493 registered nurse case manager jobs found

The Riverside University Health System (RUHS) - Medical Center is currently recruiting for a Per Diem Registered Nurse III MC/CHC (Case Manager) to join our Integrated Care Management Department located in Moreno Valley. We are seeking an experienced Registered Nurse (RN) Case Manager to support all areas of Case Management, including the Emergency Department (ED), Transfer Center, Inpatient Units, and Utilization Management (UM). This role is responsible for coordinating patient care across the continuum, ensuring appropriate level of care, optimizing resource utilization, and supporting safe, timely discharges. The essential job duties of this position include, but are not limited to the following: Provide comprehensive nursing care to patients in accordance with established standards of practice, policies, and procedures. Assess, plan, implement, and evaluate individualized patient care plans. Perform utilization review and case management activities, including...

Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols. Attends and participates in morning meetings/stand up to facilitate communications with the team. Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care. Monitor and adjust resident's statuses based on changing needs and conditions. Organize and prioritize daily work by assessing new, current and discharging residents needs in area(s) of responsibility. Complete documentation as required. Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party payers. Oversee all admissions and discharge activities. Coordinate referrals both to and from our facility. Ability to relate positively, effectively, and appropriately with residents, families, staff...

Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols. Attends and participates in morning meetings/stand up to facilitate communications with the team. Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care. Monitor and adjust resident's statuses based on changing needs and conditions. Organize and prioritize daily work by assessing new, current and discharging residents needs in area(s) of responsibility. Complete documentation as required. Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party payers. Oversee all admissions and discharge activities. Coordinate referrals both to and from our facility. Ability to relate positively, effectively, and appropriately with residents, families, staff...

Hospice CNA opportunity with Anew Hospice Full Time Hours Available Position will serve the Brownsburg/Avon area! Anew Hospice is Indiana-owned and operated with Hoosier hospitality ingrained in everything we do. We’re committed to providing compassionate care, clinical excellence and outstanding customer service to our patients and their families at the end of life. Creating a positive experience through comfort and support is our number one priority.  Our team is growing! Do you want to make a difference in the lives of others?  The Hospice CNA works under the supervision of a registered nurse or therapist to provide personal care services and supportive duties to clients as assigned, and in accordance with care ordered by physician. The Certified Nurse Aide maintains an environment for the clients which protects and promotes client rights, and assists the person to maintain independence, dignity, and control to the greatest extent possible. Job duties of...

Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols. Attends and participates in morning meetings/stand up to facilitate communications with the team. Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care. Monitor and adjust resident's statuses based on changing needs and conditions. Organize and prioritize daily work by assessing new, current and discharging residents needs in area(s) of responsibility. Complete documentation as required. Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party payers. Oversee all admissions and discharge activities. Coordinate referrals both to and from our facility. Ability to relate positively, effectively, and appropriately with residents, families, staff...

Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols. Attends and participates in morning meetings/stand up to facilitate communications with the team. Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care. Monitor and adjust resident's statuses based on changing needs and conditions. Organize and prioritize daily work by assessing new, current and discharging residents needs in area(s) of responsibility. Complete documentation as required. Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party payers. Oversee all admissions and discharge activities. Coordinate referrals both to and from our facility. Ability to relate positively, effectively, and appropriately with residents, families, staff...

Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. Participates in a cross functional, multi-disciplinary team to identify and implement member-centric interventions to ensure optimal and cost-effective health outcomes. Collaborates with interdisciplinary care team to develop a comprehensive care plan to identify key strategic interventions to address member's needs, health goals and mitigate health care cost drivers. Demonstrated...

Hospice CNA opportunity with Anew Hospice Full Time Hours Available Position will serve the Greensburg/Columbus/North Vernon area! Anew Hospice is Indiana-owned and operated with Hoosier hospitality ingrained in everything we do. We’re committed to providing compassionate care, clinical excellence and outstanding customer service to our patients and their families at the end of life. Creating a positive experience through comfort and support is our number one priority.  Our team is growing! Do you want to make a difference in the lives of others?  The Hospice CNA works under the supervision of a registered nurse or therapist to provide personal care services and supportive duties to clients as assigned, and in accordance with care ordered by physician. The Certified Nurse Aide maintains an environment for the clients which protects and promotes client rights, and assists the person to maintain independence, dignity, and control to the greatest extent possible....

Hospice RN Case Manager  Full-time position serving the Greenfield / Lawrence / New Castle, IN area Anew Hospice is Indiana-owned and operated with Hoosier hospitality ingrained in everything we do. We’re committed to providing compassionate care, clinical excellence and outstanding customer service to our patients and their families at the end of life. Creating a positive experience through comfort and support is our number one priority. Our team is growing! Do you want to make a difference in the lives of others?  Job duties of this rewarding position include: The Registered Nurse (RN) is responsible for the delivery of patient care through nursing process of assessment, planning, implementation, and evaluation. The registered nurse plans, organizes and directs hospice care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to...

Now Hiring: RN Case Manager - NJ Region Work from home + local field travel Salary: $75,000 - $85,000 annually Quarterly Bonus Opportunities Free CEUs for licenses & certificates License & Certification Reimbursement We're looking for an RN with a passion for case management to join our team! ✨ RN degree required ✨ National Certification preferred (CCM, CRC, COHN, CRRN) ✨ Workers' Comp Case Management experience a plus Location Requirement Candidates must be based in one of these New Jersey areas: Denville, Parsippany, Morristown, and Whippany. ✅ Your Impact: You'll provide effective case management services in a cost-effective manner, delivering medical case management consistent with URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines. You'll support patients/employees receiving benefits under insurance lines including Workers' Compensation, Group Health, Liability, Disability, and Care Management. This is your chance to grow your career,...

100% FTE, Monday - Friday, 8:00am - 4:30pm, 3-4 weekends per year with a holiday rotation. You will be working at University Hospital in Madison, WI. Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Nurse (RN) Case Manager : Bring a strong clinical background, case management experience and well-developed assessment and critical thinking skills Assist with anticipating the discharge needs of post-surgical patients to ensure timely discharge and access to the best possible resources Have an understanding of medical necessity, level of care and patient status (inpatient vs outpatient). Knowledge of community resources such as transportation, skilled nursing facilities or home health agencies. Enjoy learning, asking questions, and working within a collaborative team environment. At UW Health, you will have At UW Health, you will have An excellent benefits package, including health and dental insurance, paid time off,...

At Elanco (NYSE: ELAN) – it all starts with animals! As a global leader in animal health, we are dedicated to innovation and delivering products and services to prevent and treat disease in farm animals and pets. At Elanco, we are driven by our vision of Food and Companionship Enriching Life and our purpose – all to Go Beyond for Animals, Customers, Society and Our People. At Elanco, we pride ourselves on fostering a diverse and inclusive work environment. We believe that diversity is the driving force behind innovation, creativity, and overall business success. Here, you’ll be part of a company that values and champions new ways of thinking, work with dynamic individuals, and acquire new skills and experiences that will propel your career to new heights. Making animals’ lives better makes life better – join our team today! Your Role: Registered Nurse - Occupational Health As a Registered Nurse in Occupational Health, you will be a vital part of the...

Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols. Attends and participates in morning meetings/stand up to facilitate communications with the team. Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care. Monitor and adjust resident's statuses based on changing needs and conditions. Organize and prioritize daily work by assessing new, current and discharging residents needs in area(s) of responsibility. Complete documentation as required. Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party payers. Oversee all admissions and discharge activities. Coordinate referrals both to and from our facility. Ability to relate positively, effectively, and appropriately with residents, families, staff...

Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols. Attends and participates in morning meetings/stand up to facilitate communications with the team. Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care. Monitor and adjust resident's statuses based on changing needs and conditions. Organize and prioritize daily work by assessing new, current and discharging residents needs in area(s) of responsibility. Complete documentation as required. Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party payers. Oversee all admissions and discharge activities. Coordinate referrals both to and from our facility. Ability to relate positively, effectively, and appropriately with residents, families, staff...

Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols. Attends and participates in morning meetings/stand up to facilitate communications with the team. Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care. Monitor and adjust resident's statuses based on changing needs and conditions. Organize and prioritize daily work by assessing new, current and discharging residents needs in area(s) of responsibility. Complete documentation as required. Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party payers. Oversee all admissions and discharge activities. Coordinate referrals both to and from our facility. Ability to relate positively, effectively, and appropriately with residents, families, staff...

Now Hiring: RN Case Manager - Los Angeles, CA Region Work from home + local field travel Salary: $87,000 - $101,000 annually Quarterly Bonus Opportunities Free CEUs for licenses & certificates License & Certification Reimbursement We're looking for an RN with a passion for case management to join our team! ✨ RN degree required ✨ National Certification preferred (CCM, CRC, COHN, CRRN) ✨ Workers' Comp Case Management experience a plus Location Requirement Candidates must be based in one of these California areas: San Fernando, Van Nuys, Santa Clarita, Granada Hills, Panorama, Valencia, Oxnard, Westlake Village, Palmdale, or Chatsworth. ✅ Your Impact: You'll provide effective case management services in a cost-effective manner, delivering medical case management consistent with URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines. You'll support patients/employees receiving benefits under insurance lines including Workers' Compensation, Group...

Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. Participates in a cross functional, multi-disciplinary team to identify and implement member-centric interventions to ensure optimal and cost-effective health outcomes. Collaborates with interdisciplinary care team to develop a comprehensive care plan to identify key strategic interventions to address member's needs, health goals and mitigate health care cost drivers. Essential...

Hospice CNA opportunity with Anew Hospice Full Time Hours Available Position will serve the Brownsburg/Avon area! Anew Hospice is Indiana-owned and operated with Hoosier hospitality ingrained in everything we do. We’re committed to providing compassionate care, clinical excellence and outstanding customer service to our patients and their families at the end of life. Creating a positive experience through comfort and support is our number one priority.  Our team is growing! Do you want to make a difference in the lives of others?  The Hospice CNA works under the supervision of a registered nurse or therapist to provide personal care services and supportive duties to clients as assigned, and in accordance with care ordered by physician. The Certified Nurse Aide maintains an environment for the clients which protects and promotes client rights, and assists the person to maintain independence, dignity, and control to the greatest extent possible. Job duties of...

Hospice CNA opportunity with Anew Hospice Full Time Hours Available Position will serve the Columbus/Greensburg/North Vernon area! Anew Hospice is Indiana-owned and operated with Hoosier hospitality ingrained in everything we do. We’re committed to providing compassionate care, clinical excellence and outstanding customer service to our patients and their families at the end of life. Creating a positive experience through comfort and support is our number one priority.  Our team is growing! Do you want to make a difference in the lives of others?  The Hospice CNA works under the supervision of a registered nurse or therapist to provide personal care services and supportive duties to clients as assigned, and in accordance with care ordered by physician. The Certified Nurse Aide maintains an environment for the clients which protects and promotes client rights, and assists the person to maintain independence, dignity, and control to the greatest extent possible....

JOB DESCRIPTION The Workers' Compensation Senior Telephonic Nurse Case Manager is responsible for evaluating and expediting appropriate, cost-effective medical treatment of injured employees with the goal of optimum medical improvement. The Senior TCM is responsible for disability management, including proactive early return to work coordination. Close collaboration with the claims and medical team to achieve individual case and department goals is a critical component of the position. This is a full-time remote position. KNOWLEDGE AND SKILLS: Excellent verbal and written communication skills. This position will involve continuous personal, telephonic, and written contact. Strong interpersonal and relationship building skills. Knowledge of traumatic injuries and the resultant disabilities and medical complications. Knowledge of Workers' Compensation Acts and working knowledge of the medical providers in the assigned territory. Knowledge and expertise in use of...