19 nursing jobs found in Concord

Become a part of our caring community and help us put health first The Compact licensed telephonic Care Manager works from home in a call center environment. They assess and evaluate members' needs and requirements to achieve or maintain optimal wellness by providing care coordination and facilitating member or family interaction with resources appropriate for the care and wellbeing of the member. Job Description Humana Care Support is a division of Humana dedicated to helping adults remain independent in their homes. Our nurses are called Care Managers, because our case management services are centered on the person rather than the condition. The Care Manager uses a range of strategies and techniques to manage a member's physical, environmental, and psycho-social health issues. They identify and resolve barriers to effective care and continuously monitor progress through assessments and evaluations to ensure members achieve their desired health outcomes. Role...

Job Description As a Senior Clinical Consultant, you will collaborate with customer stakeholders and leaders to build relationships and positively impact clinical performance, satisfaction, and outcomes during projects involving the Oracle Health Workforce and Workload Solution Suite, formerly known as Clairvia, in Acute and Outpatient care. Drawing on your clinical expertise, you will guide customers and internal teams, help design effective clinical workflows, and analyze current and future states to identify gaps and recommend strategies for change adoption to achieve workforce and workload goals. You will own the customer's value measurement plan, support the engagement management team in meeting deliverables and timelines, lead customer meetings to align clinical goals with technology, and foster relationships to drive business outcomes. This role focuses on Oracle Health Workforce and Workload solutions like scheduling, caregiver assignments, acuity-based outcomes, and...

Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse utilizes clinical nursing skills to support the coordination, documentation, and communication of medical services and/or benefit administration. The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Associate will be expected to participate in weekend rotation a minimum of one hour each on Saturday and Sunday once every 17 weeks. Work schedule can be between 8am-6:30pm EST. The Care Manager Telephonic Nurse uses clinical knowledge, communication skills, and independent critical thinking skills to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their...

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...

Become a part of our caring community and help us put health first Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all benefits authorized meet medical necessity and other Medicare and/or Medicaid criteria if applicable, to promote cost-effective delivery of health care services. Share your talents and develop your skills all while doing your part to improve the lives of others. Essential Duties and Responsibilities: Review PA requests for home health services, durable medical equipment, outpatient therapies, skilled nursing facility therapies, and all outpatient procedures pursuant to applicable Medicare and Medicaid criteria, iCare guidelines, and PA Department policies and procedures. Review PA requests for inpatient medical stays, skilled nursing facility stays, long term acute hospital stays, inpatient...

State of New Hampshire Job Posting Department of Health & Human Services New Hampshire Hospital 36 Clinton St. Concord, NH 03301 MENTAL HEALTH WORKER I-II Full-Time, 2nd Shift, Unit C Position #18613 $19.24/hour - $30.41/hour All Mental Health Workers (MHW) participate in the 5-week MHW orientation program. Orientation consists of a combination of classroom and clinical experiences to enhance the learning of the role and responsibilities of the MHW. The program runs weeks 1-4: Monday - Friday 7:45am - 4:15pm OR 6:45am - 3:15pm. Week 5 includes clinical experience on the shift of hire. *See total compensation information at the bottom of announcement. The State of New Hampshire, Department of Health & Human Services, and New Hampshire Hospital have a Full-Time vacancy for Mental Health Worker I-II. Summary: MENTAL HEALTH WORK I Under the direction of the registered nurse carries out assigned tasks...

Our Company PharMerica Overview PharMerica is seeking a highly capable and motivated individual to join our team. PharMerica is a non-retail pharmacy that focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation facilities, long-term acute care centers, and other specialized care centers nationwide. This position will provide the opportunity to grow your pharmaceutical skills under the direct guidance of a state licensed pharmacist while providing essential care to our patients in our closed-door pharmacy. Our organization is in high growth mode, which can provide opportunities for advancement for individuals looking for career progression! Schedule:Monday- Friday 1st Shift w/ rotating weekends Our Benefits Include: Shift differential Health, dental, & vision Company paid STD & LTD Paid Time Off Flexible Schedules Tuition Reimbursement 401k Employee...

State of New Hampshire Job Posting Department of Health and Human Services New Hampshire Hospital 36 Clinton St. Concord, NH 03301 NURSE RESIDENT Registered Nurse I Full-Time Position #MRHHS-RN-PL $33.74/hour - $51.02/hour Plus, Direct Care Pay of Ten Dollars per week and Shift Differentials when applicable Multiple Positions Available, Including 3-day work weeks 1st Shift: 5, 8-hour shifts (6:45am - 3:15pm) OR 3, 12-hour shifts (6:45am - 7:15pm) 2nd Shift: 5, 8-hour shifts (2:45pm - 11:15pm) OR 3, 12-hour shifts (10:45am - 11:15pm) 3rd Shift: 5, 8-hour shifts (10:45pm - 7:15am) OR 3, 12-hour shifts (6:45pm - 7:15am) At New Hampshire Hospital, our Nurse Residency Program offers an individualized, competency-based, partnered, shared-learning experience for the new graduate . The nurse resident will experience a balance between partnered clinical experience, individual/group learning experience,...

State of New Hampshire Job Posting Department of Health and Human Services New Hampshire Hospital 36 Clinton St. Concord, NH 03301 REGISTERED NURSE I-III Full-Time Position #MRHHS-RNF I-III $33.74/hour - $66.07/hour Plus, Direct Care Pay Ten Dollars per week and Shift Differentials when applicable Multiple Positions are Available 1st Shift: 5, 8-hour shifts (6:45am - 3:15pm) OR 3, 12-hour shifts (6:45am - 7:15pm) 2nd Shift: 5, 8-hour shifts (2:45pm - 11:15pm) OR 3, 12-hour shifts (10:45am - 11:15pm) 3rd Shift:5, 8-hour shifts (10:45pm - 7:15am) OR 3, 12-hours shifts (6:45pm - 7:15am) A limited number of 12-hour shift positions are available *See total compensation information at the bottom of announcement. The State of New Hampshire, Department of Health and Human Services, and New Hampshire Hospital have full-time openings for Registered Nurse's I-III. SUMMARY: Registered Nurse I:...

The Global Quality Audit Manager is responsible for planning, executing, and reporting on global audits to ensure Good Clinical Practice (GCP) compliance across Contract Research Organizations (CROs), clinical laboratories, and clinical investigator sites. This role plays a critical part in maintaining the integrity of clinical trial data and ensuring patient safety by verifying adherence to regulatory requirements and internal standards. As a key member of the Global Quality Management team, the Audit Manager will collaborate with cross-functional stakeholders to identify risks, drive continuous improvement, and support inspection readiness across the clinical research landscape. Key Responsibilities Audit Execution : Plan, conduct, and report GCP audits of CROs, clinical laboratories, and investigator sites globally, ensuring compliance with ICH-GCP, local regulations, and company policies. Provide oversight to contract and consultant resources in audit...

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,...

Job Description Oracle Clinical AI Assistant (CAA) allows providers and their support staff to focus more on patient care by reducing administrative burden of clinical and reimbursement tasks such as charting, documentation, and coding by applying power of generative AI. Our diverse team of creators and inventors are building the future of conversational clinical interfaces, making real improvements in the lives of people across the world. We act with the speed and attitude of a start-up, but with the scale and customer focus of the world's leading enterprise software company. We have a big charter and a lot of creative freedom to get it done. Come join us and grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for developing the Claim Denial Prevention and Appeals features of Oracle Health Clinical AI Agent (CAA). This role leverages expert clinical judgment and...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Job Description As a Clinical Reviewer, Nurse, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients'...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for CVS Health. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs clinical review and data abstraction of patient records to support compliance with nationally recognized quality initiatives and the network's clinical process improvement and patient safety initiatives. The incumbent requires in-depth understanding of anatomy, physiology and clinical scenarios, critical thinking skills, attention to detail and the ability to meet set deadlines. The incumbent will be responsible for communicating with physicians and staff to seek clarification and provide education as needed. ESSENTIAL RESPONSIBILITIES Abstracts key clinical findings accurately and in a timely manner and performs direct data entry for inclusion into an aggregate database to meet the requirements of the state, internal use, third party payer requirements and external quality improvement participation based on guidelines. Identifies outliers, records them appropriately...

Join a highly respected and compassionate healthcare system in New Hampshire as a Registered Nurse in the Critical Care Float Pool. In this dynamic role, you will have the opportunity to float between multiple critical care environments, including the ICU, PCU, and Telemetry, while expanding your clinical expertise and contributing to an inclusive, supportive team culture. Key Responsibilities Deliver high-quality, patient-centered care across various critical care units. Perform comprehensive assessments, including patient histories and physical evaluations, and develop individualized care plans. Accurately document all care provided and track patient progress toward clinical goals. Educate patients and families on care plans, treatments, and post-discharge instructions. Administer medications and treatments safely and effectively in accordance with clinical guidelines. Qualifications Graduate of an accredited nursing program. Active RN license. Minimum 1 year...

Job Description We're on a journey to advance how health happens with technologies that empower patients, support clinicians, inspire innovation, and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data. It's a big challenge, but big challenges are what we do best. We're already transforming some of the world's largest health systems-helping them turn data into lifesaving decisions and better patient care. We want people just as dedicated as we are to improving health equity and delivering quality care across the globe. If you're excited about making healthcare more human, you've come to the right place. Our Government Services team is hiring a Senior Clinical Informatics Specialist where you will apply knowledge of solutions across multiple health care settings for workflow analysis and data validation/investigations. This role will provide strategic direction for clinical transformation across all healthcare...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Your Future Evolves Here Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe...

Job Description Oracle Cloud PaaS4SaaS Technical Delivery Lead Oracle's mission is to help people see data in new ways, discover insights, and unlock endless possibilities. At Oracle North America Applications Consulting, we are building the bridge between Oracle's innovative technology and the people who use it to achieve incredible things. Our team focuses on North American based clients using our back-office cloud applications. Our resources are primarily located in North America and India. We are growing fast, and we need transformational leaders ready to bring their unique skills, energy, and creativity to help us continuously innovate how we deliver world-class client experiences on cloud applications projects. At Oracle Consulting, we believe: · The attributes of modern cloud businesses demand new ways of thinking: more human-centered and experienced-based approaches. · Cloud technology should free people from bureaucracy and hierarchy and empower...