Case Manager Rn Jobs
By CVS Health At , San Antonio, 78238 $58,760 - $125,840 a year
Reviews prior claims to address potential impact on current case management and eligibility.
Utilizes case management processes in compliance with regulatory and company policies and procedures.
Case Management in an integrated model
3 + years clinical practice experience as an RN required
1+ year(s) experience utilizing multiple computer systems and applications including Microsoft Word, Excel, Outlook, and web-based applications
Assessments consider information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
Case Manager Rn Jobs
By CVS Health At , San Antonio, Tx $58,760 - $125,840 a year
Reviews prior claims to address potential impact on current case management and eligibility.
Utilizes case management processes in compliance with regulatory and company policies and procedures.
Case Management in an integrated model
3 + years clinical practice experience as an RN required
1+ year(s) experience utilizing multiple computer systems and applications including Microsoft Word, Excel, Outlook, and web-based applications
Assessments consider information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
Inpatient Nurse Manager Jobs
By Texas Health and Human Services At San Antonio, TX, United States
Knowledge of/and ability to apply principles and practices in management, supervision, and interdisciplinary collaboration.
Knowledge and skill in caring for individuals with TB, MDR TB and Hansen’s Disease patients and other medical-surgical conditions.
Skill in performing approved techniques to prevent and safely manage aggressive behavior.
Knowledge of Joint Commission, Medicare and state and federal regulations pertaining to health care and accreditation standards and criteria.
Knowledge of professional nursing theory and practice, including cultural, social, and economic forces which affect the health of families and communities.
Advanced knowledge in infection control practices and nosocomial infections.
Rn I - Maternity Case Manager
By Horizon Blue Cross Blue Shield of New Jersey At , Newark, 07105, Nj $67,100 - $89,880 a year
Prefers working knowledge of case/care management principles.
Prefers working knowledge of principles of utilization management.
Prefers basic knowledge of health care contracts and benefit eligibility requirements.
Encourages member participation and compliance in the case/disease management program efforts.
Completes other assigned functions as requested by management.
Requires a minimum of two (2) years clinical experience.
Rn Case Manager Jobs
By HarmonyCares At Irving, TX, United States
Tuition, Professional License and Certification Reimbursement
Update care plans on an ongoing basis; revise and resolve patient problems and goals as changes occur and/or recertification
Bonus potential of $2500+ per quarter!
Health, Dental, Vision, Disability & Life Insurance, and much more
401K Retirement Plan (with company match)
Paid Time Off, Holidays and Volunteer Time
Rn Case Manager Jobs
By Amcare Pro Home Health At Briarwood States, TX, United States
Should have at least two years nursing experience
IV infusion experience is a PLUS
Prior home health care experience is a PLUS
Must currently be licensed in the state of Texas
Should have Reliable Transportation & Car insurance
Must be able to pass background check & have valid CPR & TB test/Chest xray
Rn Case Manager Jobs
By Texas Health and Human Services At Richmond, TX, United States
Skill in time management and prioritization.
Skill in the care and treatment of patients.
Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members.
Skills in the use of computer/software and an electronic health record system.
Excellent verbal and written communication skills and the ability to present ideas clearly and concisely in both written and oral communications.
Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR).
Case Manager (Rn)- Case Management- P/T Day Shift Includes Weekends
By UC Irvine Health At , Orange, Ca $121,710 - $160,609 a year
Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties
CCM, ACM or Case Management credentialing
Knowledge of California Children's Services benefits authorization process (CCS)
Ability to manage multiple concurrent projects and maintain a work pace appropriate to the workload
Familiarity of Joint Commission, CMS, CDPH and CCS requirements
Must demonstrate customer service skills appropriate to the job
Inpatient Review Nurse (Rn Or Lvn With Inpatient Experience)
By Alignment Healthcare At , Orange, Ca
Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment
Communicates and collaborates with IPA/MG as necessary for effective management of Members.
Records communications in EZ-Cap and/or case management database.
Enters data as necessary for the generation of reports related to case management.
Reports the progress of all open cases to the Medical Director, Director of Healthcare Services and Manager of Utilization Management.
Knowledge of Medicare Managed Care Plans
Remote Inpatient Review Clinician Rn - Texas Only
By Molina Healthcare At , , Tx $26.41 - $51.49 an hour

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

To all current Molina employees:

Clinical Case Manager - Rn
By Aveanna Healthcare At Fayetteville, NC, United States
Internal case management, evaluation and development of nursing talent 
Growth and Inclusion- Career and Skillset Advancement Opportunities  
Must have at least 1 year of hands-on nursing experience 
Current CPR certification from AHA or ARC 
Must be willing to supervise nurses providing in home skilled nursing care to infants, children, adolescents and/or adults 
Promote and manage expectations and satisfaction with internal and external customers
Clinical Case Manager (Rn)
By Aveanna Healthcare At Houston, TX, United States
Internal case management, evaluation and development of nursing talent 
Growth and Inclusion- Career and Skillset Advancement Opportunities  
Must have at least 1 year of hands-on nursing experience 
Current CPR certification from AHA or ARC 
Must be willing to supervise nurses providing in home skilled nursing care to infants, children, adolescents and/or adults 
Compassion and Purpose- E mpower nurses to reach their full potential 
Rn - Behavioral Health Adult Inpatient
By Soloh Partners At , Bedford-Stuyvesant, 11206, Ny $76 a day
Two years of behavioral health experience is required
Associate's Degree (Community College, MBO)
Primary Source Verification - required
Proof of full vaccination required
Staff is required for EVERY OTHER WEEKEND coverage in their schedule.
Job Title: RN-Behavioral Health Adult Inpatient
Case Coordination Center Supervisor (Non-Rn)
By Kaiser Permanente At , Downey, Ca $110,800 - $143,330 a year
Minimum three (3) years of management / supervisory experience. Education
Must be able to work in a Labor/Management Partnership environment. Preferred Qualifications:
EPRP/OURS requires knowledge and understanding of utilization management principles.
Supervises operations including practice standards, staffing, payroll, budgets, fiscal management, and quality improvement.
High School Diploma or General Education Development (GED) required. License, Certification, Registration
Thorough knowledge of CMS requirements, Title XXII regulations and other regulatory agency requirements relevant to given department.
Rn Case Manager Jobs
By Serenity Hospice Care At Essex County, NJ, United States
Strong communication and interpersonal skills.
Complete an initial assessment of patient and family to determine hospice care needs
Regularly re-evaluates the patients nursing needs
Use assessment data to determine care plan needs
RN counsels the patient and family in meeting end of life needs
Registered Nurse initiates appropriate preventative nursing procedures
Ak - Rn Inpatient - Bethel - $100,000 - $130,000/Yr - Permanent Position
By Lighthouse Medical Staffing At Bethel, AK, United States

Job posted to put hired candidates on. Shift: Full Time Specialty Type: Nursing Sub Specialties: Emergency Room Nurse, Med-surg Adult General Certifications: N/A Please CLICK HERE to view ...

Rn Case Manager, Western Cuyahoga
By VNA of Central Jersey At Greater Cleveland, United States
Demonstrates nursing knowledge and skills in the implementation of prevention, therapeutic and rehabilitative nursing care.
Experience in home health care.
Strong planning and organizational skills.
1-2 years’ experience in Med Surg or hospital setting, preferred.
Completion of an accredited RN education program with a diploma, Associate’s or Bachelor's degree. Bachelor's degree in Nursing preferred.
Experience in home health care and 1 year experience in medical-surgical nursing. In addition to Acute Care experience, preferred.
Case Manager (Either Rn Or Msw)
By Roper St. Francis Healthcare At Charleston, SC, United States
MSW Case Manager Minimum Qualifications
RN Case Manager Minimum Qualifications
Primary Source Verification (if applicable)
Primary Source Verification (if applicable):
Rn Case Manager, Eastern Cuyahoga County
By VNA of Central Jersey At Ohio, United States
Demonstrates nursing knowledge and skills in the implementation of prevention, therapeutic and rehabilitative nursing care.
Experience in home health care.
Strong planning and organizational skills.
1-2 years’ experience in Med Surg or hospital setting.
Completion of an accredited RN education program with a diploma, Associate’s or Bachelor's degree. Bachelor's degree in Nursing preferred.
Experience in home health care and 1 year experience in medical-surgical nursing. In addition to Acute Care experience.
Rn Case Manager, Eastern Cuyahoga County
By VNA of Central Jersey At Greater Cleveland, United States
Demonstrates nursing knowledge and skills in the implementation of prevention, therapeutic and rehabilitative nursing care.
Experience in home health care.
Strong planning and organizational skills.
1-2 years’ experience in Med Surg or hospital setting.
Completion of an accredited RN education program with a diploma, Associate’s or Bachelor's degree. Bachelor's degree in Nursing preferred.
Experience in home health care and 1 year experience in medical-surgical nursing. In addition to Acute Care experience.
Case Manager - Rn, Canonsburg
By Allegheny Health Network At Canonsburg, PA, United States
Actively seeks professional development opportunities through professional certification, mentoring/precepting, and/or participation on department/hospital/system committees.5%
Adheres to the policies, procedures, rules, regulations, and requirements of hospitals and other clinical settings. 5%
Discharge planning and community resource knowledge preferred.
Care facilitation and utilization review experience preferred.
Coordinates the clinical care with the patient, family, provider(s), and members of the interdisciplinary team.25%
3 years in a clinical nursing role
Case Manager Rn Jobs
By AHMC HealthCare At Anaheim, CA, United States
2 years Utilization Management/Case Management experience preferred in acute care setting.
Must have excellent oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, and positive personal influence and negotiation skills.
Working knowledge of reimbursement related to Medicare, Medi-Cal, Capitation, and Managed Care is required.
Working knowledge of Interqual, Intensity of Service/Severity of Illness criteria.
Working knowledge of Title XVII and Title XIX.
Working knowledge of community resources.
Case Coordinator, Rn Jobs
By Lutheran SeniorLife At Zelienople, PA, United States
Two to four year experience in acute, long-term rehab levels of care.
FREE** Benefit Model for Full-time Employees Includes: Medical, Dental, Vision, Life Insurance and Long-Term Disability. (**No per-pay contributions for Single Coverage)
Low-Cost Benefit Model for Eligible Part-time Employees Includes: Medical, Dental, Vision, Life Insurance, Long-Term Disability
Flexible Schedule – **FT/PT Weekend and Week Day Positions, 3-12 Shifts and Casual Positions offered. **Available to specific positons.
Competitive Wages, Hiring Incentives, Generous Paid Time Off, Bereavement Leave & Paid Holidays
Additional Medical, Dental, Vision Options for Employees and Family Members
Rn Case Manager (Exempt)
By Infirmary Health At Mobile, AL, United States
Some background in management, clinical education or case management
Working knowledge of acute care, rehabilitation, or home care
National certification applicable to area of clinical practice
Current Multi State RN License in accordance with Nurse Licensure Compact (NLC) for Alabama*
BSN preferred; Master's degree in a clinical specialty desirable
Rn/Case Manager - East Cuyahoga County
By VNA of Central Jersey At Greater Cleveland, United States
Demonstrates nursing knowledge and skills in the implementation of prevention, therapeutic and rehabilitative nursing care.
Experience in home health care.
Strong planning and organizational skills.
1-2 years’ experience in Med Surg or hospital setting.
Completion of an accredited RN education program with a diploma, Associate’s or Bachelor's degree. Bachelor's degree in Nursing preferred.
Experience in home health care and 1 year experience in medical-surgical nursing. In addition to Acute Care experience.
Rn Case Manager- Msu Clinic
By Mercy At , Springfield, 65807
Demonstrates knowledge of the legal and ethical issues related to confidentiality when working in case management, and with various health plans.
Certification/Registration: CCM or RN-BC professional case management certification preferred or attained within 36 months of hire.
Advocates for the individuals health care needs with emphasis on responsible health practices, self-care management, and patient safety.
Works closely with the inpatient care management teams for effective patient handoffs.
Documents case management activities timely and according to departmental policies and other nationally established standards.
Tuition reimbursement up to $2,000 for continuing education
Rn Case Manager Jobs
By Morgan Stephens At Hamilton, OH, United States

MUST BE LOCAL TO HAMILTON, OH About Us Morgan Stephens represents the nation’s top healthcare systems offering the highest compensation and benefits to our top candidates. We are created and ...

Case Manager - Inpatient Case Management
By Scripps Health At , San Diego, 92103 $55.86 - $83.82 an hour
Case Management and/or home care experience preferred.
Case management certification highly preferred.
The CM ensures that the patient/family agrees with and understands this transition plan and that the plan is implemented appropriately.
Works in collaboration with utilization review nurse to ensure that reviews are completed timely.
Bachelor of Science in Nursing (BSN) highly desired.
Current BLS for Health Care Provider from American Heart Association.
Care Manager Rn Inpatient Units Columbia Weekend 3X12
By NewYork-Presbyterian Hospital At , New York, 10032 $100,000 - $140,000 a year
2 years of case management/care coordination experience in an inpatient, HMO, insurance, or other outpatient setting
1 year of leadership experience in a healthcare setting
3 to 5 years of health care experience in an acute care setting
Superior communication, demonstrated problem solving skills, strong business acumen, and interpersonal skills are critical.
Care Manager RN Inpatient Units Columbia Days
Master's Degree in healthcare related field
Rn Case Manager - Case Management
By Keck Medical Center of USC At , Los Angeles, 90033 $47.31 - $88.00 an hour
Req Knowledge of case management principles and healthcare management.
Pref 1 year Case management or utilization review experience within the last three years preferred.
Req 3 years Clinical experience.
Req Problem solving skills and ability to multi-task.
Req Registered Nurse - RN (CA DCA)
Req Basic Life Support (BLS) Healthcare Provider from American Heart Association
Rn (Inpatient) 12Hr Shift And Weekends
By Apalachee Center, Inc. At , Tallahassee, 32308 $35.50 an hour

Apalachee Center, Inc. is best known for helping individuals and families of North Florida succeed in recovering from emotional, psychiatric, and substance abuse crises. Apalachee Center, Inc. ...