- Highmark Health (Columbus, OH)
- …:** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case management services to a specified panel of ... and regulatory agency requirements and applicable standards of practice for case management . + Other duties as assigned or requested. **REQUIRED EDUCATION** +… more
- Kepro (Logan, OH)
- …a vital partner for health solutions in the public sector. Acentra seeks an RN Complex Case Manager in Logan, Ohio (covering Athens, Meigs, Gailia, Vinton, ... to join our growing team. Job Summary: The RN Complex Case Manager will: +...telephonic care coordination across the United States. An integrated case management model (including care coordination/ case… more
- Kepro (Brazil, IN)
- …a vital partner for health solutions in the public sector. Acentra seeks an RN Complex Case Manager in Brazil, Indiana (Counties: Greene, Sullivan, Knox, ... Clay, and Vigo) Job Summary: The RN Complex Case Manager will: +...telephonic care coordination across the United States. An integrated case management model (including care coordination/ case… more
- CVS Health (Jeffersontown, KY)
- …to make health care more personal, convenient and affordable. **Position Summary:** The Complex Nurse Case Manager is responsible for assessing members ... telephonic contact to assess, plan, implement and coordinate all case management activities with members to evaluate...to facilitate and support the member's improved health. The Case Manager develops a proactive course of… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management ** This job owns and conducts oversight over a specified ... operations and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training and experience in… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Nursing Clinical Manager (NCM) for Case Management is responsible for the day to day management of the Case Managers. This ... optimal reimbursement by Third Party Payers. The Nursing Clinical Manager for Case Management has...interdisciplinary rounds on units as warranted. 2. Meets with Case Managers, as warranted, to review medically complex… more
- Guthrie (Binghamton, NY)
- …To $25,000 Sign On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, ... timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and... management , utilization review, and payer knowledge. A Case Management certification or obtain a … more
- HCA Healthcare (El Paso, TX)
- …without reservations or limits? Our Las Palmas Medical Center team is looking for a(an) Manager of Case Management RN. HCA Healthcare is an advanced ... save lives across the country? Apply today to our Manager of Case Management RN...and/or family would benefit from counseling required to complete complex discharge plans. + You will Conducts concurrent medical… more
- Henry Ford Health System (Detroit, MI)
- …in Case Management (CCM) by the Commission for Case Management Certification or Accredited Case Manager (ACM) by the American Case ... Job Summary: The Case Manager -RN plays a pivotal role...Proficiency in electronic health records (EHR) + Knowledge of case management principles and practices + Ability… more
- Stanford Health Care (Palo Alto, CA)
- …Medicine | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager with bedside or case management experience working within or supporting ... critical care bedside RN experience to great use in case management . Our RN Case ...improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...NYSNA-MSH NYSNA at Mount Sinai Hospital , 329 - Case Management - MSH, Mount Sinai Hospital… more
- Ascension Health (Indianapolis, IN)
- …staffing standards. Cover on units as needed and serve as a resource for complex case management issues. **Requirements** Licensure / Certification / ... following preferred: + Case Manager credentialed from the American Case Management Association (ACMA). + Case Manager credentialed from the… more
- Guthrie (Sayre, PA)
- …clinical, and operational outcomes in timely, coordinated, and cost- effective manner. The Manager -of Case Management supports utilization management , ... scope of practice within the department. . . The Manager - Case Management collaborates cooperatively with...as appropriate. + Provides leadership for clinical staff regarding complex patient care concerns and/or care of patients who… more
- RWJBarnabas Health (Newark, NJ)
- Case Manager (RN) Case Management Full Time DayReq #:0000167349 Category:Nurse Case Manager Status:Full-Time Shift:Day Facility:Newark Beth ... Israel Medical Center Department: Case Management Location: Newark Beth Israel Medical Ctr, 201 LYONS... Plan and State and Federal guidelines, the RN Case Manager Discharge Planner will be responsible… more
- Guthrie (Corning, NY)
- Position Summary: In collaboration with the interdisciplinary healthcare team, the Case Manager will coordinate the flow of services throughout the patient's ... an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient...concise & timely manner as deemed appropriate by the case manager . Identifies individual patient discharge needs… more
- Scripps Health (San Diego, CA)
- …have been with Scripps Health for over 10 years *This is an inpatient-based Case Management /Care Manager training program which includes both virtual ... have a high risk of mortality * are medically complex and may have a prolonged LOS * have...preferred **Job:** **RN* **Organization:** **Scripps Health Corp* **Title:** *Inpatient Case Management /Care Manager Transition Program… more
- UNC Health Care (Raleigh, NC)
- …continuity of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. The Care ... **Job Details** Legal Employer: NCHEALTH Entity: UNC REX Healthcare Organization Unit: Rex Case Management Services Work Type: Full Time Standard Hours Per Week:… more
- Trinity Health (Mason City, IA)
- …time **Shift:** Day Shift **Description:** **Position Purpose:** The Care Transitions Case Manager collaborates with physicians, social services, nurses, and ... and to achieve optimal quality outcomes. The Care Transitions Case Manager is primarily responsible for selection...status for those patients. + Works with Director of Case Management and others to develop tools… more
- Walmart (Bentonville, AR)
- …denial of the claim; and reserving file for payments that exceed authority for manager and serious case review. + Minimizes legal exposure by securing services ... indexing information received on each claim in the claim/image management system. + Handles monetary aspects of assigned claims...counsel invoices; assessing the impact claim may have on case law and precedent prior to making claim payment;… more
- Tenet Healthcare (Detroit, MI)
- RN Case Manager Women and Children Part Time Days - 2406003239 Description : Children’s Hospital of Michigan is an international leader in pediatric and ... Hospital of Michigan - Troy and six ambulatory sites. Job Description: The RN Case Manager is responsible to facilitate care along a continuum through effective… more