35 case manager jobs found

Location: Avera Health Plans Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $31.00 - $46.25 Position Highlights You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Specialized nurse that identifies members who would benefit from complex/chronic condition case management and/or service coordination. The RN Case Manager develops and facilitates the member's plan of care. In collaboration with physicians, population health staff, employers, community organizations, hospital-based case managers/utilization review staff, clinic-based care coordinators/preauthorization staff, and Insurance Division staff, the RN Case Manager encourages the best possible outcome in the most cost...

Position Summary EMPLOYER-PAID PENSION PLAN ( NEVADA PERS)  COMPETITIVE SALARY & BENEFITS PACKAGE As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. UMC is home to Nevada's ONLY  Nonprofit Level I Trauma Center, Verified Burn Center, and Multi-Organ Transplant Center. In 2026, we became the FIRST and ONLY Magnet®-Recognized hospital in the state, reflecting UMC's nursing professionalism, teamwork, and superiority in patient care. THIS POSITION IS CONSIDERED AT-WILL AND WILL SERVE AT THE PLEASURE OF THE CEO. Sign-on Bonus up to 10K (depending on experience/location)   Position Summary: Develops, implements and maintains a system of outcome management. Ensures coordination of care across the continuum on a financial platform.  

Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center.  Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations.  You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application.  You can only apply one time to a job requisition.  Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted. After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the...

Introduction We are seeking a Nurse Manager of Case Management with Parkridge Medical Center to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with us! Benefits Parkridge Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Manager of Care Management has overall responsibility and accountability for the ongoing management and implementation of BILHPN’s care management programs for eligible risk patients; which may include Post acute, Ambulatory, Care Transitions, Quality, Chronic Care or other innovative programs. The manager is a key collaborator in the development of population health management strategies, program development and implementation within the team he/she/they manage. Essential Duties and responsibilities: 1. Recruits, hires, manages and evaluates care management staff, inclusive of Nurses, Social Workers, and other care management staff (eg. Patient Engagement Coordinator, Community Health Navigator). Works with BILHPN clinical excellence team and BILHPN Local Care Unit and Primary Care leadership to organize and assign the team to maintain adequate staffing and...

Full time MLTC Case Manager RN position with 15K New Hire Bonus and Pension This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $115,000 - $120,000 per year A bit about us: A NYC Metro Managed Long Term Care Plan Why join us? $15,000 Sign on Bonus (depending on position) 4 weeks Vacation 8 company paid holidays PENSION plan – Employer paid 100% at 5.75% of salary per year Employee Vesting at 5 year work anniversary 403B Retirement plan thru Lincoln Financial Medical, Dental and Vision coverage start 60 days after start date Medical Coverage thru CIGNA Dental Coverage thru choice of Cigna PPO plan or AETNA DMO plan Vision coverage thru United Healthcare FREE Online RN to BSN and MSN degree programs Dependent Tuition Reimbursement for clinical staff Annual Tuition reimbursement $4,500 529 College Savings plan LOW cost medical, dental and vision...

Strong staffing Support when it matters most. Technology and tools that streamline patient monitoring and communication to help you work more efficiently. Robust supply chains to keep you fully equipped. Ongoing clinical education to improve your skills. As a Registered Nurse at HCA Florida Northwest Hospital, you’ll have all the staffing support, technology and resources you need to deliver safe, high-quality care—so you can focus on what you do best. *Qualified applicants are eligible for sign on bonus with approval* Job Summary and Qualifications As a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient’s unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care.  Your...

Ideal candidate would be available 2+ shifts/week with some weekend availability. Do you have the PRN career opportunities as a(an) RN Case Management PRN you want with your current employer? We have an exciting opportunity for you to join St. Mark's Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare. Job Summary and Qualifications The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care to ensure optimum outcomes. The CM provides, coordinates, and directs care specific to the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates efforts within the Rehabilitation team. What you will do in this role: You will provide program orientation to patients/families/caregivers. Orientation will include the case manager's role, Rehab philosophy, and continued stay...

Utilization Case Management Registered Nurse – Case Management Department Location: Uvalde Memorial Hospital Job Type: Full-Time, Non-Exempt Schedule: Monday - Friday 8am-5pm Coordinate Care. Advocate for Patients. Create Smoother Transitions. At Uvalde Memorial Hospital, exceptional care extends beyond a patient’s hospital stay. We are seeking a compassionate and experienced  Case Management Registered Nurse to help patients receive the right care, at the right time, while preparing them and their families for a safe and successful transition after hospitalization. In this role, you’ll combine clinical expertise, critical thinking, care coordination, and patient advocacy. You’ll work closely with physicians, nurses, social workers, therapists, payers, and community resources to support appropriate utilization of healthcare services, reduce unnecessary hospital stays, and develop individualized discharge plans that meet each patient’s needs. In This Role,...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Executive Director of Case Management provides strategic and operational leadership for the enterprise Case Management program across all Beth Israel Lahey Health (BILH) facilities. This role will lead the transformation of Case Management operations from a decentralized model to an integrated, centralized enterprise function with standardized processes, shared best practices, and consistent performance across all facilities. This executive-level position is responsible for developing and executing comprehensive care coordination strategies that optimize patient throughput, ensure safe and timely transitions of care, reduce avoidable readmissions, and support the organization's population health and value-based care objectives. The Executive Director partners with senior clinical and operational leaders, including the Chief Nursing Officers, Chief Medical...

Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient use of resources.     Qualifications Education: Minimum of A.S.N. from an accredited college or university (BSN Preferred) and current Alabama licensure.   Experience: Three years acute care experience required.   Additional Skills/Abilities: Excellent interpersonal communication and negotiation skills; strong...

DESCRIPTION OF POSITION: The Director of Clinical Case Management develops, implements and enforces policies and procedures which support the Hospital's mission, goals and objectives. SUPERVISION: Reports directly to VP of Financial Services RESPONSIBILITIES AND DUTIES: Ensures that staff complies with mandatory education, licensure requirements, mandatory health requirements, etc. Develops annual departmental budget and operates within budgetary guidelines. Recommends and ensures appropriate staffing levels. Allocates resources according to priorities. Identifies and resolves problems in a timely manner. Gathers and analyzes information skillfully. Develops alternative solutions. Generates creative solutions and attention to detail. Seeks increased responsibilities. Looks for and takes advantage of opportunities. Demonstrates persistence and follow through even when faced with adversity or challenges. Balances team and individual...

Overview The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not limited to daily review of medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of ancillary services. Responsibilities Accurately identifies through chart review of SI/IS for admit and continued stay.  Competently coordinates the overall discharges planning and social services function ensuring compliance with federal and state laws and Joint Commission of Accreditation of Hospital. Successfully ensures patients receive recommended follow-up services. Appropriately maintains a liaison with community agencies offering services to discharge patients. Professionally maintains rapport with physicians, co-workers, representatives of other organizations, and departments....

Overview About the Role: The primary purpose of the Case Management Coordinator position is to coordinate the patient’s progress through the system. He/she collaborates with physicians and clinical staff to ensure resource utilization is appropriate to the patient’s clinical and psychosocial needs and that it remains within covered benefits. The Case Management Coordinator seeks creative solutions to process and system issues, which create a barrier to the delivery of medically appropriate, cost-effective care. He/she is responsible to ensure compliance with regulatory standards related to level of care determinations, utilization and discharge planning. The Case Management Coordinator performs transitions of care and discharge planning, and supports the mission of University Hospital. Responsibilities What You’ll Do: Service provided is patient centered; actively contributes to creating a friendly, welcoming and...

  Director Behavioral Health Clinical Services-Texas Health HEB       Texas Health HEB Since 1973, Texas Health HEB has been a cornerstone of care in the DFW mid-cities. As a 322-bed, acute-care, full-service hospital, we provide high-quality, convenient care to residents of Hurst, Euless, Bedford, and the surrounding communities.  We offer a broad range of specialties, including women's health, perioperative services, heart and vascular care, acute and medical-surgical care, intermediate/step-down care, oncology, behavioral health, and emergency medicine. Additional services include nuclear medicine, interventional radiology, respiratory therapy, and neuroscience care, including neurosurgery and stroke care. In support of medical education, our Internal Medicine Residency Program—launched in 2022—has grown from 20 to 60 residents and will celebrate its first graduating class in 2025.  Texas Health HEB is ANCC Magnet® designated, Joint...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Contributes to the Hospital’s mission by supporting proper classification and a safe plan of care. This professional licensed position will have an impact on finance and growth by classifying patients’ status appropriately and supporting the workflow and care plan to ensure the delivery of high quality, safe patient care while maintaining an expected length of stay within budget. This role is critical to the denial management, utilization review, and discharge planning process and will support the evolution towards a system approach in this realm. This role functions in a high integrity manner and as a case management and utilization expert, collaborating interdepartmentally to educate and improve processes to appropriate classify patient status, which ultimately improves reimbursement. The Utilization Management Specialist will impact the patient experience and...

Position Title: Manager - Pediatric Inpatient Care Management Department: OCH Care Management Job Description: New to OU Health?  Ask your recruiter about our competitive total rewards package, including a possible sign-on bonus and relocation assistance if you are located outside of 100 miles! Advancing care, health education and research for Oklahoma and our region. OU Health, the University of Oklahoma's academic health system, delivers the expertise, innovation, and advanced treatments that complex care demands — for every Oklahoman, in every stage of life. When you choose OU Health, you choose nationally recognized team members from  OU Health Physicians , specialists, and care teams who don’t just treat patients — they teach the next generation of health professionals and push the boundaries of discovery to set new standards for care. We bring the power of research, education, and compassionate care together so no Oklahoman has to leave the...

Department: 11200 Atrium Health Union - Case Management Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: M-F 8am -430pm; occ holidays and weekends Pay Range: $47.50 - $71.25 Essential Functions Manages the...

Position Title: Ambulatory Care Management Manager Department: Care Management: Ambulatory Clinics Job Description: New to OU Health?  Ask your recruiter about our competitive total rewards package, including a possible sign-on bonus and relocation assistance if you are located outside of 100 miles! As the Care Management Manager, this position will oversee and lead the Care Management department ensuring the delivery of high-quality, patient-centered care coordination services. This role requires strong leadership skills, clinical expertise, and a commitment to excellence in healthcare management.  Essential Responsibilities Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position. Provide direction and leadership to the Care Management department, ensuring alignment with departmental goals and objectives....

This Jobot Job is hosted by: Ray Bahl Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $85,000 - $105,000 per year A bit about us: Founded nearly three decades ago and based in Fullerton, we are a rapidly expanding food and beverage manufacturer focused on quality, safety, and continuous improvement. Our growth has been fueled by a family-first culture and a team that takes pride in producing exceptional products. We value collaboration, accountability, and a hands-on approach to leadership. Why join us? Competitive Compensation: Up to $95,000 base salary (DOE) + performance bonuses 401(k) with company match Comprehensive Benefits: Medical, Dental, Vision, Life Insurance Generous PTO and Paid Holidays Collaborative and supportive team culture Career growth opportunities with a growing organization Job Details Key Responsibilities Supervise and lead production employees on assigned shift to meet daily output targets...