Staffing Company
ResponsibilitiesRegistered Staff Nurses assist in ensuring the general health and well-being of our residents by providing direct nursing (RN) care. Direct nursing care of residents encompasses planning, developing, organizing, implementing, and evaluating the care of residents to ensure that the highest degree of quality care and regulatory compliance is maintained at all times. QualificationsPossession of an RN State license/registration to practice as Registered Licensed Nurse (RN).Minimum of two (2) years (RN) nursing experience and at least one year of experience in a leadership role preferred.Possession of a Baccalaureate Degree in Nursing (BSN) preferred.Ability to supervise and work well with other personnel required.Qualities of maturity, diplomacy, and ability to work well with others required.Caring, respectful attitude towards residents required.
Direct Employer
The Medical Director will provide oversight for medical policy implementation and participate in the development, implementation, and evaluation of clinical/medical programs.This is a Remote Work from Home position. Prior Managed Care Experience Preferred. Location preferred would be Arkansas / Colorado / Western Missouri / or Kansas Responsibilities:Expands Aetna's medical management programs to address member needs across the continuum of care.Supports the Medical Management staff ensuring timely and consistent responses to members and providers.Oversees utilization review/quality assurance, directing case management.Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities.Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams.Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise.
Direct Employer
Responsible and accountable for the daily operations of the nursing practice and coordination of Operating Room Services, Post Anesthesia Care Unit and Out Patient Surgery. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.
Direct Employer
This position will act as part of the dual eligible member's care team at the state level responsible for integrating and coordinating care to meet the uniquely complex healthcare needs of our DSNP members. This position will assist our dually eligible members with maintaining Medicaid and LIS eligibility and obtaining other Medicaid entitlements available to them. They will be responsible for monitoring member statuses and reporting results to management.Work alongside other DSNP care team members including social workers, care managers and care coordinators to provide the member experience by: • Educating and assisting members on various elements of Medicaid entitlements, benefit plan information and available services created to enhance the overall member experience with the company.• Utilize all relevant information to effectively influence member engagement.• Initiating contact with members who have lost Medicaid eligibility and fall into DSNP grace period to obtain Medicaid and LIS certification.• Assist members with finding resources to help them reapply if necessary.• Coordinating annual reminders for members at risk of losing LIS, Medicaid or DSNP eligibility.• Taking ownership of each customer contact to anticipate customer needs, resolve their issues and connect them with additional services as appropriate.• Identifying member needs beyond the initial inquiry by answering the unasked questions and asking probing questions to identify member needs. Other responsibilities include:• Track member’s Medicaid certification and eligibility dates and MCO plan information, as well as Medicaid status. • Researching other Medicaid programs and entitlements the members are eligible for and initiate process to inform members of these benefits.• Complete accurate case documentation as needed.• Communicate cases to management where contact has not been achieved.• Other general outreach to members as needed.
Direct Employer
This position will act as part of the dual eligible member's care team at the state level responsible for integrating and coordinating care to meet the uniquely complex healthcare needs of our DSNP members. This position will assist our dually eligible members with maintaining Medicaid and LIS eligibility and obtaining other Medicaid entitlements available to them. They will be responsible for monitoring member statuses and reporting results to management. The employee must be able to work alongside other DSNP care team members including social workers, care managers and care coordinators to provide the member experience by: • Educating and assisting members on various elements of Medicaid entitlements, benefit plan information and available services created to enhance the overall member experience with the company. • Utilize all relevant information to effectively influence member engagement. • Initiating contact with members who have lost Medicaid eligibility and fall into DSNP grace period to obtain Medicaid and LIS certification. • Assist members with finding resources to help them reapply if necessary. • Coordinating annual reminders for members at risk of losing LIS, Medicaid or DSNP eligibility. • Taking ownership of each customer contact to anticipate customer needs, resolve their issues and connect them with additional services as appropriate. • Identifying member needs beyond the initial inquiry by answering the unasked questions and asking probing questions to identify member needs.
Direct Employer
Aetna Better Health of Kansas is looking for an LTSS (long-term services and supports) clinical officer/medical director to join our team. This physician directs healthcare services for individuals of any age with physical, intellectual, and/or developmental disabilities. The LTSS CO/MD oversees and is responsible for all primary physical and behavioral health services provided to individuals receiving LTSS, and to comparable populations enrolled in KanCare, as well as all clinical activities pertaining to the operation of LTSS programs and services, including preventive care and the management and coordination of primary and other physical health services for these members. The LTSS CO/MD is also responsible for working with the CMO, behavioral health medical director, pharmacy director, and behavioral supports director to ensure integration of physical and behavioral health services and supports and LTSS, as applicable, for individuals in each of these populations, and to oversee quality improvement initiatives regarding behavioral supports and the appropriate use of psychotropic medications in these individuals.
Direct Employer
This position will be working from home and will require home visits after COVID shutdowns. Employee must be located and licensed in Kansas. The home visits will require travel to one of the following counties: Bourbon, Cherokee, Crawford, Douglas, Franklin, Jefferson, Johnson, Labette, Leavenworth, Linn, Miami, Montgomery, Shawnee, Wyandotte, Butler, Chautauqua, Cowley, Harvey, Sedgwick, and SumnerThe Social Worker participates in the care planning process in collaboration with the Care Manager, to include the following actions: assessment, goal setting, establishing interventions related to goals, identifying barriers and strategies to address, monitoring success of the interventions, evaluating the success of the overall care plan and reporting outcomes.Ideal candidate must have knowledge of the regulations, standards, and policies which relate to social work practice; knowledge of individual and group behavior and inter-relationships among social, economic psychological and physical factors; extensive knowledge of community resources; and thorough knowledge of casework and group work principles, practices, and methodology.
Direct Employer
This position will be working from home and will require home visits after COVID shutdowns. Employee must be located and licensed in Kansas. The home visits will require travel to one of the following counties: Bourbon, Cherokee, Crawford, Douglas, Franklin, Jefferson, Johnson, Labette, Leavenworth, Linn, Miami, Montgomery, Shawnee, Wyandotte, Butler, Chautauqua, Cowley, Harvey, Sedgwick, SumnerThe Social Worker participates in the care planning process in collaboration with the Care Manager, to include the following actions: assessment, goal setting, establishing interventions related to goals, identifying barriers and strategies to address, monitoring success of the interventions, evaluating the success of the overall care plan and reporting outcomes.
Direct Employer
Provide compassionate patient care as a licensed clinical psychologist on our behavioral health team in Overland Park, Kansas. While you focus on patient care, TeamHealth supports you by providing you with flexibility and autonomy over your practice. Customize your schedule to meet your lifestyle needs and financial goals, plus enjoy full benefits, a clinician wellness program and the opportunity to shape the future of an emerging and growing field of healthcare.TeamHealth Post-acute Care is built around an integrated care model and a team of primary care and behavioral healthcare clinicians that ensure patients receive the highest quality medical and behavioral healthcare.At TeamHealth, our purpose is to perfect our physicians’ ability to practice medicine, every day, in everything we do. Our philosophy is as simple as our goal is singular: we believe better experiences for physicians lead to better outcomes—for patients, partners, and physicians alike.
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Job DetailsProvide safe, high-quality patient care as a CRNA on our team at University of Kansas Health System St. Francis Campus in Topeka, Kansas! The position offers the opportunity to practice a mix of General, ENT, Gastro, Podiatry, Ortho, Urology, Ophthalmology, OB/GYN, Oral, Plastics, Radiology, Cardiac, Vascular, Bariatric and Robotic. You will work in a congenial care team environment with great work life/balance.Why TeamHealth Anesthesia?Practice Options - With a nationwide footprint, TeamHealth Anesthesia offers a wide range of practice options.Career Growth - TeamHealth Anesthesia provides numerous opportunities for physicians and anesthetists to advance their careers both within their current region and throughout the nation.Resources for Personal Wellness - TeamHealth’s Provider Wellness Division provides support for physical and emotional well-being, including stress management resources.Local Practice Autonomy - While we provide the practice support physicians need, we also recognize that each group needs to maintain a level of autonomy to meet the individual needs of the patients, the hospital and the practice.