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Nurse Case Manager 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 ...

Travel Nurse Rn - Case Manager - $2,380 Per Week In Seattle, Wa
By TravelNurseSource At Seattle, WA, United States

Pay Rate $2,380 per week $2149.04-$2380.12 wk (includes wage of ~$18.69-$18.69/hr and per diems if eligible) click for benefits and other job details ~$747.6-$747.6 weekly taxable income ~$1401.44 in ...

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 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 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 ...

Travel Nurse Rn - Case Manager - $2,676 Per Week In Corvallis, Or
By TravelNurseSource At Corvallis, OR, United States

Pay Rate $2,676 per week $2416.23-$2676.04 wk (includes wage of ~$32.93-$39.43/hr and per diems if eligible) click for benefits and other job details ~$1317.23-$1577.04 weekly taxable income ~$1099 in ...

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.

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 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 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
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
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.
Travel Nurse Rn - Case Manager - $2,583 Per Week In Burbank, Ca
By TravelNurseSource At Burbank, CA, United States

Pay Rate $2,583 per week TinkBird is seeking candidates for a Registered Nurse position, specialzing in Case Management for the Burbank, California. Requirements Required for Onboarding BLS

Travel Nurse Rn - Case Manager - $2,292 Per Week In Burbank, Ca
By TravelNurseSource At Burbank, CA, United States

Pay Rate $2,292 per week Start Date: 08/28/2023 End Date: 11/27/2023 Shift: Days InternalJob ID: 1212094

Are you looking for a rewarding career in nursing? Join our team as a Nurse Case Manager and make a difference in the lives of our patients! With competitive pay and excellent benefits, you'll have the opportunity to work with a diverse team of healthcare professionals to provide quality care and support to our patients. Apply now and start making a difference!

Overview A Nurse Case Manager is a registered nurse who is responsible for providing comprehensive care management services to patients. They coordinate and manage the care of patients, ensuring that they receive the best possible care. They also provide support to patients and their families throughout the entire care process. Detailed Job Description Nurse Case Managers are responsible for assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required to meet the patient’s health needs. They work with other healthcare professionals to ensure that the patient receives the best possible care. They also provide education and support to the patient and their family. Nurse Case Managers are responsible for developing and implementing care plans for their patients. They must be able to assess the patient’s needs and develop a plan of care that meets those needs. They must also be able to monitor the patient’s progress and make adjustments to the plan of care as needed. Nurse Case Managers must also be able to communicate effectively with other healthcare professionals, patients, and their families. They must be able to explain medical terminology and procedures in a way that is easy to understand. They must also be able to provide emotional support to patients and their families. Job Skills Required
• Knowledge of medical terminology and procedures
• Ability to assess patient needs and develop care plans
• Ability to monitor patient progress and make adjustments to care plans
• Ability to communicate effectively with other healthcare professionals, patients, and their families
• Ability to provide emotional support to patients and their families
• Knowledge of healthcare regulations and standards
Job Qualifications
• Bachelor’s degree in Nursing
• Current Registered Nurse (RN) license
• Experience in nursing or healthcare
• Knowledge of healthcare regulations and standards
Job Knowledge
• Knowledge of medical terminology and procedures
• Knowledge of healthcare regulations and standards
• Knowledge of patient assessment and care planning
• Knowledge of patient monitoring and care plan adjustments
Job Experience
• Previous experience in nursing or healthcare
• Previous experience in patient assessment and care planning
• Previous experience in patient monitoring and care plan adjustments
Job Responsibilities
• Assess patient needs and develop care plans
• Monitor patient progress and make adjustments to care plans
• Communicate effectively with other healthcare professionals, patients, and their families
• Provide emotional support to patients and their families
• Educate patients and their families about medical terminology and procedures