This is a part-time W2 position, working 16 hours a week. As an integral member of the Hazel team, you will make an impact by increasing equitable access of quality health care experiences for students and their families. You will provide virtual health care services to students in partner school districts and collaborate with a diverse care team.
Maintain and monitor your own patient census across multiple facilities. Coordinate the implementation of Chronic Care Management (CCM) services amongst chronically ill patients. Create individualized Care Plans, monitor labs, vitals, and medications, and coordinate with the care team.
Provide UM services, transition of care and support to members and health care providers. Utilize clinical knowledge and expertise to interpret and appropriately apply medical policy, medical necessity criteria (InterQual), and benefit information to provide consultation and responses to UM requests. Proactively assess and assist members to help move them through the continuum of care.
Provide cancer risk management, screening, and prevention remotely for patients. Actively engage with patients via phone, async messaging, and video to address their clinical needs. Conduct cancer risk assessments and develop cancer screening and prevention plans. Triage and manage patients reporting symptoms suggestive of cancer and patients with abnormal screening results.
The UM Nurse Specialist conducts clinical reviews to ensure that services provided to members meet clinical criteria and are delivered in appropriate settings. They coordinate, document, and communicate all aspects of utilization and benefit management, handling both prospective and retrospective care reviews. The role involves validating medical documentation, consulting with medical directors, and identifying members who may benefit from case management services.
As a Nurse Care Manager, you will manage an assigned patient panel, addressing their specialized needs based on individual conditions, healthcare needs, goals, and wishes, collaborating with physicians, APPs, and IDT members, often focusing on patients targeted for specific programs like Chronic Complex Care Management and CKD Management.
The Transplant Nurse Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, and all other regulatory and accreditation standards. This role provides coordination through all phases of patient care, making referrals to external clinicians or treatment programs as appropriate.
Provide virtual urgent care services to Imagine Pediatrics members and their caregivers as part of our innovative care model. Meet members where they are by providing care virtually, responding to inbound urgent care needs from members and their care teams, and triaging decisions to dispatch our mobile field team of allied health personnel to initiate blended virtual and in-home urgent care visits.
We're seeking Nurse Practitioners to revolutionize healthcare by conducting virtual wellness visits in patients' homes. You'll leverage your expertise to offer services such as virtual adult and/or pediatric wellness visits and health assessments. You will partner with clinical in-home team members (Sprinters) that will visit each patient’s home.
We are looking for a clinically excellent and patient-centered psychiatric-mental health nurse practitioner to embrace our vision of expanding access to world-class psychiatric care by embracing technology and serving patients across all insurance types. Ideal candidates will evaluate and treat patients with conditions like depression, anxiety, ADHD, insomnia, PTSD, and bipolar disorder.