Nursing Jobs in Thompson, CT

Certified Nursing Assistant

apartment Stillwater Assisted Living and Skilled Nursing Community location_onSmithfield, RI

We are looking for a skilled CNA (Certified Nursing Assistant) to become a part of our facility's compassionate care-giving team in our Assisted Living community. We have part-time positions availabe for 7-3pm and 11p-7am which includes every other weekend The CNA will interact directly with fesidents, providing comfort and care, monitoring their vital signs and assisting with daily living needs. We are searching for dedicated, compassionate and energetic individuals to be a vital link between our residents and the nurses and other facility staff. Competitive rates and benefit package. Facility also offers flexible scheduling options.

CNA

Part-time

Certified Nursing Assistant

apartment Stillwater Assisted Living and Skilled Nursing Community location_onSmithfield, RI

We are looking for a skilled CNA (Certified Nursing Assistant) to become a part of our facility's compassionate care-giving team in our Assisted Living community. We have part-time positions availabe for 7-3pm and 11p-7am which includes every other weekend The CNA will interact directly with fesidents, providing comfort and care, monitoring their vital signs and assisting with daily living needs. We are searching for dedicated, compassionate and energetic individuals to be a vital link between our residents and the nurses and other facility staff. Competitive rates and benefit package. Facility also offers flexible scheduling options.

CNA

Part-time

Certified Nursing Assistant

apartment Stillwater Assisted Living and Skilled Nursing Community location_onSmithfield, RI

We are looking for a skilled CNA (Certified Nursing Assistant) to become a part of our facility's compassionate care-giving team in our Assisted Living community. We have part-time positions availabe for 7-3pm and 11p-7am which includes every other weekend The CNA will interact directly with fesidents, providing comfort and care, monitoring their vital signs and assisting with daily living needs. We are searching for dedicated, compassionate and energetic individuals to be a vital link between our residents and the nurses and other facility staff. Competitive rates and benefit package. Facility also offers flexible scheduling options.

CNA

Part-time

Certified Nursing Assistant

apartment Stillwater Assisted Living and Skilled Nursing Community location_onSmithfield, RI

We are looking for a skilled CNA (Certified Nursing Assistant) to become a part of our facility's compassionate care-giving team in our Assisted Living community. We have part-time positions availabe for 7-3pm and 11p-7am which includes every other weekend The CNA will interact directly with fesidents, providing comfort and care, monitoring their vital signs and assisting with daily living needs. We are searching for dedicated, compassionate and energetic individuals to be a vital link between our residents and the nurses and other facility staff. Competitive rates and benefit package. Facility also offers flexible scheduling options.

LPN

Part-time

LPN

apartment Stillwater Assisted Living and Skilled Nursing Community location_onSmithfield, RI

Seeking LPN to be a part of our team in our beautiful Assisted Living community. Part-time and per diem positions available, flexible hours. The LPN will be an essential support person in our nursing department assisting with the daily management of the residents’ nursing needs and oversight of direct care staff. Must be able to multi-task, have a team oriented focus and experience providing care to individuals with dementia and their families. EEOC. Job Type: Full-time or Part-Time Requirements: Valid LPN license in RI CPR Certified Healthcare: 1 year (Preferred) Long-Term care:and/or assisted living care experience 1 year (Preferred) Benefits offered: Paid time off Health insurance Dental insurance Other types of insurance Retirement benefits or accounts

LPN

Part-time

LPN

apartment Stillwater Assisted Living and Skilled Nursing Community location_onSmithfield, RI

Seeking LPN to be a part of our team in our beautiful Assisted Living community. Part-time and per diem positions available, flexible hours. The LPN will be an essential support person in our nursing department assisting with the daily management of the residents’ nursing needs and oversight of direct care staff. Must be able to multi-task, have a team oriented focus and experience providing care to individuals with dementia and their families. EEOC. Job Type: Full-time or Part-Time Requirements: Valid LPN license in RI CPR Certified Healthcare: 1 year (Preferred) Long-Term care:and/or assisted living care experience 1 year (Preferred) Benefits offered: Paid time off Health insurance Dental insurance Other types of insurance Retirement benefits or accounts

LPN

Part-time

LPN

apartment Stillwater Assisted Living and Skilled Nursing Community location_onSmithfield, RI

Seeking LPN to be a part of our team in our beautiful Assisted Living community. Part-time and per diem positions available, flexible hours. The LPN will be an essential support person in our nursing department assisting with the daily management of the residents’ nursing needs and oversight of direct care staff. Must be able to multi-task, have a team oriented focus and experience providing care to individuals with dementia and their families. EEOC. Job Type: Full-time or Part-Time Requirements: Valid LPN license in RI CPR Certified Healthcare: 1 year (Preferred) Long-Term care:and/or assisted living care experience 1 year (Preferred) Benefits offered: Paid time off Health insurance Dental insurance Other types of insurance Retirement benefits or accounts

LPN

Part-time

LPN

apartment Stillwater Assisted Living and Skilled Nursing Community location_onSmithfield, RI

Seeking LPN to be a part of our team in our beautiful Assisted Living community. Part-time and per diem positions available, flexible hours. The LPN will be an essential support person in our nursing department assisting with the daily management of the residents’ nursing needs and oversight of direct care staff. Must be able to multi-task, have a team oriented focus and experience providing care to individuals with dementia and their families. EEOC. Job Type: Full-time or Part-Time Requirements: Valid LPN license in RI CPR Certified Healthcare: 1 year (Preferred) Long-Term care:and/or assisted living care experience 1 year (Preferred) Benefits offered: Paid time off Health insurance Dental insurance Other types of insurance Retirement benefits or accounts

LPN

Part-time

LPN

apartment Stillwater Assisted Living and Skilled Nursing Community location_onSmithfield, RI

Seeking LPN to be a part of our team in our beautiful Assisted Living community. Part-time and per diem positions available, flexible hours. The LPN will be an essential support person in our nursing department assisting with the daily management of the residents’ nursing needs and oversight of direct care staff. Must be able to multi-task, have a team oriented focus and experience providing care to individuals with dementia and their families. EEOC. Job Type: Full-time or Part-Time Requirements: Valid LPN license in RI CPR Certified Healthcare: 1 year (Preferred) Long-Term care:and/or assisted living care experience 1 year (Preferred) Benefits offered: Paid time off Health insurance Dental insurance Other types of insurance Retirement benefits or accounts

LPN

Part-time

LPN

apartment Stillwater Assisted Living and Skilled Nursing Community location_onSmithfield, RI

Seeking LPN to be a part of our team in our beautiful Assisted Living community. Part-time and per diem positions available, flexible hours. The LPN will be an essential support person in our nursing department assisting with the daily management of the residents’ nursing needs and oversight of direct care staff. Must be able to multi-task, have a team oriented focus and experience providing care to individuals with dementia and their families. EEOC. Job Type: Full-time or Part-Time Requirements: Valid LPN license in RI CPR Certified Healthcare: 1 year (Preferred) Long-Term care:and/or assisted living care experience 1 year (Preferred) Benefits offered: Paid time off Health insurance Dental insurance Other types of insurance Retirement benefits or accounts

LPN

Part-time

LPN

apartment Stillwater Assisted Living and Skilled Nursing Community location_onSmithfield, RI

Seeking LPN to be a part of our team in our beautiful Assisted Living community. Part-time and per diem positions available, flexible hours. The LPN will be an essential support person in our nursing department assisting with the daily management of the residents’ nursing needs and oversight of direct care staff. Must be able to multi-task, have a team oriented focus and experience providing care to individuals with dementia and their families. EEOC. Job Type: Full-time or Part-Time Requirements: Valid LPN license in RI CPR Certified Healthcare: 1 year (Preferred) Long-Term care:and/or assisted living care experience 1 year (Preferred) Benefits offered: Paid time off Health insurance Dental insurance Other types of insurance Retirement benefits or accounts

LPN

Part-time

LPN

apartment Stillwater Assisted Living and Skilled Nursing Community location_onSmithfield, RI

Seeking LPN to be a part of our team in our beautiful Assisted Living community. Part-time and per diem positions available, flexible hours. The LPN will be an essential support person in our nursing department assisting with the daily management of the residents’ nursing needs and oversight of direct care staff. Must be able to multi-task, have a team oriented focus and experience providing care to individuals with dementia and their families. EEOC. Job Type: Full-time or Part-Time Requirements: Valid LPN license in RI CPR Certified Healthcare: 1 year (Preferred) Long-Term care:and/or assisted living care experience 1 year (Preferred) Benefits offered: Paid time off Health insurance Dental insurance Other types of insurance Retirement benefits or accounts

LPN

Part-time

LPN

apartment Stillwater Assisted Living and Skilled Nursing Community location_onSmithfield, RI

Seeking LPN to be a part of our team in our beautiful Assisted Living community. Part-time and per diem positions available, flexible hours. The LPN will be an essential support person in our nursing department assisting with the daily management of the residents’ nursing needs and oversight of direct care staff. Must be able to multi-task, have a team oriented focus and experience providing care to individuals with dementia and their families. EEOC. Job Type: Full-time or Part-Time Requirements: Valid LPN license in RI CPR Certified Healthcare: 1 year (Preferred) Long-Term care:and/or assisted living care experience 1 year (Preferred) Benefits offered: Paid time off Health insurance Dental insurance Other types of insurance Retirement benefits or accounts

Caregiver

Full-time

Caregiver

apartment Atria location_onHopedale, MA

Responsibilities What you will do as a Caregiver Enhance the lives of older adults by assisting them with mobility needs and daily living activities, including housekeeping, bathing, grooming, and routine personal tasks Work cooperatively with other talented team members to support and care for residents Receive on-the-job training and have opportunities for career growth and advancement Solve problems and exhibit ethical behavior Qualifications No experience needed. We will provide you with all the training you need! Apply today to join the Atria team. Atria is an equal opportunity employer committed to providing equal employment opportunities without regard to race, color, religion, sex (including pregnancy), sexual orientation, age, national origin, disability, genetic information, veteran status, or any other classification protected by applicable law.

RN

Full-time

Registered Nurse

apartment Stillwater Assisted Living and Skilled Nursing Community location_onRI

Stillwaer Assisted Living and Skilled Nursing Community is seeking a Registered Nurse to join our clinical team! Positions available on all shifts. facility offers competative rates and benefits package as well as flexible scheduling options.

LPN

Part-time

LPN

apartment Stillwater Assisted Living and Skilled Nursing Community location_onSmithfield, RI

Seeking LPN to be a part of our team in our beautiful Assisted Living community. Part-time and per diem positions available, flexible hours. The LPN will be an essential support person in our nursing department assisting with the daily management of the residents’ nursing needs and oversight of direct care staff. Must be able to multi-task, have a team oriented focus and experience providing care to individuals with dementia and their families. EEOC. Job Type: Full-time or Part-Time Requirements: Valid LPN license in RI CPR Certified Healthcare: 1 year (Preferred) Long-Term care:and/or assisted living care experience 1 year (Preferred) Benefits offered: Paid time off Health insurance Dental insurance Other types of insurance Retirement benefits or accounts

CNA

Part-time

Certified Nursing Assistant

apartment Stillwater Assisted Living and Skilled Nursing Community location_onSmithfield, RI

We are looking for a skilled CNA (Certified Nursing Assistant) to become a part of our facility's compassionate care-giving team in our Assisted Living community. We have part-time positions availabe for 7-3pm and 11p-7am which includes every other weekend The CNA will interact directly with fesidents, providing comfort and care, monitoring their vital signs and assisting with daily living needs. We are searching for dedicated, compassionate and energetic individuals to be a vital link between our residents and the nurses and other facility staff. Competitive rates and benefit package. Facility also offers flexible scheduling options.

RN

ER

Part-time

Registered Nurse, Emergency Room, 24hr. 7p-7a

apartment UMass Memorial Health location_onSouthbridge, MA

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Hiring Range: $34.39 - $61.91 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Holidays - Every Other Holiday, Weekends - Every Third Weekend Scheduled Hours: 7p-7a Shift: 3 - Night Shift, 12 Hours (United States of America) Hours: 24 Cost Center: 25082 - 2340 Emergency Room This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for the planning, delivery and management of direct patient care utilizing the nursing process and adhering to the standards of nursing practice. I. Major Responsibilities: 1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population. 2. Performs patient assessment/reassessment according to standard procedure. 3. Develops and coordinates individual plan of care including discharge planning. 4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting. 5. Delegates appropriately to others in accordance with job description and competency level. 6. Documents patient care according to standard procedure. 7. Develops, implements/coordinates and documents Education Plan for patient/family/ significant other. 8. Ensures quality and continuity of care through collaboration with other health care providers. 9. Administers medications, performs treatments, therapies and operates equipment according to policy and procedure. Assists physician with treatment and procedures and special tests as required or directed. 10. Participates in and supports Nursing Governance activities. 11. Assumes responsibility for professional growth. Assists in education and development of staff. 12. Participates in performance improvement initiatives and demonstrate the use of quality improvement in daily operations. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Current Massachusetts licensure and registration. 2. Completion of an accredited school of nursing program. 3. BLS is a requirement for every RN unless advance cardiac life support (ACLS) certification is current, in addition to any unit specific certifications and competencies. Experience/Skills: Required: 1. Thorough knowledge of the discipline of Nursing. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered medium. Position requires work indoors in a normal patient care environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

LPN

Psych

Full-time

Licensed Practical Nurse Psych Visits FT

apartment Elara Caring location_onWorcester, MA

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: ID# JR-130672 Licensed Practical Nurse Behavioral Health Visits - Full Time with lots of benefits! Worcester Proper area Join our growing team and become part of making a real difference in patients' lives, keeping them home where they want to be. Apply today! At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their journey of health, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Licensed Practical Nurse Behavioral Health . Being a part of something this great starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers. To continue to be an industry pioneer in delivering unparalleled care, we need a Licensed Practical Nurse Behavioral Health with commitment and compassion. Are you one of them? If so, apply today! Why Join the Elara Caring mission? Work in a collaborative environment. Be rewarded with a unique opportunity to make a difference Competitive compensation package Tuition reimbursement for full-time staff and continuing education opportunities for all employees at no cost Opportunities for advancement Comprehensive insurance plans for medical, dental, and vision benefits 401(K) with employer match Paid time off, paid holidays, family, and pet bereavement As a Licensed Practical Nurse Behavioral Health you’ll contribute to our success in the following ways: Verifies the Plan of Care prior to each visit and provides care according to delegation by the RN, physician’s orders, assessment data, and established standards and guidelines. Incorporates patient care goals established in the Plan of Care, into nursing visits, as evidenced by documentation on skilled nursing notes. Communicates significant findings, problems and changes in condition or environment to the RN Case Manager, the physician, clinical supervisor, and/or other personnel involved with patient care. Reports unsafe conditions to the appropriate RN Case Manager, clinical supervisor, and physician, as appropriate. Implements the plan for patient safety, using the patient, family, and community resources. Assists the patient in learning appropriate self-care techniques while delivering quality patient care. Suggests revisions to the plan of care in response to identified patient care issues and notifies the RN Case Manager. Provides those services required substantial and specialized nursing skills under the direction of a Registered Nurse or physician. Collaborate with the RN Case Manager during normal business hours for advice, assistance, and instructions. Documents medication regimen and updates medication profile according to established procedures. Treats patients and caregivers in the highest and most effective manner. Implement all available actions to prevent avoidable hospitalizations and ER visits. Provides positive, supportive communication to physicians, patients, families, visitors, and agency personnel. What is Required? High School Diploma or GED Graduate of an accredited Certificate, Diploma, Associate, or Baccalaureate School of Nursing. Graduate of an accredited Certificate, Diploma, or Associate School of Nursing Current State License as a Licensed Vocational / Practical Nurse 1 year of experience in a clinical care setting Ability to sit, stand, bend, lift, and move intermittently, with the capability to lift to 50 lbs. Experience in a hospice or home health environment is preferred 50% travel required Sit, stand, bend, lift and move intermittently and be able to lift 50-100 lbs. Valid driver’s license and insurance and reliable transportation to perform job tasks Apply Today! You will report to the Clinical Team Manager. We value the unique skills of veterans and military spouses. We encourage applications from military veterans and their families. Elara Caring provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age (40 and older), national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, protected veteran status, or any other basis prohibited under applicable federal, state or local law. Elara Caring participates in E-Verify and we will provide the Federal Government with your Form I-9 information to confirm that you are authorized to work in the United States. Employers like Elara Caring can only use E-Verify once you have accepted the job offer and completed the Form I-9. At Elara Caring, pay and compensation are determined by a variety of factors, including education, job-related knowledge, skills, training, and experience. Our compensation structure reflects the cost of labor across different U.S. geographic markets, and may vary based on location. This is not a comprehensive list of all job responsibilities and requirements; upon request, a job description can be provided. If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by reaching out to recruiting@elara.com.

RN

Other

Temporary to Hire Prior Authorization RN - Hybrid Remote

apartment Fallon Health location_onWorcester, MA

Overview This is 3 months temporary contract position for a Prior Authorization RN. About us: Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. Brief summary of purpose: The PA Nurse uses a multidisciplinary approach to review service requests (prior-authorizations), focusing on selected complex medical and psychosocial needs of FH members and their families. The PA Nurse is responsible for assuring the receipt of high quality, cost efficient medical outcomes for enrollees. This role works with Medical Directors, Authorization Coordinators, and Service Coordinators to perform pre-service, concurrent, and retrospective reviews for outpatient services such as elective procedures, home health care, DME, nutrition, and genetic testing utilizing established state, federal, and internally developed benefit and clinical coverage criteria against FH polices and protocols. Medical necessity determinations are reviewed with the holistic picture of the member in mind, which requires exceptional attention to detail, proficiency in applying correct criteria, and collaboration with internal and external partners. Responsibilities Primary Job Responsibilities: • Obtain clinical, functional, and psychosocial information from the medical records on site, through remote electronic access, telephonically or by fax in a collaborative effort with other health care professionals, member and/or family• Refers cases to medical review according to policy and procedure• Documents clinical, functional, psychosocial information in the Core System as well as communications regarding the members’ care• Keeps records and submits reports as assigned by the Manager• Refers high-risk cases to the appropriate FH internal teams (ie: Outpatient Case Management, NaviCare, ACO) and/or other community services according to department protocol• Collaborates with attending physicians and health care professionals regarding appropriate utilization of medical services• Completes level of care/service request reviews strictly adhering to regulatory turnaround time guidelines such as, but not limited to, CMS, NCQA, and the DOI• Identifies utilization issues unique to their team assignment and identifies strategies to address/resolve these issues• Issues regulatory and other letters according to the department policies and procedures. • Electronic copies of all denial letters and related documents are kept in the Fallon Health core application and/or the organization’s security accessed drive(s)• Acts as a liaison between Providers, vendors, facilities, members/families, and Fallon Health internal departments. Clarifies policies/procedures and member benefits as needed. Authorizes services, coordinates care, and ensures timeliness and coordination of healthcare services, in compliance with department and regulatory standards, seeking supplemental services when appropriate or when needed• Works with Fallon Health providers/support staff and/or members to facilitate cost-effective, quality care• Requests and obtains relevant clinical information from medical care providers as needed for the clinical review process• Conducts pre-authorization and concurrent clinical reviews requests for services such as DME, elective procedures, Home Health Care, Out of network specialty care, transportation and genetics, against appropriate criteria/guidelines to determine medical necessity, benefit eligibility, and network contract status • Refers all cases that do not meet medical necessity, benefit eligibility, and network contract status criteria to a physician reviewer for consideration, ensuring the timely review of the referred case• Incrementally monitors the effectiveness of established plans of care with defined, measurable goals and objectives and cost-benefit documentation as applicable and modifies the care plan when applicable.• Streamlines the focus of the member’s healthcare needs utilizing the most optimal treatment approach, promoting timely provision of care, enhancing quality of life, and promoting cost-effectiveness of care.• Analyzes and applies CMS always INPT and SDS CPT codes during PA clinical reviews when a surgical procedure is requested as IP LOC• Collaborates with Fallon Health departments to ensure services/items needed to facilitate discharge from a post-acute or hospital setting do not delay discharge• Collaborate with external providers on alternative coverage options when services requested do not meet medical necessity, benefit eligibility, and network contract status criteria• Creates contingency plans for each step of the process to anticipate treatment and service complications, while ensuring that the member attains pre-determined outcomes• Reviews physician reviewers’ determinations for appropriateness and completeness • Communicates determinations to providers and members telephonically and in writing, adhering to corporate/department Communicates determinations to providers and members telephonically and in writing,adhering to corporate/department policy and regulatory guidelines• Will check voicemail at regular intervals throughout the day and returns calls/messages within the same day of receipt• Strictly observes the Fallon Health policies regarding confidentiality of member information, documentation standards, meeting any education requirements, and performs other responsibilities as assigned by department management team• Participates in weekly medical rounds with the leadership team, Medical Directors, and various Fallon Health departments to discuss patient issues and/or concerns. Organizes and presents complex medical cases in a clear and concise oral and written manner• Ensures ad hoc contracts are in place for non-contracted services working in conjunction with FH Network Development team Qualifications Education Graduate from an accredited school of nursing, Associate’s Degree, Bachelors Degree, or advanced degree in nursing required License/Certifications: Active and unrestricted licensure as a Registered Nurse in Massachusetts. Experience: • A minimum of three to five years clinical experience as a Registered Nurse in a clinical setting required. • 2 years’ experience as a Utilization Management/Prior Authorization nurse in a managed care payer preferred.• One year experience as a case manager in a payer or facility setting highly preferred.• Relevant experience may include but not be limited to experience working directly in the field of Home Health Care, Ambulatory Provider Setting, Rehabilitation Nursing Setting, Acute Hospital Setting.• Relevant experience may include, but not be limited to experience processing authorizations for services such as: Outpatient authorization requests such as: o Home Health Careo DMEo Ambulatory Procedureso Genetic Testingo Pharmacyo Nutritional supplies Inpatient authorization requests such as : o Acute Hospital Level of Careo Post-Acute level of care reviews (SNF, Acute Rehab, Long Term Acute Care Fallon Health 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. #P01

RN Director, Utilization Management & Prior Authorization - Hybrid

apartment Fallon Health location_onWorcester, MA

Overview About us: Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. Brief summary of purpose: With the general direction from the VP Sr. Medical Director Clinical Management and SVP/Chief Medical Officer will provide strategic leadership and oversight responsibility for the clinical and operational utilization management activities for all inpatient and outpatient care, and staff across all product lines. Responsibilities Utilization Management: Oversees all administrative, operational and clinical functions related to outpatient and inpatient, utilization management operations, including but not limited to prior authorization, concurrent review and discharge planning. Ensures that members get the appropriate care that is medically necessary and meets the benefit coverage criteria. Ensures that all reviews meet the appropriate regulatory and accreditation requirements including turnaround times and communication. Ensures program compliance with all federal regulatory and state mandates, Division of Insurance, National Committee for Quality Assurance standards, Centers for Medicare and Medicaid guidance and requirements, MassHealth (Medicaid contractual agreements). Responsible for hiring appropriate non-physician clinical and non-clinical personnel to review medical cases and determine if requests for services meet medical necessities and criteria for coverage. Oversight of UM by delegated organizations and ensure regulatory and accreditation compliance, Monitors and analysis of operational and outcome data related to all utilization management activities. Recommends and implements innovative process improvements for the prior authorization and utilization management processes Develops and implements the Utilization Management Program Description and annually evaluate the effectiveness of the program. Represents the UM Department in Program Audits across all LOBs, including information gathering, research, presenting, and development of Corrective Action Plans (if applicable) Key Contact for RFP responses related to UM Functions and department organization structure/staffing. Works with VP/Medical Director to identify and prioritize the cost of care opportunities related to Utilization Management. Works with VP/ Medical Director to set agenda related to UM and represent the plan at clinical joint operating committees to support collaborative Fallon/provider group relationship. Manages data, predictive analytics to improve efficiency of prior authorization and utilization management Works with and represents Care Services for utilization management on the different product line task forces at Fallon. Serves as SME and Point of Contact for internal committees including but not limited to Delegation Oversight Committee (DOC), Payment Policy, Mental Health Parity, Medical Directors monthly meeting, and TruCare Insights/upgrade meetings. Represents the Vice President and Senior Medical Director of Clinical Management at internal and external senior level meetings. Budget creation and management of annual budget. Clinical Integration Support: Provides UM expertise to Clinical Integration leadership to ensure seamless integrated member care within Care Services as well as other departments by involving inpatient case management with out-patient case management and utilization management to optimize post-acute care. Manage and develop staff: Ensures objectives defined across a broader group are integrated and supportive where necessary. Defines roles and accountabilities for staff, within the group and in the context of the broader process/operation in support of cross-functional efforts. Hires for, develops and recognizes the experience and knowledge/skills/abilities required for a successful team. Provides for the orientation and welcome of new staff. Defines performance expectations and goals for staff. Trains and mentors’ staff on the application of policy and procedures, use of supporting systems/applications, appropriate soft skills: time management, etc. Monitors work of individual staff for efficiency, effectiveness and quality. Provide ongoing constructive feedback and guidance to staff. Evaluates staff on achievement of goals and deliverables and assessment of competencies. Helps staff progress in their careers to the benefit of the department and broader organization. Manages the resolution of performance issues in consultation with Human Resources as appropriate. Qualifications Education: Master’s degree in health administration or business preferred. Bachelor’s degree in nursing or related health field required. License/Certifications: Massachusetts Nursing Licensure Experience: Broad experience in managed care and /or integrated delivery systems, either payer or provider. Significant experience in regulatory and accreditation compliance requirements for Medicare, Medicaid and the division of insurance support all Fallon Health Products Experience in managing health care and support personnel, as well as managing health care personnel and external relationships. A comprehensive knowledge of utilization management strategies to manage utilization and costs. Minimum of ten years clinical experience, at least five in managed care or ambulatory clinical operations. Pay Range Disclosure: In accordance with the Massachusetts Wage Transparency Act, the pay range for this position is $155,000 - 175,000 per year, which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role’s responsibilities. Fallon Health 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. #P01

Registered Nurse (RN) Job, Part Time Evenings, 32-Hours, Behavioral Health Services

apartment Day Kimball Health location_onPutnam, CT

Day Kimball Health is hiring for a Registered Nurse for the Behavioral Health Services Part Time Evening Shift 32-Hours job in Putnam, CT. Registered Nurse (RN) Benefits: Medical/Dental/Vision Pharmacy Plan Basic & Supplemental Life Insurance Short- & Long-Term Disability Health Savings Account or Flexible Spending Account Accident & Critical Illness Coverage 401K Plan with Eligible Employer Contribution Vacation Time Sick Days Paid Holidays Education Reimbursement Pet Insurance Additional Benefits Registered Nurse (RN) Job Summary: As the Behavioral Health Services Registered Nurse (RN), you will be a vital member of a dynamic team responsible for diagnosing responses to actual or potential health problems and for providing basic emergent, supportive, and restorative care through use of the nursing process. Our nursing model is relationship based, which allows for a stronger connection between the patient and caregiver, and a more individualized, appropriate type of care. You will also discover a culture of teamwork, professionalism, and mutual respect, and—most importantly—a fulfilling career. Registered Nurse (RN) Job Responsibilities: Accountable for planning, implementing, evaluating, and communicating all phases of nursing care for assigned patients in our Psychiatric Inpatient Program. Assesses the health status of patients/families by means of comprehensive health history and physical examination. Initiates selected therapeutic and diagnostic procedures, consultations, and laboratory examination, interprets findings, and alters plan of care according to collaborative practice agreement and protocols in designated area. Educates and counsels in the areas of health promotion, maintenance, disease prevention, and management of acute/chronic illnesses. Documents findings and plan of care in the patient's medical record. Consults with physician per established Day Kimball Hospital policy. Intervenes to provide a safe environment and evaluates effectiveness of intervention for patients. Registered Nurse (RN) Education and Experience Requirements: Graduate of an accredited school of nursing is required. Registered Nurse (RN) license issued by the state of Connecticut is required. American Heart Association Healthcare Provider CPR certification or equivalent is required; if not currently certified, must obtain within three (3) months of employment. Additional specialty certification/training as required by the work area. Current NVCIT (Non-Violent Crisis Intervention Training) certification or within 3 months of hire required. Registered Nurse (RN) Knowledge, Skills and Abilities: Trained and competent in responding to events where a patient is out of control or exhibiting inappropriate behavior; ability to de-escalate volatile situations. Demonstrated level of psychological and emotional tolerance and an even temperament in crisis situations. Knowledge in Psychiatric Nursing. Demonstrated skills in critical thinking, effective communication, organizational skills, problem solving, and ability to make appropriate independent decisions. Working knowledge of applicable Standards of Practice. Demonstrated compassionate customer service and ability to meet the needs and expectations of patients and health care colleagues. Solid foundation in evaluating plans of care and reformulating as necessary. Why Choose Day Kimball Health? The Care You Need. Close to Home. For nearly 130 years, Day Kimball Health has been the trusted healthcare provider for the Northeastern Connecticut community, offering accessible and compassionate care close to home. As a non-profit, integrated healthcare provider, we are committed to delivering high-quality services while maintaining a strong connection with our patients and their families. At Day Kimball, we are passionate about both our patients and our employees. We are growing our talented team every day and offer a supportive, collaborative environment where you can thrive and make a difference. Join us in our mission to elevate community-driven healthcare and be a part of an organization that values both personal and professional growth. Day Kimball Health is an Affirmative Action and Equal Opportunity Employer. We are committed to providing equal employment opportunities to all applicants, regardless of race, color, religion, gender, national origin, age, disability, veteran status, or any other status protected by local, state, or federal laws. Day Kimball Health is a smoke free environment. Are you ready to apply your expertise at the largest employer in Northeastern Connecticut, known for its commitment to excellence in individualized care? Join our team as a Behavioral Health Services Registered Nurse and experience a culture of teamwork, professionalism, mutual respect, and, most importantly, a career that makes a difference! #RegisteredNurse #Nurse #RN #PIPRN #BHRN #BehavioralHealthNurse #PsychiatricInpatientRN

RN

Full-time

Adcare Hospital Registered Nurse (RN) - 7a-7:30p FT

apartment American Addiction Centers location_onWorcester, MA

Overview AdCare, a subsidiary of American Addiction Centers, Inc., is a for-profit substance abuse disorder treatment facility located at 107 Lincoln Street, Worcester, MA 01605. For over 45 years, AdCare has been helping individuals and families struggling with alcohol and drug use, one life at a time. The AdCare name represents innovation, quality, and cost efficiency in treating alcohol and drug dependency. We are committed to improving the lives of our patients and their families by providing safe, effective, recovery-based alcohol and drug treatment. Our addiction recovery center(s) provide a comprehensive approach to care. AdCare's integrated system of care offers a range of accessible treatment centers including a 114-bed inpatient hospital and several conveniently located outpatient sites located throughout the Massachusetts and Rhode Island areas. When you join AdCare, you become part of our family. AdCare seeks talented individuals who are passionate, empathetic, engaged in their work and dedicated to serving people. Together, we can enable our patients to live happier and healthier lives. Our purpose and passion are to empower patients, their families, and our communities by helping individuals achieve recovery and optimal wellness of the mind, body, and spirit. Responsibilities Job Summary This position requires a thorough understanding of the facility’s treatment program and philosophy, admission process and criteria, support and administrative services, medical knowledge of substance abuse disorders, co-occurring psychiatric disorders, alcoholism, dual diagnosis. This individual is a member of the treatment team providing professional level of nursing care to patients under minimum supervision and consultation. This is a complex position which directs and guides activities on the unit and assignments of ancillary personnel assigned to unit and shift. Duties and Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Complete an accurate assessment of newly admitted patients; conduct fall risk and SBQR assessments and establish precautionary measures. Perform accurate assessments for safe detox using COWS & CIWAS. Calls the appropriate team member (i.e., on call provider) with all non-life threatening medical and medication issues to obtain guidance regarding his/her plan of action for the patient; documents in the EMR. Coordinates with the medical providers and other interdisciplinary team on the plan of care to provide the individual treatment needed. Ensures that care plans are kept current. Responds to medical and psychiatric concomitants in treatment and develops nursing interventions that are appropriate for the situation. Promotes patient's independence by establishing patient care goals, teaching patient to understand condition, medications, and self-care requirements, answers patient questions. Cross trains in medication administration in order to complete safe medication passes following standards of care per the Board of Nursing. Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following philosophies and standards of care set by State Board of Nursing, and other governing agency regulations. Resolves patient problems and needs by utilizing multidisciplinary team strategies, including de-escalation techniques. Protects patients and employees by adhering to: infection-control policies and protocols, medication administration and storage procedures, and controlled substance handling. Maintains continuity among teams by documenting and communicating actions, irregularities, and continuing needs. Maintains patient confidence and protects operations by keeping information confidential. Ensures compliance with Patient Privancy, HIPPA and Joint Commission Standards. Provides oversight to ensure face checks are completed based on hospital policy. Responds appropriately to all Code Calls. Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications. Provides CEU documents for annual review. Follows the incident reporting policy and procedure in reporting any unsafe/unusual safety issues. Functions as a role model for nursing staff. Role models problem solving as the effective means of resolving conflict. Develops and maintains effective working relationships with staff, management, and other members of the health care team. Effectively prioritizes communication issues pertaining to all departments and provides collaborative intervention as necessary. Provides clinical direction to staff and evaluates the level of care provided by the nursing staff on assigned shifts; holds staff accountable for functioning in a reduced risk manner. Functions with an awareness of patient safety issues and applies basic principles of safety as identified within the facility. Mentors and assists with providing essential training to the new staff. Assists in the development of the discharge plan and review and educate patients of discharge plan care. At end of shift communicates to incoming RN pertinent data regarding patient activity or needs. Treats patients, and colleagues with dignity and respect; honors each person’r right to privacy/ maintains very strict patient and colleague confidentiality; respects all individuals’ differences; supports cultural diversity. Consistently arrives to work on time and adheres to attendance policies. Other duties, as needed. Qualifications Education/ Experience: Associates Degree in Nursing (ASN) or Bachelors Degree in Nursing (BSN) Required Knowledge of addiction and drug treatment preferred Ability to read and interpret written information; write clearly and informatively; edits work for spelling and grammar. Ability to speak clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions; demonstrates group presentation skills; and participates in meetings Working knowledge of EMR Certifications and Licenses: Current RN License in in State of operations required CPR and First Aid Certified CARN encouraged Supervisory Responsibility: Experienced RNs will function as Charge Nurse. Physical Requirements AAC is committed to principles of equal opportunities for all employees. The Company will provide reasonable accommodations that are necessary to comply with State and Federal disability discrimination laws Prolonged sitting at a desk Must be able to lift 15 pounds at a time American Addiction Centers is an equal opportunity employer. American Addiction Centers prohibits employment practices that discriminate against individuals or groups of employees on the basis of age, color disability, national origin, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law.

Staff Registered Nurse (RN) Job, Part Time Nights, 36-Hours, Emergency Department

apartment Day Kimball Health location_onPutnam, CT

Day Kimball Health is hiring for a Registered Nurse (RN) for the Emergency Department Part Time Night Shift 36-Hours (7:00pm - 7:00am) job in Putnam, CT. This position is eligible for a sign-on bonus up to $25,000! Registered Nurse Benefits: Medical/Dental/Vision Pharmacy Plan Basic & Supplemental Life Insurance Short- & Long-Term Disability Health Savings Account or Flexible Spending Account Accident & Critical Illness Coverage 401K Plan with Eligible Employer Contribution Vacation Time Sick Days Paid Holidays Education Reimbursement Pet Insurance Additional Benefits Registered Nurse (RN) Job Summary: As the Emergency Department Registered Nurse (RN), you will be a vital member of a dynamic team responsible for diagnosing responses to actual or potential health problems and for providing basic emergent, supportive, and restorative care through use of the nursing process. Our nursing model is relationship based, which allows for a stronger connection between the patient and caregiver, and a more individualized, appropriate type of care. You will also discover a culture of teamwork, professionalism, and mutual respect, and—most importantly—a fulfilling career. Registered Nurse (RN) Job Responsibilities: Accountable for planning, implementing, evaluating, and communicating all phases of nursing care for assigned patients in our Emergency Department Assesses the health status of patients/families by means of comprehensive health history and physical examination Initiates selected therapeutic and diagnostic procedures, consultations, and laboratory examination, interprets findings, and alters plan of care according to collaborative practice agreement and protocols in designated area Educates and counsels in the areas of health promotion, maintenance, disease prevention, and management of acute/chronic illnesses Documents findings and plan of care in the patient's medical record Consults with physician per established Day Kimball Hospital policy Intervenes to provide a safe environment and evaluates effectiveness of intervention for patients Registered Nurse (RN) Education and Experience Requirements: Graduate of an accredited school of nursing is required Registered Nurse (RN) license issued by the state of Connecticut is required American Heart Association Healthcare Provider CPR certification or equivalent is required; if not currently certified, must obtain within three (3) months of employment Additional specialty certification/training as required by the work area Registered Nurse (RN) Knowledge, Skills and Abilities: Ability to recognize unsafe and life-threatening situations and how to intervene appropriately Demonstrated skills in critical thinking, effective communication, organizational skills, problem solving, and ability to make appropriate independent decisions Working knowledge of applicable Standards of Practice Demonstrated compassionate customer service and ability to meet the needs and expectations of patients and health care colleagues Solid foundation in evaluating plans of care and reformulating as necessary Why Choose Day Kimball Health? The Care You Need. Close to Home. For nearly 130 years, Day Kimball Health has been the trusted healthcare provider for the Northeastern Connecticut community, offering accessible and compassionate care close to home. As a non-profit, integrated healthcare provider, we are committed to delivering high-quality services while maintaining a strong connection with our patients and their families. At Day Kimball, we are passionate about both our patients and our employees. We are growing our talented team every day and offer a supportive, collaborative environment where you can thrive and make a difference. Join us in our mission to elevate community-driven healthcare and be a part of an organization that values both personal and professional growth. Day Kimball Health is an Affirmative Action and Equal Opportunity Employer. We are committed to providing equal employment opportunities to all applicants, regardless of race, color, religion, gender, national origin, age, disability, veteran status, or any other status protected by local, state, or federal laws. Day Kimball Health is a smoke free environment. Are you ready to apply your expertise at the largest employer in Northeastern Connecticut, known for its commitment to excellence in individualized care? Join our team as an Emergency Department Registered Nurse and experience a culture of teamwork, professionalism, mutual respect, and, most importantly, a career that makes a difference! #RegisteredNurse #Nurse #RN #EDRN #ERRN #EmergencyRoomNurse #EmergencyDepartmentRN

RN

Home Health

Full-time

Registered Nurse (RN), Full Time Days, 40-Hours, Homecare

apartment Day Kimball Health location_onThompson, CT

Day Kimball Health is hiring for a full-time Registered Nurse to join our Homecare department in Thompson, CT! Hours: 40 per week Shift: Days Schedule: 8:00 a.m. - 4:30 p.m. Weekends: Every third Registered Nurse Benefits: Medical, Dental, and Vision Insurance Health Savings Account (HSA) or Flexible Spending Account (FSA) Pharmacy Plan 401(k) Retirement Plan – With eligible employer contribution Life Insurance – Basic and supplemental coverage options Short-Term & Long-Term Disability Insurance Critical Illness & Accident Insurance Pet Insurance Paid Time Off – Including vacation days, sick leave, and paid holidays Educational Reimbursement Pay-for-Performance Opportunities Shift Differentials – Additional pay for evening, night, or weekend shifts (where applicable) Career Pathways – Opportunities for clinical ladder advancement, internal growth, leadership development, and mentorship Employee Perks – Weekly Pay, Recognition programs, Employee Wellness Initiatives, Food Truck Fridays, and Employee Appreciation Events Registered Nurse (RN) Job Summary: As the Homecare Registered Nurse (RN), you will provide comprehensive nursing services to individuals, families and groups. Responsible for the overall coordination of the Plan of Care and is proficient in all components of the nursing process. Directly responsible to the Clinical Supervisor. Registered Nurse (RN) Job Responsibilities: Provides skilled nursing care to patients in their homes (including admission/discharge) on a family centered basis while recording/maintaining complete patient record on Portable Electronic Device and/or paper record. Teaches, demonstrates, supervises and evaluates care given by peers, HHAs, family members and significant others. According to age and developmental level of the patient, systematically assesses the patient's physical, psychosocial, emotional, cultural, spiritual and discharge needs. Develops and implements a plan of care for each patient. Utilizes effective oral and written communication skills to include completeness and accuracy of documentation. Evaluates the plan of care and reformulates th goals as necessary. Demonstrates accurate technical skill and operational knowledge of patient care equipment and procedure, including venipuncture to administer IV medication, TPN, lipids, etc. Recognizes unsafe and life-threatening situations and intervenes appropriately. Registered Nurse (RN) Education and Experience Requirements: Graduate of an accredited school of nursing is required Registered Nurse (RN) license issued by the state of Connecticut is required Two years of recent medical/acute care or critical care experience as a registered nurse, or an equivalent level of experience preferred Achieve Home Health Care specific competencies within the time frame determined by the department Valid Connecticut Driver’s License and proof of current insurance coverage required Why Choose Day Kimball Health? The Care You Need. Close to Home. For nearly 130 years, Day Kimball Health has been the trusted healthcare provider for the Northeastern Connecticut community, offering accessible and compassionate care close to home. As a non-profit, integrated healthcare provider, we are committed to delivering high-quality services while maintaining a strong connection with our patients and their families. At Day Kimball, we are passionate about both our patients and our employees. We are growing our talented team every day and offer a supportive, collaborative environment where you can thrive and make a difference. Join us in our mission to elevate community-driven healthcare and be a part of an organization that values both personal and professional growth. Day Kimball Health is an Affirmative Action and Equal Opportunity Employer. We are committed to providing equal employment opportunities to all applicants, regardless of race, color, religion, gender, national origin, age, disability, veteran status, or any other status protected by local, state, or federal laws. Day Kimball Health is a smoke free environment. Are you ready to apply your expertise at the largest employer in Northeastern Connecticut, known for its commitment to excellence in individualized care? Join our team as a HomeCare Registered Nurse and experience a culture of teamwork, professionalism, mutual respect, and, most importantly, a career that makes a difference! #RegisteredNurse #Nurse #RN #HomeCareRN #HomeCareNurse #HospiceRN #HospiceNurse