13 case manager registered nurse 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...

Location: Avera McKennan Hospital 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. $34.50 - $51.50 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 Facilitates the plan for an orderly transition of patients from the Med/Surg and medical ICU acute area settings to the next appropriate level of care. Works closely with physicians and payors to assure proper use of fiscal resources. Serves as liaison with physicians and staff to assure on going continuity. What you will do Provides customer service and communicates in a courteous manner consistent with principles of service excellence in order to achieve patient, family and physician satisfaction....

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...

Hourly Wage Estimate: $37.63 - $52.68 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. As a RN Case Management Rehab Unit, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing. Job Summary and Qualifications The Case Manager (CM) ensures high quality, patient-centered care by managing rehabilitative care to ensure optimum outcomes. As an active member of the...

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...

Overview: Experience the advantages of real career change! Join Piedmont to move your career in the right direction. Stay for the diverse teams you'll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You'll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future. Responsibilities: The Director Care Management is responsible for leading the hospital's Care Management department, defining and maintaining standards of practice for service delivery and organizational performance strategies consistent with PHC's Mission, Vision and Values, as well as those of the individual hospital. What you will do Provides performance improvement, operational, human resources and...

Department: 11210 Aurora St. Lukes Medical Center - Social Services Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: M-F 0800-1630 with availability/accountability to team during off hours and holidays. Pay Range:...

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....

Overview Reporting to the Case Management Director, the Case Management Manager is responsible to assist in the development, planning, coordination, and administration of the Case Management department. Including, but not limited to being a resource and first level in the Case Management chain of command for support and escalation of issues for the Case Management staff. Qualifications Education: Bachelors of Science in Nursing preferred; Associates in Nursing required License: Alabama Registered Nurse License Experience: Three years experience in case management or utilization management preferred. Registered Nurse with at least one year clinical experience on a medical/surgical unit with excellent communication skills and ability to work collaboratively with all members of the health care team.

Position Summary The Manager of Case Management & Social Services is responsible for the overall leadership, management, and daily operations of the Case Management and Social Services departments. This position provides strategic and operational oversight to ensure the delivery of high-quality, patient-centered care coordination, discharge planning, utilization management, and psychosocial services across the continuum of care. The Manager collaborates with physicians, nursing leadership, ancillary departments, post-acute providers, and community agencies to promote safe, timely, and efficient patient transitions while supporting regulatory compliance, quality outcomes, and financial stewardship.  The Manager oversees a multidisciplinary team of registered nurse case managers, licensed clinical social workers, social workers, case management assistants, and other support staff. Responsibilities include supervising departmental operations, developing...

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.  

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Manages the Utilization Management (UM) team, maintaining effective and efficient processes for determining appropriate patient admission status based on regulatory and reimbursement requirements of various commercial and government payers. Manages UM department in the context of other Revenue Cycle functions such as Denials & Appeals, Patient Access, Authorization Management & review, HIM, Coding & Billing. Close collaboration with the Physician Advisors, Collaborates and helps facilitate the Utilization Review Committee. Continuously monitors processes for opportunities for improvement within an interdisciplinary team and integrated Revenue Cycle effort. Job Description: Essential Duties & Responsibilities including but not limited to: Ensures that Utilization Review nurses are consistently recommending the appropriate admission...

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...