15 registered nurse case manager jobs found

Encompass Health seeks a Registered Nurse Case Manager to coordinate patient-centric care in our inpatient rehabilitation setting. You will manage a caseload from admission through discharge, develop individualized care plans, lead interdisciplinary collaboration, and support safe transitions to home health or other post-acute services. This role requires strong clinical judgment, communication, and discharge planning skills. Join a team focused on high-quality patient care in a nurturing, dynamic, and rewarding environment with strong career growth potential.

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. 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 and payer guidelines. This position will assist where needs are throughout the assigned branch based on vacancy positions, leaves/vacations and priority patients. This RN will also be a primary preceptor for new staff as needed throughout the branch. Job Description:   Essential Duties & Responsibilities including but not limited to:  Patient Care 1.     Assumes responsibility to coordinate patient care for the temporarily assigned caseload including but not limited to: appropriate...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Hospice RN Float 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 other community resources as needed. Coordinates care with other team members and attends Hospice Interdisciplinary Team meetings as indicated Assumes responsibility of established caseload of patients across all branches based on Agency need, as directed by supervisor. The location where this role is based may not be predictable or consistent and travel will be required...

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: Sign-on bonus Scheduled: Tuesday, Wednesday, Thursday, and Friday — early morning hours, starting at either 6:00 AM or 7:00 AM. The shift is 2.5 hours each day. ​   Under the direction of the Nurse  Manager ,  provides  methadone dosi ng services to clinic clientele . Is accountable for safely managing the administration of medication and monitoring  effectiveness. ​   Responsibilities: 1. Daily nursing assessment of clients regarding appropriate level of medication dosage running and reviewing of reports.    2. Medical documentation of clients in Methasoft and Epic, daily clinic review regarding client status change.    3. Assess patients, as needed, for signs of withdrawal, sedation, suicide behavior, intoxication and medication effectiveness. Document client concerns daily.    4....

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. 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 and payer guidelines. This position will assist where needs are throughout the assigned branch based on vacancy positions, leaves/vacations and priority patients. This RN will also be a primary preceptor for new staff as needed throughout the branch. Job Description:   Essential Duties & Responsibilities including but not limited to:  Patient Care 1.     Assumes responsibility to coordinate patient care for the temporarily assigned caseload including but not limited to: appropriate...

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. 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. This role is part-time, Saturday and Sunday, 10 Hour Days, working specifically with the Emergency Department. 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. Provides operational oversight, professional guidance, and direction to the Care Transitions team, ensuring services are provided efficiently and effectively. Regularly reviews and revises, as necessary, relevant standards and ensures services performed comply with all hospital, system, and regulatory agency standards. Coordinates provision of services with other nursing and medical functions and serves as a technical resource for departmental personnel. As an expert in the assigned area serves as a resource person to staff and physicians. Job Description: Plans and administers through the effective management and delivery of care transitions services following all hospital, system, and regulatory agency standards. Assists with ensuring quality, financial, and customer service objectives are met, including data necessary to monitor and measure compliance...

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 part time, 20 hours per week (2 10-hour shifts), and would predominantly support the Emergency Department at Lahey Clinic. Primarily weekday shifts, but some weekends may be required. 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...

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: Job Description Elevate your nurse residency experience to the highest standard! Beverly and Addison Gilbert Hospitals Nurse Residency program has earned the ANCC Practice Transition Accreditation Program®(PTAP) status.   The RN Residency program consists of numerous classroom and simulation experiences that complement your unit orientation. You will receive an abundance of support during the program from your assigned preceptor, the clinical educator who supports your unit, and the Nurse Manager with whom you will meet routinely to ensure your success. We also have a mentoring program available to new graduates where you will be paired with experienced new nurses who will help ease the transition of being a new graduate. The average Med-Surg orientation is approximately 12 weeks.  Johnson 6 is a 37 bed medical unit. 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: Job Description Elevate your nurse residency experience to the highest standard! Beverly and Addison Gilbert Hospitals Nurse Residency program has earned the ANCC Practice Transition Accreditation Program®(PTAP) status.   The RN Residency program consists of numerous classroom and simulation experiences that complement your unit orientation. You will receive an abundance of support during the program from your assigned preceptor, the clinical educator who supports your unit, and the Nurse Manager with whom you will meet routinely to ensure your success. We also have a mentoring program available to new graduates where you will be paired with experienced new nurses who will help ease the transition of being a new graduate. The average Med-Surg orientation is approximately 12 weeks.  Johnson 6 is a 37 bed medical unit. The...

Location : CHA Cambridge Hospital Work Days : Mon-Fri; 8:00-4:30, rotating weekends and holidays Category : Registered Nurse Department : Inpatient Case Management CH Job Type : Part time Work Shift : Day Hours/Week : 24.00 Union Name : MNA Cambridge Department Description: Inpatient Case Management provides psychosocial assessments, evaluations, and referrals for adults, and/or families with psychiatric illness, substance abuse, and medical illness. Casework or therapy takes place in the hospital setting. Cross Training to all areas of Care Management Summary: Under the general supervision of the Director of Care Management, the RN Case Manager provides clinically-based case management to support the delivery of effective and efficient patient care consistent with the Centers for Medicaid and Medicare Conditions of Participation. The RN Case Manager will collaborate with other members of the health care team to identify appropriate utilization of resources...

Location: CHA Everett Hospital Work Days: 8-4:30pm including weekend rotation Category: Registered Nurse Department: Inpatient Case Management Everett Job Type: Per Diem Work Shift: Day Hours/Week: 0.00 Union: Yes Union Name: MNA Everett DEPARTMENT DESCRIPTION: Inpatient Case Management provides psychosocial assessments, evaluations, and referrals for adults, and/or families with psychiatric illness, substance abuse, and medical illness. Casework or therapy takes place in the hospital setting. Cross Training to all areas of Care Management Under the general supervision of the Director of Care Management, the RN Case Manager provides clinically-based case management to support the delivery of effective and efficient patient care consistent with the Centers for Medicaid and Medicare Conditions of Participation. The RN Case Manager will collaborate with other members of the health care team to identify appropriate utilization of resources...

Reporting to the Manager of Prior Authorization, the Prior Authorization Supervisor is responsible for managing the operational workflows and staff obtaining drug and laboratory procedure prior authorizations from third-party payers. This work will primarily address on-/off-label drugs and molecular pathology procedures provided in the outpatient hospital setting. A key focus of the Prior Authorization Supervisor will be to apply appropriate medical knowledge to all functions of the prior authorization work. He/She will oversee and ensure staff applies appropriate medical knowledge and training. The Prior Authorization Supervisor will assist with prior authorization medical necessity inquiries, with a primary focus on drug and laboratory prior authorizations. Prior Authorization work requires its staff to serve as liaisons between the clinical team and third-party payers. The Prior Authorization Supervisor will demonstrate a strong ability to collaborate with these key...