Nurse Case Management

Nurse Case Management

Oversee and streamline patient care plans, ensuring that individuals receive appropriate, cost-effective treatments and supportive resources throughout recovery.

+Pediatric Nurse Case Management

+Oncology Nurse Case Management

+Hospice Nurse Case Management

+Behavioral Health Nurse Case Management

+Workers’ Compensation Nurse Case Management

+Telephonic Nurse Case Management

Registered Nurse - Case Manager
Yale - New Haven HealthHartford, CT
As an integral member of the Yale New Haven Health System (YNHHS) healthcare team, the Registered Professional Nurse (RN) upholds the YNHHS mission, vision, values and strategic initiatives to provide the highest level of patient centered care.. Health Teaching and Health Promotion: The RN employs strategies to promote health and a safe environment.. Registered Nurse is the foundational job description for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program.. 1 year acute care or ambulatory RN experience required. 2 years oncology and/or ambulatory RN experience preferred
Hospice RN Case Manager
Center for Hospice CareMishawaka, IN
Registered Nurse/Case Manager Hospice Care-Mishawaka. Healthy lifestyle reimbursement program – Reimbursement for items such as gym memberships, spin classes, yoga classes, etc.. Annual anniversary/retention bonus - Upon completion of each year of employment, CHC will give $100 per year with a maximum of $1,000. Documents LPN, Home Health, and Hospice Aide supervisory visits every 14 days.. Compliance to Annual Flu Shot and COVID Vaccination Policy or ability to provide exemption documentation
Rn - Case Manager - Discharge Planner
University of New Mexico - HospitalsBosque Farms, NM
Job Description RN - CASE MANAGER- DISCHARGE PLANNER Sign-on Bonus and Relocation Reimbursement available!. As a day shift, full-time, Care Manager and Discharge Planner, you would be working for the only Level I Trauma hospital within Albuquerque, NM. OVERVIEW As team member you would monitor and coordinate the patient plan of care to ensure continuity throughout all health care settings.. Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, utilization of resources and analysis of variances.. ORDERS AND REFERRALS - Obtain necessary orders from physicians to initiate home health referrals, home infusion medications and supplies, oxygen and equipment; coordinate referrals for oxygen and equipment. ORIENTATION - Participate in orientation, continuing education of staff RN's and other health care team members as appropriate
Rn - Case Manager - Discharge Planner
Disability SolutionsAlbuquerque, NM
As a day shift, full-time, Care Manager and Discharge Planner, you would be working for the only Level I Trauma hospital within Albuquerque, NM.. Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, utilization of resources and analysis of variances.. ORDERS AND REFERRALS - Obtain necessary orders from physicians to initiate home health referrals, home infusion medications and supplies, oxygen and equipment; coordinate referrals for oxygen and equipment. ORIENTATION - Participate in orientation, continuing education of staff RN's and other health care team members as appropriate. PATIENT CARE - (UPC and CPC Only) Write treatment plans; coordinate patient drug and procedure activities; administer medication and treatment; provide and coordinate nursing care of assigned patients; may facilitate group therapy and/or education sessions
Social Worker / Discharge Planner
Northwest Mississippi Regional Medical CenterClarksdale, MS
Provides assessment and crisis intervention; plans, organizes and implements social work services for patients and families.. Licensed Master Social Worker Preferred (LMSW). One (1) year of social work or resource management experience in an acute healthcare and/or mental health setting is strongly preferred.. Must have a strong working knowledge of managed care and community resources and resource management relating to complex medical concerns.. BLS certification is required (or within 30 days of hire into the position).
Supervisor Rn Case Manager
UNMHSCHSAlamogordo, NM
Relocation Assistance Available. Patient care assignment may include Neonate, Pediatric, Adolescent, Adult and Geriatric age groups.. DISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN's, and other health care team members. INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary. ORIENTATION - Participate in orientation, continuing education of staff RN's and other health care team members as appropriate
The navigator educates/provides information and support to patients in order to guide and facilitate understanding of treatment plans prescribed by licensed independent practitioners and/or within scope of nursing practice.. Assists patient/family with scheduling ancillary testing and other services and presenting necessary history, diagnostic/treatment studies and/or results, etc through the continuum of care.. Available as a resource to assist in the provision of community education and outreach development.. Ensures patients' referral process and transition into specialty services are timely and efficient, anticipates patient and family needs throughout the continuum of care.. CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required and
Ambulatory Care Nurse
NYU Grossman School of MedicineNew York, NY
We have an exciting opportunity to join our team as a Ambulatory Care Nurse (37.5).. In this role, the successful candidate The Ambulatory Care Nurse will support the coordination, integration, communication, implementation and evaluation of nursing practice and clinical policies and procedures.. In this role, the Ambulatory Care Nurse will participate in site and organizational quality and performance improvement activities, collect patient healthcare data systematically using appropriate assessment techniques and instruments, and collaborate with licensed providers to develop patient centered plans of care that prescribe interventions to attain expected outcomes.. The Ambulatory Care Nurse provides comprehensive care in support of all patients manifested requirements through: administration of treatments and medication, acting as a sentinel for untoward events or symptoms, disease prevention guidance, rehabilitation care, public health care, and supportive care for symptom relief including health teaching and health counseling.. Performs onsite testing, e.g.: POC lab testing, EKG, specimen collection (including phlebotomy), auditory & visual test, psychiatric & physical risk screening, fetal monitoring (ante partum) and non-stress test, spirometry, allergy skin testing, bladder, tb skin testing and result evaluation.
Nurse Navigator - Site Disease Group - UHealth SoL Mia
University of MiamiNorth Miami Beach, FL
Our expert team of physicians and staff will represent a wide range of specialties, including NCI–designated Sylvester Comprehensive Cancer Center and Bascom Palmer Eye Institute, the number one eye hospital in the nation.. UHealth at SoLé Mia will also deliver the latest in urologic treatments from the renowned Desai Sethi Urology Institute as well as top-notch care from UHealth’s nationally ranked neurology and neurosurgery programs.. Advocate for patient and support with end-of-life/palliative care decisions.. Supports a smooth transition of patients from active treatment into survivorship, chronic cancer management, and end-of life care.. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean.
Prn Nurse Case Manager
University of Maryland Medical SystemLa Plata, MD
Under supervision of the Case Management Leadership, will manage and oversee the comprehensive assessment, planning, implementation, monitoring, and overall evaluation of individual patient needs.. A Case Manager assists in identifying appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the patient and the reimbursement source.. A Case Manager will provide care management and coordination of care for patients across various diseases.. A Case Manager will focus on achieving patient wellness and autonomy through advocacy, communication, education, identification of service resources and service facilitation.. Strong problem management strategies and issue resolution skills
Ambulatory Care Nurse
NYULMCNew York, NY
We have an exciting opportunity to join our team as a Ambulatory Care Nurse (37.5).. In this role, the successful candidate The Ambulatory Care Nurse will support the coordination, integration, communication, implementation and evaluation of nursing practice and clinical policies and procedures.. In this role, the Ambulatory Care Nurse will participate in site and organizational quality and performance improvement activities, collect patient healthcare data systematically using appropriate assessment techniques and instruments, and collaborate with licensed providers to develop patient centered plans of care that prescribe interventions to attain expected outcomes.. The Ambulatory Care Nurse provides comprehensive care in support of all patients manifested requirements through: administration of treatments and medication, acting as a sentinel for untoward events or symptoms, disease prevention guidance, rehabilitation care, public health care, and supportive care for symptom relief including health teaching and health counseling.. Performs onsite testing, e.g.: POC lab testing, EKG, specimen collection (including phlebotomy), auditory & visual test, psychiatric & physical risk screening, fetal monitoring (ante partum) and non-stress test, spirometry, allergy skin testing, bladder, tb skin testing and result evaluation.
Palliative Care Nurse Navigator - Main Oncology Admin - Full Time - Days
The Christ Hospital Cardiovascular AssociatesCincinnati, OH
- Serves as a clinical resource for patients / families at specific points of access (e.g., Imaging, clinics, hospital, palliative care, etc.). - Maintains communication with patient / family members at defined timeframes in patient's disease trajectory (e.g., screening, diagnosis, treatment, survivorship / palliative care).. - Collaborates with the health care team to communicate with the patient and family regarding referral, treatment, symptom management and follow-up (survivorship or palliative care).. - Serves as a professional resource to the team members in the Service Line regarding current trends in care, disease management, side effect management, and community resources.. 2) Completes all educational, requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day).
RN Case Manager / Care Manager
Access NurseCareHollywood, FL
Access Nursecare Inc. is a Medicare-certified Home Health and Private Duty agency dedicated to impressing, wowing, and surpassing all expectations of service for our clients i.e. customer-centric.. The RN Case Manager will employ a process of ongoing assessment, care coordination, reporting, and collaboration with clients, families, and all providers involved in the client’s care.. Care Management Monitoring and Evaluation, Education, Advocacy, Family and Caregiver Coaching. Responsible for a comprehensive set of services/ interventions that assists patients with chronic or complex conditions to manage their holistic health.. A minimum of 3-5 years experience as a Medicare Home Health and or Case Management, Care Management, Utilization, Long Term Care Coordination
Nurse Case Manager - RN
Arctic Slope Native AssociationUtqiagvik, AK
Under the supervision and guidance of Nursing Administration, the Nurse Case Manager is responsible for the collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality cost-effective outcomes.. Current BLS Certification. Able to articulate and demonstrate appropriate nursing theory and practice.. Under supervision of the Director of Nursing or Designee. Arctic Slope Native Association, Ltd.: Exercises its rights in Native Hire Preference, Contracting/Subcontracting and Employment Practices applicable by law is committed to maintaining a drug free, smoke free workplace.
Clinical Care Coordinator
TalentPro ConsultingLas Vegas, NV
Description We are seeking a dedicated and detail-oriented Clinical Care Coordinator to join our healthcare team.. Join us in making a meaningful impact on the lives of our patients by delivering coordinated and holistic healthcare services.. Requirements Bachelor's degree in nursing, public health, or a related field.. Proven experience in a clinical setting, preferably in care coordination or management.. Proficient in electronic health record (EHR) systems and Microsoft Office Suite.
RN Case Manager
NJMTrenton, NJ
NJM Insurance Group currently has an RN Case Manager opportunity to assure that claimants receive high quality, cost-effective medical care with positive outcomes.. The successful candidate is results-oriented and will perform all aspects of utilization management: case management intervention, precertification, concurrent review, and retrospective review.. Review clinical information and perform utilization management, concurrent and retrospective, utilizing established evidence-based clinical guidelines to evaluate treatment plans and/or manage inpatient length of stay.. Required Qualifications and Experience: Registered Nurse (RN) in New Jersey 3 + years of experience preferred in: Med-Surg and critical care and clinical nursing, Utilization Management Review/Hospital concurrent reviews, and/or Hospital Bill Auditing for inappropriate charges, denials and uncertified days.. Knowledge of MCG/Millman, Official Disability Guidelines (ODG) and/or other evidence-based guidelines databases.
Ambulatory Care Nurse (40)
NYU Langone HealthBrooklyn, NY
We have an exciting opportunity to join our team as a Ambulatory Care Nurse (40).. In this role, the successful candidate The Ambulatory Care Nurse will support the coordination, integration, communication, implementation and evaluation of nursing practice and clinical policies and procedures.. In this role, the Ambulatory Care Nurse will participate in site and organizational quality and performance improvement activities, collect patient healthcare data systematically using appropriate assessment techniques and instruments, and collaborate with licensed providers to develop patient centered plans of care that prescribe interventions to attain expected outcomes.. The Ambulatory Care Nurse provides comprehensive care in support of all patients manifested requirements through: administration of treatments and medication, acting as a sentinel for untoward events or symptoms, disease prevention guidance, rehabilitation care, public health care, and supportive care for symptom relief including health teaching and health counseling.. Performs onsite testing, POC lab testing, EKG, specimen collection (including phlebotomy), auditory & visual test, psychiatric & physical risk screening, fetal monitoring (ante partum) and non-stress test, spirometry, allergy skin testing, bladder, tb skin testing and result evaluation.
Telephonic Nurse Case Manager
AmTrust FinancialSouth Jordan, UT
Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN. PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer.. These responsibilities may include utilization review, pharmacy oversight and care coordination.. Communicates effectively with claims adjuster, client, vendor, supervisor and other parties as needed to coordinate appropriate medical care and return to work.. Partners with the adjuster to develop medical resolution strategies to achieve maximal medical improvement or the appropriate outcome Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.. Partner with adjuster to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves Maintains client's privacy and confidentiality; promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.
General Summary of PositionServes as a member of the Case Management Team and applies RN clinical expertise and medical appropriateness to care coordination and discharge planning.. Communicates with patient, family and/or significant other, health care team, external case manager, community resources, and facility to address appropriate issues and patient/family goals.. Demonstrates the ability to develop a plan of care that addresses needs across the continuum; have an intervention for problems identified; develop long- and short-term goals with specific time frames for resolution; identify specific services to be provided in the care plan; include the family/care-giver in the plan of care; and show life planning contingencies such as power of attorney and/or advance directives.. Manages own professional growth in the area of managed care, care management, other health care, financial trends, clinical practice and research.. Assists in program evaluation through customer service surveys, LOS data analysis, charge/discharge data, comparison to state averages, and best practice/benchmark data.
Population Health Coordinator
Groups: Recover TogetherPortland, ME
In partnership with peer support and care navigation, provide transitional care support to select high acuity members as they begin their recovery journey at Groups, including participation in interdisciplinary meetings, orientation groups, care coordination, and 1:1 member support. Support regional Recovery Support Specialist (RSS) teams on intensive case management and peer support services for high risk members across special populations. Medical Focus only : Registered Nurse (RN) or (Maine Only) Licensed Practical Nurse (LPN) who completes the SAMHSA required training for an XDEA license required Bachelor's degree in Nursing preferred At least 5 years experience providing direct patient-care in addiction medicine or other related areas of behavioral health, at high-quality, reputable organizations. Mental Health Focus only : Current licensed clinical social worker At least 5 years experience providing direct care or supervision in mental health or integrated behavioral health organizations, serving vulnerable populations. Health Related Social Focus only : Current social worker, certified peer, certified community health worker At least 5 years experience providing direct care or supervision in case management, care management, social work, or peer services
General Summary of Position The Nurse Navigator is responsible for the coordination of patient care across the continuum under the auspices of a provider's prescribed plan of care, national guidelines, and within the scope of nursing practice.. Plans: Plans for continuing care such as, but not limited to, patient and community services, community outreach resources, home care, palliative, and hospice services as necessary.. Patient Education: Available as a resource to assist in the provision of community education and outreach development.. Implementation: Explores and connects patients with appropriate resources, health care and support services within MedStar Washington Hospital Center, at other external facilities, and in their communities for timely diagnosis, treatment, and survivorship.. Proof of enrollment to be submitted to Nurse Leader.