DESERT OASIS HEALTHCARE Jobs

Description The lead Medication Referral Nurse, Utilization Management Quality Monitoring Specialist is responsible for assisting with the oversight of daily operations and providing training and support to Medication Referral Coordinators. This role will provide high level, complex referral support and coordination to the manager; will serve as a liaison between the Referral Department, the requesting providers, and the Medication Referral team. Will serve as a subject matter expert to staff...

Description The Intense Case Manager (LVN) is a member of a multi-disciplinary team that focuses on managing care for patients identified as high risk, high cost, or complex secondary to inadequately managed behavioral health and substance use needs. The Intense Case Manager (ICM) is responsible for conducting physical and psychological assessments, medication reconciliations, care coordination, care planning, care plan evaluation and monitoring for assigned patients within multiple environme...

Description The Social Services Case Manager III (SSCMIII) is the third level position within the Social Services Case Manager positions and is a member of the interdisciplinary care team (IDCT). The SSCMIII will carry a designated caseload of moderate complexity and will case manage each member until the member s social services/behavioral health needs have been met. Will escalate cases to higher level SSCM s as deemed appropriate based on the case complexity level. Will collaborate with oth...

Description The Utilization Management (UM) Nurse Supervisor is responsible for managing the UM nursing and contracted staff, ensuring accurate and appropriate clinical review of hierarchical criteria usage, Health Plan (HP)/CMS provider/patient letter notifications and regulatory turn-around times (TATs) for prior authorization compliance. The role involves oversight of ongoing monitoring and auditing of daily operations to ensure compliance with regulatory requirements, policies, and proced...

Description The Registered Nurse (RN) in the Infusion department provides patient care and services within scope of practice under the California State Law defining the Nurse Practice Act. The Infusion RN specializes in administering intravenous medication fluids and blood to patients as ordered by a licensed Provider. Professional Duties Review all incoming referrals that require labs to ensure that appropriate labs are within established parameters and that all required documentation is on ...

Description Under the direction of the Quality Programs Director, the Quality Programs LVN Case Manager plays a key role in supporting HEDIS and quality reporting initiatives, ensuring healthcare providers excel in meeting Quality Measures consistent with the CMS Star Rating Program. This role is responsible for ensuring the accuracy, completeness, and compliance of medical record abstraction and data validation processes that impact HEDIS measure performance, regulatory audits, and quality i...

Description The Clinic Assistant will answer telephones and assist patients with various requests. If unable to assist, the clinic assistant will triage to the appropriate provider. They will also assist clinic staff with scheduling, checking patient s eligibility and maintaining patient s records. Will also provide support with other clerical tasks assigned to them. Professional Duties Assists providers with translation services when necessary Establishes and maintains effective communicatio...

Description The Registered Physical Therapist ensures Physical Therapy services are delivered appropriately, meeting regulations. Provides quality Physical Therapy services in a timely manner to patients according to a written plan of care. Professional Duties Maintain member confidentiality at all times (HIPAA). Provides direct planned patient therapy services (within scope of practice) under the direction and orders of a Physician/Practitioner and according to agency policies and patient pl...

Description The Home Health Social Worker is a member of the Home Health team and provides services in accordance with an established plan of care that is based on the patient s psychosocial assessment and the needs of the patient and family. Professional Duties Exercise discretion, use independent judgment and perform risk assessments. This includes Psychosocial, Mental Health, Home safety, Finances and support of the family system which could potentially affect coordination of the Home Heal...

Description The Speech Language Pathologist(SLP) is responsible for developing and implementing a Plan of Care for Home Health patients with communication and/or swallowing difficulties. Professional Duties Evaluates home health patients and develops a plan of care based on home environment, patient identified needs, medical needs, and equipment needs. Performs initial and ongoing assessments including the OASIS when applicable. Identifies functional speech and communication defects and works...

Description An Educator who assists in developing and implementing programs for Member Education for Desert Oasis Healthcare. Professional Duties Provide nutrition care consultation to members of DOHC regarding nutritional health care needs according to current nutrition standards. Provide diabetes and nutrition education in an individual and/or group setting. Evaluate and report results of nutrition appropriately. Utilize other disciplines knowledge and expertise to assist in problem solving...

Description The SNF CM Manager is responsible for managing member care management and coordination for members in Skilled Nursing Facilities (SNF). This individual is responsible for the leadership and oversight of assigned SNF staff and collaborating with department management and other individuals throughout the organization to support continuity of care and the delivery of quality care. Professional Duties Collaborate with Director of Care Management to ensure that departmental operations ...

Description The Dementia Clinic Assistant will collaborate with the Dementia Clinical Pharmacist to support the Dementia Clinic. This role will function as a non-licensed specialist, providing expertise in resources, care coordination, and escalation to the clinician for members with Alzheimer s dementia. Professional Duties Contact patients and patients' families to follow up on the Clinical Pharmacist s recommendations. Document patient and family interactions in the electronic medical reco...

Description The Admissions-Visits Nurse is a registered nurse and a Team member whose primary responsibility is to present FHC services and philosophy to patients and families in a manner that result in the admission of appropriate patients. Professional Duties Evaluates patients for hospice appropriateness using medical records review and consultation with Supervisor, DPCS and Medical Director. Provides direct patient care and telephonic triage, as defined in State Nurse Practice Act. Provid...

Description The Social Services Case Manager III (SSCMIII) is the third level position within the Social Services Case Manager positions and is a member of the interdisciplinary care team (IDCT). The SSCMIII will carry a designated caseload of moderate complexity and will case manage each member until the member s social services/behavioral health needs have been met. Will escalate cases to higher level SSCM s as deemed appropriate based on the case complexity level. Will collaborate with oth...

Description The Home Health Social Worker is a member of the Home Health team and provides services in accordance with an established plan of care that is based on the patient s psychosocial assessment and the needs of the patient and family. Professional Duties Exercise discretion, use independent judgment and perform risk assessments. This includes Psychosocial, Mental Health, Home safety, Finances and support of the family system which could potentially affect coordination of the Home Heal...

Description The Epic Ambulatory Analyst serves as the primary business and application owner for Epic Ambulatory workflows and functionality throughout Desert Oasis Healthcare (DOHC). This position functions as a strategic liaison between Information Systems, Clinical Operations, Population Health, Care Management, Quality Improvement, and Operational Leadership to ensure Epic technology supports organizational goals, provider efficiency, patient outcomes, regulatory compliance, and value-bas...

Description The RN Cardiac Case Manager provides nursing services and care coordination to high risk and/or high cost patients with acute or chronic disease processes. Services are provided telephonically. If the service is being provided for specific disease states, the service will be provided telephonically and at specific DOHC/DOHC contracted locations. The RN Cardiac Case Manager provides care coordination, education, counseling, and on-demand information to patients who have been enroll...

Description The Clinical Pharmacist in the Population Health and Prescription Management (PHARxM) provides clinical, and educational functions as necessary to support the overall patient care provided by PHARXMTM Services. The Clinical Practice Pharmacist provides medication therapy management for patients as defined under medical staff approved protocols. This individual supports and contributes to process improvement within the PHARxM clinics and department and participate in the training e...

Description The Nursing Manager is responsible for the oversight and leadership of assigned Nursing areas. The Nursing Manager ensures that the department is adequately staffed and has adequate resources available in order to provide quality patient care. Professional Duties Collaborate with department management team to establish departmental financial and operational goals and actively contributes to the achievement of assigned goals. Provide leadership and oversight to assigned staff. Ensu...