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Registered Nurse Case Manager Jobs

Nurse Case Manager Jobs
By Actalent At Beaverton, OR, United States
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
DE&I Are Embedded Into Our Culture Through
Case Manager Registered Nurse- Rn
By Pulse Clinical Alliance At Boston, MA, United States
Experience: 1 year Case Management RN
Pulse Clinical Alliance is hiring a Case Manager Registered Nurse in Boston, MA!
Shift: Days, 40 hours/weekly, 8:00 am- 4:30 pm
Registered Nurse (Rn) Case Manager - Home Health $5000 Bonus
By Interim HealthCare Inc. At Auburn, ME, United States
2+ years of experience in skilled care preferred
1+ year of experience in nursing supervision preferred
Recent wound care experience preferred
Current CPR BLS certification required
Valid Nursing License in the State of Maine
Field Nurse Case Manager
By EagleOne Case Management Solutions At Anaheim, CA, United States
Previous case management experience a plus
Understands and demonstrates the ability to apply Eagle One™ case management protocols
Utilizes appropriate cost management programs per account or company protocol (i.e., Pharmacy, DME, etc.)
Consults with Manager on case strategy as needed
Carbon copies the Manager on any documentation relating to initial assignment, claim barriers/complex cases or any case resolution issues
Alerts Manager of any requests to deviate from Eagle One™ or account specific protocols and obtains approval to proceed as necessary
Case Manager Nurse Jobs
By Clinical Management Consultants At Redondo Beach, CA, United States

A nearly 450 bed medical center in southern LA County is seeking a Nurse Case Manager. The RN Case Manager will enjoy the supportive environment at this hospital that is part of a regional healthcare ...

Registered Nurse Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Jacksonville, FL, United States

Are you passionate about making a positive impact on patients' lives? We are seeking a dedicated Care Manager to join our team and provide exceptional care management services to our beneficiaries. As ...

Registered Nurse Case Manager
By VNA PHILADELPHIA At Philadelphia, PA, United States
Knowledge of case management standards and protocols for delivery of care and other needed services.
Demonstrates knowledge of and applies professional nursing practice and principles to patients in the home.
Ability to maintain CPR certification; must be active prior to start date.
Excellent interpersonal, verbal & written communication skills and organizational skills required.
Able to work independently and demonstrates critical thinking skills.
Provides comprehensive assessment, planning, implementation, and evaluation for a caseload of home care patient as the primary nurse.
Nurse Case Manager I
By Elevance Health At , Miami, Fl
Preferred Qualifications, Skills & Experiences:
Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
Job Family: Medical and Clinical
Registered Nurse Case Manager (Rn) - Population Health
By University of Maryland Medical System At , Glen Burnie, 21061, Md
Identifies self-management resources including health education classes and support groups to achieve care plan goals.
Assesses the patient’s risk factors and needs for care coordination, clinical utilization management services, discharge planning and identifies appropriate preventative services.
Collaborates with the interdisciplinary team to identify patients most likely to benefit from care coordination services.
Three (3) years of Clinical nursing experience required.
Develops a care plan and treatment goals with the patient and/or family.
Models' effective customer service behaviors. Identifies and acts on opportunities to understand and respond to customers.
Nurse Case Manager - Remote - Temple, Tx
By UnitedHealth Group At , Temple, 76502, Tx
1+ years of utilization management experience
Disease state management experience with solid ability to educate patients on health and wellness
Proficient in patient-centered Care Plan creation and active management
Ability to manage and coordinate care and services within an Interdisciplinary Team
Manage incoming clinical calls to ensure patients’ medical concerns are addressed by the care team in a timely manner
Actively participates in Landmark meetings and education sessions
Registered Nurse (Care Coordination And Intensive Case Management )
By US Veterans Health Administration At , Wilmington, 19805, De $75,774 - $135,989 a year
If you are relying on your education to meet qualification requirements:
Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Case Manager, Registered Nurse
By Sutter Health At , Sacramento, Ca $69.15 - $90.15 an hour
NCQA standards and application, state and federal requirements as apply to managed care, utilization management criteria and its application.
Demonstrated , positive interpersonal relationship skills, to include presentations to small groups, and skill in time management.
Graduate of an accredited school of nursing. or equivalent education/experience
2 years recent relevant experience.
Interpersonal skills collaborating with physicians, patients, families, care givers, service providers, and health care team.
This position is work from home eligible.
Clinic Nurse Medical Case Manager
By The Travelers Companies, Inc. At , Phoenix, Az $79,200 - $130,700 a year
Disability case management experience preferred.
Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN) preferred.
Utilize internal Claim Platform Systems to manage all claim activities on a timely basis.
General Insurance Contract Knowledge: Ability to understand policies and contracts, as they apply to policy conditions.
Medical knowledge: Thorough knowledge of the nature and extent of injuries, periods of disability, and treatment needed.
Coordinate with medical providers to ensure the injured employee is actively participating in a viable treatment plan.
Clinical Manager-Registered Nurse Jobs
By Plastic Surgery Group (Skin and Aesthetic Centers) At , Montclair, 07042, Nj
Train new staff and provide continuing education for current staff
Experience in Plastic Surgery/Aesthetics preferred
Comprehensive medical plan offerings with S&A contributing an average of 80% toward premiums.
Extensive ancillary benefits: dental, vision, voluntary life insurance, hospital indemnity, critical illness, EAP, and more!
Benefits of Joining Plastic Surgery Group/Skin & Aesthetic Centers
Operating Room cases and procedures (with Scheduler)
Nurse Case Manager Jobs
By Halifax Health At Daytona Beach, FL, United States
Ability to prioritize assignments and effective time-management skills
Three years acute care experience in a hospital setting; one year as a utilization review nurse preferred
Demonstrates effective interpersonal and communication skills
Basic knowledge of clinical and psychosocial aspects of patient care
Demonstrates skills in planning, organizing, and managing multiple functions and complex processes
Excellent verbal and written communication skills required
Nurse Case Manager - Remote - Saginaw, Mi
By UnitedHealth Group At , Saginaw, 48638, Mi
1+ years of Utilization Management experience
Disease state management experience with solid ability to educate patients on health and wellness
Proficient in patient-centered Care Plan creation and active management
Ability to manage and coordinate care and services within an Interdisciplinary Team
Manage incoming clinical calls to ensure patients’ medical concerns are addressed by the care team in a timely manner
Actively participates in Landmark meetings and education sessions
Nurse Case Manager - Disease Management Pchp
By Parkland Health and Hospital System At , Dallas, 75201, Tx
Three years of experience nursing in a clinical, medical or disease specific management setting.
Ability to define care or disease management reporting requirements.
Three years of managed care case management experience is preferred.
May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above.
Competent in application of case management standards.
Adept in use of case management software.
Nurse Case Manager - Northeast
By Argenx At ,
Demonstrated time management skills; planning and prioritization skills; ability to multi-task and maintain prioritization of key projects and deadlines
Provide direct educational training and support to patients and caregivers about gMG and prescribed argenx products
Will manage patient cases across regions as coverage and volume requires.
Collaborate with argenx Patient Access Specialist, Case Coordinator, and Field Reimbursement Manager teams to troubleshoot and resolve reimbursement-related issues
Provide patient-focused education to empower patients to advocate on their behalf
Develop relationships and manage multiple and complex challenges that patient and caregivers are facing
Nurse Case Manager- Remote
By Sentara Healthcare At , Glen Allen, 23060, Va
Keywords: nursing, discharge planning, managed care, case management, RN, nurse, health plan, health care, Indeed, Monster
Nursing experience 3 years required
This position is remote in Virginia.
Associates or Bachelor’s Degree in Nursing
Registered Nurse License (RN) - Compact/Multi-State License
Registered Nurse License (RN) - Virginia
Nurse Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At New York, NY, United States

We are seeking a caring and compassionate Care Manager to join our team! As a Care Manager, you will work closely with our members and their families/caregivers to develop and implement individualized ...

Are you looking for a challenging and rewarding career as a Registered Nurse Case Manager? We are looking for an experienced RN to join our team and provide exceptional care to our patients. You will be responsible for managing patient care, developing care plans, and coordinating services with other healthcare professionals. If you are passionate about providing quality care and making a difference in people's lives, this is the job for you!

Registered Nurse Case Manager Job Skills:

• Knowledge of medical terminology and clinical procedures
• Ability to assess patient needs and develop appropriate care plans
• Excellent communication and interpersonal skills
• Ability to work collaboratively with other healthcare professionals
• Ability to manage multiple tasks and prioritize effectively
• Ability to work independently and as part of a team
• Excellent organizational and problem-solving skills
• Ability to maintain accurate and detailed records
• Knowledge of relevant laws and regulations

What is Registered Nurse Case Manager Job Qualifications?

• Bachelor’s degree in Nursing or related field
• Current Registered Nurse (RN) license in the state of practice
• Previous experience in case management, home health, or other related field
• Knowledge of Medicare and Medicaid regulations
• Knowledge of managed care principles and practices
• Ability to use computer software programs

What is Registered Nurse Case Manager Job Knowledge?

• Knowledge of medical terminology and clinical procedures
• Knowledge of relevant laws and regulations
• Knowledge of Medicare and Medicaid regulations
• Knowledge of managed care principles and practices
• Knowledge of home health care and hospice services
• Knowledge of community resources and support services

What is Registered Nurse Case Manager Job Experience?

• Previous experience in case management, home health,