Nurse

• Deliver in-home nursing care aligned with patient care plans
• Review and follow Plan of Care prior to each visit
• Communicate patient updates, concerns, and changes in condition
• Assist with medication management and documentation
• Educate patients and families on self-care techniques
• Identify safety concerns and help prevent hospitalizations
• Collaborate with RN Case Managers, physicians, and care team
• Report to the Clinical Manager or Branch Director for Personal Care Services

Licensed Practical Nurse

• Ensure the delivery of efficient and effective nursing care
• Achieve positive clinical outcomes and resident/family satisfaction
• Provide care in accordance with accepted standards of practice, state and federal regulations, and licensing requirements
• Operate within the scope of practice defined by the state Nurse Practice Act
• Direct resident care and nursing care during assigned shift
• Make staff assignments
• Mentor and educate nursing personnel
• Work with physicians and other medical professionals

Registered Nurse, RN

• Provide safe and effective administration of specialty medications, including IV infusion, in patients' homes
• Partner with pharmacists and care teams to ensure holistic patient well-being
• Document assessments, treatments, and progress to maintain accurate patient records
• Serve as the primary point of contact for patient updates and care coordination
• Demonstrate autonomy in clinical decision-making to achieve optimal outcomes

Specialty Infusion Field Nurse, Per Diem

• Ensure the delivery of efficient and effective nursing care
• Achieve positive clinical outcomes and resident/family satisfaction
• Provide care in accordance with accepted standards of practice, state and federal regulations, and licensing requirements
• Operate within the scope of practice defined by the state Nurse Practice Act
• Manage resident care and direct nursing care during the assigned shift
• Make staff assignments
• Mentor and educate nursing personnel
• Work with physicians and other medical professionals

• Ensure the delivery of efficient and effective nursing care
• Achieve positive clinical outcomes and resident/family satisfaction
• Provide resident care and direct nursing care during the assigned shift
• Make staff assignments
• Mentor and educate nursing personnel
• Work with physicians and other medical professionals
• Follow accepted standards of practice, state and federal regulations, and licensing requirements
• Operate within the scope of practice defined by the state Nurse Practice Act

Licensed Practical Nurse, LPN

• Perform concurrent reviews to determine members’ overall health, appropriate care, and level of care
• Review acuity level, resource consumption, length of stay, and discharge planning
• Work with Medical Affairs and/or Medical Directors regarding member care
• Collect, document, and maintain concurrent review findings, discharge plans, and actions in health management systems
• Work with healthcare providers to approve medical determinations or provide recommendations
• Educate providers on utilization processes
• Provide leadership feedback on opportunities to improve level of care and medical necessity
• Review transfer and discharge plans to ensure timely transitions between levels of care and facilities
• Collaborate with care management on member referrals
• Comply with all policies and standards and perform other assigned duties

Clinical Review Nurse – Concurrent Review

• Develop, assess and coordinate care management activities based on member needs
• Develop or contribute to personalized care plans/service plans
• Educate members and families/caregivers on services, benefit options, care options, referrals and healthcare benefits
• Evaluate member needs, barriers to care and available resources; recommend and facilitate appropriate plans
• Identify providers, specialists and community resources needed for care
• Provide psychosocial and resource support regarding employment, education, housing, food, participant direction, independent living, justice and foster care
• Coordinate among members/families, caregivers and care provider teams to ensure timely access to services
• Monitor progress toward care plan goals and member status or changes in condition
• Collaborate with healthcare providers to revise care plans and address member needs
• Collect, document and maintain member information and care management activities for regulatory compliance
• Perform on-site visits as appropriate to assess member needs and collaborate with providers/resources
• Perform other duties assigned by the people leader and comply with policies and standards

Care Navigator, LPN/LVN

• Perform inpatient admission, concurrent, and retrospective reviews for Medicare, Medicaid, managed care, and self-pay patients using CMS guidelines
• Use a national medical necessity tool to assess inpatient-level-of-care or observation appropriateness
• Stay current on regulatory changes affecting acute-care delivery or reimbursement
• Identify and record progression-of-care and patient-flow barriers and communicate denial-of-stay information to the care team
• Collaborate with physicians and APRNs on resource utilization, status determination, and transitions of care
• Educate patient-care teams on access to and use of various levels of care
• Represent utilization management at committees, professional organizations, and physician groups
• Promote accurate medical documentation of findings, interventions, complications, comorbidities, quality and safety indicators, and continuing-stay needs
• Confer with attending physicians and the Physician Advisor regarding medically unnecessary inpatient treatment
• Coordinate appeals of denials
• Serve as a resource for physicians, nurses, billing office, and external departments on coverage and compliance issues
• Participate in program development and process improvement efforts
• Perform other duties as assigned

Utilization Review, Registered Nurse – Weekend

• Work closely with 1–3 providers in outpatient cardiology practice clinics
• Serve as mediator between patients and physicians
• Convey important patient information to providers and alert them to critical issues promptly
• Provide direct patient care, including assessment, planning, implementation and evaluation
• Complete health histories and physical examinations and convey findings to physicians
• Coordinate patient care and order diagnostic tests
• Convey diagnostic findings to physicians
• Attend inpatient rounds
• Coordinate patient appointments and assist with outside referrals
• Assist physicians with examinations, procedures and other direct patient-care processes
• Perform nursing administrative duties related to environmental safety, infection control and quality assurance
• Facilitate communication and coordination of care among patients, families and health team members
• Explain routines and procedures to patients
• Coordinate patient-care information with appropriate sources

RN Clinical Nurse Coordinator – Cardiology

• Conduct comprehensive assessments of members with chronic medical, behavioral health, and social determinant of health needs
• Conduct telephonic member engagement and coordinate care for 50–75% of the day
• Compile clinical information and develop individualized care plans with members
• Provide evidence-based disease-management education and support
• Engage appropriate interdisciplinary care team members
• Coordinate care to provide a seamless healthcare experience
• Document care-management activities accurately and timely in electronic health records
• Collaborate with the interdisciplinary care team to address barriers and maintain stable health conditions
• Connect members with health-plan benefits, community resources, and support services
• Meet regulatory requirements within specified timelines
• Support care-team members through clinical decision-making and guidance
• Participate in special projects, process improvement, and mentoring new team members
• Participate in team meetings to discuss member status and care strategies

Nurse jobs in Missouri

Licensed Practical Nurse

Registered Nurse, RN

Specialty Infusion Field Nurse, Per Diem

Registered Nurse, RN

Licensed Practical Nurse, LPN

Clinical Review Nurse – Concurrent Review

Care Navigator, LPN/LVN

Utilization Review, Registered Nurse – Weekend

RN Clinical Nurse Coordinator – Cardiology

Care Manager – Registered Nurse