117 case manager rn jobs found

As a member of the interdisciplinary Care Management Team the Case Manager, RN utilizes a collaborative process to perform care coordination, discharge planning and utilization review to promote quality, cost effective outcomes. In addition to discharge planning the Case Manager, RN will work in collaboration with the Physician Advisor group to perform prospective, concurrent and retrospective review to determine if patient level of care is determined to be medical necessary. Requirements: Minimum of three (3) years of experience in a hospital setting with medical/surgical experience; may have equivalent combination of education and/or experience. One (1) year of experience in discharge planning, case management and/or utilization management preferred. Advanced education to include BSN encouraged. Current RN license issued by the WA Department of Health required. **This position is eligible for a $4,000 Sign-On Bonus. For more information please contact 360-299-4286.** For...

As a member of the interdisciplinary Care Management Team the Case Manager, RN utilizes a collaborative process to perform care coordination, discharge planning and utilization review to promote quality, cost effective outcomes. Utilization Review: The Case Manager, RN will work in collaboration with the Physician Advisor group to perform prospective, concurrent and retrospective review to determine if patient level of care is determined to be medical necessary. Requirements: Minimum of three (3) years of experience in a hospital setting with medical/surgical experience; may have equivalent combination of education and/or experience. One (1) year of experience in discharge planning, case management and/or utilization management preferred. Advanced education to include BSN encouraged. Current RN license issued by the WA Department of Health required. **This position is eligible for a $4,000 Sign-On Bonus. For more information please contact 360-299-4286.** For Information on...

As a member of the interdisciplinary Care Management Team the Case Manager, RN utilizes a collaborative process to perform care coordination, discharge planning and utilization review to promote quality, cost effective outcomes. In addition to discharge planning the Case Manager, RN will work in collaboration with the Physician Advisor group to perform prospective, concurrent and retrospective review to determine if patient level of care is determined to be medical necessary. Requirements: Minimum of three (3) years of experience in a hospital setting with medical/surgical experience; may have equivalent combination of education and/or experience. One (1) year of experience in discharge planning, case management and/or utilization management preferred. Advanced education to include BSN encouraged. Current RN license issued by the WA Department of Health required. **This position is eligible for a $4,000 Sign-On Bonus. For more information please contact 360-299-4286.** For...

JOB REQUIREMENTS Education Degree/diploma in nursing and current State of Arkansas Registered Nurse license required. Bachelor's Degree in Nursing preferred. Experience A minimum of one year experience working with the frail or elderly population and case management experience. Clinical nursing experience preferred. Community and or geriatric nursing experience strongly preferred. Sound clinical skills and demonstrated good judgment. Working knowledge of physical, mental and social needs of the frail elderly population. Ability to problem-solve and plans effectively. Effective oral and written communication skills. Basic computer skills. Physical This is a safety sensitive position. Please see the St. Bernards Substance Abuse Policy for further information. Requires physical strength to perform the essential functions of the job. Must be able to work required schedule. Occasional home visits may be required. Involves being inside and outside. Exposure to temperatures 32 degrees 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 Type: Regular Scheduled Hours: 36 Work Shift: Day (United States of America) The RN Case Manager working in the Triad Model of Care Transitions partners with the interdisciplinary care team to facilitate the progression of care for the hospitalized patient. Together with the medical provider, the RN Case Manager collaborates with all members of the care team, focusing on the delivery of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a safe and timely discharge for the patient. This role navigates health system services to support effective transitions while advising the team on healthcare industry compliance. The RN Case Manager must be adept at driving throughput metrics, clinical effectiveness, and fiscal responsibility. Sign-on Bonus: • $10,000 payout for full-time positions (40 hours) prorated...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Type: Regular Scheduled Hours: 40 Work Shift: Day (United States of America) The RN Case Manager working in the Triad Model of Care Transitions partners with the interdisciplinary care team to facilitate the progression of care for the hospitalized patient. Together with the medical provider, the RN Case Manager collaborates with all members of the care team, focusing on the delivery of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a safe and timely discharge for the patient. This role navigates health system services to support effective transitions while advising the team on healthcare industry compliance. The RN Case Manager must be adept at driving throughput metrics, clinical effectiveness, and fiscal responsibility. Job Description: Essential Functions: The RN Case Manager collaborates with...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Type: Regular Scheduled Hours: 40 Work Shift: Day (United States of America) Flexible hours available; seeking to hire 32hrs/wk- 40hrs/wk RN Case Manager. The RN Case Manager working in the Triad Model of Care Transitions partners with the interdisciplinary care team to facilitate the progression of care for the hospitalized patient. Together with the medical provider, the RN Case Manager collaborates with all members of the care team, focusing on the delivery of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a safe and timely discharge for the patient. This role navigates health system services to support effective transitions while advising the team on healthcare industry compliance. The RN Case Manager must be adept at driving throughput metrics, clinical effectiveness, and fiscal...

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 large...

Clinical Case Management RN Case Manager DESCRIPTION OF POSITION: The Clinical Case Management RN Case Manager assesses the physical, functional, social, psychological, environment and financial needs of clients/patients; identify a cost -effective comprehensive plan to meet the families' service needs, and implement the plan.. RESPONSIBILITIES AND DUTIES: Provide referrals to appropriate community resources. Facilitate access and communication when multiple services are involved. Monitor activities to ensure that services are actually delivered and meet the needs of clients. Coordinate services to avoid duplication. Assess the clients' formal and informal support systems. Monitor clients progress toward goal achievement and periodically reassess changes in health status. Monitor the care plan to ensure the effectiveness and appropriateness of services. Act as patient advocate; identify and develop new community resources; assist with problem solving. Communicate clinical...

RN Case Manager Job Category : Mgmt & Supervisory Requisition Number : RNCAS023341 Apply now Posting Details Posted : September 19, 2023 Full-Time Locations Showing 1 location Hot Springs, AR National Park Medical Center 1910 Malvern Ave Hot Springs, AR 71901, USA Hot Springs, AR National Park Medical Center 1910 Malvern Ave Hot Springs, AR 71901, USA +0 more less Job Details Description GENERAL SUMMARY: Responsible and accountable for case by case clinical, quality, and financial outcomes for patients in their caseload.  Activities include concurrent clinical management, discharge planning, social work and utilization review. REQUIREMENTS: Minimum of 2 years clinical experience.  Ability to manage conflict and negotiate during difficult situations.  Self motivated.  Must be able to set priorities at all times.  Must be very detail oriented and follow-up on everything.  Must be able to work closely with physicians, nurses and other ancillary departments.  Abides by “Quality...

Posting Details Posted : September 20, 2023 Full-Time Locations Showing 1 location 2000 Tamarack Rd. 2000 Tamarack Rd. Newark, OH 43055, USA 2000 Tamarack Rd. 2000 Tamarack Rd. Newark, OH 43055, USA +0 more less Job Details Description RN Case Manager Pain and Wound Clinics Position Summary The case manager is responsible for gathering and submitting the necessary documentation and/or information to insurance companies for procedural pre-authorizations for the pain and wound clinic services.  The Case Manager works closely with all applicable insurance providers and Licking Memorial Hospital (LMH) compliance managers to monitor and implement as necessary local coverage determinations (LCDs).  Responsible for working denial queues to facilitate resolution for denied claims. Responsibilities Works closely with pain, wound staff, and schedulers for upcoming patient procedures, rescheduled procedures, and denials. Follows up with patients as applicable. Works with the pain and wound...

Discharge Planner RN / Case Manager - full-time weekends - ( 20-8136-RNCMFT-3422 ) Description Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties. To learn more about Baptist Health, visit us at https://www.baptistfirst.org. Coordinates care of an assigned caseload of patients through collaboration with physicians, nursing staff and other health professionals to facilitate efficient utilization of clinical resources, optimal clinical and continuing care as well as financial outcomes. Concurrent and retrospective clinical review of medical records to evaluate the appropriate utilization of services, facilitate optimal physician documentation and assignment of optimal DRG, coding assignment to reflect case mix index. Qualifications Graduate from School of Nursing currently licensed with the Alabama Board of Nursing. BSN...

Case Manager / Discharge Planner RN - full-time weekends - ( 02-8136-CMW-022123-1 ) Description Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties. To learn more about Baptist Health, visit us at https://www.baptistfirst.org. Coordinates care of an assigned caseload of patients through collaboration with physicians, nursing staff and other health professionals to facilitate efficient utilization of clinical resources, optimal clinical and continuing care as well as financial outcomes. Concurrent and retrospective clinical review of medical records to evaluate the appropriate utilization of services, facilitate optimal physician documentation and assignment of optimal DRG / coding assignment to reflect case mix index. Qualifications Graduate from School of Nursing, BSN preferred. At least five (5) years hospital patient...

Case Manager / Discharge Planner RN - part-time days - ( 20-8136-CMD-052323-1 ) Description Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties. To learn more about Baptist Health, visit us at https://www.baptistfirst.org. Coordinates care of an assigned caseload of patients through collaboration with physicians, nursing staff and other health professionals to facilitate efficient utilization of clinical resources, optimal clinical and continuing care as well as financial outcomes. Concurrent and retrospective clinical review of medical records to evaluate the appropriate utilization of services, facilitate optimal physician documentation and assignment of optimal DRG, coding assignment to reflect case mix index. Qualifications Graduate from School of Nursing currently licensed with the Alabama Board of Nursing. BSN...

How You’ll Help Transform Healthcare: Provides case management for assigned patient populations. Utilizes clinical expertise, communication and problem solving skills to achieve optimal clinical and resource outcomes. Promotes cost-effective care by minimizing fragmentation, maximizing coordination, and facilitating patient/family movement through the health care organization. Performs patient needs assessments upon admission and at regular intervals; facilitating referrals and providing linkages to health, wellness, and post-acute care resources across the health care continuum. Promotes interdisciplinary collaboration and teamwork to progress the plan of care and discharge plan. Promotes appropriate length of stay, resource management, and care transitions to the next level of care. Must comply with all federal and state regulations surrounding the discharge process. Must possess knowledge of growth and development appropriate to age group served and incorporate plan to meet...

How You’ll Help Transform Healthcare: Frankin County Region. Sign on Bonus Eligible up to 30K. As part of the health care team, assumes primary accountability for managing nursing care and provision of individualized  care for patients of all ages.  Utilizes delegation and critical thinking skills to provide quality service through a team oriented, collaborative approach to patient care. Interacts with patients, families, visitors, and all members of the health care team to develop, coordinate, and manage the plan of care. Manages and oversees delivery of patient care such as and not limited too: Maintains patient, staff and customer confidentiality. Demonstrates knowledge of the principles of life span growth and development and assesses data reflective of the patient's status.  Interprets the appropriate information needed to identify each patient's requirements relative to his or her age specific needs and provides care according to departmental policies and procedures. Work...

Job Summary Provides case management for assigned patient populations. Utilizes clinical expertise, communication and problem solving skills to achieve optimal clinical and resource outcomes. Promotes cost-effective care by minimizing fragmentation, maximizing coordination, and facilitating patient/family movement through the health care organization. Performs patient needs assessments upon admission and at regular intervals; facilitating referrals and providing linkages to health, wellness, and post-acute care resources across the health care continuum. Promotes interdisciplinary collaboration and teamwork to progress the plan of care and discharge plan. Promotes appropriate length of stay, resource management, and care transitions to the next level of care. Must comply with all federal and state regulations surrounding the discharge process. Must possess knowledge of growth and development appropriate to age group served and incorporate plan to meet needs into plan of care....

Job Summary Provides case management for assigned patient populations. Utilizes clinical expertise, communication and problem solving skills to achieve optimal clinical and resource outcomes. Promotes cost-effective care by minimizing fragmentation, maximizing coordination, and facilitating patient/family movement through the health care organization. Performs patient needs assessments upon admission and at regular intervals; facilitating referrals and providing linkages to health, wellness, and post-acute care resources across the health care continuum. Promotes interdisciplinary collaboration and teamwork to progress the plan of care and discharge plan. Promotes appropriate length of stay, resource management, and care transitions to the next level of care. Must comply with all federal and state regulations surrounding the discharge process. Must possess knowledge of growth and development appropriate to age group served and incorporate plan to meet needs into plan of care....