Rn Case Manager - Healthy First Steps Program - Remote - Fl
By UnitedHealthcare At , Gainesville, 32602
Providing patient education to assist with self-management
Case Management, Utilization Review, discharge planning or other managed care experience
Proven solid organizational skills and multitasking abilities
3+ years of experience in a hospital setting, acute care, direct care experience (OB and / or Maternity)
Proficient level of experience with Microsoft Office including Word, Excel and Outlook, with the ability to navigate a Windows environment.
Proven solid critical thinking skills
Rn Case Manager - Remote | Wfh
By Get.It Recruit - Administrative At San Antonio, TX, United States

Are you a dedicated Registered Nurse with a passion for patient care and case management? We have an exciting opportunity for a Remote RN Case Manager in the vibrant city of San Antonio, Texas. Join ...

Rn To Np Transition Program
By Wellstar Health System At , Atlanta, 30339
Possess excellent time management skills
Completes all initial and ongoing professional competency assessment, required mandatory education, population specific education.
Less than 1 year of experience as a bedside nurse Required
Strong interpersonal, collaborative skills along with customer service skills required
Practices nursing using evidence and analytical skills along with possessing strong critical thinking skills.
APRN Current certification by the American Nurse Credentialing Center (ANCC) or American Association of Nurse Practitioners (AANP) Required
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.
Telephonic Case Manager (Rn) - Tx Only
By Molina Healthcare At , Dallas, 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:

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 Specialist Complex Case Manager- Remote
By Blue Cross and Blue Shield of Minnesota At , Eagan, Mn
All relevant experience including work, education, transferable skills, and military experience will be considered.
Understands the strategic and financial goals of the department, complex care management teams, and the enterprise
Knowledgeable of health plan operations (e.g. networks, eligibility, benefits)
3 years relevant clinical care experience
Strong resiliency and flexibility skills
Excellent research, analytical, and creative problem-solving skills
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).
Hybrid Community Registed Nurse (Rn) Case Manager - Framingham And Surrounding Area
By Commonwealth Care Alliance At , Boston, 02108, Ma
Meaningful clinical experience in primary care or care management, including:
Provide clinical care to members via telehealth technologies (video, chat, etc.) for a clinically appropriate clinical care and care management services.
Provides education to member and family, as appropriate
Demonstrate an understanding of the benefits of CCA's product lines
Demonstrates an understanding of the benefits of each program
Is able to complete and update a Care Plan that meets CCA requirements
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.
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
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 Case Manager. Fulltime, Part Time And Prn
By Georgia Health Services Network At , Atlanta, Ga
Email resumes to [email protected]. Subject: RN/LPN Case Manager Position
This position does not require any hands on care of clients.
Please do not contact office directly. Questions about the position should be directed to
Transition Coordinator (Rn) Jobs
By Superior HealthPlan At , San Antonio, Tx
Manage the transition of care for members enrolling or exiting the health plan
Educate transitioning enrollees about services, requirements, limitations and/or exclusions of services as a result of the transition.
Candidate must reside in/around San Antonio or Austin, TX.
Identify new enrollee requiring transition of care services
Complete assessment of the new Enrollee’s health care needs
Determine the presence of active care needs or possible outstanding service authorizations
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 To Np Transition Program
By Wellstar Health System At , Atlanta, 30339, Ga
APRN – Current certification by the American Nurse Credentialing Center (ANCC) or American Association of Nurse Practitioners (AANP)
Experience of at minimum 6 months of experience as a bedside nurse.
Graduate of Bachelor’s of Science Registered Nurse Program
Current RN License in the State of Georgia
Current APRN License in the State of Georgia
Qualify for and maintain privileges to practice at facilities per medical staff guidelines
Outpatient Case Manager, Rn - Remote | Wfh
By Get It Recruit - Healthcare At Montebello, CA, United States

We are a dynamic healthcare organization dedicated to providing compassionate and comprehensive care to our patients. We are currently seeking a Nurse Case Manager to join our team. Overview Job ...

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
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
Telephonic Case Manager Rn - Richardson, Tx
By Optum At , Richardson, 75081
Provide patient education to assist with self-management
Experience in a leadership, account management or client facing role
Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
3+ years of experience in a hospital, acute care or direct care setting
Experience or exposure to discharge planning
Experience in discharge planning or utilization review
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 ...

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
Transition Of Care Coach (Rn)
By Molina Healthcare At , San Diego $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:

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.

Are you an experienced RN looking for a new challenge? We are looking for a Transition Case Manager RN to join our team and help us provide the highest quality of care to our patients. You will be responsible for coordinating care for patients transitioning from one care setting to another, ensuring that all necessary services are provided in a timely and efficient manner. If you have a passion for helping others and are looking for an opportunity to make a difference, this could be the perfect job for you!

Overview:

Transition Case Manager RN is a healthcare professional who is responsible for providing case management services to patients transitioning from one care setting to another. The Transition Case Manager RN is responsible for coordinating the patient’s care and ensuring that the patient receives the necessary services and resources to ensure a successful transition.

Detailed Job Description:

The Transition Case Manager RN is responsible for assessing the patient’s needs and developing a plan of care to meet those needs. The Transition Case Manager RN will coordinate with other healthcare professionals to ensure that the patient receives the necessary services and resources. The Transition Case Manager RN will also monitor the patient’s progress and provide support and guidance to the patient and their family.

What is Transition Case Manager Rn Job Skills Required?

• Knowledge of healthcare systems and regulations
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team
• Ability to assess patient needs and develop a plan of care
• Ability to coordinate with other healthcare professionals
• Ability to monitor patient progress
• Ability to provide support and guidance to patients and their families

What is Transition Case Manager Rn Job Qualifications?

• Bachelor’s degree in Nursing or related field
• Current RN license
• Previous experience in case management
• Knowledge of healthcare systems and regulations
• Excellent communication and interpersonal skills

What is Transition Case Manager Rn Job Knowledge?

• Knowledge of healthcare systems and regulations
• Knowledge of patient assessment and care planning
• Knowledge of patient rights and responsibilities
• Knowledge of healthcare resources and services

What is Transition Case Manager Rn Job Experience?

• Previous experience in case management
• Previous experience in healthcare

What is Transition Case Manager Rn Job Responsibilities?

• Assess patient needs and develop a plan of care
• Coordinate with other healthcare professionals
• Monitor patient progress
• Provide support and guidance to patients and their families
• Ensure that the patient receives the necessary services and resources
• Ensure compliance with healthcare regulations and standards