcare Resources (SHR) has earned a solid reputation in the health care staffing industry.  SHR is Joint Commission certified and dedicates itself exclusively to supplying permanent civilian contracted medical professionals for Military Treatment Facilities (MTF) located in the United States. SHR has a unique medical environment, working among the very best medical professionals, and caring for our military family. Job Description: Spectrum Healthcare Resources has a potential opportunity for an Case Manager at the Family Health Centers located in Fairfax and Woodbridge, Virginia area.  This permanent civilian contract position offers: - Full Time and Part Time Available - Health, Dental and 401(k) Benefits - Outpatient Setting - 10 Paid Holidays

The RN Case Manager works with physicians and other members of the multidisciplinary team to develop a plan for each patient from admission to discharge. The tasks and responsibilities include:Performs continuous assessments and evaluations to ensure patient is progressing towards desired outcomes.Assesses and responds to patient/family needs by coordinating efforts of other team members.Identifies and resolves barriers that hinder effective patient care.Collaborates and consults with physicians on patients progress and discharge planning needs.Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity.Manages the process to review and, as appropriate, appeal denials received from payors.Coordinates the discharge planning process ensuring involvement of all members of the healthcare team. Counsels with patients and family members in decision making and in meeting psycho social needs of the patient.Maintains knowledge of resources and facilities available to patients and family members. Collaborates with personnel at other facilities to coordinate smooth and effective patient transfers and transitions.Compiles, evaluates, and reports statistics to members of the team and utilizes the information to facilitate process improvement activities.Provides age and culturally appropriate care.Orients and mentors new staff members.Follows Standard Precautions using personal protective equipment as required. Qualifications Required Job Qualifications include:Current licensure as an RNGraduate of an accredited school of professional nursing. Bachelors of Science in Nursing preferred.CCM preferred Minimum 5 years of clinical nursing experience.Knowledge of CMS guidelines and experience working with payor specific guidelines and contractual rules preferred.Customer service abilities including effective listening skills.Critical thinking skills, decisive judgment and the ability to work with minimal supervision meeting firm deadlines.Assertive and persuasive communication skills, action oriented.

The Patient Care Coordinator (PCC) is obligated to maintain and constantly evaluate the appropriateness of a member/patient level of care, to maintain the efficiency and integrity of the referral process, and to monitor the quality of outcomes.

Preferred Skills: Acute care hospital utilization review and discharge planning. Knowledge of Microsoft Word. PURPOSE: In general, the Patient Care Coordinator (PCC) is obligated to maintain and constantly evaluate the appropriateness of a member/patient level of care, to maintain the efficiency and integrity of the referral process, and to monitor the quality of outcomes. The critical skills needed to perform this job are: Ability to effectively communicate; ability to conform to established policies and procedures; ability to analytically; problem solve and make decisions; ability to tolerate and cope with ambiguity; and ability to work as a team member. This position also has compliance accountability and/or responsibility for Kaiser Permanente´s policies and procedures, the Principles of Responsibility, accreditation standards (if applicable),and applicable federal, state, and local laws and regulations, as well as, proper use of Kaiser Permanente Personal Computer (PC) and applications. Required Experience and Training: R.N. license in jurisdiction where assigned. B.S.N. preferred. CPR certification required. At least one-year experience in acute hospital utilization review or equivalent required. Recent acute care, case management, or home health experience preferred. Demonstrated ability to effectively and clearly present information through the written word; to influence or persuade others through oral presentation in positive or negative circumstances; to listen well. Demonstrated ability to write clearly, legibly and effectively; to present ideas and document activities; to read and interpret written information.

Schedule: Wednesdays 12:30 PM - 5 PM + Thursdays and Fridays 8:30 AM - 5 PM.Preferred Skills: Masters Degree in Social Work or Psychiatric Nursing and appropriate licensure in MD. Five+ years Psychiatric/ CD/ Case Management experience preferred. Extensive experience working with clients dealing with psychiatric illness, and chemical dependency as well as clients who are dual diagnosed. Must be able to manage the following duties in Behavioral Health Out Patient Setting: Intensive Case Management, Discharge Planning, Referral to Community Resources, Tracking, Telephonic Outreach and Coordination of Care, and Crisis Intervention. Thorough and timely computer documentation is a must.Preferred skills include candidate being able to multi task and to be experienced working as part of an interdisciplinary team.PURPOSE To ensure that members referred to the Behavioral Health Network for ambulatory care receives appropriate, coordinated, and continuous care. To review referrals, perform concurrent reviews, and authorize continuing care. To engage in collaborative treatment planning with Network consultants and Kaiser Permanente staff. This position consistently supports compliance and the Principles of Responsibility (Kaiser Permanente´s Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to the applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanente´s policies and procedures. In addition, Regional leaders are accountable for communication, implementation, enforcement, monitoring and oversight of compliance policies and practices in their departments. Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors.ACCOUNTABILITIES: (List of 4 - 6 primary responsibilities, not activities, in their order of importance)1. Prospectively reviews all Behavioral Health ambulatory referrals. Identifies benefit eligibility, reviews appropriateness for referral based on established referral criteria.2. Monitors system for notification of patient and provider if referral does not meet criteria.3. Conducts Concurrent Review on all cases referred to the Network, ensuring that cases receive care at the appropriate level and follow established practice guidelines and behavioral treatment plans.4. Authorizes additional visits to Network consultants after reviewing clinical and administrative issues in each case. Consults with KP staff psychiatrists as appropriate.5. Assists in ensuring that documentation on all cases is accurately maintained in a timely manner.6. Collaborates with Network consultants, Kaiser Permanente staff, patients, and other health plan personnel to coordinate care for members referred to the Behavioral Health Network.7. Assists in discharging planning with the consultants, e.g., recommendation of community resources, Kaiser Permanente treatment programs, etc.8. Participates in orientation of Kaiser Permanente staff´s members regarding the referral process.9. Maintains working knowledge of Health Plan contracts with employer groups and Medical Group contracts with consultants.10. Assists Behavioral Health QA/AI committee and Network Manager in establishing and tracking quality assurance activities.11. Resolves telephone and written inquiries from members and consultants.12. Maintains and updates knowledge of treatment approaches, philosophies and techniques for Mental Health/Behavioral Health diagnostic categories.13. Maintains knowledge of ICD-9 and CPT coding categories.14. Collaborates with Behavioral Health Referral Assistants and Manager in maintaining and improving the Network referral process.15. Assists Behavioral Health Network Manager with special projects as assigned.MINIMUM REQUIREMENTS -Relevant Years of Experience: - Two years of experience in Mental/Behavioral Health Care are required.- Experience in both ambulatory and in-patient setting is preferred.- Knowledge of Behavioral Health Care theory and techniques is required.- Experience and the ability to communicate effectively with consultants, members, and Health Plan/MAPMG providers are required.- Knowledge of quality resource and utilization management techniques is required.- Ability to work independently and manage multiple priorities are required.- Good computer skills and the ability to use standard software applications are required.Education and/or Classes:- Master´s Degree in equivalent Health Care field with current and appropriate licensure is required.License, Certification and/or Designation:- LCSW or Psychiatric RN is required.- National Provider Identification (NPI) required.

The Seton Family of Hospitals, a not-for-profit organization, is the leading provider of healthcare services in Central Texas.Seton is building for the future providing ´Healthcare that Works and Leaves No One Behind.´

Responsibilities 1. Formulates and promotes continuity of care assuring appropriate medical treatments, processes, and utilization of resources based upon established criterion. Supports management of concurrent review, discharge planning processes, social services, home care and other post discharge continuity of care needs. 2. Consistent with professional standards integrates patient/family preferences and values into a quality supportable plan for their care across the continuum. Advocates for resources and removal of barriers for the promotion of outcomes that are consistent with patient values and preferences across the continuum. Conducts ongoing research to build a network of resources and alternative health care services that can better meet patient/family continuum of care needs. 3. Collaborates with the PI program by gathering sentinel events and target diagnosis data. Stays current with trends/research in professional field. Makes suggestions for improvement of current processes and practice trends based on research. 4. Collaborates with physicians, RN Care Manager and other team members in the planning, implementation and evaluation of the continuum care needs for patients/families. Collaborates with physicians, nursing directors/clinical managers and department directors to improve practice issues that impact continuum of care needs of the patient. 5. Participates in providing education support for newly hired staff persons within the department. Mentors interdisciplinary healthcare team in critical thinking processes essential to continuum of care issues. 6. Coordinates patient education as needed to address continuum needs. Collaborates with social worker to educate patients, families on discharge planning processes. 7. Facilitates appropriate lengths of stay and reimbursement for all hospital admissions in accordance with goals and objectives established in the utilization management plan. Facilitates patient movement to the appropriate (acuity) level of care including observation status through collaboration with patient/family, multidisciplinary team, and third party payors. Minimum Qualifications Two (2) years of nursing experience in an acute care or surgical setting is required. Experience in utilization review, knowledge of managed care rules and regulations, government policy rules and regulations, and computer skills are preferred. Registered Nurse licensed to practice in Texas is required. Physical Demands Lights (requires lifting 20 lbs, with frequent carrying of up to 20 lbs) Balancing:............Occasionally Bending:...............Occasionally Carrying:...............Occasionally Climbing:.............Occasionally Crawling:..............Rarely Crouching:............Occasionally Fine Dexterity:.......Continuously Foot Controls:.......Occasionally Handing:..............Frequently Hearing:...............Continuously Kneeling:.............Occasionally Lifting:..................Occasionally Pushing Pulling:....Occasionally Reaching:............Occasionally Sitting:...................Continuously Standing:..............Occasionally Talking:................Continuously Twisting:..............Occasionally Vision:..................Continuously Walking:...............Occasionally Work Environment Involves no exposure to blood borne pathogens as part of duties Supervision Received CASE MANAGEMENT PROGRAM MANAGER Supervision Exercised N/A Physical Other NONE Other Functions 1. Other duties as assigned.

Concentra is seeking to hire a full time, home based Medical Case Manager in the Macon, GA area. This opportunity will be responsible for case management of occupational and non-occupational medical and disability issues of employees to resolution in a manner which provides appropriate medical care and is expedient, efficient, cost effective and consistent with Safety & Health goals and values. This is accomplished by working closely with Disability Management Team members, health care professionals, client corporate legal council, client HR representatives and client company management. Qualified candidates will have current RN and CPR for GA. CCM and/or COHN are requested.Job Responsibilities* Provide medical assessment of on the job injuries prior to transport to a care facility.* Coordinate activities related to medical management of injury/illness cases under the guidance of corporate medical directors.* Coordination with Workers Compensation including investigation, compensability determination, company defense, and approval of medical treatment and payment.* Coordinate the accommodation process for client departments according to the ADA Regulations. Includes job analysis and return to work activities.* Assist management in determining employee Fitness for Duty and coordination of related processes.* Establish and maintain documentation of all case management decisions and communications. All information shall be kept in strict confidence according to privacy laws and ADA regulations.* Communicate clearly and timely with management, employees, medical director, and fellow Disability Management team members. Consult with employees and management on applicability of other available resources (LTD, Workers Compensation, Medical Benefits, EAP/Mental Health Benefits, Fitness for Duty Exams, Etc.)* Provide on-site support for mandatory physicals (DOT, ERT, OSHA)* Support employee Health and Wellness initiatives, including health fairs, immunizations, health education and LifeStyle programs.* Available for 24x7 on call assistance approximately 1 week per month.* Provide medical support for employees working on storm restoration.TO APPLYPlease visit the Concentra Internet site, www.concentra.com , to apply on-line and attach your resume for review.Job Requirements (Education, Experience, Knowledge, Skills)* RN (active license in state of practice) required. Bachelors degree in nursing preferred. Masters degree in Health Science, Rehabilitation Counseling or related field a plus.* Working knowledge of disability management practices, and professional code of conduct, Georgia Workers Compensation laws, Family Medical Leave Act regulations, Americans with Disability Act, 1973 Rehabilitation Act-Section 503, medical privacy regulations and Human Resources Management practices.* Ability to interpret and apply disability related benefit policies and plans.* Ability to work with minimal supervision and work direction. Ability to effectively and efficiently manage time, priorities and professional relationships.* Strong clinical assessment and medical treatment skills.* Excellent communication (oral and written) and customer service skills.* Occupational Disability Case Management experience, Certified Case Management accreditation, and/or Certification as Occupational Health Nurse Specialist.* Minimum of 5 years workers compensation case management or occupational medicine experience.* Ability to work away from home for extended periods (up to 2 weeks) during emergency storm restoration duty.* Available for daily travel within the service territory.

Patient Care Coordinator/Case Manager needed in Santa Rosa, California!

This position supports Kaiser Permanente’s code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures. Kaiser Permanente is proud to be an equal opportunity/affirmative action employer.DEPARTMENT: Coordination of CareSCHEDULE: Part-Time Regular, 32hrs/wk, Day Shift.EDUCATION/ LICENSE/CERTIFICATION: -BSN or BA in health care related field or Diploma/Associate Degree Nursing (ADN) with comparable years of experience required. -Masters Degree preferred. -Graduate of accredited school of nursing, BLS Certification, and current California RN licensure required.QUALIFICATIONS: -Experience (usually 2+ years) in direct patient care delivery and management.-Demonstrated experience in utilization review, case management, and discharge planning preferred (usually 2+ years). -Knowledge of the Nurse Practice Act, The Joint Commission, DMHC, CMS, NCQA,HIPPA, ERISA, EMTALA and all other applicable federal/state/local laws and regulations. -Demonstrated strong communication and customer service skills, problem-solving, critical thinking, and clinical judgment abilities. -Fundamental word processing and computer navigation skills, and the ability to interpret and use analytic data in day to day operations. -Knowledge of healthcare benefits associated with various business lines (Medicare/KPSA, Commercial/KFH, Medi-Cal, Federal, etc.).POSITION SUMMARY:-Performs utilization management activities, discharge planning, and care coordination across the continuum of care in collaboration with the physician and other members of the health care team.DUTIES: -Utilization Management Performs daily preadmission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine appropriate levels of care and readiness for discharge. -Escalates utilization and system problems which have not been resolved at the local level to the next level (RM/UM Director, CCL, DHO, etc.), immediately. -Monitors the progression of the plan of care and facilitates discussions with the multi-disciplinary teams. -Educates other healthcare team members on utilization and cost containment initiatives.-Collaborates with and provides information to patients, families, physicians, and staff regarding the provisions of care.-Incorporates and counsels on the correct and consistent application, interpretation, and utilization of member health care benefits (including transition of care).-Discharge Planning Ensures continuity of care through communication in rounds and written documentation, level of care recommendations, transfer coordination, discharge planning and obtaining authorizations/approvals as needed for outside services for the patient. -Develops, evaluates, and coordinates a comprehensive discharge plan in conjunction with the patient/family, physician, nursing, social services, and other healthcare providers and agencies.-Performance Improvement Monitors care processes to provide cost-effective implementation and evaluation of utilization management and patient care activities, initiatives, and protocols. -Participates in the development and implementation of guidelines, preprinted physician orders, care paths, etc. for patient care.-Identifies and assists in the implementation of opportunities for cost-savings and improvements in the quality of care across the continuum. -Develops, collects, trends, and analyzes data relevant to the utilization of healthcare resources including avoidable/variance days, readmissions, one-day stays, DRGs, LOS, etc. -Participates in the development, implementation, communication, maintenance and monitoring of local UM Work plan initiatives.-Administrative and Regulatory Shares accountability with the UM Manager for planning, developing, and managing the department budget.-Participates in interviewing, makes hiring recommendations, orients and provides on-going supervision of support staff.-Provides input into the performance evaluations of team members. -May plan and control work assignments and special projects of team members. -Assists in developing, implementing and maintaining utilization management policies and procedures. -Conducts UM, care coordination, and discharge planning activities according to all applicable regulatory requirements (see qualifications).Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees. Consistently supports compliance and the Principles of Responsibility (KP’s code of conduct) by maintaining confidentiality, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements, and KP policies and procedures.In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors.

Join us at Northside Hospital & Tampa Bay Heart Institute, part of the growing HCA West Florida hospital system. Were centrally located in the heart of St. Petersburg, making for an easy commute to most surrounding areas. Features at our growing 288-bed facility include: * Cardiac rehabilitation services * Critical, intensive and neurointensive care * Emergency care * Orthopedics * State-of-the-art diagnostic and surgical services * Spine Care Center As an integral part of the nations largest healthcare system, HCA West Florida hospitals give employees more support than you can possibly imagine. Each of our 15 hospitals is fully equipped with the latest technology and the greatest resources, so you can provide the highest quality care possible. In return for your dedication, we offer a generous benefits package, tuition reimbursement and professional learning opportunities. Plus a lot of extra incentives that make life much more rewarding. To learn more about Northside Hospital & Tampa Bay Heart Institute please visit: www.MoreCareerChoices.com Required Job Qualifications include: Current licensure as an RNGraduate of an accredited school of professional nursing. Bachelors of Science in Nursing preferred.CCM preferred Minimum 5 years of clinical nursing experience.Knowledge of CMS guidelines and experience working with payor specific guidelines and contractual rules preferred.Customer service abilities including effective listening skills.Critical thinking skills, decisive judgment and the ability to work with minimal supervision meeting firm deadlines.Assertive and persuasive communication skills, action oriented.