12 case manager rn jobs found

About this Job: General Summary of Position Serves as a member of the Case Management Team and applies RN clinical expertise and medical appropriateness to care coordination and discharge planning. Facilitates the delivery of quality cost effective patient-centered care from pre-admission through post-discharge timeframe. Ensures the care is designed to meet individualized patient outcomes. Monitors the care and services delivered to selected patient populations during the acute hospital stay promotes effective case management and utilization of resources and works to achieve optimal clinical and resource outcomes for the acute and post-hospital phases of care. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Collaborates with the multidisciplinary health care team to...

About this Job: General Summary of Position Coordinates negotiates procures and manages care of our members/enrollees to facilitate cost effective care and members/enrollees satisfaction. Facilitates the continuum of care works collaboratively with interdisciplinary staff internal and external to the organization. Responsible for carrying a complex case management case load ownership of a case management program(s) pre- authorization reviews to provide Medically Necessary timely and quality health care services in the most cost-effective manner and pharmacy reviews per population served.We recruit retain and advance associates with diverse backgrounds skills and talents equitably at all levels. Primary Duties and Responsibilities   Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations. Actively develops and...

About this Job: General Summary of Position Strong Inpatient hospital Utilization experience desired for this role. Experience with discharge planning, care coordination, and Interqual experience preferred. Coordinates negotiates procures and manages care of our members/enrollees to facilitate cost effective care and members/enrollees satisfaction. Facilitates the continuum of care works collaboratively with interdisciplinary staff internal and external to the organization. Responsible for carrying a complex case management case load ownership of a case management program(s) pre- authorization reviews to provide Medically Necessary timely and quality health care services in the most cost-effective manner and pharmacy reviews per population served.We recruit retain and advance associates with diverse backgrounds skills and talents equitably at all levels. Primary Duties and Responsibilities   Contributes to the achievement of established department goals and objectives and...

About this Job: General Summary of Position Serves as a member of the Case Management Team and applies RN clinical expertise and medical appropriateness to care coordination and discharge planning. Facilitates the delivery of quality cost effective patient-centered care from pre-admission through post-discharge timeframe. Ensures the care is designed to meet individualized patient outcomes. Monitors the care and services delivered to selected patient populations during the acute hospital stay promotes effective case management and utilization of resources and works to achieve optimal clinical and resource outcomes for the acute and post-hospital phases of care.   Primary Duties and Responsibilities   Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations. Collaborates with the multidisciplinary health care...

About this Job: General Summary of Position Serves as a member of the Case Management Team and applies RN clinical expertise and medical appropriateness to care coordination and discharge planning. Facilitates the delivery of quality cost effective patient-centered care from pre-admission through post-discharge timeframe. Ensures the care is designed to meet individualized patient outcomes. Monitors the care and services delivered to selected patient populations during the acute hospital stay promotes effective case management and utilization of resources and works to achieve optimal clinical and resource outcomes for the acute and post-hospital phases of care. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.Collaborates with the multidisciplinary health care team to...

About this Job: General Summary of Position Provides nursing care preventive health information and guidance through a comprehensive program that includes first aid care and assistance to associates who become ill or are injured at work and hospital-wide immunizations to prevent spread of communicable diseases. Monitors associates' health to protect patients and associates and to prevent injury and illness. Serves as clinical liaison between associates physicians other care-givers insurance companies/administrators for Worker's Compensation and temporary modified duty program. Works collaboratively with the Occupational Health Team. Primary Duties and Responsibilities   Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations. Accurately documents all data into the associate electronic medical record (OHM)....

About this Job: General Summary of Position Responsible for evaluating the necessity appropriateness and efficiency of the use of medical services procedures and facilities. Responsible for clinical review of acute care services based on Medically Necessity criteria the management of quality health care resources for achievement of desired outcomes and coordination of alternative levels of care in a timely and in the most cost-effective manner.We recruit retain and advance associates with diverse backgrounds skills and talents equitably at all levels. Primary Duties and Responsibilities   Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations. Acts as a liaison to MedStar Family Choice (MFC) contracted vendors to facilitate care. Identifies gaps in contracted services and develops a plan to access care. Acts...

About this Job: General Summary of Position Provides teaches and demonstrates professional nursing activities in accordance with policies and procedures of the agency and as defined by the Nurse Practice Act of the State of Maryland District of Columbia or Virginia. Primary Duties and Responsibilities Analyzes and documents patients' and family's responses to interventions. Evaluates measurable progress toward goals and revise plan of care. Identifies and modifies underlying factors that impede progress toward goals. Makes recommendations for updates in the plan of care using knowledge of interventions and resources.Collaborates with the patient's physician and staff in planning and evaluating patient care. Provides timely pertinent written and verbal information to physicians and insurance case managers. Establishes visit schedule and informs patient/family and team supervisor. Uses a wide variety of community and agency resources as needed to meet patient needs....

About this Job: General Summary of Position Serves as a member of the Case Management Team and applies RN clinical expertise and medical appropriateness to care coordination and discharge planning. Facilitates the delivery of quality cost effective patient-centered care from pre-admission through post-discharge timeframe. Ensures the care is designed to meet individualized patient outcomes. Monitors the care and services delivered to selected patient populations during the acute hospital stay promotes effective case management and utilization of resources and works to achieve optimal clinical and resource outcomes for the acute and post-hospital phases of care.   Primary Duties and Responsibilities   Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations. Collaborates with the multidisciplinary health care...

About this Job: eneral Summary of Position Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way.   *UR experience required. Must live in area. Remote after completion of on-site orientation. *   Primary Duties and Responsibilities   Conducts admission concurrent and retrospective case reviews to meet hospital objectives of high-quality patient care in the most efficient way. Strives to meet the department goals adheres to organizational policies procedures and quality standards. Complies with rules and regulations set forth by the governmental and accrediting agencies. Collaborates with medical staff physician advisor social workers and other ancillary hospital disciplines to meet patients' health care needs in the most...

About this Job: General Summary of Position Provides teaches and demonstrates professional nursing activities in accordance with policies and procedures of the agency and as defined by the Nurse Practice Act of the State of Maryland District of Columbia or Virginia. Primary Duties and Responsibilities   Analyzes and documents patients' and family's responses to interventions. Evaluates measurable progress toward goals and revise plan of care. Identifies and modifies underlying factors that impede progress toward goals. Makes recommendations for updates in the plan of care using knowledge of interventions and resources. Collaborates with the patient's physician and staff in planning and evaluating patient care. Provides timely pertinent written and verbal information to physicians and insurance case managers. Establishes visit schedule and informs patient/family and team supervisor. Uses a wide variety of community and agency resources as needed to meet patient needs....

About this Job: General Summary of Position Provides professional nursing care for clinic patients following established standards and practices. Monitors quality and safety issues. Functions in a nursing work and clinical skills mentoring capacity to medical assistant staff.   Primary Duties and Responsibilities   Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations. Performs general nursing care to patients. Administers prescribed medications vaccines treatments and procedures in accordance with nursing standards. Observes records and reports patient's condition and reaction to drugs and treatments to physicians. Dispenses medication as directed. Ensures that nursing documentation is complete accurate and legible. Greets patients and prepares them for physician examination. Screens patients for...