Job Title: RN - Case Manager - Managed Care Company
Company: Location: Las Cruces, NM
Description:
The Case Manager is responsible for utilization management and inpatient care management coordination. The Case Manager will perform reviews of current inpatient services, and determine medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination. Generally work is self-directed and will require solving moderately complex problems and/or moderately complex analyses, including identifying solutions to non-standard requests and problems. The Case Manager works under the direct supervision of an RN or MD and will act as a resource for others, coaching, guiding and providing feedback to others as necessary. This function is responsible for medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. The function may also be responsible for providing health education, coaching and treatment decision support for members and will work closely with management teams in the ongoing development and implementation of health services programs.
Essential Job Functions
1. Serves as the clinical liaison with hospital clinical and administrative staff as well as providing expertise for clinical authorizations for inpatient care.
2. Performs case reviews onsite at inpatient facilities and skilled nursing facilities. Advises supervisor of any potential problems as they become evident.
3. Ensures that our members receive the proper levels of care, coordinating their care, and assesses and interprets needs and requirements, in addition to referring patients to disease or case management programs.Makes "welcome home" calls to ensure that discharged member receive the necessary services and resources.
4. Conduct Utilization Reviews (concurrent and retrospective reviews) using approved health plan guidelines such as Milliman Criteria and/or InterQual Criteria.
5. Demonstrate knowledge of utilization management processes and current standards of care as a foundation for utilization review and discharge planning activities.
Minimum Required Education, Experience & Skills:
*Current, unrestricted RN license required, specific to the state of employment.
*BSN or Associate?s Degree in Nursing required.
*Two years of managed care and/or case management experience.
*Three years of clinical experience required.
*Knowledge of managed care, medical terminology, referral process, claims and ICD-9 codes.
*Excellent verbal and written skills.
*Knowledge of utilization management and/or insurance review processes as well as current standards of care, a strong knowledge of health care delivery systems and the ability to interact with medical directors, physician advisors, clinicians and support staff.
CONTACT:
Jason Edwards
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Job Title: RN Labor and Delivery
Company: Location: Roswell, NM
Description:
American Staffing Professionals currently has several RN Labor and Delivery openings in Hobbs, NM in a hospital position. The position is a full time permanent opening, offering relocation assistants, requires experience, day and night shift positions available. Please contact Register to View if you are interested.
Job Title: RN
Company: Hospital Jobs Online
Location: Albuquerque, NM
Description:
Company: Temps Inc Title: RN JobID: Register to View 0812 City: Albuquerque State: NM Description: Position Highlights Temps Inc. is currently seeking quality-minded healthcare professionals to join our team! We are actively hiring nurses, therapists, and radiology personnel for a variety of positions throughout the United States. If you are a registered Nurses, Licensed Practical/Vocational Nurse, Physical Therapist, Occupational Therapist, Speech/Language Pathologist, Rad Tech, Nuc Med Tech, CT Tech, Ultrasound Tech, Medical Assistant, Dental Assistant, Dental Hygienist, or other healthcare professional, you owe it to yourself to explore all that Temps Inc. has to offer. For more than 30 years, Temps Inc. has been the employer of choice for thousands of healthcare providers.we invite you to discover for yourself why! Please visit us on our company websites at www.americannurse.com for local per diem and contract assignments www.tempsinc.net for allied health and therapy opportunities and www.brightmed.com for travel nursing opportunities As a Temps Inc. employee you will enjoy many perks including: Work WHEN and WHERE you want! Top Hourly Pay Flexible per diem, contract, and travel assignments available Daily pay Continuing Ed Reimbursements up to $600 annually Referral Bonuses up to $3500 Health Insurance Subsidies up to $300 per month Weekly loyalty bonuses up to $80.00 per week Free Uniforms Professional Insurance Coverage Many assignments offering sign on bonuses or assignment completion bonuses The professionalism you deserve with a staff focused on you and your goals! You Deserve World-Class Service-We Deliver! Contact Information: For Therapy Opportunities contact Patricia Litzsinger at Register to View ext. 7010 or via email at Register to View For Travel Opportunities contact Jodi Fordyce at 877-Bright1 or Register to View For Local Opportunities contact the branch nearest you or visit americannurse.com Branch Network Albuquerque Marisa/Brandi Register to ViewRegister to View Colorado Springs Ann Register to ViewRegister to View Denver Marcus/Shelly Register to ViewRegister to View Ft Myers Jodi Register to ViewRegister to View Jacksonville Kim Register to ViewRegister to View Lexington Karen/Leland Register to ViewRegister to View Louisville April Register to ViewRegister to View Memphis Hope Register to ViewRegister to View New Orleans Kim Register to ViewRegister to View Nashville Belinda Register to ViewRegister to View San Antonio Kim Register to ViewRegister to View Seattle Kim Register to ViewRegister to View We look forward to you joining our team. Please reach out.you will be glad you did!
Description:
Looking for the stability of traveling with a leader in the travel nursing industry? InteliStaf Travel has thousands of assignments to keep you working and exploring exciting locations across the country. Competitive pay, custom tailored compensation plans, increased travel allotments, and comprehensive benefits enable you to fulfill your career goals with peace of mind.
Travel with a leader in job security!
InteliStaf Travel makes the unimaginable happen! We have thousands of contracts with hospitals in all fifty United States as well as exclusive partnerships offering premier opportunities and highly competitive pay packages. As an InteliStaf Travel Registered Nurse you'll receive great pay, top benefits, and a flexible schedule. InteliStaf Travel is one of the largest and most reputable travel nursing agencies. Here you'll have a dedicated recruiter focused on supporting you, understanding your career goals, and developing you professionally. We have the ability to keep you continually on assignment if you want to make travel nursing a long-term career option. Travel with the leader'Call us today!
InteliStaf Travel Benefits:
' Free Private Housing or Housing Subsidy
' Paid Utilities
' Travel Expense Reimbursement
' Free BlueCross BlueShield Major Medical with optional Domestic Partner Coverage
' Vision / Dental PPO Insurance with Major Carriers
' 401K
' Life Insurance and Short Term Disability
' Flexible Tax Advantage Plan
' Liability and Workers' Compensation
' Direct Deposit with EZ View
' Custom Tailored Compensation Plans
' Working Advantage Discounts
' Free CEU's for qualified employees
Enjoy:
' Great Pay
' Immediate access to recruiters
' Popular locations/ prestigious facilities
' Exclusive partnerships in prime locations
' Quick interviews
' Local per diem offices nationwide
Not interested in Travel? To take a look at our local Per Diem opportunities
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For quick consideration apply here: http://www.cytiva.com/ihire/ext2/applya.asp?ihire?ihireTVi93689?inttravdal?37
MEDICAL STAFFING NETWORK HAS EARNED THE JOINT COMMISSION’S GOLD SEAL OF APPROVAL.TM
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Job Title: Registered Nurse
Company: El Centro Family Health
Location: Espanola, NM
Description:
Ensure high quality triage is conducted for patients and delivers preventive care and chronic diease management according to established guidelines. Requires current, full, active and unrestricted RN licensure in New Mexico. Ability to drive to outlying locations, requires valid drivers' license, safe driving record and proof of auto insurance. Ability to provide individual and family counseling, guideance and health instructions to help patients understand how to prevent disease and maintain good helath. Excellent communication skills. Requires use of personal vehicle for travel to outlying locations. Successful candidate must complete background security investigation prior to beginning position. Monday through Friday 8-5 work shift, excellent pay and benefits, 11 paid holidays, 401(k), PTO. Please visit our website: www.efch.org. EOE/M/F/D/V/Drug-free Workplace
Job Title: Registered Nurse - Nursery
Company: Community Health Systems
Location: Carlsbad, NM
Description:
The staff RN is a professional caregiver who is responsible for designated patients for a specified time frame. The staff RN utilizes the nursing process, the environment and other health care resources to meet the specialized age-appropriate physical, emotional and spiritual needs of all ages of patient populations assigned. OB DepartmentEducation:Graduate of an accredited school of nursingCertifications / Licenses:Current state Registered Nurse license,or eligible for immediate state licenseMaintain Basic Life Support (BLS/CPR) Certification
Description:
To Get a Great Travel Assignment,You Need a Great Recruiter. So, why wait? Call one now. We know you want a great travel assignment, and you want someone on your side helping you get it.When you choose CoreMedical Group, you get both. Currently seeking Travel RN’sfor Travel Assignments throughout the country. Visit Albuquerque, NM as a travel nurse. RNs needed for Operation Room for 8 hour day shift in Albuquerque, NM. The "jewel" of the Mountain States, New Mexico offers a wide variety of cultural and outdoor activities, a reasonable cost of living and highly prestigious medical facilities. This part of the country attracts nurses throughout the year with its mix of amazing scenery, diverse cultures and friendly people. From the smaller community hospitals in Truth or Consequences and Gallup to the larger cities of Albuquerque and Santa Fe, this state has something to offer everyone!!!! CALL or EMAIL US TODAYTO SPEAK WITH A RECRUITE Register to View x2000800-995-COREEmail: Register to View Call or email us today to join CoreMedical Group and learn how to qualify for the annual Club CoreMed Vacation Program, where you can earn a 5 day/4 night ALL-INCLUSIVE vacation, to the Caribbean!! CoreMedical GroupThe Best in Healthcare Staffing Key Words:travel nurse, traveling nurse, travel nursing, travel company, travel staffing agency, traveler, travel RN, RN, registered nurse, travel nurse jobs, nurse jobs, travel jobs
Company: CoreMedical GroupContact Name: Sourcing DivisionEmail: Apply by EmailPhone: Register to View x2000Fax: Register to View
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Description:
Company: Deegan, Fernandez & Associates, Inc Title: Pediatrics RN JobID: Register to View 5459 City: Artesia State: NM Description: Specialty: Pediatrics, Nursery, NICU Responsible for assessing, planning, supervising and evaluating the nursing care of patients and for correlating the nursing process and the medical plan of care and policies. Experience in Peds, L&D, OB/GYN, or nursery helpful. New Mexico License as a Registered Nurse For more information please call Deegan, Fernandez & Associates at ---.
Job Title: RNs CCU, med/surg, ER
Company: Hospital Jobs Online
Location: Albuquerque, NM
Description:
Company: Temps Inc Title: RNs CCU, med/surg, ER JobID: Register to View 1822 City: Albuquerque State: NM Description: We have amazing opportunities available for a wide variety of RN specialties. Currently, our client is aggressively seeking the following specialties: Critical Care Med/Surg ER Apply today at americannurse.com. Or, for more information and immediate consideration, contact Brandi at Register to View .
Job Title: ASC-22 Registered Nurse (RN) - Same Day Surgery FT/Days #1035104
Company: Location: Las Cruces, NM
Description:
About us: MountainView Regional Medical Center, a 168-bed facility located in Las Cruces, N.M., is accredited by the Joint Commission (formerly JCAHO). The facility includes fully staffed 24-hour emergency care, a specialized Heart Center, Women´s Center, Comprehensive Intensive Care Services and an All-Digital Imaging Department, plus Inpatient and Outpatient Surgical Services, Emergency Services, Inpatient Rehabilitation, Wound Care Center/Hyperbarics, Diagnostic and Imaging Services, Pain Management Center and an ADA Certified Diabetes Program. Description The staff RN is a professional caregiver who is responsible for designated patients for a specific time frame. The staff RN utilizes the nursing process, the environment, and other health care resources to meet the specialized age-appropriate physical, emotional and spiritual needs of all ages of patient populations assigned.This is a day position with 8 hour shifts.Qualifications Education:-Graduate of an accredited school of nursing-Current state Registered Nurse license: or eligible for immediate state licenseExperience/Abilities:-Critical Care experience required-Able to meet physical and sensory requirements of job-Able to successfully complete orientation of job performance-Able to meet health standards for hospital performance-Must be highly motivated and committed to a quality of care that emphasizes the patient firstCertifications/Licenses:-Basic life Support (BLS/CPR) Certification-Advanced Cardiac Life Support (ACLS) CertificationOur comprehensive benefits package includes medical, dental and vision. As well as life, long- and short-term disability insurance, annual paid time off, a generous 401K-retirement plan, homeownership bonus, retention bonus, referral program, tuition and relocation assistance, plus evening and weekend shift differentials!