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Case Management Nurse Jobs

Travel Nurse Rn - Case Management - $2,737 Per Week
By Host Healthcare, Inc. At Los Angeles, CA, United States

Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start ...

Travel Nurse Rn - Case Management - $2,600 Per Week
By KPG Healthcare At Meeker, CO, United States
8, 13, 26 week assignment
Housing or Housing stipend provided
Weekly Pay with direct deposit
Travel Nurse Rn - Case Management - Covid19 - $3,380 Per Week
By MedWave Healthcare Staffing At Sitka, AK, United States

2 positions open!!*Day shift- Cerner*Minimum 2 years experience*BLS required*COVID vaccine required including booster

Travel Nurse Rn - Case Management - $2,025 Per Week
By KPG Healthcare At Portland, OR, United States

KPG Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Portland, Oregon. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ...

Case Management - Nurse, Consultant
By Blue Shield of California At , Long Beach $109,120 - $163,680 a year
Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements
Assumes supervisor day to day responsibilities in manager’s absence and under the direction of the manager
A minimum of 3+ year experience in inpatient, outpatient or managed care environment required
Health insurance/managed care experience desired.
Requires at least 7 years of prior experience in nursing, healthcare or related field
Transitions of care experience desired
Case Management - Nurse, Senior
By Blue Shield of California At , Rancho Cordova, 95670 $85,360 - $128,040 a year
Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements
Provide Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD)
Requires at least 5 years of prior experience in nursing, healthcare or related field
Extensive knowledge of evidenced based clinical practice guidelines particularly for chronic conditions.
Knowledge of Coordination of Care, Medicare regulations, prior authorization, level of care and length of stay criteria sets desirable.
Design appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access and cost-effective outcomes
Case Management Liaison - Case Management - Fixed-Term, Full-Time (1.0 Fte), 8 Hr. Rotating Shifts
By Stanford Health Care At , Palo Alto, 94305 $33.45 - $37.68 an hour
Reviews daily admission data and checks inpatient insurance benefits, authorized days and concurrent review requirements.
Performs admission, concurrent and retrospective reviews under the direction of the Case Manager, following established guidelines.
Verifies post-hospitalization benefits. Arranges and coordinates transportation, post-hospital placement, services and equipment.
Three (3) years of progressively responsible and directly related work experience
Knowledge of Windows-based office software, computers and operating systems
SHC Commitment to Providing an Exceptional Patient & Family Experience
Case Manager, Nurse - Patient Case Management
By WakeMed At , Raleigh

About WakeMed: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our ...

Nurse Case Coordinator Jobs
By NYU Langone At , New York, 10016 $88,979 - $126,399 a year
Care Coordination and Case Management for WTC responders
Assess active members for case-management service needs as clinically indicated
Develops Intensive case management Plan of Care and necessary follow-ups
Coordination with case management for post-discharge outreach
Address the unique health care needs of individual members and improve member satisfaction with the Program
Review of authorizations for medical necessity (prior authorization/prospective reviews and retrospective authorizations) as related to member’s WTC certified condition(s)
Manager, Case Management Nurse Management
By Blue Shield of California At , Long Beach $109,120 - $163,680 a year
Comprehensive knowledge of case management, discharge planning, utilization management and community resources. Strong supervisory, communication and negotiation skills.
Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements
Case Management, Quality or other equivalent certification that is related to the specific area to be managed is required.
Establish operational objectives for department or functional area and participate with other managers to establish group objectives
Be responsible for team, department, or functional area results in terms of planning, cost in collaboration with Sr Manager
Participate in the development and implementation of the annual budget under the direction of the Director
Case Management Specialist Jobs
By University of Maryland Medical System At , Baltimore
Reports adverse events and near misses to appropriate management authority.
One year professional experience performing mental health services is required. Experience with those having serious and persistent mental illness preferred.
Knowledge of community resources is essential. Knowledge of relevant criteria and application process is desirable.
Bachelor’s Degree in social work or a related field is required.
Current, valid, MD state driver’s license is required. Use of employees own personal vehicle is required.
Must have demonstrated interest in community outreach.
Travel Nurse Rn - Case Management - $2,600 Per Week
By KPG Healthcare At Pittsfield, MA, United States
What KPG Healthcare can offer you:
8, 13, 26 week assignment
Housing or Housing stipend provided
Weekly Pay with direct deposit
Discharge Facilitator, Case Management
By UF Health Shands Hospital At , Gainesville, 32608 $22.95 - $32.18 an hour
Screening and assessment skills and expertise in care coordination and/or utilization management in a health care setting required.
Minimum Education and Experience Requirements:
Five or more years of related experience may be substituted for the credentials.
BSW, bachelor's degree or LPN required.
Active and current appropriate licensure through the Department of Professional Regulation, State of Florida, as indicated.
Case Management - Nurse, Senior
By Blue Shield of California At , $85,360 - $128,040 a year
Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements
Provides Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD).
A minimum of 1 year experience in inpatient, outpatient or managed care environment required
Health insurance/managed care experience desired.
Requires at least 5 years of prior experience in nursing, healthcare or related field
Transitions of care experience desired
Nurse Case Mgr Jobs
By Sentara Healthcare At , Norfolk, 23502
Keywords: nursing, discharge planning, managed care, case management, RN, nurse, health plan, health care, Indeed, Monster
Nursing experience 3 years required
Sentara Health Plans is currently seeking a full-time, Nurse Case Manager
Associates or Bachelor’s Degree in Nursing
Registered Nurse License (RN) - Virginia
Registered Nurse License (RN) - Compact/Multi-State License
Manager, Case Management Nurse Management
By Blue Shield of California At , Woodland Hills, 91367 $109,120 - $163,680 a year
Comprehensive knowledge of case management, discharge planning, utilization management and community resources. Strong supervisory, communication and negotiation skills.
Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements
Case Management, Quality or other equivalent certification that is related to the specific area to be managed is required.
Establish operational objectives for department or functional area and participate with other managers to establish group objectives
Be responsible for team, department, or functional area results in terms of planning, cost in collaboration with Sr Manager
Participate in the development and implementation of the annual budget under the direction of the Director
Case Management Specialist 2 Jobs
By Public Consulting Group At , $50,000 - $65,000 a year
Solid organization and time management skills.
At least one-year experience working with individuals with intellectual and developmental disabilities.
Experience conducting individual assessments with knowledge of behavior rating or psychological testing principles.
Knowledge and experience with person-planning concepts.
Prior experience conducting the Supports Intensity Scale assessment is preferred.
Experience with Home and Community Based Services waivers preferred.
Sr Nurse Case Analyst (Remote)
By CSX At ,
Knowledge of FRA Conductor and Engineer certification requirements
Review medical qualification of new hires, job transfers and certification examinations
Miscellaneous activities and responsibilities as assigned by manager
Knowledge of FRA drug testing requirements
Knowledge of Commercial Driver's License (CDL) medical requirements
3 or more years of work experience in the medical field
Sr Nurse Case Analyst (Remote)
By CSX At United States
Knowledge of FRA Conductor and Engineer certification requirements
Review medical qualification of new hires, job transfers and certification examinations
Miscellaneous activities and responsibilities as assigned by manager
Knowledge of FRA drug testing requirements
Knowledge of Commercial Driver's License (CDL) medical requirements
3 or more years of work experience in the medical field
Case Management Assistant Jobs
By Sutter Health At , Santa Rosa, Ca $30.83 - $40.07 an hour

This position is work from home eligible.

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.