Nurse Case Management

Tenet Massachusetts is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in Worcester, Massachusetts.. Saint Vincent Hospital excels at offering the best care in a friendly atmosphere.. At Saint Vincent Hospital, we believe you should have access to the treatments you need without having to travel far from home.. Healthgrades awarded Saint Vincent Hospital #1 in Cardiology in the state and one of America’s 100 Best Hospitals for Coronary Intervention in 2023 and 2024, which puts Saint Vincent Hospital in the top 5% of hospitals nationwide for coronary intervention.. emergency care, advanced cardiac care, high-tech cancer treatments, and advanced maternity care including our Special Care Level IIB nursery and high risky pregnancy care.

ProMed Staffing Resources is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Bronx, New York.. Req: Utilization Review experience, BLS, PRI (Patient Review Instrument) Certification & SCREEN Training Certification. ProMed Staffing Resources has been a trusted leader in healthcare staffing for over three decades, delivering top-tier workforce solutions with a commitment to excellence.. Located in the heart of Midtown Manhattan, we serve clients and candidates across the United States.. We pride ourselves on offering a seamless hiring process, supported by a one-on-one dedicated recruiter who serves as your guide and advocate every step of the way.

RN Case Manager (RNCM) - Home Health.. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients. Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers. Ie. Wound care, IV administration, medication management. One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred.

RN Case Manager (RNCM) - Home Health.. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients. Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers. Ie. Wound care, IV administration, medication management. One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred.

Aveanna Healthcare is one of the largest private-duty nursing companies in the nation, with a growing presence and an award-winning culture.. Manage internal casework and evaluate nursing talent development.. Current CPR certification (AHA or ARC).. Willingness to supervise nurses providing in-home skilled nursing care to infants, children, adolescents, and adults.. By applying, you consent to your information being transmitted by Jobcase to the Employer, as data controller, through the Employers data processor SonicJobs.

Case Manager (RN) - PRN Utilization Review. At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient population on a designated unit(s).. - completion of all required documentation in EPIC and MIDAS. Comprehensive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement.. Understanding of pre-acute and post-acute venues of care and post-acute community resources.

RN - Case Manager. As a nurse case manager, your primary responsibility is to act as a patient advocate.. Your duties will include helping patients and their families understand their health status and treatment options while ensuring that the patient receives the assistance necessary to follow through with their personal treatment plan.. This position requires unit specific experience.. Please discuss the unit specific experience with a recruiter to validate your qualification of the position.

RN - Case Manager. As a nurse case manager, your primary responsibility is to act as a patient advocate.. Your duties will include helping patients and their families understand their health status and treatment options while ensuring that the patient receives the assistance necessary to follow through with their personal treatment plan.. Please discuss the unit specific experience with a recruiter to validate your qualification of the position.. 2211 Lomas Boulevard Northeast

RN - Case Manager.. As a nurse case manager, your primary responsibility is to act as a patient advocate. Your duties will include helping patients and their families understand their health status and treatment options while ensuring that the patient receives the assistance necessary to follow through with their personal treatment plan. This position requires unit specific experience. Please discuss the unit specific experience with a recruiter to validate your qualification of the position.

RN Case Manager – Transform Lives, Including Your Own !. RN Case Manager – Up to $20,000 Sign-On Bonus or Student Loan Assistance!. RN Case Manager – A Meaningful Career with Unparalleled Rewards!. RN Case Manager – Empower Patients, Elevate Your Future!. Step into the role of an RN Case Manager , where your expertise doesn’t just support patients—it changes lives.

Hybrid RN Case Manager - Orlando, FL. We are seeking an RN Case Manager to perform telephonic case management for Medicare Advantage members in the state of Florida.. The case manager will be responsible for performing care coordination activities, developing care plans and assessments, conducting new referrals, calling members, and building new cases in Athena (EMR).. Perform telephonic case management for Medicare Advantage members.. This is a fully remote position.

Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. Specialties range from primary care to general surgery and trauma. Nurse Case Manager - Utilization Review.. The Nurse Case Manager- Inpatient is also responsible for ensuring that the patient is placed in the appropriate level of care while monitoring the utilization of healthcare resources and discharge planning to achieve the desired clinical, financial, and resource utilization outcomes. 3-5 years of clinical experience and/or case management, utilization review, and/or discharge planning experience in an acute care setting.

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

RN - Case Manager.. As a nurse case manager, your primary responsibility is to act as a patient advocate. Your duties will include helping patients and their families understand their health status and treatment options while ensuring that the patient receives the assistance necessary to follow through with their personal treatment plan. This position requires unit specific experience. Please discuss the unit specific experience with a recruiter to validate your qualification of the position.

Community hospital located on Cape Cod. Minimum 2-3 years of recent RN Case Manager experience.. The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. TB questionnaire, PPD or chest x-ray if applicable.. Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988.

Position- RN Case Manager. Job Descrip tion : The RN Care Manager comprehensively plans for care management of targeted patient population.. Performs resource management, discharge planning, care facilitation, referral to other levels of care and related duties.. Preferred: BSN, MSN, Accredited Case Manager Certification.. Perks + Benefits: On-site Gym (open 7 days a week)

RN - Case Manager. As a nurse case manager, your primary responsibility is to act as a patient advocate.. Your duties will include helping patients and their families understand their health status and treatment options while ensuring that the patient receives the assistance necessary to follow through with their personal treatment plan.. This position requires unit specific experience.. Please discuss the unit specific experience with a recruiter to validate your qualification of the position.

As one of the country's few fully integrated healthcare providers, APH offers a range of services which include case management, in-home/in-clinic wellness assessments, preventative care, transitional care, and social work services.. The RN Case Manager is responsible for assessing patient/family psychosocial needs, planning, implementing, procuring services for, and evaluating care needs.. Coordinates, monitors, and ensures that appropriate and timely primary, acute, and long-term care services are provided to members across the continuum of care.. Promotes effective healthcare utilization, and monitors healthcare resources within the Interdisciplinary Care Team (ICT) to achieve optimal clinical and resource outcomes for members.. Certified Case Manager (CCM) is preferred.

Saint Vincent Hospital excels at offering the best care in a friendly atmosphere.. From our advanced heart and vascular services, to our comprehensive orthopedics and rehabilitation programs, our robust surgical facility including our Da Vinci robotic surgery and Cyberknife technology, to our comfortable and compassionate women & infants programs - you don't have to travel far for high-quality health care: We're right here, in the heart of Worcester.. The role is accountable to support CNO to ensure high quality, safe and appropriate nursing care, competency of clinical staff, and appropriate resource management related to patient care.. Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce.. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Provides clinically-based case management, discharge planning and care coordination to facilitate the delivery of cost-effective quality healthcare and assists in the identification of appropriate utilization of resources across the continuum of care.. 1 - The RN Case Manager is responsible for reviewing the medical record of all observation and inpatient admissions and continued stays to ensure appropriate utilization and delivery of care.. A call or page should be made to physician if the RN Case Manager believes that this should be an inpatient admission and not wait until the 24 hours are ending before conversion.. RN Case Manager must actively monitor patients on observation status and seek to clarify their status as close to the 24-hour benchmark as possible.. b - Works with attending physician to move patient through the SSH&EC system and set up appropriate services or referrals; e.g., SNF/VNA/Home Pharmacy

RN Case Manager-Philadelphia PAOverview Our client is a 188-bed facility that provides exceptional care to children throughout the Greater Philadelphia area and surrounding counties.. We have more than 220 pediatric experts on staff, combining top-notch pediatric care with a wide array of pediatric specialties including Cardiology, Ear, Nose and Throat, Gastroenterology, Oncology, and Orthopedics.. Responsibilities:The Case Manager coordinates, manages and procures the discharge needs of patients identified as requiring post acute care services via initial admission screen, assessment and consults.. The Case Manager performs daily utilization review and conveys pertinent telephonic information to third party payers to secure appropriate acute care reimbursement within the time requirements of the payer.. The Case Manager appeals 100% of all third party payer denials for acute care reimbursement according to the guidelines for the PA Region.