Register
Recruit Create CV

Nurse Case Manager Jobs

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 ...

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.
Rn Field Nurse Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Sioux Falls, SD, United States

Are you an experienced Worker's Compensation RN looking for a rewarding and fulfilling career? Look no further! We are a dynamic and compassionate team in the healthcare industry, dedicated to helping ...

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.
Nurse Case Manager Jobs
By Actalent At Happy Valley, OR, United States
This position is remote* Must sit within 50 miles of Portland
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
DE&I Are Embedded Into Our Culture Through
Nurse Case Manager Jobs
By Actalent At Beaverton, OR, United States
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
DE&I Are Embedded Into Our Culture Through
Nurse Manager Jobs
By Saint Theresa School At Woodbury, MN, United States

Description Be part of the Saint Therese difference! We are seeking a full-time Nurse Manager to join a dynamic team at one of Minnesota\'s leading nonprofit senior housing and service providers. The ...

Field Nurse Case Manager
By EagleOne Case Management Solutions At Anaheim, CA, United States
Previous case management experience a plus
Understands and demonstrates the ability to apply Eagle One™ case management protocols
Utilizes appropriate cost management programs per account or company protocol (i.e., Pharmacy, DME, etc.)
Consults with Manager on case strategy as needed
Carbon copies the Manager on any documentation relating to initial assignment, claim barriers/complex cases or any case resolution issues
Alerts Manager of any requests to deviate from Eagle One™ or account specific protocols and obtains approval to proceed as necessary
Case Manager Nurse Jobs
By Clinical Management Consultants At Redondo Beach, CA, United States

A nearly 450 bed medical center in southern LA County is seeking a Nurse Case Manager. The RN Case Manager will enjoy the supportive environment at this hospital that is part of a regional healthcare ...

Travel Nurse Rn - Case Manager - $2,711 Per Week In Reno, Nv
By TravelNurseSource At Reno, NV, United States

Pay Rate $2,711 per week About Stability Healthcare At Stability, we have built a nurse friendly platform that simplifies finding travel nursing jobs without the need for a recruiter. We believe in ...

Remote Pediatric Nurse Case Manager
By Actalent At Greater Orlando, United States
Monitor referrals made to community based organizations, medical care and other services to support the members overall care management plan
Actively participate in integrated team care management rounds
Identify related risk management quality concerns and report these scenarios to the appropriate resources
Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
Provide patient and provider education
Develop, assess and adjust, as necessary, the care plan and promote desired outcome
Rn - Nurse Case Manager
By Dove Healthcare At Eau Claire, WI, United States
Manage a specialized tracheostomy care unit
Previous experience in related field
Supplemental benefits, including short-term disability, life insurance, critical illness, accident coverage, hospital indemnity, cancer
manage a specialized tracheostomy care unit
previous experience in related field
supplemental benefits, including short-term disability, life insurance, critical illness, accident coverage, hospital indemnity, cancer
Case Management Nurse Jobs
By Solis Health Plans At Doral, FL, United States
Provides patient education on self-management of chronic conditions, medication management, preventive care, and healthcare navigation.
Works closely with the health plan's utilization management team to ensure that services are authorized and reimbursed appropriately.
3 years of clinical experience as an RN in acute care, community, or home health settings, and
Knowledge of evidence-based clinical guidelines, care coordination and integration models, healthcare systems and policies, and quality improvement methods.
Conducts comprehensive assessments of patients with complex medical needs to identify their physical, psychological, social, and environmental needs.
Maintains accurate and timely documentation of patient assessments, care plans, interventions, and outcomes, using electronic health record systems.
Travel Nurse Rn - Case Manager - $2,600 Per Week In Pittsfield, Ma
By TravelNurseSource At Pittsfield, MA, United States

Core Mandatory Part II (Nursing)

Travel Nurse Rn - Case Manager - $2,289 Per Week In Rio Rancho, Nm
By TravelNurseSource At Rio Rancho, NM, United States
Voluntary Benefits: Critical Illness, Hospital Indemnity, Accident, and Pet Insurance
Day One Medical, Dental, and Vision
Paid, Private, Fully Furnished, Pet-Friendly Housing
Per Diem Allowance and Paid Travel
GO Rewards Traveler Discount Program
Case Manager - Nurse Or Social Worker
By Spartanburg Regional Healthcare System At , Greer, 29651, Sc
1-3 years Case Management experience (Care Coordination, Transitions of Care or Utilization Management) or 3-5 years healthcare experience
Documents clearly and concisely all contacts and information of the patient’s case management process in the medical record
Responsible for the core functions of the Utilization Management Plan
Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations
Complies with regulatory requirements of utilization review and discharge planning
Performs timely data entry of information when results are received including covered, denied and avoidable days.
Case Manager Nurse - Remote | Wfh
By Get It Recruit - Healthcare At Chattanooga, TN, United States

We are a dynamic and compassionate healthcare organization dedicated to providing exceptional care and support to our patients. Our team of professionals is committed to improving health outcomes and ...

Registered Nurse Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Jacksonville, FL, United States

Are you passionate about making a positive impact on patients' lives? We are seeking a dedicated Care Manager to join our team and provide exceptional care management services to our beneficiaries. As ...

Registered Nurse Case Manager
By VNA PHILADELPHIA At Philadelphia, PA, United States
Knowledge of case management standards and protocols for delivery of care and other needed services.
Demonstrates knowledge of and applies professional nursing practice and principles to patients in the home.
Ability to maintain CPR certification; must be active prior to start date.
Excellent interpersonal, verbal & written communication skills and organizational skills required.
Able to work independently and demonstrates critical thinking skills.
Provides comprehensive assessment, planning, implementation, and evaluation for a caseload of home care patient as the primary nurse.

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