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Nurse Case Mgr I Jobs

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
Case Manager I, Ltd
By Sun Life At , Wellesley Hills, 02481 $52,500 - $78,800 a year
Manage and prioritize a group of claims on an ongoing basis while maintaining appropriate documentation
Process claims for payment by setting up on claim paying system to ensure accurate and timely receipt of payment benefits
Bachelor's Degree preferred, or relevant work experience
3+years’ experience managing Long Term Disability Claims, strongly preferred
Excellent written and verbal communication skills with client service orientation
Solid critical thinking skills as well as the ability to negotiate with people
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
Loa Case Manager I
By CVS Health At , Woonsocket, Ri $18.50 - $34.60 an hour
Strong organizational and data entry skills with a strict attention-to-detail.
Excellent written, verbal and listening skills to reflect a friendly, positive disposition.
Administer leave of absence requests under FMLA, State regulations and Company leave policies in accordance with federal and state regulations.
Utilize the myLeave system for leave of absence to ensure tasks and cases are completed according to federal and state regulations.
Research and resolve tier 2 escalations and ensure the outcome and updates are documented and communicated timely.
Review, calculate and submit payment of the CVS Health Paid Parental Leave according to the policy.
Telephonic Nurse Case Mgr Ii
By Elevance Health At , Costa Mesa, Ca $70,320 - $126,576 a year
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.
Certification as a Case Manager is preferred.
Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
Minimum 2 years’ experience in acute care setting.
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
Nurse Case Mgr Ii
By Elevance Health At Phoenix, AZ, 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.
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.
Health & Wellness Project Mgr I
By H-E-B At San Antonio, TX, United States

H-E-B is one of the largest, independently owned food retailers in the nation operating over 420+ stores throughout Texas and Mexico, with annual sales generating over $34 billion. Described by ...

Nurse Assistant I-7E
By McLaren Health Care At , Lansing, 48910, Mi
Specialized education requirements, for those not meeting minimum six-month nursing assistance experience requirement, include:
Performs other related responsibilities as necessary.
BLS certification as Healthcare Provider or equivalent through the Military Training Network (MTN).
Collects, records, and reports various patient data. Reports changes in patient condition.
Performs surgical skin preps, basic skin care procedures, bedside finger stick blood sugars, and quality control checks of blood glucose instruments.
High school graduate or equivalent required.
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
Medical Case Specialist I
By QTC Management, Inc. At , San Antonio, 78229, Tx
Experience with electronic medical scheduling and case management software
Meet or exceed contract timeliness guidelines in both the scheduling and case management systems
Ability to manage competing priorities in a fast paced work environment
Less than 1 year(s): Experience in healthcare, medical, or insurance related industries
Job Security: Inspired to perform well by the knowledge that your job is safe
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
Nurse I Jobs
By Mississippi State Personnel Board At , , Ms $69,919 a year

See MSPB Careers for information regarding this classifications

Case Manager 2 - (Us) - Case Mgr Vbqp
By FRESENIUS At , San Juan, 00917, Pr
Utilizes effective telephonic case management skills to maximize patient engagement and compliance.
Promotes, advances, and assists with implementation of FMS clinical, educational and quality initiatives as they relate to the case management department.
1 year of case management experience required.
Certification in case management required.
Demonstrated skills in diversity management and performance management.
A fundamental knowledge of managed care a plus.
Case Manager I Jobs
By Jason Stone Injury Lawyers At , Boston, Ma
Excellent communication skills and the ability to communicate with candor
Ability to manage and prioritize around tight deadlines
Request and aggressively follow-up on outstanding medical record and bill requests
Gather evidence in support of the claim (e.g., police reports, weather data, location photos, etc.)
Document and organize inbound mail
Coordinate the request and receipt of critical client paperwork (e.g., personal injury protection applications, lost wages verification forms, medical authorizations, etc.)
Nurse I Jobs
By Health & Human Services Comm At , Harlingen, 78552, Tx $5,747 a month

Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS

Return To Work Case Mgr Trainee
By The Travelers Companies, Inc. At , Charlotte, Nc $46,200 - $76,200 a year
Bachelor’s Degree preferred or a minimum of 2 years of work OR customer service related experience preferred.
Verbal and written communication skills –Intermediate
High School Diploma or GED and one year of customer service experience OR Bachelor’s Degree required.
The on the job training includes practice and execution and coaching on the following core assignments:
Pursue all offset opportunities, including apportionment, contribution and subrogation. Evaluate claims for potential fraud.
Participate in Telephonic and/or onsite File Reviews.
Nurse I Jobs
By Texas Health and Human Services At Austin, TX, United States

Job Description Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being ...

Nurse I Jobs
By Texas Health and Human Services At Big Spring, TX, United States

Job Description Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being ...

Rn Case Mgr Weekend- Case Management- Ft- 1St Shift
By Huntsville Hospital At Huntsville, AL, United States
Education & Professional Development : https://www.huntsvillehospital.org/education
Life In Huntsville : https://www.huntsvillehospital.org/about-huntsville-al
Best Regional Hospital and #2 in Alabama by U.S. News & World Report
Learn More About Huntsville Hospital Health System
Nurse I Jobs
By Texas Health and Human Services At Vernon, TX, United States

Job Description Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being ...

Are you looking for a rewarding career that combines your passion for healthcare with your organizational and problem-solving skills? Become a Nurse Case Manager I and make a difference in the lives of patients and their families! As a Nurse Case Manager I, you will be responsible for coordinating care and services for patients, ensuring that they receive the best possible care and outcomes. You will also be responsible for developing and implementing care plans, monitoring patient progress, and advocating for patients and their families. Join us and make a difference today!

Overview:

Nurse Case Manager I is responsible for providing case management services to patients and their families. They are responsible for coordinating care, providing resources, and advocating for the patient’s best interests. They must be knowledgeable in the healthcare system and have excellent communication and organizational skills.

Detailed Job Description:

Nurse Case Manager I is responsible for assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required to meet the patient’s health needs. They must be able to identify and access available resources, provide patient education, and coordinate care with other healthcare providers. They must also be able to provide emotional support to the patient and their family.

What is Nurse Case Mgr I Job Skills Required?

• Knowledge of the healthcare system and available resources
• Excellent communication and interpersonal skills
• Ability to assess patient needs and develop care plans
• Ability to coordinate care with other healthcare providers
• Ability to provide patient education
• Ability to provide emotional support to patients and their families
• Ability to advocate for the patient’s best interests
• Knowledge of relevant laws and regulations

What is Nurse Case Mgr I Job Qualifications?

• Bachelor’s degree in Nursing or a related field
• Current RN license
• Certification in Case Management (CCM)
• Experience in case management or a related field

What is Nurse Case Mgr I Job Knowledge?

• Knowledge of the healthcare system and available resources
• Knowledge of relevant laws and regulations
• Knowledge of patient assessment and care planning
• Knowledge of patient education and emotional support

What is Nurse Case Mgr I Job Experience?

• Experience in case management or a related field
• Experience in patient assessment and care planning
• Experience in patient education and emotional support

What is Nurse Case Mgr I Job Responsibilities?

• Assess patient needs and develop care plans
• Coordinate care with other healthcare providers
• Provide patient education and emotional support
• Access available resources and provide referrals
• Advocate for the patient’s best interests
• Monitor patient progress and evaluate care plans
• Maintain accurate records and documentation