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Nurse Supervisor Salary in Phoenix, AZ

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Recreation Supervisor
Adams and Associates, Phoenix
About Phoenix Job Corps Center The Phoenix Job Corps Center provides students with the opportunity to earn their High School Diploma or Equivalent (GED), and hands-on training in the following areas: Certified Nurse Assistant, Clinical Medical Assistant, Medical Administration Assistant, Patient Care Technician, Plumbing, Painting, Security and Protective Services, HVAC, Landscaping, Electrical, and Building Construction Technology. About Adams and Associates Adams and Associates is a 100% employee-owned company that is service-focused and outcome-driven. We began as a small business formed in 1990 with the sole mission of operating at-risk youth and children's programs for local, state, and federal governmental agencies. Today, we are one of the largest workforce providers involved in the federal Job Corps program! Adams and Associates employs more than 2,000 staff members across the United States. Each year we provide academic, vocational training, and placement services to approximately 9,000 young people from ages 16 to 24 primarily in a residential setting. Our academic and career technical training programs are accredited and lead to national industry-recognized credentials. Responsible for the management of the Center's recreation program. Oversees the daily management of the recreation department and uses proper judgment and discretion to resolve student and staff issues and concerns. Develops and implements a variety of programs to appeal to the entire student population. Promotes health and wellness, and publishes weekly and monthly recreation schedules. Is an active member of the Center's HEALs Committee and supports the coordination and management of the extended training day program. Works in partnership with Dorm Life/Residential Living and Safety/Security staff to effectively supervise and manage the student population. May serve as the Acting Center Shift Manager/Manager on Duty. Join our dynamic team as the Recreation Program Manager, where you'll be at the forefront of creating an engaging and vibrant environment for our students. Your role will be crucial in overseeing the daily operations of the recreation department, demonstrating your exceptional judgment and discretion in resolving student and staff concerns. Key Responsibilities: Strategic Recreation Leadership: Spearhead the management of the Center's recreation program, ensuring a diverse range of activities to captivate our student population. Develop and implement innovative programs that cater to the interests of our diverse student community. Conflict Resolution Expert: Utilize your excellent judgment to address student and staff issues effectively and discreetly, fostering a positive and inclusive environment. Health and Wellness Advocate: Promote health and wellness initiatives among students through well-thought-out programs and activities. Publish weekly and monthly recreation schedules to keep the community informed and engaged. Committee Involvement: Actively participate in the Center's HEALs Committee, contributing to initiatives that enhance the overall well-being of our community. Extended Training Day Program: Support the coordination and management of the extended training day program, ensuring a seamless integration of recreational activities. Collaborative Supervision: Work closely with Dorm Life/Residential Living and Safety/Security staff to effectively supervise and manage the student population. Collaborate seamlessly to create a holistic and supportive living and learning environment. Managerial Flexibility: Demonstrate your leadership capabilities by occasionally serving as the Acting Center Shift Manager/Manager on Duty, showcasing your adaptability and commitment. What We Offer: A dynamic work environment that values creativity and innovation. Opportunities for professional growth and development. The chance to make a meaningful impact on the lives of our students. If you're passionate about creating a positive and enriching experience for students through recreational programs, we invite you to apply for this exciting opportunity. Join us on this journey of empowerment and growth. Apply now to be a part of a team dedicated to shaping the future!.QualificationsHigh School Diploma or equivalent required. Associate of Arts Degree from an accredited school preferred. A minimum three years of experience in recreation management/physical education and a substantial experience working with youth. Must possess a valid in-State Driver's License and meet Company insurability requirements. Physical requirements include sitting, standing, climbing, walking, lifting, pulling and/or pushing, carrying, reaching, stooping and crouching. Demonstrates the ability to lift 40 pounds and / or the ability to assess the lift load in order to ask for necessary assistance.Supervises and manages the Recreation Department. Serves as the Center Shift Manager/Manager on Duty as required"Adams and Associates, Inc. abides by the requirements of 41 CFR §§ 60-1.4(a), 60-300.5(a) and 60-741.5(a). These regulations prohibits discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Moreover, these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, protected veteran status or disability." This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Supervisor, Case Mgmt Special Programs (Remote)
TriWest Healthcare Alliance, Phoenix
Job Summary We offer remote work opportunities (AK, AR, AZ, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE,NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, WI & WY only) This leader will report to the Manager of Case Management Special Programs under the overall Case Management program, specifically supporting TRICARE beneficiaries seeking benefits under Extended Care Health Option (ECHO) and Autism Care Demonstration (ACD). Supervises daily operations of case management special programs services and staff. **Veterans, Reservists, Guardsmen, and military family members are encouraged to apply** Education & ExperienceRequired: • Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW), with a current unrestricted license, with one (1) year supervisory experience or equivalent leadership role • U.S. Citizenship • Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation, and o Three years full-time equivalent of direct clinical care to the consumer, and, o Two Years care coordination or case management experience. Preferred: • Experience in TRICARE ECHO and Autism Care Demonstration programs. • Bachelor's degree or higher in health-related field • Case Manager Certification by a URAC-recognized entity (e.g. ANCC, CCMC). If not currently certified, certification will be required within two (2) years of hire. Key Responsibilities• Supervises the daily operations of case management specialty program services. Hires, coaches, counsels, evaluates, and develops clinical and non-clinical staff. Supports recruitment efforts by interviewing, selecting, and training new staff. • Applies knowledge of HIPAA privacy and security regulations as well as URAC accreditation standards to ensure compliance in daily practice. • Coordinates staff orientation and training. Ensures staff provides services within any associated scope of practice and in compliance with organizational protocols, desk procedures, and policies. Provides staff training, including training aids. Documents and assesses effectiveness of staff training. • Supervises individual staff caseload and beneficiary needs to ensure timely delivery of care as well as productivity and timeliness requirements. • Evaluates clinical and non-clinical performance for quality, timeliness, and process consistency. Conducts regular and ad hoc case review audits, providing staff feedback regarding results and process improvement. Participates in the evaluation of the case management program. • Ensures compliance with TriWest policy and Health Care Services desk procedures.• Collaborates with medical providers, the Director, Case Management and the Medical Director for Case Management on program interpretation and guidance. • Participates in clinical and non-clinical performance improvement projects. Actively participates in meetings. • Monitors and provides input on the performance of non-clinical staff. • Supports department by covering case management and care coordination or carrying a case load as necessary. • Performs other duties as assigned. • Regular and reliable attendance is required CompetenciesCoaching / Training / Mentoring: Actively foster actions required for desired business outcomes through ongoing constructive feedback Communication / People Skills: Ability to influence or persuade others under positive or challenging circumstances; adapt to different styles; listen critically; collaborate Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications. Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required. Delegation Skills: Provide clear performance expectations for projects and ensure adequate access to resources for completion. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues, tactics, and strategies. Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment. Technical Skills: Thorough knowledge of TRICARE policies and procedures; Case Management, ECHO, Autism Care Demonstration, Referral Management, and Utilization Management principles; HIPAA Privacy and Security regulations; URAC accreditation standards, Managed Care concepts; community resources; alternative funding programs; medical management systems. Proficiency with International Classification of Diseases (ICD), Current Procedural Terminology (CPT), Healthcare Common Procedural Coding System (HCPCS). Working ConditionsWorking Conditions: • Availability to cover any work shift • Standard office environment or telecommuting options, minimal travel anticipated. • Extensive computer work with prolonged sittingCompany Overview Taking Care of Our Nation's Heroes. It's Who We Are. It's What We Do. Do you have a passion for serving those who served? Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve! Our job is to make sure that America's heroes get connected to health care in the community. At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.BenefitsWe're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes: Medical, Dental and Vision Coverage Generous paid time off 401(k) Retirement Savings Plan (with matching) Short-term and long-term disability, basic life, and accidental death and dismemberment insurance Tuition reimbursement Paid volunteer time Equal Employment OpportunityTriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.
Supervisor, Case Management (Remote)
TriWest Healthcare Alliance, Phoenix
Job Summary We offer remote work opportunities (AK, AR, AZ, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE,NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, WI & WY only) Supervises daily operations of case management services and staff. Hires, trains, coaches, counsels, and develops staff. Monitors individual staff caseloads and beneficiary service levels to ensure delivery of quality and timely Case Management services. Ensures staff is fully informed of changes impacting their work by communicating updates, policy revisions, performance outcomes, and significant events. Advises non-clinical staff regarding Case Management support tasks. Supervisors are responsible for reviewing and understanding the scope of practice of their state of licensure as well as those of associated staff. **Veterans, Reservists, Guardsmen, and military family members are encouraged to apply**Education & ExperienceRequired: • Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW), with a current unrestricted license • Case Manager Certification by a URAC-recognized entity • Three years full-time equivalent of direct clinical care to the consumer • Two Years Case Management or equivalent experience • One year supervisory experience or equivalent leadership role Preferred: • Bachelor's degree or higher in health-related field • Experience in Managed Care or TRICARE healthcare delivery system Key Responsibilities• Supervises the daily operations of case management services. Hires, trains, coaches, counsels, and develops clinical and non-clinical staff. Supports recruitment efforts by interviewing, selecting, and training new staff. • Applies knowledge of HIPAA privacy and security regulations as well as URAC accreditation standards to ensure compliance in daily practice. • Coordinates staff orientation and training. Ensures staff provides case management within scope of practice and in compliance with organizational protocols, desk procedures, and policies. Provides staff training, including training aids. Documents and assesses effectiveness of staff training. • Supervises individual staff caseload and beneficiary treatment plans to ensure delivery of care, productivity, and timeliness. Evaluates case manager practice for quality, timeliness, and process consistency. Conducts regular and ad hoc case review audits, providing staff feedback regarding results and process improvement. Participates in the evaluation of the case management program. • Ensures compliance with TriWest policy and Health Care Services desk procedures. • Collaborates with case managers, care coordinators, medical providers, the Director, Case Management and the Medical Director for Case Management on program interpretation and guidance.• Participates in clinical and non-clinical performance improvement projects. Actively participates in teleconferences and meetings. • Monitors and provides input on the performance of non-clinical staff. • Supports department by carrying a case load as necessary. • Performs other duties as assigned. • Regular and reliable attendance is required. CompetenciesCoaching / Training / Mentoring: Actively foster actions required for desired business outcomes through ongoing constructive feedback. Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate. Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications. Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required. Delegation Skills: Provide clear performance expectations for projects and ensure adequate access to resources for completion. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented. Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues, tactics, and strategies. Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment. Technical Skills: Thorough knowledge of TRICARE policies and procedures, Case Management, Utilization Management, HIPAA Privacy and Security regulations, URAC accreditation standards, Managed Care concepts, Behavioral Health practices and principles, community resources, alternative funding programs, medical management systems. Proficiency with International Classification of Diseases, Current Procedural Terminology, Healthcare Common Procedural Coding System. Working ConditionsWorking Conditions: • Availability to cover any work shift • Works within a standard office environment, with minimal travel • Extensive computer work with prolonged sitting • Department of Defense security clearance requiredCompany Overview Taking Care of Our Nation's Heroes. It's Who We Are. It's What We Do. Do you have a passion for serving those who served? Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve! Our job is to make sure that America's heroes get connected to health care in the community. At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.BenefitsWe're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes: Medical, Dental and Vision Coverage Generous paid time off 401(k) Retirement Savings Plan (with matching) Short-term and long-term disability, basic life, and accidental death and dismemberment insurance Tuition reimbursement Paid volunteer time Equal Employment OpportunityTriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.
LPN-H
Maryland Gardens Post Acute, Phoenix
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Administrative Functions • Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility. • Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. • Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions. • Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities. • Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facility. • Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. • Make written and oral reports/recommendations concerning the activities of your shift as required. • Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained. • Ensure that all nursing service personnel are in compliance with their respective job descriptions. • Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department. • Participate in facility surveys (inspections) made by authorized government agencies as may be requested. • Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required. • Assist in planning the nursing services portion of the resident's discharge plan as necessary. • Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required. • Admit, transfer, and discharge residents as required. • Complete accident/incident reports as necessary. • Write resident charge slips and forward to the Business Office. • Maintain the Daily Census Report and submit to the Business Office as required. • Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. • Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. • Report any known or suspected unauthorized attempt to access facility's information system. Charting and Documentation • Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge. • Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. • Receive telephone orders from physicians and record on the Physicians' Order Form. • Transcribe physician's orders to resident charts, cardex, medication cards, treatment/care plans, as required. • Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care. • Fill out and complete accident/incident reports. Submit to Director as required. • Chart all reports of accidents/incidents involving residents. Follow established procedures. • Record new/changed diet orders. Forward information to the Food Services Department. • Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor. • Fill out and complete transfer forms in accordance with established procedures. • Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures. • Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures. • Sign and date all entries made in the resident's medical record. Drug Administration Functions • Prepare and administer medications as ordered by the physician. • Verify the identity of the resident before administering the medication/treatment. • Ensure that prescribed medication for one resident is not administered to another. • Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor. • Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies. • Ensure that narcotic records are accurate for your shift. • Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift. • Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies. • Notify the attending physician of automatic stop orders prior to the last dosage being administered. • Dispose of drugs and narcotics as required, and in accordance with established procedures. Personnel Functions • Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Nurse Supervisor concerning employee dismissals, transfers, etc. • Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work. • Report absentee call-ins to the Nurse Supervisor. • Review and evaluate your department's work force and make recommendations to the Nurse Supervisor. • Develop work assignments and/or assist in completing and performing such assignments. • Provide leadership to nursing personnel assigned to your unit/shift. • Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Nurse Supervisor. • Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. • Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. • Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services. • Ensure that department personnel, residents, and visitors follow the department's established policies and procedures at all times. • Develop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. • Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. • Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor as required or as may be necessary. Follow facility's established procedures. • Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. • Receive/give the nursing report upon reporting in and ending shift duty hours. • Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents. • Report known or suspected incidents of fraud to the Administrator. • Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. Nursing Care Functions • Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc. • Ensure that rooms are ready for new admissions. • Greet newly admitted residents upon admission. Escort them to their rooms as necessary. • Participate in the orientation of new residents/family members to the facility. • Make rounds with physicians as necessary. • Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures. • Consult with the resident's physician in providing the resident's care, treatment, rehabilitation, etc., as necessary. • Review the resident's chart for specific treatments, medication orders, diets, etc., as necessary. • Implement and maintain established nursing objectives and standards. • Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident's physical and emotional status. • Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. • Cooperate with and coordinate social and activity programs with nursing service schedules. • Notify the resident's attending physician when the resident is involved in an accident or incident. • Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition. • Carry out restorative and rehabilitative programs, to include self-help and care. • Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. • Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required. • Use restraints when necessary and in accordance with established policies and procedures. • Obtain sputum, urine and other specimens for lab tests as ordered • Take and record TPRs, blood pressures, etc., as necessary. • Monitor seriously ill residents as necessary. • Check foods brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances. Report problem areas to the Nurse Supervisor and Dietary Supervisor. • Ensure that personnel providing direct care to residents are providing such care in accordance with the resident's care plan and wishes. • Ensure that residents who are unable to call for help are checked frequently. • Meet with residents, and/or family members, as necessary. Report problem areas to the Nurse Supervisor • Admit, transfer and discharge residents as necessary. • Assist in arranging transportation for discharged residents as necessary. • Ensure that discharged residents are escorted to the pick-up area. • Inform family members of the death of the resident. • Call funeral homes when requested by the family. Ensure that established post-mortem procedures are followed. Staff Development • Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing service department. • Implement and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties. • Assist in standardizing the methods in which work will be accomplished. • Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids. • Assist the Director in planning clinical supervision for nurse aide trainees. • Attend and participate in outside training programs. • Attend and participate in annual facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). • Attend and participate in advance directive in-service training programs for the staff and community. • Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Safety and Sanitation • Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies. • Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel. • Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. • Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. • Ensure that an adequate supply of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids. • Ensure that your assigned work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. • Ensure that your unit's resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. • Ensure that your assigned personnel follow established handwashing and hand hygiene technique in the administering of nursing care procedures. • Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. • Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. • Ensure that your assigned personnel follow established infection control procedures when isolation precautions become necessary. • Ensure that nursing personnel follow established procedures in the use and disposal of personal protective equipment. • Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. • Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. • Report missing/illegible labels and MSDSs to the safety officer or other designated person. Equipment and Supply Functions • Recommend to the Nurse Supervisor the equipment and supply needs of your unit/shift. • Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on your unit/shift at all times to meet the needs of the residents. • Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. • Ensure that only trained and authorized personnel operate your unit/shift's equipment. • Ensure that all personnel operate nursing service equipment in a safe manner. • Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. • Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department. Care Plan and Assessment Functions • Review care plans daily to ensure that appropriate care is being rendered. • Inform the Nurse Supervisor of any changes that need to be made on the care plan. • Ensure that your nurses' notes reflect that the care plan is being followed when administering nursing care or treatment. • Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. • Ensure that your assigned certified nursing assistants (CNAs) are aware of the resident care plans. Ensure that the CNAs refer to the resident's care plan prior to administering daily care to the resident. • Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Budget and Planning Functions • Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Miscellaneous • Provide data to the Quality Assurance & Assessment Committee as requested. Supervisory Requirements As LPN / LVN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program. Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Must be able to relate information concerning a resident's condition. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must demonstrate knowledge and skills necessary to provide care appropriate to the agerelated needs of the residents served. Must be a supportive team member, contribute to and be an example of team work and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must not pose a direct threat to the health or safety of other individuals in the workplace. Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an LPN/LVN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department directors. Works beyond normal working hours, and in other positions temporarily, when necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.
CNA-H
Maryland Gardens Post Acute, Phoenix
General PurposeThe primary purpose of your job position is to provide each of your assigned residents with routine daily nursing care and services in accordance with the resident's assessment and care plan, and as may be directed byyour supervisors.Essential Duties• Use the wristband or photo card file to identify residents before administering treatments, serving meals, etc., as necessary.• Use only authorized abbreviations established by this facility when recording information.• Report all changes in the resident's condition to the Nurse Supervisor/Charge Nurse as soon as practical.• Record all entries on flow sheets, notes, charts, etc., in an informative, descriptive manner.• Report all accidents and incidents you observe on the shift that they occur.• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator.• Report any known or suspected unauthorized attempt to access facility's information system.• Perform only those nursing care procedures that you have been trained to do.• Ensure that the resident's room is ready for receiving the resident (i.e., bed made, name tags up, admission kit available, etc.).• Greet residents and escort them to their room.• Introduce resident to his/her roommate, if any, and other residents and personnel as appropriate.• Make resident comfortable.• Inventory and mark the resident's personal possessions as instructed.• Store resident's clothing.• Assist residents with packing their personal possessions when they are being transferred to a new room, or when being discharged.• Transport residents to new rooms or to the receiving area.• Assist with loading/unloading residents' to/from vehicles as necessary.• Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.• Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or the improvement of services.• Report all complaints and grievances made by the resident.• Participate in and receive the nursing report as instructed.• Follow established policies concerning exposure to blood/body fluids.• Make beds as instructed.• Put extra covers on beds as requested.• Measure and record temperatures, pulses, and respirations (TPRs) of residents, as instructed. Weigh and measure residents as instructed.• Ensure that residents who are unable to call for help are checked frequently.• Answer resident calls promptly.• Check residents routinely to ensure that their personal care needs are being met.• Assist residents with identifying food arrangements (i.e., informing resident with sight problem of foods that are on his/her tray, where it is located, if it is hot/cold, etc.).• Record the resident's food/fluid intake. Report changes in the resident's eating habits to the Nurse Supervisor/Charge Nurse.• Keep residents' water pitchers clean and filled with fresh water (on each shift), and within easy reach of the resident.• Perform after meal care (i.e., remove trays, clean resident's hands, face, clothing, etc.).• Participate in and receive the nursing report upon reporting for duty.• Perform all assigned tasks in accordance with our established policies and procedures, and as instructed by your supervisors.• Follow work assignments, and/or work schedules in completing and performing your assigned tasks.• Cooperate with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents.• Notify the facility when you will be late or absent from work.• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents.• Assist residents with daily functions (dental and mouth care, bath functions, combing of hair, dressing and undressing as necessary).• Keep residents dry (change gown, clothing and linens, when it becomes wet or soiled).• Assist residents in preparing for medical tests (i.e., lab work, x-ray, therapy, dental, etc.).• Assist with lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc.• Perform restorative and rehabilitative procedures as instructed.• Assist in preparing the resident for a physical examination.• Check each resident routinely to ensure that his/her personal care needs are being met in accordance with his/her wishes.• Observe and report the presence of pressure areas and skin breakdowns to prevent decubitus ulcers (bedsores).• Report injuries of an unknown source, including skin tears.• Observe disoriented and comatose residents. Record and report data as instructed• Perform special treatments as instructed.• Immediately notify the Nurse Supervisor/Charge Nurse of any resident leaving/missing from the facility.• Use only the equipment you have been trained to use.• Report defective equipment to the Nurse Supervisor/Charge Nurse• Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.• Report all allegations of resident abuse and/or misappropriation of resident property.• Honor the resident's refusal of treatment request. Report such requests to your supervisor.Supervisory RequirementsThis position has no supervisor responsibilitiesQualificationEducation and/or Experience Must possess, as a minimum, an 10th grade educationLanguage Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, andprocedure manuals. Ability to effectively present information and respond to questions from managers and employees.Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.Certificates, Licenses, Registrations Must be a licensed Certified Nursing Assistant in accordance with laws of the state.CPR PreferredPhysical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The employee must occasionally lift and/or move up to 25 pounds. Prolonged use of a desktop or laptop computer. While performing the duties of this job, the employee is regularly required to sit, stand; walk and talk, read or hear. Frequent use of all office related equipment to include copier/scanner/fax, telephone, and calculator.May be necessary to assist in the evacuation of residents during emergency situations.Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The noise level in the work environment is usually low to moderate.
LPN - Ridgecrest Post Acute
Ridgecrest Post Acute, Phoenix
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Administrative Functions • Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility. • Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. • Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions. • Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities. • Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facility. • Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. • Make written and oral reports/recommendations concerning the activities of your shift as required. • Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained. • Ensure that all nursing service personnel are in compliance with their respective job descriptions. • Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department. • Participate in facility surveys (inspections) made by authorized government agencies as may be requested. • Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required. • Assist in planning the nursing services portion of the resident's discharge plan as necessary. • Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required. • Admit, transfer, and discharge residents as required. • Complete accident/incident reports as necessary. • Write resident charge slips and forward to the Business Office. • Maintain the Daily Census Report and submit to the Business Office as required. • Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. • Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. • Report any known or suspected unauthorized attempt to access facility's information system. Charting and Documentation • Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge. • Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. • Receive telephone orders from physicians and record on the Physicians' Order Form. • Transcribe physician's orders to resident charts, cardex, medication cards, treatment/care plans, as required. • Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care. • Fill out and complete accident/incident reports. Submit to Director as required. • Chart all reports of accidents/incidents involving residents. Follow established procedures. • Record new/changed diet orders. Forward information to the Food Services Department. • Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor. • Fill out and complete transfer forms in accordance with established procedures. • Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures. • Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures. • Sign and date all entries made in the resident's medical record. Drug Administration Functions • Prepare and administer medications as ordered by the physician. • Verify the identity of the resident before administering the medication/treatment. • Ensure that prescribed medication for one resident is not administered to another. • Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor. • Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies. • Ensure that narcotic records are accurate for your shift. • Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift. • Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies. • Notify the attending physician of automatic stop orders prior to the last dosage being administered. • Dispose of drugs and narcotics as required, and in accordance with established procedures. Personnel Functions • Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Nurse Supervisor concerning employee dismissals, transfers, etc. • Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work. • Report absentee call-ins to the Nurse Supervisor. • Review and evaluate your department's work force and make recommendations to the Nurse Supervisor. • Develop work assignments and/or assist in completing and performing such assignments. • Provide leadership to nursing personnel assigned to your unit/shift. • Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Nurse Supervisor. • Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. • Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. • Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services. • Ensure that department personnel, residents, and visitors follow the department's established policies and procedures at all times. • Develop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. • Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. • Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor as required or as may be necessary. Follow facility's established procedures. • Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. • Receive/give the nursing report upon reporting in and ending shift duty hours. • Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents. • Report known or suspected incidents of fraud to the Administrator. • Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. Nursing Care Functions • Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc. • Ensure that rooms are ready for new admissions. • Greet newly admitted residents upon admission. Escort them to their rooms as necessary. • Participate in the orientation of new residents/family members to the facility. • Make rounds with physicians as necessary. • Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures. • Consult with the resident's physician in providing the resident's care, treatment, rehabilitation, etc., as necessary. • Review the resident's chart for specific treatments, medication orders, diets, etc., as necessary. • Implement and maintain established nursing objectives and standards. • Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident's physical and emotional status. • Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. • Cooperate with and coordinate social and activity programs with nursing service schedules. • Notify the resident's attending physician when the resident is involved in an accident or incident. • Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition. • Carry out restorative and rehabilitative programs, to include self-help and care. • Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. • Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required. • Use restraints when necessary and in accordance with established policies and procedures. • Obtain sputum, urine and other specimens for lab tests as ordered • Take and record TPRs, blood pressures, etc., as necessary. • Monitor seriously ill residents as necessary. • Check foods brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances. Report problem areas to the Nurse Supervisor and Dietary Supervisor. • Ensure that personnel providing direct care to residents are providing such care in accordance with the resident's care plan and wishes. • Ensure that residents who are unable to call for help are checked frequently. • Meet with residents, and/or family members, as necessary. Report problem areas to the Nurse Supervisor • Admit, transfer and discharge residents as necessary. • Assist in arranging transportation for discharged residents as necessary. • Ensure that discharged residents are escorted to the pick-up area. • Inform family members of the death of the resident. • Call funeral homes when requested by the family. Ensure that established post-mortem procedures are followed. Staff Development • Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing service department. • Implement and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties. • Assist in standardizing the methods in which work will be accomplished. • Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids. • Assist the Director in planning clinical supervision for nurse aide trainees. • Attend and participate in outside training programs. • Attend and participate in annual facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). • Attend and participate in advance directive in-service training programs for the staff and community. • Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Safety and Sanitation • Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies. • Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel. • Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. • Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. • Ensure that an adequate supply of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids. • Ensure that your assigned work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. • Ensure that your unit's resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. • Ensure that your assigned personnel follow established handwashing and hand hygiene technique in the administering of nursing care procedures. • Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. • Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. • Ensure that your assigned personnel follow established infection control procedures when isolation precautions become necessary. • Ensure that nursing personnel follow established procedures in the use and disposal of personal protective equipment. • Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. • Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. • Report missing/illegible labels and MSDSs to the safety officer or other designated person. Equipment and Supply Functions • Recommend to the Nurse Supervisor the equipment and supply needs of your unit/shift. • Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on your unit/shift at all times to meet the needs of the residents. • Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. • Ensure that only trained and authorized personnel operate your unit/shift's equipment. • Ensure that all personnel operate nursing service equipment in a safe manner. • Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. • Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department. Care Plan and Assessment Functions • Review care plans daily to ensure that appropriate care is being rendered. • Inform the Nurse Supervisor of any changes that need to be made on the care plan. • Ensure that your nurses' notes reflect that the care plan is being followed when administering nursing care or treatment. • Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. • Ensure that your assigned certified nursing assistants (CNAs) are aware of the resident care plans. Ensure that the CNAs refer to the resident's care plan prior to administering daily care to the resident. • Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Budget and Planning Functions • Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Miscellaneous • Provide data to the Quality Assurance & Assessment Committee as requested. Supervisory Requirements As LPN / LVN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program. Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Must be able to relate information concerning a resident's condition. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must demonstrate knowledge and skills necessary to provide care appropriate to the agerelated needs of the residents served. Must be a supportive team member, contribute to and be an example of team work and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must not pose a direct threat to the health or safety of other individuals in the workplace. Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an LPN/LVN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department directors. Works beyond normal working hours, and in other positions temporarily, when necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.
Registered Nurse II
Cigna, Phoenix
Core Responsibilities/Essential Functions Integrates physiologic, medical, surgical, and anesthetic information to set patient care priorities. The assessment data is reviewed, analyzed and evaluated throughout the patient's OR stay. The identification of an actual or potential alteration in functioning allows the OR nurse to identify the problem and it's most likely cause.The OR nurse, using Nursing Diagnoses, will set goals for care and will direct nursing interventions toward resolution of the problem or elimination of the cause.Functions as a competent health team member in providing Basic Cardiac Life Support (Including patient airway, defibrillation and administration of medications under emergency conditions) Starts and discontinues intravenous therapy, administers medications PO, IV, IM, SQ, SL, PR, by inhalation and topically.Performs venipuncture for laboratory analysis as ordered.Provides the patient with a safe environment by strict adherence to all safety and infection control policies thereby providing the patient with genuine feelings of safety and security.Is responsible for the preparation of the patient, necessary paperwork, and transportation for planned and unplanned admissions to outside facilities. Assists anesthesiologists with pain blocks, intubations, positioning of the patient as indicated.Ensures that essential equipment/supplies are available the day of surgery and informs the lead and/or OPS manager if not complete prior to the day of surgery.Assumes responsibility for the orientation and training of "new" personnel in the operating room.Assists Anesthesia department and Pharmacy in maintenance of Controlled medications.NOTE: The above is intended to describe the general content of and requirements of this position and are not intended to be and exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate supervisor. Minimum Qualifications RN with current unrestricted Arizona licenseGraduate of accredited school of nursingBSN preferredCurrent BLS certificationACLS and PALS certification preferred.Demonstrates verbal and written communication skillsBasic Computer skills including but not limited to Microsoft Office applications.Strong Customer centric.Requires critical thinking, communication, decision making, analytical and strong interpersonal relationship skills.EKG Rhythm interpretationASC experience preferred.Pool ASC RN II is expected to have all required certifications upon hire.If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.About Evernorth Health ServicesEvernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Supervisor, Utilization Management - Appeals/Reconsiderations - Remote
TriWest Healthcare Alliance, Phoenix
Job Summary We offer remote work opportunities (AK, AR, AZ, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE,NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, WI & WY only) Supervises daily Utilization Management (UM) program operations. This position reports to a Manager of Utilization Management in either Prospective, Retrospective, or Appeals and Reconsideration for the TRICARE contract. The supervisor coordinates across teams to support meeting contractual metrics and timeliness, standardized clinical care requirements and accreditation standards. This position is responsible for supervision of UM performance and staff management. Development and preparation of operational reports. Functions as backup for staff during high volume periods. **Veterans, Reservists, Guardsmen, and military family members are encouraged to apply** Education & ExperienceRequired: • Registered Nurse, with current valid, unrestricted nursing license • 3+ years of job related experience in a healthcare environment • 3+ years supervisory or leadership experience in a healthcare environment • 2+ years utilization review or case management • U.S. Citizenship • Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation Preferred: • Medical/Surgical or Behavioral Health experience • Commercial Managed Care experience • Knowledge of government health care programs • Familiarity with utilization review criteria • CCM or HCQM certification • Knowledge of medical billing and coding • Prior experience with remote work environments Key Responsibilities• Supervises day to day UM operations to ensure operational effectiveness and efficiency. • Ensures staff is fully-informed of changes by communicating updates, policy revisions, performance outcomes, and significant events. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system. • Monitors staff to ensure adherence to established criteria, including InterQyal, internally developed guidelines, decision support tools, contract requirements and TriWest policies and desk procedures. • Prepares reports for tracking and trending of UM activities. • Interprets reports and identifies UM opportunities to share with management. • Monitors the UM process and identifies and implements process improvements to ensure program quality assurance and compliance. • Reports Potential Quality Issues (PQI). • Responsible for interviewing and hiring new staff. • Provides coaching and oversight to staff to ensure staff success and development. • Assists with implementation, orientation and training of new staff.• Assists with the development of desk procedures, processes, workflow changes, and reports. • Systematically evaluates the quality and effectiveness of staff performance. • Advises and coaches when appropriate and completes annual performance appraisals. • Participates in meetings as required. • Collaborates across the clinical operations team for enhancing service levels. • Coordinates activities with contracted partners to meet Utilization Management (UM) Plan goals. • Completes special projects. • Regular and reliable attendance. • Performs other duties as assigned. CompetenciesCoaching / Training / Mentoring: Actively foster actions required for desired business outcomes through ongoing constructive feedback. Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate. Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications. Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required. Delegation Skills: Provide clear performance expectations for projects and ensure adequate access to resources for completion Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Information Management: Ability to manage large amounts of complex information easily, communicate clearly, and draw sound conclusions. Leadership: Successfully manage different styles of employees; provide clear direction and effective coaching. Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources, detail oriented. Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues. Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment. Technical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. Working ConditionsWorking Conditions: • Works non-regular hours, as required • Works remotely, with up to 10% travel • Ability to meet mandatory contract compliance timelines • Extensive computer work with prolonged sittingCompany Overview Taking Care of Our Nation's Heroes. It's Who We Are. It's What We Do. Do you have a passion for serving those who served? Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve! Our job is to make sure that America's heroes get connected to health care in the community. At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.BenefitsWe're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes: Medical, Dental and Vision Coverage Generous paid time off 401(k) Retirement Savings Plan (with matching) Short-term and long-term disability, basic life, and accidental death and dismemberment insurance Tuition reimbursement Paid volunteer time Equal Employment OpportunityTriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.
Supervisor, Utilization Management - Prospective/Concurrent
TriWest Healthcare Alliance, Phoenix
Veterans, Reservists, Guardsmen and military family members are encouraged to apply!!We offer remote work opportunities (AK, AR, AZ, CA, *CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, *WA, WI & WY only) Job Summary Supervises daily Utilization Management (UM) program operations. This position reports to a Manager of Utilization Management in either Prospective, Retrospective, or Appeals and Reconsideration for the TRICARE contract. The supervisor coordinates across teams to support meeting contractual metrics and timeliness, standardized clinical care requirements and accreditation standards. This position is responsible for supervision of UM performance and staff management. Development and preparation of operational reports. Functions as backup for staff during high volume periods.Education & Experience Required: • Registered Nurse, with current valid, unrestricted nursing license • 3+ years of job related experience in a healthcare environment • 3+ years supervisory or leadership experience in a healthcare environment • 2+ years utilization review or case management • U.S. Citizenship • Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation Preferred: • Medical/Surgical or Behavioral Health experience • Commercial Managed Care experience • Knowledge of government health care programs • Familiarity with utilization review criteria • CCM or HCQM certification • Knowledge of medical billing and coding • Prior experience with remote work environmentsKey Responsibilities • Supervises day to day UM operations to ensure operational effectiveness and efficiency. • Ensures staff is fully-informed of changes by communicating updates, policy revisions, performance outcomes, and significant events. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system. • Monitors staff to ensure adherence to established criteria, including InterQyal, internally developed guidelines, decision support tools, contract requirements and TriWest policies and desk procedures. • Prepares reports for tracking and trending of UM activities. • Interprets reports and identifies UM opportunities to share with management. • Monitors the UM process and identifies and implements process improvements to ensure program quality assurance and compliance. • Reports Potential Quality Issues (PQI). • Responsible for interviewing and hiring new staff. • Provides coaching and oversight to staff to ensure staff success and development. • Assists with implementation, orientation and training of new staff.• Assists with the development of desk procedures, processes, workflow changes, and reports. • Systematically evaluates the quality and effectiveness of staff performance. • Advises and coaches when appropriate and completes annual performance appraisals. • Participates in meetings as required. • Collaborates across the clinical operations team for enhancing service levels. • Coordinates activities with contracted partners to meet Utilization Management (UM) Plan goals. • Completes special projects. • Regular and reliable attendance. • Performs other duties as assigned.Competencies Coaching / Training / Mentoring: Actively foster actions required for desired business outcomes through ongoing constructive feedback. Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate. Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications. Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required. Delegation Skills: Provide clear performance expectations for projects and ensure adequate access to resources for completion Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Information Management: Ability to manage large amounts of complex information easily, communicate clearly, and draw sound conclusions. Leadership: Successfully manage different styles of employees; provide clear direction and effective coaching. Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources, detail oriented. Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues. Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment. Technical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques.Working Conditions Working Conditions: • Works non-regular hours, as required • Works remotely, with up to 10% travel • Ability to meet mandatory contract compliance timelines • Extensive computer work with prolonged sittingCompany Overview Taking Care of Our Nation's Heroes. It's Who We Are. It's What We Do. Do you have a passion for serving those who served? Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve! Our job is to make sure that America's heroes get connected to health care in the community. At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.BenefitsWe're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes: Medical, Dental and Vision Coverage Generous paid time off 401(k) Retirement Savings Plan (with matching) Short-term and long-term disability, basic life, and accidental death and dismemberment insurance Tuition reimbursement Paid volunteer time *Annual base salary for Colorado and Washington State residents: $95,000 - $106,000 depending on experience*Equal Employment OpportunityTriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.
Supervisor, Utilization Management – Retrospective
TriWest Healthcare Alliance, Phoenix
Veterans, Reservists, Guardsmen and military family members are encouraged to apply!!We offer remote work opportunities (AK, AR, AZ, CA, *CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, *WA, WI & WY only) Job Summary Supervises daily Utilization Management (UM) program operations. This position reports to a Manager of Utilization Management in either Prospective, Retrospective, or Appeals and Reconsideration for the TRICARE contract. The supervisor coordinates across teams to support meeting contractual metrics and timeliness, standardized clinical care requirements and accreditation standards. This position is responsible for supervision of UM performance and staff management. Development and preparation of operational reports. Functions as backup for staff during high volume periods.Education & Experience Required: • Registered Nurse, with current valid, unrestricted nursing license • 3+ years of job related experience in a healthcare environment • 3+ years supervisory or leadership experience in a healthcare environment • 2+ years utilization review or case management • U.S. Citizenship • Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation Preferred: • Medical/Surgical or Behavioral Health experience • Commercial Managed Care experience • Knowledge of government health care programs • Familiarity with utilization review criteria • CCM or HCQM certification • Knowledge of medical billing and coding • Prior experience with remote work environmentsKey Responsibilities • Supervises day to day UM operations to ensure operational effectiveness and efficiency. • Ensures staff is fully-informed of changes by communicating updates, policy revisions, performance outcomes, and significant events. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system. • Monitors staff to ensure adherence to established criteria, including InterQyal, internally developed guidelines, decision support tools, contract requirements and TriWest policies and desk procedures. • Prepares reports for tracking and trending of UM activities. • Interprets reports and identifies UM opportunities to share with management. • Monitors the UM process and identifies and implements process improvements to ensure program quality assurance and compliance. • Reports Potential Quality Issues (PQI). • Responsible for interviewing and hiring new staff. • Provides coaching and oversight to staff to ensure staff success and development. • Assists with implementation, orientation and training of new staff.• Assists with the development of desk procedures, processes, workflow changes, and reports. • Systematically evaluates the quality and effectiveness of staff performance. • Advises and coaches when appropriate and completes annual performance appraisals. • Participates in meetings as required. • Collaborates across the clinical operations team for enhancing service levels. • Coordinates activities with contracted partners to meet Utilization Management (UM) Plan goals. • Completes special projects. • Regular and reliable attendance. • Performs other duties as assigned.Competencies Coaching / Training / Mentoring: Actively foster actions required for desired business outcomes through ongoing constructive feedback. Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate. Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications. Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required. Delegation Skills: Provide clear performance expectations for projects and ensure adequate access to resources for completion Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Information Management: Ability to manage large amounts of complex information easily, communicate clearly, and draw sound conclusions. Leadership: Successfully manage different styles of employees; provide clear direction and effective coaching. Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources, detail oriented. Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues. Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment. Technical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques.Working Conditions Working Conditions: • Works non-regular hours, as required • Works remotely, with up to 10% travel • Ability to meet mandatory contract compliance timelines • Extensive computer work with prolonged sittingCompany Overview Taking Care of Our Nation's Heroes. It's Who We Are. It's What We Do. Do you have a passion for serving those who served? Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve! Our job is to make sure that America's heroes get connected to health care in the community. At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.BenefitsWe're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes: Medical, Dental and Vision Coverage Generous paid time off 401(k) Retirement Savings Plan (with matching) Short-term and long-term disability, basic life, and accidental death and dismemberment insurance Tuition reimbursement Paid volunteer time *Annual base salary for Colorado and Washington State residents: $95,000 - $106,000 depending on experience*Equal Employment OpportunityTriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.