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Expiration Date 12/16/2025 Department MC Pediatrics Position Type Professional Location Shreveport DescriptionThis is a highly responsible position that requires the incumbent to exercise independent judgment and perform a wide array of administrative and education-related duties. Core responsibilities include further developing the Area Health Education Center (AHEC) Program and implementing new programs. The incumbent is responsible for the daily activities of the AHEC Office under the oversight of the Program Director and supervises the AHEC program office support staff. Additionally, as AHEC Program Evaluator, the incumbent manages program evaluation activities as detailed in the Program Evaluator role section below. The incumbent is expected to independently set priorities, schedule work efficiently, and carry out duties promptly.Regular attendance is required to perform the functions of this job. Normal working hours are 8:00 a.m. to 4:30 p.m., Monday through Friday. Additional hours may be required in special, infrequent circumstances. Some travel to board meetings, AHEC sites, and conferences is expected throughout the year. Daily flexibility is also required, including for lunch and breaks. The incumbent will maintain a customer-oriented mindset, respond to customer needs as they arise, and ensure that customer satisfaction is consistently met.ESSENTIAL FUNCTIONS:59%: Assists the Program Director with daily program duties and collaborates with the Business Manager. Coordinates monthly educational activities and maintains essential records and calendars for program and affiliated events. Oversees office management and ensures all clerical, administrative, and program tasks are completed on time. Manages preparation and execution of lectures, presentations, in-services, meetings, and related reports, routing tasks as needed.Serve as liaison for the Director by managing routine correspondence, purchase orders, and requisitions. Communicate professionally with department heads, chairpersons, and administrators both within and outside the institution. Collaborate with the Director to investigate and resolve any issues that arise. Act as an intermediary between AHEC Faculty and students, as well as between the AHEC Program Office and AHEC Centers. Works with the Medical education office to secure AHEC Preceptors for student engagement, and with Family Medicine for third-year clerkship placements. Assists with annual retreats, researches relevant topics for AHEC students and partners, and drafts press releases for Information Services. Ensure that all required federal reporting is maintained. In addition to oversight of approved expenses for the sub-awardee. Provide budget information and collaborate with the department. Act as lead for the competitive award from HRSA, taking directions from the Program Director and the Pre-Award Office. Maintain records for all approved subaward expenses in accordance with LSUHS Shreveport record retention Policy. Act as a point of contact for community engagement and external programming coordination.The incumbent maintains files and records for the Program Director. The incumbent communicates with the Program Director and Business Manager to ensure proper procedures and addresses questions or problems in a timely manner. All matters are handled professionally and confidentially. The incumbent assists with HRSA grant responses. The Project Manager monitors the budget and, with the Program Director, supervises AHEC support staff.39%: In the distinct role of AHEC Program Evaluator, the incumbent is responsible for developing, maintaining, and implementing new evaluation techniques for AHEC programs at LSU Health-Shreveport. The Program Evaluator role operates independently of general administrative duties and focuses on program assessment, collaborating with AHEC Centers as needed. These program evaluation functions are separate from other reporting relationships and administrative responsibilities outlined above.ADMINISTRATIVE DUTIES:<ul><li>Implement a comprehensive outcome-focused evaluation of all AHEC Program activities.</li><li>Assist the Program Director by coordinating, supervising, and managing all administrative and business functions.</li><li>Maintains a database of all student participants and manages monthly program and evaluation meetings with AHEC Centers and LSU Health New Orleans. Coordinates, supervises, and manages administrative functions and business affairs with the Program Director.</li><li>Develop and implement a statewide evaluation system in collaboration with Bayou North AHEC, Central LA AHEC, Southwest LA AHEC, and Southeast LA AHEC.</li><li>Ensure that consistent evaluation tools and protocols are used throughout the state assigned coverage areas.</li><li>Work collaboratively to develop a joint needs assessment with the other Program Office within the state of Louisiana.</li><li>Develop a statewide evaluation system for AHEC Program activities that is agreed upon by both Program Offices.</li><li>Submit evaluation plans and proof of partnership agreement in the NCC Progress Report to HRSA.</li><li>Coordinate meetings with evaluators from the other state Program Office to standardize forms.</li><li>Track all AHEC activities and ensure that the approved statewide form is attached to each. Attend required meetings for state evaluators;</li><li>Maintain a database that tracks all AHEC activities and initiatives.</li></ul>STUDENT ACTIVITIES:<ul><li>Collaborate with Bayou North AHEC and Central LA AHEC to ensure that a unified evaluation form is being used for all AHEC programming activities.</li><li>Ensure that evaluation forms are available at each activity.</li><li>Encourage participating students to complete the provided evaluation forms.</li><li>Provide data to students at each activity to help emphasize the importance of the evaluations.</li><li>The incumbent will oversee technology platforms used to communicate with students at all programming levels: High School, College, and Professional School. These platforms include, but are not limited to, Zoom, Teams, and Moodle.</li><li>Encourage students to suggest ways to improve the evaluation.</li></ul>CONTINUING EDUCATION:Process required CME documents for course credit with the CME Office.MARGINAL FUNCTIONS:2%: Performs other related duties and responsibilities as assigned by the Program Director and/or Business Manager.QualificationsThe applicant must meet one of the following:<ul><li>Bachelor’s degree from an accredited university</li><li>Associate degree, and five years of higher education experience or relevant experience</li></ul>Preferred Qualifications<ul><li>10 years of higher education experience.</li><li>5 years work experience with a federal grant award.</li></ul>Additional Position InformationPSN/PER Number: PSN 56025/PER 2336Salary Range:&nbsp; $60,000-$80,000Primary Location: Shreveport, LA (on-site position)About the SchoolThe LSU Systems Office has provided LSU Health-Shreveport employees with excellent benefit options designed with you and your dependents in mind. Our Benefits Section is available between 8:00 a.m. and 4:30 p.m., Monday through Friday, to help answer any questions you might have about these benefits.<ul><li>Salary is commensurate with experience and training</li><li>Generous Health, Dental, and Vision Insurance</li><li>Life Insurance</li><li>Long-Term Disability Insurance</li><li>Accidental Death &amp; Dismemberment Insurance</li><li>Flexible Spending Account</li><li>Optional Retirement Plans</li></ul>LSU Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.Applicant InstructionsLocate and click on the Apply Online button located at the bottom of the screen, enter your contact information, and upload your resume/CV. If you need assistance applying electronically, please telephone 318-675-5589. If you are contacted for an interview, please let us know at that time if you will need special accommodations.

LSU Health Shreveport

Project Manager - Pediatrics

Day Shift available, Full time! 7am-7pm - 36 hours per week! Must be able to work rotating weekends and holidays!Caron is one of the leading treatment centers in the US and is recognized for high-quality, evidence-based methods and thought leadership in addiction medicine. Mentored by respected experts in the field and ranked among Newsweek’s Best Treatment Centers in PA five years in a row, Caron has built a culture that supports and sustains trauma-informed, resilient staff at all levels of the organization and values personal and professional growth. We invest in our employees, providing financial plans, generous Paid Time Off programs, paid holidays, 401K employer match, tuition reimbursement, employee assistance programs, and benchmarking to ensure ongoing competitive compensation. Full-Time employee benefits also include comprehensive medical, dental, and vision benefit packages with wellness plan reduced insurance premiums and company-paid life and disability insurance. Apply today to begin a rewarding career with us.Duties and Responsibilities:<ul><li>Assume the charge nurse role if applicable and/or unit nurse role by: receiving and giving accurate and thorough shift reports; keeping the physicians informed of patient’s conditions, change of conditions, and triage information and needs; c, oversight of the care of patients by auxiliary personnel, organizing and delegating patient care activities, monitoring and/or performing diagnostic screening tests as ordered by physician, providing thorough and accurate patient information during shift exchange for end of shift report</li><li>Assess individual patient care needs, initiate medical treatment plan and competently implement/instruct all care in the appropriate nursing practice to all staff.</li><li>Serve as a resource to treatment team members.</li><li>Perform nursing assessments, LOC, and review patient histories to document all necessary information in the Electronic Medical Record on all patients admitted to Caron.</li><li>Prepare patients for examinations: height/weight, vitals, collect and process lab specimens including Urine Drug Screen (UDS), Urinalysis (UA), Chem Sticks, etc. following proper infection control procedures.</li><li>Utilize safe and effective practices of medication management as defined by policy including the oversight of self-administration observation of medication.</li><li>Administer and monitor the effects of medications, ensure accurate medication is ordered and administered for controlled substances and conduct accurate med counts.</li><li>Provide appropriate patient education as determined by patient assessments/needs and treatment plans.</li><li>Monitor and/or perform withdrawal assessments and appropriately implement/instruct the necessary nursing interventions.</li><li>Monitor and/or perform withdrawal assessments and appropriately implement/instruct the necessary nursing interventions.</li><li>Accurately and thoroughly document in the medical record utilizing approved medical record language and abbreviations adhering to the medical record policies and procedures.</li><li>Work with administrative support staff to schedule all patient appointments related to their medical treatment.</li><li>Work a flexible schedule based upon service demands and work mandatory overtime as needed.</li><li>Attend all mandatory trainings as identified by Caron policies.</li><li>Attend multi-disciplinary treatment team meetings when in unit nurse role.</li><li>Maintain the quality control logs.</li><li>Provide support services for patient care issues to staff at other Caron facilities.</li><li>Ensure the highest level of professionalism for self and staff and maintain a clean and organized work environment.</li><li>Complete yearly training requirements and mentor new employees.</li></ul>This job description reflects management’s assignment of essential functions and does not prescribe or restrict the tasks or expectations to perform all other duties that may be assigned.Physical Requirements:The physical and mental demands described here are representative of those that must be met to successfully perform the essential functions of this job.&nbsp; Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Lifting: up to 50 pounds on occasion.</li><li>Standing: up to several hours at a time, this may include walking, ascending and &nbsp;descending steps.</li><li>Walking: must be able to ambulate throughout the assigned facilities on campus or Caron properties.</li><li>Sitting: up to several hours at a time for data entry into the computer or medical record documentation.</li></ul>EDUCATION/EXPERIENCE QUALIFICATIONS:<ul><li>Licensed as an RN in the state in which hired to work</li><li>Current Certified Addiction Registered Nurse (CARN) certification preferred.</li><li>1-3 years’ experience working as an RN preferably in ER, acute care or mental health setting</li><li>Current CPR/First Aid training/certification.</li><li>21 years of age or older is required</li><li>Requires a current, valid, unrestricted driver’s license if working at a PA location</li><li>2 years continuous sobriety preferred if in recovery.</li></ul>SKILLS, KNOWLEDGE AND ABILITIES:<ul><li>Previous hospital/chemical dependency rehabilitation treatment program experience desired.</li><li>Possess a working knowledge of addictions with age specific patient populations preferred.</li><li>Working knowledge of electronic medical record and charting.</li></ul>Competencies / Measurements:<ul><li>Ability to utilize medical equipment including EKG machine, glucometers, aerosol treatment machines, oxygen tanks, and suction machine - Annual training, proficiency demonstration</li><li>Administer medications correctly and document thoroughly - Quality control occurrence report.</li><li>Knowledge of Caron policies and procedures pertinent to the nurse’s practice - Competency exam.</li><li>Medical/Nursing documentation - Quality control of medical documentation according to predetermined standards.</li><li>Perform diagnostic screening tests such as identified waived testing - Proficiency demonstration.</li></ul>

Caron Treatment Centers

Registered Nurse (RN) - Full Time, Day Shift

Full time day shift, 7am-7pm including rotating weekends and holidays, as required.Duties and Responsibilities:<ul><li>The Licensed Practical Nurse reports pertinent observations in regard to individual patient care needs and makes suggestions regarding the medical treatment plan. Competently implements/instructs all care in the appropriate nursing practice to staff with oversight by the Registered Nurse.</li><li>Under the oversight of the RN, performs nursing Level of Care (LOC) and reviews patient histories to document all necessary information in the Electronic Medical Record on admitted patients.</li><li>Prepares patients for examination: height/weight, vitals, collect and process lab specimens including Urine Drug Screen (UDS), Urinalysis (UA), Chem Sticks, etc., following proper infection control procedures.</li><li>Utilizes safe and effective practices of medication management as defined by policy, including administration of medications.</li><li>Administers and monitors the effects of medications, ensures accurate medication is administered for controlled substances and conduct accurate med counts. Accurately and in a timely manner orders medication from the pharmacy as directed by physician order, to replenish stock, and/or refill patient medications.</li><li>Correctly enters, acknowledges, and implements physician orders.</li><li>Provides appropriate patient education as determined by patient assessments/needs and treatment plans, if applicable.</li><li>Monitors and/or performs diagnostic screening tests as ordered by the physician.</li><li>Monitors and/or performs withdrawal assessments and appropriately implement/instruct the necessary nursing interventions.</li><li>Accurately performs and/or reviews triage information including accurate and thorough Drug &amp;Alcohol history and contacts the physician for admission medical orders.</li><li>Accurately and thoroughly documents in the medical record utilizing approved medical record language and abbreviations adhering to the medical record policies and procedures.</li><li>Provides thorough and accurate patient information during shift exchange for end of shift report.</li><li>Works with administrative staff to schedules patient appointments related to their medical treatment.</li><li>Works a flexible schedule based upon service demands, which may include overtime.</li><li>Serves as a resource to treatment team members.</li><li>Attends multi-disciplinary treatment team meetings, as needed.</li><li>Maintains the quality control logs.</li><li>Notifies the RN in an appropriate and timely manner of changes in the patient’s medical condition.</li><li>Ensures the highest level of professionalism for self and staff and maintain a clean, organized work environment.</li><li>This job description reflects management’s assignment of essential functions and does not prescribe or restrict additional tasks or expectations that may be required or assigned.</li></ul>Physical Requirements:The physical and mental demands described here are representative of those that must be met to successfully perform the essential functions of this job.&nbsp; Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Lifting: up to 50 pounds on occasion.</li><li>Standing: up to several hours at a time, this may include walking, climbing steps, and descending steps.</li><li>Walking: must be able to ambulate throughout the assigned facilities on campus or Caron properties.</li><li>Sitting: up to several hours at a time for data entry into the computer or medical record documentation.</li></ul>EDUCATION / EXPERIENCE QUALIFICATIONS:<ul><li>Current licensed as LPN in state in which hired to work required.</li><li>1-2 years’ experience working as a Licensed Practical Nurse preferred.</li><li>Previous hospital and/or substance use disorder treatment experience is preferred.</li><li>A working knowledge of addictions with age specific patient populations preferred.&nbsp;</li><li>Current CPR/First Aid training/certification required.</li><li>21 years of age or older is required.</li><li>2 years’ continuous sobriety preferred if in recovery.</li></ul>SKILLS, KNOWLEDGE AND ABILITIES:&nbsp;<ul><li>Able to demonstrate a working knowledge of use of an electronic medical record and charting.&nbsp;</li><li>Demonstrated knowledge of use of medical equipment.</li></ul>Competencies / Measurements:<ul><li>Knowledge of commonly used withdrawal and psychotropic medications and their side effects – Competency exam</li><li>Knowledge of chemical dependency symptoms, process and treatment modalities - Competency exam.</li><li>Ability to utilize medical equipment including EKG machine, glucometers, aerosol treatment machines, oxygen tanks, and suction machine - Annual training, proficiency demonstration</li><li>Administer medications correctly and document thoroughly - Quality control occurrence report.</li><li>Nursing documentation - Quality control of medical documentation according to predetermined standards.</li><li>Perform diagnostic screening tests such as identified waived testing - Proficiency demonstration.</li></ul>

Licensed Practical Nurse (LPN) - Full Time - Day Shift

tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.We are currently looking for a Supervisor, Utilization Management&nbsp;to join our growing team!&nbsp;Position Description:The Supervisor of Utilization Management (UM) oversees team leads and ensures the overall management of referrals to support smooth transitions of care into the home health setting. This role is responsible for team productivity, performance metrics, and effective collaboration with internal departments. The Supervisor also serves as a clinical resource and ensures that all utilization processes align with company policies, payer requirements, and quality standards.Essential Functions:1.Mentor and coach team members to further develop competencies.2.Lead by example and model behaviors aligned with company values.3.Maintain an open-door policy to encourage communication and improve staff engagement.4.Partner with the Clinical Educator to train new staff, ensuring adherence to payer and company procedures and performance standards.5.Collaborate with team leads to monitor, coach, and measure team performance, including productivity, quality, and attendance.6.Serve as a clinical resource to non-clinical team members.7.&nbsp;Educate direct reports on all aspects of the pre-authorization and concurrent review process.8.Schedule and lead monthly team meetings to communicate updates, audit results, and process improvements.9.Ensure timely and accurate processing of delegated and non-delegated home health contracts.10.Support plan requirements related to turnaround times and compliance.11.Manage work queues, monitor key metrics, and ensure workload distribution.12.Collaborate with the Sr. Supervisor to plan staffing levels, monitor labor utilization, and manage overtime.13.Participate in hiring, performance reviews, improvement plans, and disciplinary actions as directed.14.Complete cases weekly to maintain “super-user” knowledge of processes and software.15.Demonstrate knowledge of home health care and specialty programs in all communications with referral sources and healthcare partners.16.Oversee workflow coordination to ensure efficient and timely operations.17.Partner with intake, compliance, claims, network, quality, and other departments to ensure services meet regulatory and contractual requirements.18.Ensure smooth onboarding of new payer contracts.19.Provide excellent customer service in all communications with internal and external stakeholders.20.&nbsp;Escalate administrative oversight issues related to clinical staff (RNs, PTs, OTs, SLPs, etc.) to the Sr. Supervisor as appropriate.21.Perform other duties as assigned.Office Location:<ul><li>Remote</li></ul>Qualifications:<ul><li>Licensed clinician: RN with no restrictions.</li><li>Ability to obtain additional state licensure as required.</li><li>Prior home health experience preferred.</li><li>Minimum of 10 years of clinical experience.</li><li>Previous supervisory experience required.</li><li>Strong ability to teach, coach, and apply adult learning techniques.</li><li>Self-directed, motivated, and able to work independently under the Sr. Supervisors guidance.</li><li>Strong verbal, written, and interpersonal communication skills.</li><li>Effective problem-solving skills with ability to resolve complex issues.</li><li>Skilled in adapting to procedural and organizational changes.</li><li>Ability to read, analyze, and interpret technical procedures, regulatory documents, and payer contracts.</li><li>Experience presenting to and collaborating with physicians, managers, payers, and external stakeholders.</li></ul>Knowledge and Experience:<ul><li>Extensive knowledge of the post-acute continuum of care.</li><li>Expertise in CMS Chapter 7 guidelines and Milliman criteria.</li><li>Strong proficiency with Microsoft Office (Outlook, Word, Excel, SharePoint), Adobe, and medical management systems.</li><li>&nbsp;Ability to work in a fast-paced environment and manage competing priorities.</li></ul>tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.

tango

Supervisor, Utilization Management (Remote) (RN)

tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.We are currently looking for a Lead, Utilization Review Team&nbsp;&nbsp;to join our growing team!Position Description: To provide services for dedicated health plan accounts and members; to ensure the efficient, cost effective, and high quality delivery of utilization management/review service by supporting a team of nurses; to oversee the management of home health cases worked by review nurses; to oversee individual and overall results/outcomes of cases within their scope of responsibilities; and to ensure customer satisfaction through the provision of cost effective and high quality utilization review service that meets their needs.Essential Functions:<ul><li>Assists in mentoring, reinforcement of training, and development of utilization management/review staff.</li><li>Oversees a team ensuring utilization management services are delivered promptly, cost effectively, courteously, and according to legal and contract requirements, operational, and quality assurance standards.</li><li>Monitors PTO and coordinates with other department leads, supervisor and management team for coverage.</li><li>Responds to QIO appeals in a timely manner and write a DENC to send to member.</li><li>Provides support, guidance, leadership, and motivation to promote maximum performance of team members</li><li>Collaborates with supervisor in establishing performance development plans and conducting performance reviews</li><li>Collaborates with educator/trainer to establish and ensure achievement of office/unit customer service, utilization patterns, productivity, quality, and financial goals</li><li>Ensures that staff adheres to quality assurance and productivity standards: assists supervisor in evaluating customer service utilization patterns, productivity, quality, and financial results ensuring that service delivery is within parameters defined by the company</li><li>Reinforces pertinent changes in policy/process, regulatory mandates, or business functions; acts as a resource.</li><li>Other clinical and team lead duties as required.</li><li>Responds to call center agency/provider/member questions/concerns promptly</li><li>Completes case reviews at a minimum of 50% of UM reviewer established goals</li><li>Communicates/defers to director on administrative oversight of RNs, PTs, OTs, and other disciplines as needed</li></ul>Office Location:<ul><li>Remote</li></ul>Qualifications:<ul><li>Working knowledge of home care and utilization management</li><li>Ability to exercise initiative and sound clinical judgement</li><li>Active unrestricted RN license required in states&nbsp;tango conducts business</li></ul>Knowledge and Experience:<ul><li>Five (5) years of clinical practice experience or equivalent combination of healthcare and supervisory experience.</li><li>Strong knowledge of utilization review practices</li><li>PC literate, including Microsoft Office products, Outlook, Excel, Word, Adobe, and the ability to work within multiple medical management software systems</li><li>Leadership/ motivational skills</li><li>Good organizational skills</li><li>Excellent interpersonal skills</li><li>Ability to work in a team environment</li><li>Ability to meet or exceed Performance Competencies and Productivity Standards</li></ul>tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.

Lead, Utilization Review Team (RN)

tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.We are currently looking for a&nbsp;Utilization Management Therapist Reviewer to join our growing team!&nbsp; **Preferred licensure is MI or TN**Position Description: Therapist Reviewers are responsible for conducting re-authorization/certification and authorization activities for therapy home health services, by utilizing appropriate company policies, Medicare Chapter 7, Milliman Care Guidelines, and clinical department guidelines. They collaborate with healthcare providers to promote the most appropriate, highest quality and effective use of physical, occupational therapy and speech language pathology visits to ensure quality member outcomes, and to optimize member benefits.Essential Functions:<ul><li>Responsible for the review of medical records, including more complex cases, to determine if requests for therapy services (physical therapy, occupational therapy, and/or speech-language pathology) are medically necessary.</li><li>Provides and/or facilitates clinical management and/or other related activities and serves as a resource to other team members while demonstrating fiscal responsibility and maintaining the highest standards of care and ensuring compliance with all policies, procedures, and regulatory requirements. Promotes interdisciplinary health plan consumers/beneficiaries’ care planning and supports questions from nurses in addition to agency, physician, member/family calls, etc.</li><li>Applies professional therapy, NCQA standards, CMS and Medicaid government regulation and medical policy knowledge to medical review, and makes determinations for authorization requests, meeting all contract requirements, processes, and operational unit goals to ensure customer satisfaction.</li><li>Maintains knowledge of regulations and requirements through review of current regulations and/or policies. Documents findings, develops analyses, and submits reports to the appropriate departments in accordance with regulations and requirements. Research and obtain additional data, consult with clinical reviewers and medical directors, when necessary.</li><li>Acts as a resource for internal and external customers. Participates in or leads intradepartmental teams, projects, and initiatives. Maintains quality and productivity standards, and ensures reviews are conducted within the required timeframes.</li><li>Periodic Weekend and Holiday Rotation based on business needs</li><li>Collaborate with colleagues to enhance their understanding of key considerations when reviewing therapy-related approvals and denials, including required documentation and criteria.</li><li>Develops and maintains positive customer relations and coordinates with various departments within the company to ensure customer requests and questions are handled appropriately and in a timely manner.</li><li>Other duties as requested</li></ul>Office Location:<ul><li>Remote</li></ul>Qualifications:<ul><li>Requires graduate of a college level program in physical therapy, occupational therapy or speech language pathology.</li><li>Minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.</li><li>Current active unrestricted license or certification as a PT, OT or SLP required in applicable states.</li><li>Working knowledge of home care process and CMS regulatory and federal requirements.</li><li>Ability to exercise initiative and independent judgement.</li></ul>Knowledge and Experience:<ul><li>Requires extensive knowledge in the areas of home health community-based physical, occupational therapy and speech language pathology services and utilization/case management.</li><li>NCQA and URAC knowledge is helpful.</li><li>Excellent organizational, human relations, and communication skills are required to maintain good rapport and effective working relationships with internal and external customers.</li><li>3 years of home health experience is preferred.</li><li>Managed care, utilization review/management or case management experience preferred</li><li>Computer skills such as MS Office products - Outlook, Excel, Word, Adobe, and the ability to work within multiple medical management systems</li></ul>tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship

Utilization Management Therapist Reviewer (Remote) MI or TN

tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.We are currently looking for a Utilization Review Nurse to join our growing team!POSITION DESCRIPTION:The Utilization Review Nurse acts as a liaison in the coordination of resources and services to meet patients’ needs, promotes teamwork to optimize efficient and cost-effective use of health care resources, monitors the health care delivery plan to maximize positive patient outcomes, and maintains compliance with applicable laws and regulations and the policies of Professional Health Care Network. The clinician will monitor adherence to ensure the effective and efficient use of home care-based services and monitor the appropriateness of homecare admissions, resumptions of care, reauthorizations, and extended cert periods.Primary duties include, but are not limited to:&nbsp;ESSENTIAL FUNCTIONS:<ul><li>Processes patient prior and reauthorization requests as outlined by company policy.</li><li>Makes determination of the need for continued home health care services by reviewing documentation submitted by providers in accordance with Medicare guidelines.</li><li>Refers to the Utilization Review Physician Advisor cases that do not meet established guidelines for admission or continued care.</li><li>Maintains accurate records of authorizations and communication with providers and payer plans pertaining to authorization for all patients.</li><li>Assists provider staff and team members in identifying patient needs and coordinating care.</li><li>Assists provider staff and team members in efficient and cost-effective utilization of health care resources and monitors patient progress and outcomes.</li><li>Facilitates communication and provides ongoing customer service support to payer plan case managers, patients and provider staff and team members.</li><li>Prepares and submits any required status or summary reports in a timely manner.</li><li>Periodic weekend and holiday rotation and availability to address after hour health plan member needs related to home health management.</li><li>Reviews documentation and provides feedback to clinicians regarding CMS Chapter 7 and Milliman Care Guidelines to ensure accurate assessment and review data, medical records reflect compliance with medical necessity, homebound status, visit utilization supported by individual patient assessment/ documentation support and transition (discharge) planning.</li><li>Identifies problems related to the quality of patient care and refers them to the Quality Assurance Committee/QPUC.</li><li>Assists the Utilization Review Committee/QPUC in the assessment and resolution of utilization review problems.</li><li>Other duties as required and/or assigned.</li></ul>OFFICE LOCATION:<ul><li>Remote</li></ul>QUALIFICATIONS<ul><li>Is a graduate of an accredited school of professional nursing or an accredited practical or vocational nursing program.</li><li>Has at least two years of general nursing experience in medical, surgical, or critical care, and at least one year of utilization review/management, case management or recent field experience in home health.</li><li>Is currently licensed as a registered nurse, practical nurse, or vocational nurse in good standing through the Arizona Board of Nursing and other State Boards of Nursing as applicable.</li><li>Is detail oriented and displays good organizational skills as well as good oral and written communication skills.</li><li>Excellent time management skills with a proven ability to meet deadlines.</li><li>Is self-directed, flexible, cooperative, and exhibits the ability to work with minimal supervision.</li><li>Working knowledge of home care regulatory and federal requirements.</li></ul>KNOWLEDGE AND EXPERIENCE:<ul><li>Requires knowledge in the areas of home health community-based services; utilization/case management experience is preferred. </li><li>Must have a working knowledge of homecare, managed care, medical/nursing staff procedures, and community resources. NCQA and URAC knowledge is helpful.</li><li>Computer skills such as MS Office products - Outlook, Excel, Word, Adobe, and the ability to work within multiple electronic medical management systems.</li></ul>CONTINUING EDUCATION REQUIREMENTS:Company personnel are expected to participate in appropriate continuing education as may be requested and/or required by their immediate supervisor. In addition, company personnel are expected to accept personal responsibility for other educational activities to enhance job related skills and abilities. All company personnel must attend mandatory educational programs.tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.

Utilization Review Nurse (Remote)

POSITION SUMMARY: Instruct and facilitate meaningful learning of the course outcomes in the curriculum and proactively support all facets of the learning environment. Provide education through learning-centered instruction that will enable graduates to fulfill the evolving needs of the marketplace. Encourage a culture of learning that values mutual responsibility and respect, life-long learning, diversity, and ethics, as well as personal and professional development. Assure that the South University philosophy of quality service to students, development, growth, involvement, and recognition of employees, and an environment conducive to innovation, positive thinking, and expansion is considered in carrying out the duties and responsibilities of this position. Participate in activities that promote the stature of the academic programs, departments, and colleges and abide by the South University Board of Trustees and administration's mandates. (This is a campus-based position-not remote. 1-2 days per week/6-8 hours per day.)KEY JOB ELEMENTS:<ul><li>Manage the educational process to ensure every student is involved in a positive educational experience through the learning, teaching, and social environment.</li><li>Perform faculty responsibilities as outlined in the faculty job description in accordance with the provisions of Faculty Supplement to the South University Employee Handbook.</li><li>Provide course instruction that aligns with the South University curricula model and supports the South University style of system delivery.</li><li>Design and deliver instruction through the development of instructional plans to meet course outcomes, the development of activities that support lesson objectives, and for online courses, deliver the instruction as approved within each course shell.</li><li>Effectively utilize technology in the classroom to support the student learning experience.</li><li>Enable the achievement of pre-defined outcomes for student achievement and evaluation of learning by providing instruction that fosters proficiency and establishes student performance criteria and evaluation.</li><li>Deliver learning-centered instruction by establishing an educational environment conducive to learning and student involvement and effectively planning and preparing for classes and student success.</li><li>Promote student success by showing flexibility in style and work schedule, exhibiting a passion for teaching and students, and engaging students in the learning process.</li><li>Manage the educational environment by keeping accurate records, submitting grades and other reports on time, and enforcing academic and attendance policies consistent with the school, campus, or online division.</li><li>Relate professional/life/industry experience to learning by continuing professional/technical skills development, the introduction of industry perspective into courses, and the active awareness of professional/industry trends and opportunities.</li><li>Participate in the faculty development process to enhance knowledge, skills, and abilities in learner-centered instruction.</li><li>Communicate consistently and effectively with supervisor(s), faculty, and other South University administrators.</li><li>Contribute to a learning culture by participating in curriculum and system task forces, support local campus events such as orientation and graduation, and participate in various other workshops and meetings.</li></ul>REQUIREMENTS:<ul><li>Doctorate degree preferred, master's degree required in the teaching discipline</li><li>Experience in Med-Surg or nursing education preferred</li><li>Experience in instruction or formalized education process, preferably in a post-secondary or college institution.</li><li>Membership in a professional association tied to the area of instruction preferred.</li><li>Active, valid, and unencumbered state licensure or certification as applicable to the discipline.</li><li>Ability to be available 1-2 days per week, 6-8 hours per day</li></ul>ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. The term "qualified individual with a disability" means an individual with a disability who, with or without reasonable accommodation, can perform the essential functions of the position.While performing the duties of this job, the employee is regularly required to communicate professionally in person, over the telephone, through email and other electronic means, move about the office or school, handle various types of media and equipment, and visually or otherwise identify, observe, and assess.South University is an Equal Opportunity Employer and embraces diversity as a critical step in ensuring employee, student, and graduate success. We are committed to building and developing a diverse environment where a variety of ideas, cultures and perspectives can thrive.JobFamilyAll PositionsEducationLevelMaster’s Degree

South University

Adjunct Faculty, Undergraduate Nursing Lab

<h4>How you'll change lives</h4>As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease.<h4>What you'll be doing</h4>Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios.Safety &amp; Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings.

U.S. Renal Care

Dialysis Registered Nurse PRN

<h4>How you'll change lives</h4>As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease.<h4>What you'll be doing</h4>Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios.Safety &amp; Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings.

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