Position Objective:&nbsp;&nbsp;Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment. &nbsp;Essential Job Duties:1. Chart Review:Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource utilization; enters clinical review in EPIC; maintains close communication with external reviews, care coordinators, and providers; reconciles and records days authorized in EPIC2. Denial Management:Monitors and identifies patterns or trends in utilization management; monitors potential and actual denials and collaborates with care coordinator for any follow up necessary; documents actions taken to avoid denial;&nbsp; assists Care Coordinator in communicating with the patient denied hospital days with work toward resolution and discharge.3. Care Coordination:Collaborates with the Care Coordinator to achieve optimal and efficient patient outcomes while decreasing length of stay, avoidable delays and denied days; utilizes Physician Advisor and administrative personnel for unresolved issues; identifies opportunities for expedited appeals and collaborates with the care coordinator and Physician Advisor to resolve payer issues.4.&nbsp; Process improvement initiativesParticipates in nursing unit and department clinical outcome projects as well as process improvement initiatives of care management.Educational/Experience Requirements:<ul><li>Bachelor’s of Science in Nursing or Associate’s degree in Nursing with equivalent experience. &nbsp;BSN must be achieved within 5 years of start date in the role.&nbsp;&nbsp;</li><li>Three&nbsp;years of clinical nursing in an acute care hospital setting.</li></ul>RequiredLicense/Certifications:<ul><li>Current RN license from Maryland Board of Nursing.</li></ul>Working Conditions, Equipment, Physical Demands:There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens.Physical Demands -The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.The above job description is an overview of the functions and requirements for this position.&nbsp; This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.<div class="content-pay-transparency"><div class="pay-input"><div class="title">Pay Range</div><div class="pay-range">$34&mdash;$55 USD</div></div></div><div class="content-conclusion">Luminis Health Benefits Overview: • &nbsp; &nbsp;Medical, Dental, and Vision Insurance • &nbsp; &nbsp;Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year) • &nbsp; &nbsp;Paid Time Off • &nbsp; &nbsp;Tuition Assistance Benefits • &nbsp; &nbsp;Employee Referral Bonus Program • &nbsp; &nbsp;Paid Holidays, Disability, and Life/AD&amp;D for full-time employees • &nbsp; &nbsp;Wellness Programs • &nbsp; &nbsp;Employee Assistance Programs and more *Benefit offerings based on employment status
Opt-in for text notifications! Luminis Health's two-way SMS texting platform lets you receive notifications and messages from our Talent Acquisition team directly on your phone. To enable this feature, select "yes" when asked to "opt-in to receive text messages" and to "Receive updates from a recruiter about this job via SMS" when completing your application. Once you are opted in, you can easily opt-out at any time.&nbsp; Standard text messaging rates may apply based on the candidate's mobile carrier plan. Luminis Health is not responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and usage charges.
 
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public

Utilization Management Nurse

Utilization Management Nurse - Emergency department

Position Objective:
Performs ultrasound procedures in accordance with established safety and quality standards and the special needs of patients.
Essential Job Duties:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
<ol>
<li>Performs ultrasound diagnostic procedures and routine ultrasound procedures within the designated time frame and in accordance with the established quality standards and needs of the department.</li>
<li>Participates in performing biopsies of various organs and in preparing patients for specific procedures.</li>
<li>Confers with the department supervisor to report problems relative to equipment, staffing and productivity and makes recommendations on personnel matters within an assigned area.</li>
<li>Obtains pertinent clinical data prior to sonographic examination, supervises the preparation of patients and records significant data.</li>
<li>Conducts daily calibration checks in the adjustment and maintenance of ultrasound and peripheral equipment and records results.</li>
<li>Maintains daily activities log and procedure manual; complies data and issues monthly reports as required.</li>
<li>Ensures compliance with AAD safety policies and procedures; maintains cleanliness and sanitation standards in the work area.</li>
<li>Assists in the clinical instruction of technologists and students when needed.</li>
<li>Monitors supplies in assigned work area and notifies manager when shortages occur. Assures to stock assigned area during each shift and monitor expiration of time sensitive supplies and takes appropriate action when needed.</li>
<li>Maintains current license, CMEs and participates in various applicable educational activities as per regulatory/requirements.</li>
</ol>
Educational/Experience Requirements:
<ul>
<li>Successful completion of a one-year program in ultrasound technology.&nbsp;&nbsp;</li>
</ul>
Required&nbsp;License/Certifications:
<ul>
<li>Registered Diagnostic Medical Sonographer (RDMS) certification&nbsp;in physics, abdomen-pelvis, Ob-Gyn&nbsp;by the American Registry for Diagnostic Medical Sonography (ARDMS)</li>
<li>American Heart Association Health Care Provider BLS CPR certification.</li>
</ul>
Working Conditions, Equipment, Physical Demands:
There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens.
Physical Demands -
The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.
The above job description is an overview of the functions and requirements for this position.&nbsp; This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.
<div class="content-pay-transparency"><div class="pay-input"><div class="title">Pay Range</div><div class="pay-range">$19&mdash;$23 USD</div></div></div><div class="content-conclusion">Luminis Health Benefits Overview: • &nbsp; &nbsp;Medical, Dental, and Vision Insurance • &nbsp; &nbsp;Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year) • &nbsp; &nbsp;Paid Time Off • &nbsp; &nbsp;Tuition Assistance Benefits • &nbsp; &nbsp;Employee Referral Bonus Program • &nbsp; &nbsp;Paid Holidays, Disability, and Life/AD&amp;D for full-time employees • &nbsp; &nbsp;Wellness Programs • &nbsp; &nbsp;Employee Assistance Programs and more *Benefit offerings based on employment status
Opt-in for text notifications! Luminis Health's two-way SMS texting platform lets you receive notifications and messages from our Talent Acquisition team directly on your phone. To enable this feature, select "yes" when asked to "opt-in to receive text messages" and to "Receive updates from a recruiter about this job via SMS" when completing your application. Once you are opted in, you can easily opt-out at any time.&nbsp; Standard text messaging rates may apply based on the candidate's mobile carrier plan. Luminis Health is not responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and usage charges.
 
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Vascular Ultrasound Technologist - AAD

20200-50064-002095 (RN Virtual Clinical Nurse)&nbsp;&nbsp;Virtual Nurse – Luminis Health Position Objective:Contributes to the provision of high-quality, cost-effective healthcare as a provider of direct and indirect patient care and by effective of the health care team. Functions as a competent member of the health care team.Essential Job Duties:Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:1. Clinical Decision Making/Judgment<ul><li>Demonstrates clinical nursing knowledge and skill based upon the needs of the patient population.</li><li>Demonstrates the ability to apply the nursing process effectively in the care of culturally diverse patients and families. Demonstrates the ability to utilize all applicable laws, policies, standards, guidelines and evidence-based practice in the provision of patient/family care.</li><li>Organizes and reprioritizes patient care activities based on subtle and overt and/or environmental changes.</li><li>Consistently and thoroughly assesses patients to collect data and identify learning needs according to established standards and policies.</li><li>Utilizes a systematic, continuous and complete analysis of assessment data to develop individualized problem lists for assigned patients.</li><li>Develops and individualizes a plan of care for each patient in accordance with established standards, appropriate prioritization of problems/needs, and mutually agreed upon goals.</li><li>Efficiently implements the patients plan of care in accordance with applicable standards, policies, procedures and guidelines.</li><li>Demonstrates clinical proficiency in patient education and nursing practice related to medication administration, medication side effects, pain management, drains, wounds, ostomy care, post-operative care, and other specific skills as needed for virtual clinical care.</li><li>Continuously evaluates the effectiveness of the plan(s) of care, making revisions and recommendations based on analysis of patient responses to interventions.</li></ul>2. Nurse-Patient Family Relationships<ul><li>Demonstrates the ability to assess the patients/familys learning needs, readiness to learn, learning style, and presence of barriers to learning.</li><li>Demonstrates the ability to develop, implement and evaluate teaching plans for patient populations in accordance with applicable standards.</li><li>Demonstrates the ability to apply knowledge of growth and development across the life span to the care of patients.</li><li>Provides virtual patient care to patients and families in a culturally, developmentally and ethically appropriate manner.</li><li>Plans of care address the physical, psychosocial, spiritual, social determinants of health, and learning needs of the patient/family.</li></ul>3. Clinical Scholarship<ul><li>Participates in Quality reviews or initiatives.</li><li>Participates in QI, CPI, and risk management activities at the unit, department, or organizational level.</li><li>Collaborate with healthcare team to ensure effective quality care delivery</li><li>Supports the use of evidence-based guidelines and organizational policies and procedures to promote safe patient care and a safe practice environment.</li><li>Enhance the patient experience by utilizing appropriate communication, providing patient centered care, and collaborating with the care team to ensure patient concerns are addressed.</li></ul>4. Clinical Leadership<ul><li>Promotes shared governance by actively participating in Luminis Health Nursing Practice committees.</li><li>Participates in the education and/or orientation of new staff.</li><li>Delegates patient care activities as appropriate; evaluates delegated activities for expected patient care outcomes.</li><li>Employs real time computer documentation when completing patient record.</li><li>Participate in daily dyad rounds with physician, nurse, and other care team members.</li><li>Utilize the appropriate resources to ensure patient centered quality care is provided.</li></ul>&nbsp;5. Role Specific Responsibilities<ul><li>Provide nursing care to the adult medical patients ranging in age from 18 years to the elderly.</li><li>Demonstrates the ability to utilize various forms of technology to effectively deliver appropriate nursing care and patient education to desired population.</li><li>Demonstrates the ability to utilize telemetry as an assessment tool and manage the patient care.</li><li>Identifies and treats in conjunction with the primary care team the following nursing diagnoses that frequently occur in the medical population:<ul><li>Activity intolerance</li><li>Impaired adjustment</li><li>Impaired physical mobility</li><li>Pain</li><li>Self-care deficit</li><li>Alteration in elimination</li><li>Potential for impaired gas exchanges in pulmonary system</li><li>Increased risk for impaired skin integrity</li><li>Increased risk for infection</li><li>Ineffective Coping</li><li>Enhance the patient experience by utilizing appropriate communication, providing patient centered care, and collaborating with the care team to ensure patient concerns are addressed.</li></ul></li></ul>Educational/Experience Requirements:<ul><li>Graduate of an accredited school of nursing<ul><li>Bachelor of Science in Nursing (BSN) or higher nursing degree preferred.</li><li>Adheres to the credentialing requirements of Luminis Health as stated in the nursing bylaws for Luminis Health Anne Arundel Medical Center (AAMC) and/or Luminis Health Doctor’s Community Hospital (DCH).</li><li>Five years current clinical nursing experience in specialty</li></ul></li></ul>Required License/Certifications:<ul><li>Current licensure as a registered nurse by the Maryland Board of Nursing</li><li>BLS - American Heart Association Healthcare Provider certification</li></ul>Working Conditions, Equipment, Physical Demands:Physical Demands – Light Work – Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.&nbsp; If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.<div class="content-pay-transparency"><div class="pay-input"><div class="title">Pay Range</div><div class="pay-range">$39&mdash;$58 USD</div></div></div><div class="content-conclusion">Luminis Health Benefits Overview: • &nbsp; &nbsp;Medical, Dental, and Vision Insurance • &nbsp; &nbsp;Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year) • &nbsp; &nbsp;Paid Time Off • &nbsp; &nbsp;Tuition Assistance Benefits • &nbsp; &nbsp;Employee Referral Bonus Program • &nbsp; &nbsp;Paid Holidays, Disability, and Life/AD&amp;D for full-time employees • &nbsp; &nbsp;Wellness Programs • &nbsp; &nbsp;Employee Assistance Programs and more *Benefit offerings based on employment status
Opt-in for text notifications! Luminis Health's two-way SMS texting platform lets you receive notifications and messages from our Talent Acquisition team directly on your phone. To enable this feature, select "yes" when asked to "opt-in to receive text messages" and to "Receive updates from a recruiter about this job via SMS" when completing your application. Once you are opted in, you can easily opt-out at any time.&nbsp; Standard text messaging rates may apply based on the candidate's mobile carrier plan. Luminis Health is not responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and usage charges.
 
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&nbsp;</div>

Virtual Clinic Nurse (onsite)

Position Objective:The Wound Ostomy Nurse (WON) or Wound Ostomy Continence (WOC N) serves as the clinical resource and consultant for the acute care setting within the hospital relative to the care of the patient with selected disorders of the gastrointestional, genitourinary and integumentary systems.Essential Job Duties:Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions<ol><li>Utilizes and maintains current physical assessment skills and interview techniques to determine patient needs.</li><li>When possible or requested by the surgeon for an outpatient stoma marking, determines the appropriate site for stoma placement, considering patient’s anatomical markings, physical capabilities and lifestyle.</li><li>Provides appropriate written information to patients and staff, including postoperative and discharge instructions, referrals and supply needs.</li><li>Serves as a resource for ostomy patients after discharge through scheduled outpatient consultations and telephone consultation.</li><li>Serves as a resource/clinical expert regarding pressure injury prevention.</li><li>Provides consultation and direct assistance to nursing staff on issues related to patients with altered skin integrity secondary to pressure, necrosis, drainage or continence disorders.</li><li>Supports the Interdisciplinary team of physician, case manager, physical therapy, nutritional expert with preparing patients for treatments and discharging patients as needed.</li><li>Responsible for review and implementation of the JCAHO standards in collaboration with the Nurse Supervisor/Manager in the inpatient setting.</li><li>Facilitates and assists the education and the precepting of new staff in both the inpatient settings.</li><li>Expertly employs real time computer documentation when completing the patient EMR.</li></ol>Educational/Experience Requirements:Required Minimum Education: Minimum of three years as a Registered Nurse in a care setting applicable to related nursing settingRequired Minimum Experience: BS degree, BSN preferredRequired License/Certifications:<ul><li>Certified in Wound and Ostomy</li><li>Current licensure as a registered nurse by the Maryland Board of Nursing.</li><li>Adherence to credentialing requirements of AAMC as stated in the nursing bylaws.</li></ul>Working Conditions, Equipment, Physical Demands:Based on the essential functions, HR will insert the type of work performed (e.g. light, medium, heavy, etc).There is reasonable expectation that employees in this position will be exposed to blood-borne pathogens.The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.<div class="content-pay-transparency"><div class="pay-input"><div class="title">Pay Range</div><div class="pay-range">$40&mdash;$60 USD</div></div></div><div class="content-conclusion">Luminis Health Benefits Overview: • &nbsp; &nbsp;Medical, Dental, and Vision Insurance • &nbsp; &nbsp;Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year) • &nbsp; &nbsp;Paid Time Off • &nbsp; &nbsp;Tuition Assistance Benefits • &nbsp; &nbsp;Employee Referral Bonus Program • &nbsp; &nbsp;Paid Holidays, Disability, and Life/AD&amp;D for full-time employees • &nbsp; &nbsp;Wellness Programs • &nbsp; &nbsp;Employee Assistance Programs and more *Benefit offerings based on employment status
Opt-in for text notifications! Luminis Health's two-way SMS texting platform lets you receive notifications and messages from our Talent Acquisition team directly on your phone. To enable this feature, select "yes" when asked to "opt-in to receive text messages" and to "Receive updates from a recruiter about this job via SMS" when completing your application. Once you are opted in, you can easily opt-out at any time.&nbsp; Standard text messaging rates may apply based on the candidate's mobile carrier plan. Luminis Health is not responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and usage charges.
 
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&nbsp;</div>

Wound Ostomy Nurse

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