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Dernière mise à jour : il y a 16 heures
  • Offre sponsorisée
LVN Case Manager Assistant - Ontario Hospital - Utilization Management - Full Time

LVN Case Manager Assistant - Ontario Hospital - Utilization Management - Full Time

HealthEcareers - ClientOntario, CA
Temps plein
The LVN / LPN Case Manager Assistant is responsible to conduct medical necessity screening and work collaboratively with the interdisciplinary team to provide care coordination for patients under the...Voir plusDernière mise à jour : il y a 8 jours
truck driver

truck driver

TRAVEL TRANSPORTON, CA
34,10 $CA par heure
CDI
Education : No degree, certificate or diploma.Experience : Experience an asset.Operate and drive straight or articulated trucks to transport goods and materials. Oversee condition of vehicle and inspe...Voir plusDernière mise à jour : il y a plus de 30 jours
Bilingual Litigation Legal Assistant

Bilingual Litigation Legal Assistant

Meridia Recruitment SolutionsOntario
32,31 $CA –35,30 $CA par heure
Our client, the premier independent Ottawa law firm, is currently seeking a Bilingual Litigation Legal Assistant.The Legal Assistant provides administrative support within a professional legal envi...Voir plusDernière mise à jour : il y a plus de 30 jours
Exam Monitor Lead

Exam Monitor Lead

York UniversityOntario, Canada
21,22 $CA par heure
This position will supervise and monitor exams and tests based on applicable Senate Policies, Registrar's Office procedures, and directions provided by the course instructor.This position will invi...Voir plusDernière mise à jour : il y a plus de 30 jours
Emotional Wellbeing and Mental Health Practitioner (Domestic Abuse Practitioner) (5526)

Emotional Wellbeing and Mental Health Practitioner (Domestic Abuse Practitioner) (5526)

The Children's SocietyHalton
Permanent position with a provisional end date for funding of 31 / 03 / 2025.Locations : Halton / co-locating with Halton Borough Council. The Children’s Society has been helping children and young peopl...Voir plusDernière mise à jour : il y a plus de 30 jours
Educational Assistant, CAE (Full Time)

Educational Assistant, CAE (Full Time)

Tyndale UniversityOntario, CA
36,00 $CA –39,00 $CA par heure
Position DescriptionTyndale is a Christian university that prepares leaders for work in the private, public and not-for-profit sectors, ministry and the global mission of the church.Tyndale offers ...Voir plusDernière mise à jour : il y a plus de 30 jours
Quality Assurance Engineer Internship - Canada

Quality Assurance Engineer Internship - Canada

DataVisorON, CA
Télétravail
Quick Apply
DataVisor is the world’s leading AI-powered Fraud and Risk Platform that delivers the best overall detection coverage in the industry. With an open SaaS platform that supports easy consolidation and...Voir plusDernière mise à jour : il y a plus de 30 jours
British Literature in the World II : Romantic to Contemporary (Online)

British Literature in the World II : Romantic to Contemporary (Online)

University of TorontoOntario, Canada
Temps plein
DutiesAll normal duties related to the design and teaching of a university credit course, including preparation and delivery of course content. development, admin.TA(s) assigned to the course, if a...Voir plusDernière mise à jour : il y a 9 jours
student recruiter - post-secondary education

student recruiter - post-secondary education

canadian music and arts collegeON, CA
50 000,00 $CA – 60 000,00 $CA par an
CDI
Education : Secondary (high) school graduation certificate.Post-secondary educational institution.Answer written and oral inquiries. Obtain and process information required to provide customer servic...Voir plusDernière mise à jour : il y a 23 jours
  • Nouvelle offre
Technical Director - Post production, Septième

Technical Director - Post production, Septième

SeptièmeON, Canada (Remote)
Télétravail
Temps plein
We’re bold, creative, pushing boundaries, sparking innovation and creating the extraordinary on the daily.Our entrepreneurial spirit and passion drives us to find new paths for some of the most rec...Voir plusDernière mise à jour : il y a 16 heures
  • Offre sponsorisée
Senior Applications Engineer

Senior Applications Engineer

The Six SemiconductorOntario, Canada
Temps plein
As a Senior Applications Engineer at TSS, you will be working closely with our sales and engineering teams to support customer engagements. The right candidate will have a combination of technical &...Voir plusDernière mise à jour : il y a 3 jours
Social Worker

Social Worker

Kindred Hospital OntarioOntario, CA
24,35 $CA –30,88 $CA par heure
Coordinates, facilitates, and executes Social Work functions with the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team mem...Voir plusDernière mise à jour : il y a 14 jours
  • Offre sponsorisée
Programmatic Account Manager - Buy

Programmatic Account Manager - Buy

BroadsignOntario, Canada
Temps plein
Programmatic Account Manager - Buy.Are you looking to join a Global Tech leader?.Then we have an exciting opportunity for you in Toronto (anywhere in Ontario works!). Broadsign is a growing software...Voir plusDernière mise à jour : il y a 3 jours
  • Offre sponsorisée
Accounting Manager

Accounting Manager

LHHOntario, Canada
Temps plein
Organization : Valbruna ASW Inc.Position Title : Accounting Manager.Reports to : Financial Controller.Our client is a premier specialty steelmaker offering a unique combination of carbon, stainless, a...Voir plusDernière mise à jour : il y a 3 jours
International Program Assistant

International Program Assistant

York Region District School BoardOntario, Canada
17,00 $CA –22,00 $CA par heure
We have an excellent opportunity for post-secondary students looking to experience an International ESL setting.If you are looking to join a community of professionals working to make a difference ...Voir plusDernière mise à jour : il y a plus de 30 jours
Youth Worker

Youth Worker

Why Not City MissionsOntario, CA
16,25 $CA par heure
Position DescriptionWhy Not Youth Drop In Centre - Youth Worker : Reporting to the Youth Centre Coordinator, we are looking for someone who will be passionate about our culture and mission, servant ...Voir plusDernière mise à jour : il y a plus de 30 jours
flatbed truck driver

flatbed truck driver

Triple Gold TruckingON, CA
28,50 $CA par heure
CDI
Education : Secondary (high) school graduation certificate.Professionalism in customer service.Drive as part of a two-person team or convoy. Oversee condition of vehicle and inspect tires, lights, br...Voir plusDernière mise à jour : il y a plus de 30 jours
  • Offre sponsorisée
Regulatory Affairs Consultant

Regulatory Affairs Consultant

Jingle Frog Ltd.Ontario, Canada
Temps plein
Our mission is to simplify international trade by offering seamless import solutions.With a fresh perspective, we bring quality products worldwide, helping clients thrive in a competitive marketpla...Voir plusDernière mise à jour : il y a 3 jours
Accountant

Accountant

Cardinal HealthOntario, Canada
70 000,00 $CA – 80 000,00 $CA par an
Cardinal Health Canada is not just a healthcare manufacturer and distributor; we are a passionate team of over 1,400 professionals dedicated to revolutionizing healthcare delivery across Canada.Wit...Voir plusDernière mise à jour : il y a plus de 30 jours
physiotherapist

physiotherapist

P. Bhatt Physiotherapy Professional CorporationON, CA
42,00 $CA par heure
CDI
Experience : Experience an asset.Assess patients' physical abilities.Select appropriate exercises, apparatus and manipulations. Maintain clinical and progress reports.Confer with other health profess...Voir plusDernière mise à jour : il y a plus de 30 jours
LVN Case Manager Assistant - Ontario Hospital - Utilization Management - Full Time

LVN Case Manager Assistant - Ontario Hospital - Utilization Management - Full Time

HealthEcareers - ClientOntario, CA
Il y a 8 jours
Type de contrat
  • Temps plein
Description de poste

Job Summary :

The LVN / LPN Case Manager Assistant is responsible to conduct medical necessity screening and work collaboratively with the interdisciplinary team to provide care coordination for patients under the direction of a Registered Nurse and in compliance with evidence-based practice and regulatory requirements. This position complies with the scope of services defined by the Licensed Vocational / Practical Nurse LVN / LPN state licensure requirements. This position integrates national standards for case management scope of services including : Utilization Management supporting medical necessity and denial prevention, Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care, Compliance with state and federal regulatory requirements, TJC accreditation standards and policy Education provided to physicians, patients, families and caregivers, and other duties assigned.

Essential Responsibilities :

  • The individuals responsibilities include the following activities : a) accurate medical necessity screening and submission for Physician Advisor review b) care coordination, c) implementation of the transition plan based on RN Case Manager and / or Social Worker (SW) assessment(s), d) communication with interdisciplinary team during patient care conferences, e) management of concurrent disputes, f ) communication with patients and families regarding the plan of care established by RN, SW and Physician, g) collaboration with physicians, office staff and ancillary departments, h) clear, complete and concise documentation in electronic system, i) maintenance of accurate patient demographic and insurance information, j) identification and documentation of potentially avoidable days, k) identification and reporting of over and underutilization , l) and other duties as assigned
  • Utilization Management :
  • Assures the patient is in the appropriate status and level of care based on Medical Necessity process and submits for Secondary Physician review per Kaiser policy
  • Ensures timely communication of clinical data to various payers to support admission, level of care, length of stay and authorization for post-acute services
  • Advocates for the patient and hospital with payers to secure appropriate payment for services rendered
  • Completion of clinical reviews
  • Promotes prudent utilization of all resources (fiscal, human, environmental, equipment and services) by evaluating resources available to the patient and balancing cost and quality to assure optimal clinical and financial outcomes
  • Identifies and documents Avoidable Days using the data to address opportunities for improvement
  • Prevents denials and disputes by communicating with payers and documenting relevant information
  • Coordinates clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay, discharge and post- acute care) supported by evidence-based practice, internal and external requirements.
  • Identifying appropriate level of care needs
  • Assisting with patient transition to the appropriate level of care
  • Order clarification admission status and patient classification.
  • Maintain and foster timely and accurate with all members if the multidisciplinary team.
  • Escalates barriers to patient care as appropriate
  • Other duties assigned.
  • 30% daily, essential).
  • Transition Management :
  • Makes referrals for post-acute services based on needs identified by the RN Case Manager or SW staff assessment and utilizing the electronic Case Management system
  • Provides patients and families with choices of post-acute providers per Kaiser policy.
  • Based on SW and RN assessment and plan follows up on readmitted patients and implement strategies to address opportunities outlined.
  • Ensures all elements of the transition plan are implemented and communicated to the healthcare team, patient / family and post-acute providers.
  • Identifies and reports variances in appropriateness of medical care provided, over / under utilization of resources compared to evidence-based practice and external requirements. This priority includes documentation in the Case Management system to communicating information through clear, complete and concise documentation
  • 30%daily, essential)
  • Care Coordination :
  • Follows up on patients identified by the SW and / or RN Case Manager on factors that may affect the progression of care
  • Ensures consults, testing and procedures are sequenced to support the patients clinical needs with timely and efficient care delivery
  • Ensures patient needs are communicated and that the healthcare team is mutually accountable to achieve the patient plan of care
  • Effectively collaborates with physicians, nurses, ancillary staff, payors, patients and families to achieve optimum clinical and transition outcomes.
  • 15% daily, essential).
  • Education :
  • Contributes to the education to patients and the care team relevant to the
  • Effective progression of care,
  • Appropriate level of care, and
  • Safe and timely patient transition
  • Provides patients and healthcare team information regarding resources and benefits available to the patient along with the economic impact of care options
  • Ensures that education has been provided to the patient / family / caregiver by the healthcare team prior to discharge
  • 15% daily, essential).
  • Compliance :
  • Ensures compliance with federal, state, and local regulations and accreditation requirements impacting case management scope of services
  • Adheres to department structure and staffing, policies and procedures to comply with the CMS Conditions of Participation and Kaiser policies.
  • Operates within the LVN / LPN scope of practice as defined by state licensing regulations
  • Remains current with Kaiser Utilization Management / Case Management practices
  • 10% daily, essential)
  • PRIMARY INFORMATION, TOOLS AND SYSTEMS USED :
  • Patient data - hospital admission, discharge, transfer system
  • Healthcare staff documentation related to patient care
  • Regulatory and payor requirements
  • Kaiser Plan benefits
  • Health Connect
  • Tapestry
  • McKesson Care Enhance Review Manager (CERMe) InterQual system
  • Clinical data interface and secure faxing
  • Patient Medical Record including Health Connect and Tapestry
  • Hospital specific Clinical Software
  • PERFORMANCE METRICS AND EVALUATION :

The metrics below provide an indication of the effectivene