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Pediatric RN Case Manager Jobs

Case Manager Utilization Rn
By Kaiser Permanente At , Baldwin Park $58.43 - $71.51 an hour
Two (2) years combined RN experience in an acute care setting or case management required.
Acts as a liaison between in-patient facility and referral facilities/agencies and provides case management to patients referred.
Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management.
Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.).
Recommends alternative levels of care and ensures compliance with federal, state and local requirements.
Educates members of the healthcare team concerning their roles and responsibilities in the discharge planning process and appropriate use of resources.
Case Manager Rn Jobs
By US Veterans Health Administration At , Augusta, 30904 $67,545 - $124,603 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.
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.
U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Case Manager/Rn Jobs
By Sutter Health At , San Francisco $73.93 - $100.06 an hour

Equivalent experience will be accepted in lieu of the required degree or diploma.

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

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.
Rn Case Manager Jobs
By Wake Forest Baptist Health At , Winston-Salem, 27157

Weekends: Friday, Saturday & Sunday

Case Manager Rn Jobs
By CVS Health At , $58,760 - $125,840 a year
1+ years of case management experience
Certified Case Manager (CCM) certification
3+ years of acute hospital clinical experience as an RN (general medical, post-surgical, ICU experience).
Experience with all types of Microsoft Office including PowerPoint, Excel, and Word
Must have an active and unrestricted RN license in state of residence
Willingness and ability to obtain additional state licenses upon hire (paid for by the company)
Discharge Coord/Case Manager Rn
By Asante At Medford, OR, United States
CCM: Certified Case Manager, preferred
ACM: Accredited Case Manager, preferred
Ability to prioritize job responsibilities and organize workload
Comprehensive benefits including medical, dental, vision, and wellness
Bachelor's degree in nursing or allied health field, preferred
RN: Registered Nurse licensed by Oregon State Board of Nursing required upon start
Rn I (Pediatric Case Manager)
By Horizon Blue Cross Blue Shield of New Jersey At , Hopewell $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.
Case Manager - Rn (Santa Clarita, Ca)
By ISYS SOLUTIONS INC At , Santa Clarita, 91321, Ca $120,000 - $180,000 a year
Always do the right thing
Deliver excellence in everything we do
Encourage a Hug Your Customer® philosophy
Be honest, authentic, grateful, and humble
Promote individual and economic liberty
( Field based position servicing Santa Clarita and surrounding areas)
Case Manager Rn- Field
By CVS Health At , , Va $58,760 - $125,840 a year
Case Management in an integrated model preferred with productivity and quality expectations.
Managed Care experience is a plus.
Position requires proficiency with computer skills which includes navigating multiple systems (Microsoft Office Products) and keyboarding.
Effective communication skills, both verbal and written.
Work requires the ability to perform close inspection of hand written and computer generated documents, and detailed documentation.
Position requires the ability for desk work as well as field work.
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.
Case Manager - Rn (Santa Fe, Nm)
By ISYS SOLUTIONS INC At , Santa Fe, 87501, Nm $120,000 - $180,000 a year
Always do the right thing
Deliver excellence in everything we do
Encourage a Hug Your Customer® philosophy
Be honest, authentic, grateful, and humble
Promote individual and economic liberty
( Field based position servicing Santa Fe and surrounding areas)
Rn Outpatient Case Manager
By Ochsner Health System At , New Orleans, La
Strong time management skills and self directed
Knowledge Skills and Abilities (KSAs)
Utilizes the case management process to develop comprehensive cost-effective plans at care for patients in care management.
Transitions the patient to the Health Coach or other appropriate team member when discharge from formal case management is appropriate
Certification as a Case Manager (CCM) required within 2 years of hire
Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals.
Case Manager - Rn
By Binghamton University At Commack, NY, United States

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Case Manager Rn Jobs
By KA Recruiting, Inc. At Dexter, NM, United States

CASE MANAGER RN NEEDED IN NEW MEXICO full time, permanent position extremely competitive pay excellent benefits previous case management experience desired low cost of living area responsible for ...

Rn Case Manager Jobs
By Interim HealthCare Inc. At Baxter, MN, United States
Minimum of 1 year of nursing experience in a medical facility
Knowledge of state and federal healthcare laws and regulations
Demonstrated clinical proficiency, critical thinking skills, good communicator and compassionate
Earn $47 - $50 an Hour
Quarterly Bonus Program up to $250
Work with a team of physicians and oversee LPNs, CNAs and aides providing patient care
Rn - Case Manager
By Lifepoint Health® At Virginia, United States
Monitors and manages patient care to promote continuity of care, optimal patient outcomes, patient satisfaction, cost efficiency, and compliance.
Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
Monitors patient and family satisfaction. Responds to questions and complaints from patients, family members, and payors regarding care.
Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement.
Competitive Paid Time Off / Extended Illness Bank package for full-time employees
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
Branch Rn Case Manager
By HarmonyCares At Fort Gratiot, MI, United States
Attend staff meetings, team conferences and educational in-services, per agency requirements
Tuition, Professional License and Certification Reimbursement
Perform all OASIS time point assessment per Medicare Criteria and submits recertification paperwork, per agency policy and procedure
Provide intermittent Skilled Nursing services including assessment, evaluation, procedures, teaching and training activities as outlined in the patient Plan of Care
Bonus potential of $2500+ per quarter!
Health, Dental, Vision, Disability & Life Insurance, and much more
Rn - Case Manager
By Morgan Stephens At Chicago, IL, United States

Morgan Stephens ofrecemos reclutadores que hablan Espanol

Are you looking for an exciting opportunity to make a difference in the lives of children? We are looking for a Pediatric RN Case Manager to join our team and provide compassionate care to our pediatric patients. You will be responsible for developing individualized care plans, coordinating care with other healthcare providers, and advocating for the best possible outcomes for our patients. If you are a passionate and dedicated professional, this is the job for you!

Overview:

Pediatric RN Case Managers are responsible for providing comprehensive care to children and their families. They coordinate and manage the care of pediatric patients, from diagnosis to treatment, and provide support to families. They work closely with physicians, other healthcare providers, and insurance companies to ensure that the best possible care is provided to their patients.

Detailed Job Description:

Pediatric RN Case Managers are responsible for assessing, planning, implementing, and evaluating the care of pediatric patients. They must be knowledgeable about the latest treatments and technologies available for pediatric care. They must be able to effectively communicate with patients and families to ensure that they understand their care plan and are comfortable with the treatment options. They must also be able to coordinate care with other healthcare providers and insurance companies.

What is Pediatric RN Case Manager Job Skills Required?

• Excellent communication and interpersonal skills
• Knowledge of pediatric care and treatments
• Ability to work with diverse populations
• Ability to work independently and as part of a team
• Ability to multitask and prioritize tasks
• Knowledge of medical terminology
• Knowledge of healthcare regulations and standards
• Ability to use electronic medical records

What is Pediatric RN Case Manager Job Qualifications?

• Bachelor’s degree in Nursing
• Current RN license
• Certification in Pediatric Nursing (CPN)
• At least two years of experience in pediatric nursing

What is Pediatric RN Case Manager Job Knowledge?

• Knowledge of pediatric care and treatments
• Knowledge of medical terminology
• Knowledge of healthcare regulations and standards
• Knowledge of electronic medical records

What is Pediatric RN Case Manager Job Experience?

• At least two years of experience in pediatric nursing
• Experience working with diverse populations
• Experience in coordinating care with other healthcare providers
• Experience in working with insurance companies

What is Pediatric RN Case Manager Job Responsibilities?

• Assess, plan, implement, and evaluate the care of pediatric patients
• Communicate with patients and families to ensure that they understand their care plan
• Coordinate care with other healthcare providers and insurance companies
• Monitor patient progress and provide support to families
• Ensure that the best possible care is provided to patients
• Maintain accurate and up-to-date patient records