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20 Jobs Found 

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Psychiatry

Necnic

None, ME
30+ days ago
None, ME
30+ days ago
Posted Date:9/7/2019
Job Category:Psychiatry
Position Title:Psychiatry
Salary Range:
Location:Maine, USA
Desired Skills:
Description:

Seeking an Adult Psychiatrist in northern Maine.   Full-time, salaried position.  Competitive compensation.   Workweek will be Monday through Friday, 8:00 a.m. to 5:00 p.m. with call rotation with three other Psychiatrists. Workload is about primarily outpatient with some inpatient coverage.  . Average number of outpatients is 16 per day.   Located in northern Maine along the borders of Canadian border.

 

 

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Psychiatry

Necnic

None, ME
30+ days ago
None, ME
30+ days ago
Posted Date:11/13/2020
Job Category:Psychiatry
Position Title:Psychiatry
Salary Range:
Location:Maine, USA
Desired Skills:
Description:

Psychiatry Opportunity in northern Maine.

The Psychiatrist would join a practice with licensed mental health professionals

Full-time position.

Inpatient and outpatient practice

H-1B and J-1 candidates considered.

Competitive salary, generous health and welfare benefits package, professional liability insurance, CME reimbursement, relocation assistance, and education loan repayment, if applicable. The physician will also receive an annual allowance for licensing, DEA registration, professional society memberships, and medical journal subscriptions.

Great location for someone with connection to New England/Northern Maine and wanting a rural lifestyle.

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Medical Case Manager

Highmark Health

Home, DE
30+ days ago
Home, DE
30+ days ago
Company :
Highmark Health
Job Description :
JOB SUMMARY
This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning, and collaboration with internal and/or external customers and contacts. Follows established regulatory guidelines, policies, and procedures in relation to member interventions and documentation of activities related to the member’s care and progress across the continuum of care. Facilitates and/or participates in interdisciplinary and/or interagency meetings, when necessary, to facilitate coordination of services/resources for members.
ESSENTIAL RESPONSIBILITIES
+ Communicate effectively while performing customer telephonic interviewing and communication with external contacts.
+ Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts.
+ Maintain knowledge of Medical Terminology and Medical Diagnostic Categories/Disease States
+ Educate members in order to enhance member understanding of illness/disease impact and to positively impact member care plan adherence, pharmacy regimen maintenance, and health outcomes.
+ Collaborate with Primary Care Physicians, Medical Specialists, Home Health and other ancillary healthcare providers with the goal being to coordinate member care.
+ Collect member medical information from a variety of sources including providers and internal records and use appropriate clinical judgment, consultation with internal Physician Advisors and other internal cross-departmental consultation to determine unmet member needs.
+ Work primarily independently to identify, define, and resolve a myriad of problem types experienced by the member.
+ Develop an individualized plan of care designed to meet the specific needs of each member.
+ Anticipate the needs of members by continually assessing and monitoring the member’s progress toward goals, care plan status, and re-adjust goals when indicated.
+ Maintain a working knowledge of available resources for addressing identified member needs and to facilitate proactive and efficient provision of services.
+ Be knowledgeable of and consider benefit design and cost benefit analysis when planning a course of intervention in order to develop a realistic plan of care.
+ Communicate and collaborate with other payers (when applicable) to create a collaborative approach to care management and benefit coordination.
+ Maintain a working knowledge of available community resources available to assist members.
+ Coordinate with community organizations/agencies for the purpose of identifying additional resources for which the MCO is not responsible.
+ Work within a Team Environment.
+ Attend and participate in required meetings, including staff meetings, internal Rounds, and other in-services in order to enhance professional knowledge and competency for overall management of members.
+ Participate in departmental and/or organizational work and quality initiative teams.
+ Case collaborate with peers, Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts.
+ Participate in interagency and/or interdisciplinary team meetings when necessary to facilitate coordination of member care and resources.
+ Foster effective work relationships through conflict resolution and constructive feedback skills.
+ Attend internal and external continuing education forums annually to enhance overall clinical skills and maintain professional licensure, if applicable.
+ Educate health team colleagues of the role and responsibility of Case Management and the unique needs of the populations served in order to foster constructive and collaborative solutions to meet member needs.
+ Other duties as assigned or requested.
QUALIFICATIONS
Minimum
+ Bachelor’s degree in nursing or RN certification or Master’s degree in Social Work and 3 years experience in Acute or Managed Care/ experience with Medicaid or Medicare populations. OR
+ Bachelor’s degree in Social Work with five years experience in Acute or Managed Care/ experience with Medicaid or Medicare populations
Preferred
+ Experience working with high risk pregnant women OR experience working with chronic condition adult populations OR experience with pediatrics
+ 3-5 years of experience in working in Acute Care/Managed Care/Medicaid and Medicare populations.
+ Bilingual English/Spanish language skills.
+ Case Management Certification
+ Professionally Licensed Social Worker or Nurse
Skills
+ None
SCOPE OF RESPONSIBILITY
Does this role supervise/manage other employees?
No
WORK ENVIRONMENT
Is Travel Required?
No
_Disclaimer:_ _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
_Compliance Requirement:_ _This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
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Highmark Health and its affiliates prohibit 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, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity ( http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J169867
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Registered Nurse RN

Rich Square Nursing and Rehab

Rich Square, NC
2 days ago
Rich Square, NC
2 days ago
NOW OFFERING HIGHER RATES & $7500 SIGN-ON BONUS!
TRAVELING A FAR DISTANCE? NOW OFFERING GENEROUS DAILY GAS STIPEND!
UNDER NEW MANAGEMENT!
Rich Square Nursing and Rehabilitation is a Long Term Care facility that understands the needs of their residents. Join a growing team of responsible, happy caregivers and see why Rich Square Nursing and Rehabilitation employees feel like family.
Benefits:
  • COMPETITIVE WAGES
  • Medical and Dental Coverage
  • Insurance Plan Options
  • PTO 401K
  • Opportunity for growth
Now Hiring:
REGISTERED NURSE
Qualifications:
  • Active RN license in the state of NC
Rich Square Nursing and Rehabilitation is an equal opportunity employer.
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Medical Case Manager

Highmark Health

Home, DE
30+ days ago
Home, DE
30+ days ago
Company :
Highmark Bcbsd Inc.
Job Description :
JOB SUMMARY
This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning, and collaboration with internal and/or external customers and contacts. Follows established regulatory guidelines, policies, and procedures in relation to member interventions and documentation of activities related to the member’s care and progress across the continuum of care. Facilitates and/or participates in interdisciplinary and/or interagency meetings, when necessary, to facilitate coordination of services/resources for members.
ESSENTIAL RESPONSIBILITIES
+ Communicate effectively while performing customer telephonic interviewing and communication with external contacts.
+ Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts.
+ Maintain knowledge of Medical Terminology and Medical Diagnostic Categories/Disease States
+ Educate members in order to enhance member understanding of illness/disease impact and to positively impact member care plan adherence, pharmacy regimen maintenance, and health outcomes.
+ Collaborate with Primary Care Physicians, Medical Specialists, Home Health and other ancillary healthcare providers with the goal being to coordinate member care.
+ Collect member medical information from a variety of sources including providers and internal records and use appropriate clinical judgment, consultation with internal Physician Advisors and other internal cross-departmental consultation to determine unmet member needs.
+ Work primarily independently to identify, define, and resolve a myriad of problem types experienced by the member.
+ Develop an individualized plan of care designed to meet the specific needs of each member.
+ Anticipate the needs of members by continually assessing and monitoring the member’s progress toward goals, care plan status, and re-adjust goals when indicated.
+ Maintain a working knowledge of available resources for addressing identified member needs and to facilitate proactive and efficient provision of services.
+ Be knowledgeable of and consider benefit design and cost benefit analysis when planning a course of intervention in order to develop a realistic plan of care.
+ Communicate and collaborate with other payers (when applicable) to create a collaborative approach to care management and benefit coordination.
+ Maintain a working knowledge of available community resources available to assist members.
+ Coordinate with community organizations/agencies for the purpose of identifying additional resources for which the MCO is not responsible.
+ Work within a Team Environment.
+ Attend and participate in required meetings, including staff meetings, internal Rounds, and other in-services in order to enhance professional knowledge and competency for overall management of members.
+ Participate in departmental and/or organizational work and quality initiative teams.
+ Case collaborate with peers, Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts.
+ Participate in interagency and/or interdisciplinary team meetings when necessary to facilitate coordination of member care and resources.
+ Foster effective work relationships through conflict resolution and constructive feedback skills.
+ Attend internal and external continuing education forums annually to enhance overall clinical skills and maintain professional licensure, if applicable.
+ Educate health team colleagues of the role and responsibility of Case Management and the unique needs of the populations served in order to foster constructive and collaborative solutions to meet member needs.
+ Other duties as assigned or requested.
QUALIFICATIONS
Minimum
+ Bachelor’s degree in nursing or RN certification or Master’s degree in Social Work and 3 years experience in Acute or Managed Care/ experience with Medicaid or Medicare populations. OR
+ Bachelor’s degree in Social Work with five years experience in Acute or Managed Care/ experience with Medicaid or Medicare populations
Preferred
+ Experience working with pediatric population
+ 3-5 years of experience in working in Acute Care/Managed Care/Medicaid and Medicare populations.
+ Bilingual English/Spanish language skills.
+ Case Management Certification
+ Professionally Licensed Social Worker or Nurse
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Highmark Health and its affiliates prohibit 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, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity ( http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J161277
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RN Utilization Reviewer

Mitchell International

UNAVAILABLE, OR
30+ days ago
UNAVAILABLE, OR
30+ days ago

Company Overview

Mitchell & Genex have Merged

 

Mitchell is a trusted software and service provider to the Property & Casualty Claims and collision repair industries as well as risk management professionals. We provide technology and services that simplify claims handling, repair processes and pharmacy transactions with best in class clinical management and cost containment solutions. Genex helps injured workers return to their jobs in a safe and efficient manner through compassionate case management, reducing health care costs and disability expenses for our customers.

 

Together, we bring two industry leaders in software and service committed to delivering a first-class experience to the customers, partners and markets we serve. We offer a complete suite of technology enabled solutions, and a proven managed care service mix, allowing us to deliver better outcomes to our clients for their businesses, their employees and their customers.

Job Description

Mitchell MCN is currently looking for a bright individual who enjoys a fast-paced, behind the scenes environment to work as a Medical Case Reviewer on our IRO team! The Nurse Case Reviewer will review medical records, physician consultations and conduct evaluations of health plan policies.  Please note: this is not a clinical role.

 

Here is what you will be doing:

  • Medical record review
  • Physician consultation
  • Identification of panel specialists
  • Complete other duties and responsibilities as directed
  • Evaluation and application of Health Plan’s policies
  • Identify and analyze trends

Qualifications

  • RN license required
  • BSN highly preferred
  • Willing to work alternative schedules (ie. Saturdays/Sundays) 
  • Strong working knowledge of basic anatomy, physiology and medical terminology, and coding
  • Ability to work under pressure and meet deadlines while managing multiple high priorities
  • Personal computer literacy and high competency in use of MS Word and ten key
  • Excellent attention to detail
  • Strong organizational and time management skills
  • Well-developed customer service, problem-solving and training skills
  • Ability to work independently with minimal supervision
  • Strong oral and written communication skills
  • Experience in health care, managed care, or utilization management company preferred
  • High School Diploma or GED equivalent required

*Requires DSL, fiber or cable internet connection from home. 1 mbps preferred or better.*

Mitchell International, an equal opportunity employer, values the diversity of our workforce and the knowledge of our people.  Mitchell will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law.

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Psychiatry

Necnic

None, OR
30+ days ago
None, OR
30+ days ago
Posted Date:12/18/2020
Job Category:Psychiatry
Position Title:Psychiatry
Salary Range:
Location:Oregon, USA
Desired Skills:
Description:

Outpatient Adult Psychiatry. Western Oregon.

This is an opportunity to join a well-established, full spectrum mental health program; part of a 5 hospital health system with a strong teaching component.

You will enjoy:
•The opportunity and time to see patients and precept psychiatry residents.
•Full time: 34 patient contact hours.
•See on average 12-14 patients depending on appointment type
•Minimal weekday call with after-hours psychiatrists on second call (psychiatry residents on first call).
•2-3 years experience preferred
•Work with well -established group of clinicians including physicians, nurse practitioners. LCSW's and psychologists.
•EPIC Ehr
•Competitive salary plus incentive bonus, relocation, paid malpractice, paid CME plus allowance, and comprehensive benefit package.

The practice is located in a 55K community just over an hour south of Portland, Oregon. The community has developed beautifully. It's historic downtown and neighborhood districts have drawn not only residents but wonderful restaurants, bakeries and brew pubs. Enjoy farm to table venues, local wineries and a April- November Farmer's Market filled with local produce and products. Live here, in a nearby Pac 12 college town or on country property. All with easy access to the ocean, mountains and downtown Portland, Oregon. The location offers the best of all worlds.

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Registered Nurse

NTG Groups, LLC

ID, ID
30+ days ago
ID, ID
30+ days ago

Registered Nurse

NTG Healthcare Services

Job Description

According to the US news, Registered Nurse is ranked # 17 for best Healthcare Jobs for 2017. Registered Nurses (RN) are required to have a minimum of an Associate's degree. NTG Healthcare Services is seeking a Registered Nurse who's seeking a travel placement at a SNF, hospital and/or home health care. We are looking for a motivated and energetic RN to join our team. Registered nurses (RNs) are one of the most versatile roles in the nursing industry and the demand for them is growing. So send your resume and earn.

Requirements of Registered Nurse - RN:

*1 year experience required

*Active Applicable State Licensure

*American Heart Association issued BLS

*Clean Background Check and Clean Drug Screen

*We do not provide H-1B visa sponsorship

Benefits for Registered Nurse - RN:

*Earn $90,000 + annually

* Immediate placement

* Weekly direct deposit

*401k

*License Reimbursements

*Up to $600 CEU reimbursement

*Housing stipend

*Referral bonus: up to $1000 referral bonus

*Health insurance, 100 % paid by the employer

Job Type: Contract

Required license or certification:

·     Registered Nurse (RN)

Posted

30+ days ago

Description

Posted Date:9/7/2019
Job Category:Psychiatry
Position Title:Psychiatry
Salary Range:
Location:Maine, USA
Desired Skills:
Description:

Seeking an Adult Psychiatrist in northern Maine.   Full-time, salaried position.  Competitive compensation.   Workweek will be Monday through Friday, 8:00 a.m. to 5:00 p.m. with call rotation with three other Psychiatrists. Workload is about primarily outpatient with some inpatient coverage.  . Average number of outpatients is 16 per day.   Located in northern Maine along the borders of Canadian border.

 

 

Source: Necnic