Registered Nurse with Bachelors of Science in nursing (BSN) degree or Registered Nurse with Associates degree in nursing (ADN) plus five years utilization review or case management experience required.. Registered Nurse with Masters of Science in nursing (MSN) degree or Registered Nurse with Bachelors in nursing (BSN) plus five years utilization review or case management experience required.. Demonstrates skill in educating patient, family and interdisciplinary team regarding post-acute care options, status determination, and other care coordination services.. Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.. Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
RN Case Manager. The Care Coordination Department at the Elliot Hospital takes great pride in serving their community, patients, and families.. We will do on the job training for experienced Nurses who meet the requirements below!. The Case Manager RN will collaborate with other members of the health care team to identify appropriate utilization of resources and a safe and effective transition plan ensuring clinical and social determinants of health are met.. CCM or ACM preferred
Amergis Healthcare Staffing is partnered with a much a respected facility in Haverhill, MA who is currently seeking a qualified RN Case Manager/Discharge Planner to assist them on a contractual basis.. Recruiter | Boston Allied Staffing. Competitive pay & weekly paychecks. Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988.. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.
RN Care Manager (interqual experience + BSN required). The RN Care Manager assesses, develops, implements, coordinates and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker, nurse and all members of the interdisciplinary team for the inpatient, Emergency Department and all patient care areas.. Current N.Y.S. licensed Registered Nurse with BSN. ACM or CCM highly preferred. Knowledge of payer eligibility and reimbursement regulations and the impact on the continuum of care.. Knowledge of screening criteria i.e. InterQUAL, MCG criteria.
Job Title: RN - Registered Nurse Case Manager - Care Coordination.. Leverage your years of experience and build a rewarding, lasting career by joining us as a RN Case Manager - Care Coordinator for the Geisinger Medical Center Inpatient Care Services Team. As one of the Top 8 Most Innovative Healthcare Systems in Becker's Hospital Review, we're working to create a national model for improving health. Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones.. Access free legal guidance, mental health visits, work-life support, digital self-help tools and more. By applying, you consent to your information being transmitted by Get It to the Employer, as data controller, through the Employer's data processor SonicJobs.
Coordinates the care for observation patients in the Clinical Decision Unit (CDU) from both a discharge planning and utilization review perspective. Performs concurrent utilization review activities on all patients within the assigned caseload. Collaborates and educates the medical staff on appropriate utilization review guidelines and documentation in accordance with CMS regulations and Commercial payors guidelines. To coordinate and facilitate patient care through the Valley Hospital Health Care System as it relates to a multidisciplinary approach to patient care and utilization of resources. Registered Nurse, Licensed in State of New Jersey, Current acute care clinical knowledge with broad-base medical / surgical background.
Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly.. Marin General Hospital dba MarinHealth Medical Center. The RN Case Manager, in collaboration with members of the healthcare team, leads the development and implementation of the interdisciplinary plan of care for patients, determining the appropriate level of care, supervising the provision of the discharge plan of care, and ensuring the effective quality and cost-efficient outcomes by performing concurrent and retrospective case review.. This position functions as the key linkage between the physician, staff, and hospital leadership in the day-to-day management of appropriate and efficient patient care and functions as an advisor to the physician with accountability to escalate cases to the Medical Director (as necessary) to ensure the provision of appropriate and effective patient care.. Integrative Agitation Management (IAM) Required within 30 days of hire
Please contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Iqura Bichat at email address can be reached on # 630-576-1924.. To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Iqura Bichat at email address can be reached on # 630-576-1924.. We have Contract role RN- Case Manager f or our client at Bozeman, MT. The Registered Nurse Non-Certified Case Manager works with physicians and multidisciplinary team members to develop a plan of care for assigned patients.. In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.
Sharp Medical Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California. Our client is currently seeking a travel RN Case Manager in Los Angeles, California for 5x8 days shifts. Posted job title: RN (Registered Nurse) - Care Coordinator type:Case Management (Utilization Review).. We are a dedicated staffing agency for Nursing, Cath Lab, Electrophysiology, Interventional Radiology, Rehab Therapy and Allied Health. We also specialize in crisis and rapid response jobs nationwide.
The RN Case Manager (RN CM), works in collaboration with a multidisciplinary team by identifying and initiating discharge planning to accomplish the timely transition of patients to a post-acute hospital setting and to ensure patients progress along the continuum of care.. RN CM utilizes established guidelines to support appropriate level of care throughout hospitalization in compliance with CMS and organizational utilization management requirements.. Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation.. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do.. Trinity Health is an Equal Opportunity Employer.
Generis Tek Inc. is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Bozeman, Montana. The Registered Nurse Non-Certified Case Manager workswith physicians and multidisciplinary team members to develop a plan of care for assigned patients. In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements. Emotionally challenging situations, such as dealing with distressed patients or difficult family interactions. Posted job title: RN- Case Manager w/ Utilization Review Experience!
Job Title: RN - Registered Nurse Case Manager - Care Coordination. Job Summary Leverage your years of experience and build a rewarding, lasting career by joining us as a RN Case Manager - Care Coordinator for the Geisinger Medical Center Inpatient Care Services Team. As one of the Top 8 Most Innovative Healthcare Systems in Becker's Hospital Review, we're working to create a national model for improving health.. Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free membership with discounted backup care for your loved ones. Access free legal guidance, mental health visits, work-life support, digital self-help tools and more.. By applying, you consent to your information being transmitted by GenZJobs to the Employer, as data controller, through the Employer's data processor SonicJobs.
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Greenbrae, California. Those that want flexibility and high pay, we have the positions for.. Hospital in Northern California looking for RN Case Manager with at least 2 years experience to work in their ED Dept. Must have current CA RN license and BLS. The qualified RN must have acute care hospital experience with integrated case management not just Utilization Review background. Medical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner.
RN Case Manager Supervisor. Aveanna Healthcare is one of the largest private-duty nursing companies in the nation, with a growing presence and an award-winning culture.. Schedule:Monday–Friday, daytime hours; full-time with on-call rotations.. Manage internal casework and evaluate nursing talent development.. Current CPR certification (AHA or ARC).
Located in Dover, Ohio, the award-winning not-for-profit Union Hospital serves the communities of eastern Ohio. Here, you will be part of a talented, compassionate, and driven team of caregivers, work with state-of-the-art technology and provide stellar patient care.. As an RN Case Manager, you will collaborate with inter-professional teams across the continuum of care to facilitate and ensure effective transitional care coordination.. Work with the patient and/or care partner(s) to develop a comprehensive, individualized transitional care plan.. CTM, ACM, CCM or AHA Certification by an approved entity. Two years of recent experience in utilization review, quality or care management
Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: Ongoing 36 hours per week Shift: 12 hours Employment Type: Staff Saint Vincent Hospital offers a whole new experience in health care.. Saint Vincent Hospital excels at offering the best care in a friendly atmosphere.. Posted job title: RN Case Manager, Utilization Review FT Days About Tenet Massachusetts Facilities: Saint Vincent Hospital – Worcester, MA Metro West Medical Center – Framingham, MA Leonard Morse Hospital – Natick, MA (part of MWMC) MA - SVH Tenet’s Saint Vincent Hospital has been providing high-quality health care to Worcester and the surrounding communities for more than 125 years.. We continue to be leaders in state-of-the-art treatments like our Cyber Knife Radiosurgery, and our Cardiac Rehabilitation Program which offers a unique, specialized approach to overcoming heart health challenges.. At Framingham Union Hospital, you’ll find comprehensive health care services for your entire family including 24-hour 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.
Job Objective: Under the direction of the Director of Case Management, or designee, the Register Nurse (RN) Case Manager is responsible for prioritizing, planning, and monitoring the patient's progress through the Antelope Valley Hospital system.. The RN Case Manager provides guidance and oversight to the LVN Discharge Coordinator, the Discharge Coordinator Assistant and the Utilization Review Assistant.. Refers to the Discharge Coordinator or Social Worker when indicated to facilitate the patient's transition to the appropriate level of care. Works with the Discharge Coordinator Assistant to facilitate placement and transfers to other acute and post acute care facilities. Works with the Discharge Coordinator Assistant and the nursing unit staff to coordinate medical transportation
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
The Per Diem RN Case Manager specializes in assessing and coordinating clinical operations for both inpatient and outpatient care, ensuring that the comprehensive health needs of patients and families are met.. Assessing, planning, organizing and overseeing daily clinical operations of care coordination and transitions to address the comprehensive and complex health needs of the patient and family.. Possessing knowledge of community health services, payer systems and post-acute care needs for outpatient and inpatient patients and families.. Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred.. Per Diem RN, Case Manager, Utilization Management, Healthcare Coordination, Clinical Operations, Patient Care, Nursing, BSN, Certified Case Manager, Discharge Planning