4 licensed practical nurse jobs found

Company : Highmark Inc. Job Description : JOB SUMMARY This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent will be supported by a multi-disciplinary team and will use clinical judgment to refer members to appropriate multi-disciplinary resources. In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate...

Comprehensive benefits package available. Full time exempt positions Generally Monday through Friday 7:00am-3:00pm Under the direct supervision of the Director of Nursing is responsible to ensure day-to-day resident needs are met by participating, supervising, and monitoring nursing activities on a designated unit in accordance with all the provisions of applicable laws, rules, regulations, policies, and procedures. This role is essential to every operational aspect from ensuring individual resident needs are being met to the effectiveness of procedures and staff morale. Must possess and maintain a current, active license to practice as an RN or LPN in the state of New Hampshire and maintain current CPR certification. IV Certification Preferred Three to five years’ experience as a staff nurse in a long-term care facility. Progressively responsible nursing management experience preferred. Applicants must submit the following to Human Resources: Completed...

Unit Manager/Supervisor Comprehensive benefits package available. Full time exempt position Generally 4 shifts Monday through Friday 6:00am-4:00pm Under the direct supervision of the Director of Nursing is responsible to ensure day-to-day resident needs are met by participating, supervising, and monitoring nursing activities on a designated unit in accordance with all the provisions of applicable laws, rules, regulations, policies, and procedures. This role is essential to every operational aspect from ensuring individual resident needs are being met to the effectiveness of procedures and staff morale. This position will serve as the primary facilitator of special projects assigned by the Director of Nursing including but limited to; clinical programs, audits and committees as assigned by the Director of Nursing. Must possess and maintain a current, active license to practice as an RN or LPN in the state of New Hampshire and maintain current CPR certification. IV...

Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members on a proactive basis; and analyzes qualitative and quantitative data in developing strategies to improve provider performance/satisfaction and member satisfaction. Responds to customer inquiries and offers interventions and/or alternatives. ESSENTIAL RESPONSIBILITIES Implement care management review processes that are consistent with established industry and corporate standards and are within the care manager's professional discipline. Function in accordance with applicable state,...