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Case Manager Registered Nurse Jobs

Registered Nurse - Case Manager
By Pacer Staffing LLC At Atlanta, GA, United States

MAX RTO 7 Days FULL compliance required to start on time; if not compliant in time the push back is 2 weeks due to bi-weekly orientation schedule *Pre-Screen* - Candidate will be sent to Clinical ...

Registered Nurse (Rn) / Case Manager
By Accountable Healthcare Staffing At Bakersfield, CA, United States

$3,024.00 - $3,360.00 Weekly Rate is comprised of taxable hourly rate, specifically including if applicable, nontaxable (housing and M&IE) stipends converted to an hourly rate based on a ...

Nurse Case Manager Jobs
By Sentara Healthcare At , Norfolk, 23502
Experience in Commerical Managed Care
Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans
Minimum 3 years experience working as a Registered Nurse
Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible
Sentara Health Plans is currently hiring an Integrated Nurse Case Manager!
This is a Full Time position with Day shift hours and great benefits!
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 Manager Ii
By Elevance Health At , Atlanta, 30308 $73,836 - $110,754 a year
Preferred Skills, Capabilities, and Experiences:
Monitors and evaluates the effectiveness of the care management plan and modifies, it as necessary.
Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
Assists with the development of utilization/care management policies and procedures.
Certification as a Case Manager is preferred.
Prior managed care experience is strongly preferred.
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)
Registered Nurse Case Manager
By Northwell Health At , Sleepy Hollow, 10591 $90,000 - $145,000 a year
Facilitates patient management throughout hospitalization.
Performs concurrent utilization management using evidence based medical necessity criteria.
Submits data to management regarding case management and/or quality initiatives.
Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient.
Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
Serves as an in-patient liaison - planning, assessing, implementing and evaluating patient in collaboration with the health care team.
Nurse Case Manager Jobs
By Avalon Case Management At , Remote

fax a resume to 1-877-287-4890.

Nurse Case Manager (Multiple Openings)
By MedCost LLC At , Remote
Prior case management, utilization review or disease management experience
Provide ongoing education to members regarding their health care needs, available benefits and services.
Evaluate the effectiveness of the case management process.
Advise all concerned parties when coverage may no longer be available due to cessation of medical necessity or benefit exhaustion.
A minimum of 3 years direct care experience in varied health care settings
Excellent oral and written communication skills
Nurse Case Manager I
By State of Vermont At , Saint Johnsbury, Vt $38.58 - $60.51 an hour
Case management experience/certification, knowledge and experience with working with systems of healthcare, prior work in an Insurance Company setting is ideal.
Case management certification within 2 years is a goal for this position.
Starting rate may be negotiable based on experience and qualifications.
Clinical experience and knowledge, knowledge of community, and community culture are necessary.
Experience working with people with substance abuse/mental health and home visiting experience and knowledge of community is preferred.
Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
Nurse (Case Manager) Jobs
By US Military Treatment Facilities under DHA At , Camp Pendleton, Ca $123,168 - $156,423 a year
See Qualifications section for education requirements.
If you are relying on your education to meet qualification requirements:
Identify and execute specific case management and care coordination activities.
Basic Requirement for Nurse (Case Manager):
Applicants must be able to fulfill non-privileged professional credential requirements.
Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
Nurse Medical Case Manager
By The Travelers Companies, Inc. At , Hunt Valley, 21031, Md $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.
Registered Nurse - Nurse Manager
By US Veterans Health Administration At , Waterbury, Ct $93,916 - $156,562 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.
PCS Appraised Value Offer (AVO)
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.
Rn (Registered Nurse) Home Care Case Manager
By Access To Home Care Services, Inc. At Auburn, NY, United States

Access To Home Care Services is currently seeking a passionate and skilled RN Case Manager to join our dedicated team. With a strong commitment to improving the lives of our patients and their ...

Cigna Medicare Case Management Nurse Case Manager
By The Cigna Group At , Hartford, 06152, Ct $65,700 - $109,500 a year

Under general supervision, responsible for identifying high risk patients for case management intervention and coordinating the delivery of cost-effective, quality-based health care services for ...

Registered Nurse- Case Manager- Care Coordinator
By US Veterans Health Administration At , Stockton, Ca $98,514 - $192,248 a year
If you are relying on your education to meet qualification requirements:
Management and coordination of care of patients seen in the Community.
Responsible for intensive monitoring, follow-up, and clinical management of high-risk patients.
Provides health care education to patients/family members utilizing the Nursing Process.
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.
Nurse Case Manager/Ukhc
By University of Kentucky At , Lexington, Ky $54,080 - $95,056 a year
Skills / Knowledge / Abilities
Nurse Case Manager - ELIGIBLE FOR RECRUITMENT BONUS
Does this position have supervisory responsibilities?
A minimum of three years of experience providing patient care as a BSN, RN.
Click here for more information about equivalencies:
Monday through Friday, (8:00 am – 4:30 pm); occasional weekends and/or holidays required.
Registered Nurse Manager Jobs
By State of Louisiana At , Jackson, La $7,166 a month
Salary is negotiable based on experience.
A baccalaureate degree in nursing will substitute for one year of the required experience.
A master's degree in nursing or public health will substitute for one year of the required experience.
A doctorate in nursing or public health will substitute for two years of the required experience.
Specialized degrees will substitute for a maximum of two years of the required experience.
To serve as a house manager of a facility.
Telephonic Registered Nurse (Rn) Case Manager - Remote
By Commonwealth Care Alliance At , Providence, 02903, Ri
Provide regularly scheduled telephonic calls to support the management of chronic disease or end of life.
Provide services via telehealth technologies (video, chat, etc.) for clinically appropriate clinical care and care management services.
Assist the member with understanding their CCA Health Benefit package.
Coordinate a host of benefits such as transportation, community resources, interpreter services, hospice services, and more.
Manage panel-wide and member-specific utilization trends.
Participate in activities and education to maintain and advance competency.
Nurse Case Manager I
By Elevance Health At Madison, WI, United States
Preferred Skills, Capabilities, And Experiences
Monitors and evaluates the 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.
Certification as a Case Manager is preferred.
Implements care plan by facilitating authorizations/referrals as appropriate within the benefits structure or through extra-contractual arrangements.
Job Family: Medical and Clinical

Are you a Registered Nurse looking for a rewarding career in Case Management? We are looking for a compassionate and experienced RN to join our team and provide exceptional care to our patients. As a Case Manager, you will be responsible for coordinating care for patients, ensuring they receive the best possible care. If you are looking for an opportunity to make a difference in the lives of others, this is the job for you!

Overview Case Manager Registered Nurse (RN) is a healthcare professional who is responsible for providing comprehensive care to patients in a variety of settings. They are responsible for assessing, planning, implementing, and evaluating patient care plans. They also coordinate care with other healthcare professionals to ensure that the patient's needs are met. Detailed Job Description Case Manager Registered Nurses are responsible for providing comprehensive care to patients in a variety of settings. They assess, plan, implement, and evaluate patient care plans. They coordinate care with other healthcare professionals to ensure that the patient's needs are met. They also provide patient education and support, and collaborate with other healthcare professionals to ensure the best possible outcomes for patients. They may also be responsible for providing direct patient care, such as administering medications and treatments, and monitoring patient progress. Job Skills Required Case Manager Registered Nurses must possess excellent communication and interpersonal skills. They must be able to work independently and as part of a team. They must also be able to work with a variety of patients and their families. They must be organized and detail-oriented, and have the ability to multitask and prioritize tasks. They must also have strong problem-solving and critical thinking skills. Job Qualifications Case Manager Registered Nurses must have a valid RN license and be in good standing with their state's Board of Nursing. They must also have a minimum of two years of experience in a clinical setting. They must have a Bachelor's degree in Nursing or a related field. Job Knowledge Case Manager Registered Nurses must have a thorough knowledge of nursing principles and practices, as well as medical terminology. They must also have a thorough understanding of the healthcare system and the various regulations and guidelines that govern it. They must be knowledgeable about the various treatments and medications available to patients. Job Experience Case Manager Registered Nurses must have a minimum of two years of experience in a clinical setting. They must also have experience in patient assessment, care planning, and patient education. Job Responsibilities Case Manager Registered Nurses are responsible for assessing, planning, implementing, and evaluating patient care plans. They coordinate care with other healthcare professionals to ensure that the patient's needs are met. They also provide patient education and support, and collaborate with other healthcare professionals to ensure the best possible outcomes for patients. They may also be responsible for providing direct patient care, such as administering medications and treatments, and monitoring patient progress.