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Posted Date 3 days ago(7/22/2021 1:23 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6742
Job Locations
US-CO-Denver
Posted Date 4 days ago(7/21/2021 5:06 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6722
Job Locations
US-AZ-Mesa
Posted Date 4 days ago(7/22/2021 8:46 AM)
Job Summary   The Clinical Team Manager (CTM) is responsible for the day to day management and leadership an assigned field clinical operations team. The CTM participates in the hiring and onboarding of new colleagues and the continued clinical development of all colleagues. The position ensures that staff understand and adhere to established clinical protocols and processes. The position may work with internal and external partners, local leadership, and centralized operational teams to deliver efficient compliant processes that result in a positive member and provider experience.      Responsibilities - Manage day to day activities of Care Coordinators as assigned. May include assigned caseload to manage or functioning as a Care Coordinator when work caseloads require. - Monitor colleague caseloads daily and recommend adjustments in assignments for equity. - Approve PTO requests ensuring adequate staffing is available to meet the needs of the department. May provide coverage of PTO of assigned team members. - Review and update CMT Managers Tab (facility assignments) daily. - Facilitate weekly rounds, including but not limited to SNF/IRF/LTAC and/or readmission. - Cultivate a strong internal culture designed around collaboration, feedback, motivation, and accountability. - Participate in the hiring process with General Managers and Senior Clinical Managers (SCM). - Participate/conduct colleague performance reviews. - Ensure the successful onboarding of all new colleagues by completing the 90-day competency review. Report any barriers to SCM and arrange for ongoing support as identified. - Ensure all required home office inspections are completed annually. - May function as a preceptor and/or mentor or collaborate closely with a colleague until they are can function independently. - Review key metrics with Market Leadership including daily and weekly reporting reviews. - Participate in MMR reviews and provides support/coaching/training to improve performance for colleagues scoring below the acceptable threshold. - Monitor and measure the execution of the naviHealth clinical model with a focus on improving patient outcomes. May recommend process and policy changes to SCM based on results from these measures. - Conduct weekly team meetings. - Facilitate weekly 1:1 meetings with assigned colleagues performing both clinical record reviews and offering guidance/support on challenging cases. - Observe colleague performance via observations at set intervals, as determined by the market, but no less than quarterly. - Collaborate with internal business partners/Shared Services area to achieve and maintain all contractual service language agreements. - Ensure compliance with all federal and state regulations, accreditation organizations, and client requests. - Perform other duties and responsibilities as required, assigned, or requested.   Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - At least 5 years of clinical management experience required - Experience managing multi-disciplinary care teams, including nurses, therapists, social workers, or case managers - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player - Knowledge of InterQual and Milliman a plus - Knowledge of NCQA and URAC standards a plus - Certification in case management (Commission for Case Management Certification (CCMC); Association of Rehabilitation Nurses (ARN) if appropriate) preferred   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to sit for an extended time period (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area up to 75% of the time - Some overnight travel may be required – up to 15% of the time About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit www.navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.  
Job ID
2021-6717
Job Locations
US-MI
Posted Date 6 days ago(7/19/2021 12:40 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6693
Job Locations
US-WI-Milwaukee
Colleague Shift
Mon–Fri, 8am–5pm CST
Posted Date 1 week ago(7/15/2021 11:37 AM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6687
Job Locations
US-NC-Greensboro
Posted Date 1 week ago(7/16/2021 1:39 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6686
Job Locations
US-IL-Elmhurst | US-IL-Lombard | US-IL-Downers Grove
Colleague Shift
Mon–Fri, 8am–5pm CST
Posted Date 1 week ago(7/15/2021 8:02 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6684
Job Locations
US-AL-West Mobile
Colleague Shift
Mon–Fri, 8am–5pm CST
Posted Date 2 weeks ago(7/14/2021 11:36 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6662
Job Locations
US-IN-Beechgrove
Colleague Shift
Mon–Fri, 7am–4pm CST
Posted Date 2 weeks ago(7/14/2021 11:43 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6661
Job Locations
US-IN-Ft. Wayne
Colleague Shift
Mon–Fri, 7am–4pm CST
Posted Date 2 weeks ago(7/13/2021 2:31 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6655
Job Locations
US-MO-Springfield
Posted Date 1 week ago(7/15/2021 11:37 AM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6646
Job Locations
US-SC-Charleston | US-SC-Bluffton
Colleague Shift
Mon–Fri, 7am–4pm CST
Posted Date 2 weeks ago(7/14/2021 6:01 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6636
Job Locations
US-IN-Ft. Wayne
Posted Date 3 weeks ago(7/6/2021 3:00 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6634
Job Locations
US-IN-Columbus
Colleague Shift
Mon–Fri, 7am–4pm CST
Posted Date 2 weeks ago(7/12/2021 1:44 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6633
Job Locations
US-PA-Pittsburgh
Colleague Shift
Mon–Fri, 7am–4pm CST
Posted Date 5 days ago(7/20/2021 1:42 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6628
Job Locations
US-TX-Houston
Colleague Shift
Mon–Fri, 8am–5pm CST
Posted Date 2 weeks ago(7/12/2021 9:55 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6624
Job Locations
US-NJ-Essex County
Colleague Shift
Mon–Fri, 7am–4pm CST
Posted Date 2 weeks ago(7/12/2021 2:41 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6615
Job Locations
US-OH-Springfield
Colleague Shift
Mon–Fri, 7am–3:30pm CST
Posted Date 3 weeks ago(7/6/2021 1:37 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6613
Job Locations
US-OR-Salem
Colleague Shift
Mon–Fri, 10am–7pm CST
Posted Date 2 weeks ago(7/13/2021 2:11 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6610
Job Locations
US-FL-Kendall
Colleague Shift
Mon–Fri, 8am–5pm CST
Posted Date 4 weeks ago(6/30/2021 9:55 AM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6590
Job Locations
US-CO-Loveland

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