30 case management registered nurse jobs found

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Hospital Based Admission RN plans and delivers care to patients utilizing the nursing process of assessment, planning, interventions, implementation, and evaluation; and effectively interacts with patients, significant others, and other interdisciplinary team members while maintaining standards of professional nursing and clinical competency. Provides appropriate palliative and hospice care through assessment, teaching, counseling and direct care to client and/or family members. Coordinates care with hospital providers and clinical professionals. Coordinates care with other Hospice Interdisciplinary Team (IDT) team members and attends IDT meetings as indicated. Job Description: The Hospital Based Admissions Nurse determines appropriateness of General Inpatient (GIP) Level of care, coordinates and conducts preadmission activities, increases...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Description: Full-Time | Day or Night Shifts Available Winchester Hospital is seeking a compassionate and skilled Registered Nurse to join our Post Surgery Unit. In this role, you will provide exceptional nursing care to patients recovering from a variety of surgical procedures, collaborating with an interdisciplinary team to promote healing, recovery, and positive patient outcomes. Our Post Surgery nurses care for adult patients requiring post-operative monitoring, pain management, patient education, and discharge planning in a fast-paced acute care environment. Responsibilities Assess, plan, implement, and evaluate individualized nursing care for post-surgical patients. Monitor patient status and recognize changes in condition, initiating appropriate interventions. Administer medications, treatments, and therapies in accordance with...

Location: Worcester, MA Facility: UMass Memorial Health Department: Anesthesiology & Perioperative Medicine Schedule: Full-Time The Department of Anesthesiology at UMass Memorial Medical Group is seeking Certified Registered Nurse Anesthetists (CRNAs) to join our collaborative team. Our expanding group of nurse anesthetists practice at the top of their licenses as valued and integrated members of the anesthesia care team. Key Highlights Provide anesthesia care across a variety of surgical specialties Preform pre- anesthetic assessments and develop anesthesia care plans Administer anesthesia and monitor patients throughout procedures Provide post-anesthesia care and pain management Practice at the top of your license within a collaborative anesthesia care team Diverse case mix (general surgery, orthopedics, GI, OB, pediatrics, cardiac, etc.) Opportunities to work in ambulatory, inpatient, and procedural settings State-of-the-art...

Become a part of our caring community Make a meaningful impact every day as a CenterWell Home Health nurse. You'll provide personalized, one-on-one care that helps patients regain independence in the comfort of their homes. Working closely with a dedicated team of physicians and clinicians, you'll develop and manage care plans that support recovery and help patients get back to the life they love. $10K Sign on Bonus Available As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing visits for home health patients. Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager. Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment. Provide hands-on care, management and evaluation of the care plan and teaching of the patient in accordance with physician orders, under...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Description: Beth Israel Deaconess Hospital-Plymouth recognizes Integrity, Respect, Trust, Teamwork and Excellence as the Core Values of our organization.  It is the philosophy of BID-Plymouth to follow the LEAN methodology in order to provide the full continuum of health care services and the best quality patient centered care. Position Summary: Reporting to the Chief Medical Officer, the Director of Quality, Risk and Patient Experience provides strategic and operational leadership for quality improvement, patient safety, risk management, regulatory compliance, patient experience, infection prevention, quality analytics, and interpreter services at Beth Israel Deaconess Hospital-Plymouth (BIDP). Working collaboratively with clinical, operational, and administrative leaders, the Director advances the hospital's Quality and Safety Plan by...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based on the regulatory and reimbursement requirements of various commercial and government payers. Partners with the health care team to ensure reimbursement of hospital admissions is based on medical necessity and documentation is sufficient to support the level of care being billed. Conducts concurrent reviews as directed in the hospital’s Utilization Review Plan and review of medical records to ensure criteria for admission and continued stay are met and documented. Along with other health care team members, monitors the use of hospital resources and identifies delays. Job Description: Essential Functions and Responsibilities: 1, Performs a variety of concurrent and retrospective utilization...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Beth Israel Lahey Health and New England Baptist Hospital are devoted to consistently promoting a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in our organization's WE CARE values which can be reviewed here Our Values. The Registered Nurse systematically and continuously collects and assesses data in collaboration with the interprofessional team to provide therapeutic care with the patient and/or family. He/she performs all required elements of a nursing assessment including but not limited to physical examination, assessment of readiness to learn, psychosocial assessment, functional assessment and utilization of patient/family specific assessment scales as required. The Registered Nurse is an active member of the inter-professional team and collaborates in the development, execution and evaluation of the...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Description: Johnson 6 is a 37 bed medical unit. The unit has multiple private rooms to accommodate the needs of the variety of patient populations that are served there. Johnson 6 also has three four bed rooms which overflow beds are available in case of elevated census. There is one negative pressure room to accommodate needs of patients requiring this level of need.   The entire unit has had an assessment to accommodate the behavioral health patients we care for that may happen to be on suicide precautions. These patients tent to be placed in the private rooms at the Nurse’s Station for the highest levels of monitoring.   Patient Population Johnson 6 accepts patients of 16 years of age or older with chronic medical conditions. Patients cared for on this unit generally range in age 20 to 90 years of age, there is such a range of ages on Johnson...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Description: Beth Israel Deaconess Hospital-Plymouth recognizes Integrity, Respect, Trust, Teamwork and Excellence as the Core Values of our organization.  It is the philosophy of BID-Plymouth to follow the LEAN methodology in order to provide the full continuum of health care services and the best quality patient centered care. Duties/Responsibilities: Assesses the physical and psychosocial status of clients by means of interview, health history, physical examination, and diagnostic studies. Recognizes deviations from normal in the physical assessment. Works in collaboration with a physician in formulating treatment plans for health problems and follow-up. Writes prescriptions for medication, blood products based upon laboratory results, routine diagnostic and follow-up studies, therapeutic measures, and post-discharge care in accordance...

Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and patient advocate between Dana Farber Cancer Institute and various health plans. Reporting to the Prior Authorization Supervisor, the Clinical Authorization Specialist is responsible for managing all work related to molecular pathology, high-cost drug, and off-label drug authorizations. The Clinical Authorization Specialist is also responsible for managing denials related to front-end prior authorization, biosimilar drugs, pharmacy-benefit exclusion drugs, and claims. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Description: Make an Impact at BILH Behavioral Services   Join a mission‑driven team where your nursing   expertise   truly matters. At the Danvers Treatment Center,   you’ll   support individuals in one of the most important moments of their recovery journey. If   you’re   passionate about compassionate, evidence‑based care, this role offers the chance to make a real difference.   Why Join Us?   Be part of the team that supports YOU while helping others .    Here’s   what you can expect:   Day‑One Benefits   Comprehensive health, dental, and vision coverage   Employee Wellness Program   Exclusive employee discount programs       Financial Well‑Being   403(b) Retirement Savings Plan with employer match   Professional license...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Description: Make an Impact at BILH Behavioral Services   Join a mission‑driven team where your nursing expertise truly matters. At the Danvers Treatment Center, you’ll support individuals in one of the most important moments of their recovery journey. If you’re passionate about compassionate, evidence‑based care, this role offers the chance to make a real difference. Why Join Us?  Be part of the team that supports YOU while helping others.  Here’s what you can expect:  Day‑One Benefits  Comprehensive health, dental, and vision coverage  Employee Wellness Program  Exclusive employee discount programs     Financial Well‑Being  403(b) Retirement Savings Plan with employer match  Professional license reimbursement  Sign‑on bonuses for select roles     Growth & Development  Tuition...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Shared position supporting BILH Health at Home and BILH Hospital at Home. Position is based in Charlestown and field. The registered nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities in accordance with home care regulations, hospital regulations and payer guidelines. The registered nurse is also trained in caring for Acute Hospital Care at Home patients, delivering care in the patient’s home, in partnership with the Command Center multidisciplinary clinical team. Job Description: Essential Duties & Responsibilities including but not limited to: Patient Care 1. Assumes responsibility...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Description: Make an Impact at BILH Behavioral Services   Join a mission‑driven team where your nursing expertise truly matters. At the Danvers Treatment Center, you’ll support individuals in one of the most important moments of their recovery journey. If you’re passionate about compassionate, evidence‑based care, this role offers the chance to make a real difference. Why Join Us?  Be part of the team that supports YOU while helping others.  Here’s what you can expect:  Day‑One Benefits  Comprehensive health, dental, and vision coverage  Employee Wellness Program  Exclusive employee discount programs     Financial Well‑Being  403(b) Retirement Savings Plan with employer match  Professional license reimbursement  Sign‑on bonuses for select roles     Growth & Development  Tuition reimbursement...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Based out of Mount Auburn Hospital. No weekends! Job Description: Essential Duties & Responsibilities including but not limited to: · The Hospital Based Admissions Nurse determines appropriateness of General Inpatient (GIP) Level of care, coordinates and conducts preadmission activities · Increases accessibility to hospice care, to manage the hospice admission process via effective communication · Describes and explains hospice services to a potential patient/family and elicits responses to questions regarding patient/family attitude toward hospice care, physical and psycho/social/emotional status, in order to put the patient and family at ease about choosing hospice and fully inform them about the program · Gathers pertinent information necessary for admission · Speaks to patient/family about insurance coverage and financial obligations, using...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. 40 hours per week; 9:00am-5:30pm or 9:30am-6:00pm; Rotate Every Third Weekend & Holidays Job Description: Job Summary: The RN Case Manager (CM) facilitates the coordination of care for those patients admitted to medical, surgical services, ICU, and as needed for outpatient areas including but not limited to the Emergency Department, PACU and Preadmission testing. The case manager consults and collaborates in activities related to the establishment of appropriate levels of care. He/She reviews patient's medical records and participates in direct and indirect communication with care givers to ensure continued appropriate level of acre, including the level of care of elective surgical cases. The case manager provides ongoing education to the physicians and nurses about levels of care. The RN Case manager, performs, consults, and collaborates in...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. This role is full-time (40 hours per week) Monday through Friday with a Weekend Rotation shared among Staff. Coordinates patient care utilization and discharge planning by applying clinical criteria, collaborating with care teams, and ensuring appropriate levels of care. Supports patient transitions, compliance, quality improvement, and regulatory standards while maintaining strong communication, customer service, and participation in organizational activities. Job Description: Essential Duties & Responsibilities including but not limited to: 1) Performs utilization review and discharge planning to inpatient admissions. 2) Applies Interqual, AEP and or other review criteria approved by the Clinic to accurately determine appropriateness for inpatient and outpatient care. 3) Utilizes clinical expertise to determine the appropriate level of care for...

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...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Description: Medical Weight Loss -Advanced Practice Provider (NP/PA) – Part-Time   Beth Israel Lahey Health (BILH) Specialty Care, Lifestyle Management   Locations: Danvers, Beverly, and Gloucester, MA   Beth Israel Lahey Health is seeking a Per Diem Nurse Practitioner (NP) or Physician Assistant (PA) to join our multidisciplinary L ifestyle Management and Medical Weight Loss Program. This is an exceptional opportunity to provide evidence-based obesity medicine and metabolic health care in a collaborative, patient-centered environment while enjoying a flexible per diem schedule.   Key Responsibilities :     Clinical Assessment and Management   Conduct comprehensive initial and follow-up evaluations for patients seeking medical weight management.   Obtain medical...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. This position is full time, 32 hours per week, night shifts. Weekend and holiday rotation required. As a Registered Nurse in the ICU, you will provide high-quality, patient-centered care as part of a collaborative Care Team. You’ll play a key role in supporting patients and families, coordinating care, and ensuring a safe and positive experience throughout the hospital stay. The Mount Auburn Hospital ICU has been expanded up to 20 beds, providing care at the community level for patients with a variety of critical care needs – from cardiothoracic surgery recovery to respiratory care to kidney failure and more. Sign-On Bonus: Eligible candidates may receive a $20,000 sign-on bonus, subject to the terms and conditions of the program. Please inquire for additional details. Job Description: Located in Cambridge, just steps from Harvard Square and the Charles...