The UM Integration Nurse will work as part of the Care and Case Management team, focusing on projects and work that integrate Utilization Management (UM) with Care and Case Management (CCM). This role is ideal for a nurse who can effectively bridge these two critical areas by communicating, coordinating, performing benefits verification, and conducting care coordination calls. Display focus towards continuous improvement, suggest alternative solutions, improve team productivity and member experience.
The Axxess Training and Certification Global ANCC Planner performs support related to educational, regulatory, and administrative tasks related to ANCC requirements. They must be detail-oriented, organized, and demonstrate excellent communication skills. They ensure continuous quality improvement by ensuring that the ANCC process for continuing education and documentation is accurate and complete.
The Oncology Nurse Navigator (ONN) is a professional RN who provides personalized support, guidance, advocacy, and education to Members and their caregivers affected by cancer. They possess oncology-specific clinical knowledge required to guide Members, families, and caregivers to assist overcoming healthcare system barriers. Using the nursing process, they provide education and resources to facilitate and support informed decision-making and timely access to quality health.
The primary role of the CAL RN1 will be to provide on-demand telephone-based care management services through a 24/7 Nurse Advice Line. CAL RN1's will work closely with senior nurses to assess symptoms/concerns of callers, determine the urgency and type of care needed, refer to providers, and give health information and advice to callers. The goal is to reduce unnecessary visits, provide information for self-care, and coordinate care across the healthcare delivery system.
The Triage Registered Nurse supports patients and their families by providing clear, safe and effective telephone triage using evidence-based processes and tools. The Registered Nurse on this team will blend critical thinking skills with a decision support tool enabling safe, standardized care to our patient population. Conduct a thorough clinical assessment of symptoms and confidently determine the appropriate level of care.
Join the pioneering healthcare team at Sprinter Health as a Family Nurse Practitioner. Conduct virtual wellness visits directly to patients in their homes, offering a range of healthcare services including health assessments. Utilize your expertise and compassion to provide personalized patient care, working collaboratively with clinical in-home team members to ensure comprehensive and continuous management.
Join Sprinter Health as a Nurse Practitioner and revolutionize healthcare delivery through virtual wellness visits. You'll offer services like adult/pediatric wellness visits and health assessments, requiring dependability, professionalism, and problem-solving skills. Deliver exceptional customer service, work autonomously, and provide compassionate, personalized care, making a difference in patients' lives.
The Clinical Nurse Documentation Analyst is responsible for reviewing patient records and drafting clinical summaries that accurately reflect the patient’s medical history, treatment plans, and progress. The Analyst will work independently and collaborate with clinical staff to ensure documentation is complete and aligned. This role involves analyzing electronic medical records, drafting clinical summaries, and ensuring compliance with healthcare regulations.
The Clinical Triage Specialist (CTS) (RN) delivers an exceptional patient experience and provides clinical support to CTS-MA team members, serving as a clinical resource. This role involves using nursing judgment to answer patient calls related to direct care, assessing symptoms, and triaging using approved nursing protocols to ensure appropriate care or self-care advice. Responsibilities include answering calls, prioritizing triage, updating patient information, providing clinical advice, managing electronic messages, and ensuring productivity and quality standards are met.
As a registered nurse in Illinois, you will work remotely to enhance member management quality, maximize satisfaction and cost effectiveness, and help members navigate the health system as a collaborative health partner. You'll work closely with clients and members to promote wellness, problem-solve, and assist members in achieving their personal health-care related goals.