158 rn case manager jobs found

Job Description Summary The Nurse Case Manager (NCM) I reports to the Manager of Case Management and Care Transitions. Under guidance of the Nurse Case Manager Team Leader, the Nurse Case Manager I functions as a member of the clinical team. This role coordinates a plan of care to achieve clinical outcomes and promotes a safe and timely discharge. This position manages the plan of care throughout the care continuum to ensure the efficient movement of the patient through the hospital system. The Nurse Case Manager I serves as a clinical expert related to discharge planning, resource utilization, and case management. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type​ PRN Cost Center CC000314 CHS - Case Management & Care Transitions (Main) Pay Rate Type Hourly Pay Grade Health-28 Scheduled Weekly Hours 20 Work Shift Day (United States of America) Job Description Hours per week: 20 Scheduled Work...

87032BR RN Case Manager TEP-Health Employees Temporary Employment 87032BR Job Summary The Pediatric Nurse Case Manager coordinates resources and services in response to individual patient’s needs and fiscal realities, performs utilization review activities and oversees coordination of complex discharge planning for assigned case load. The Nurse Case Manager is an active member of the interdisciplinary team contributing to team goal setting. The Nurse Case manager...

Job ID: 13843 STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application. RN Case Manager Overview: The Care Manager is responsible for care coordination, progression of care, and proactive discharge planning and is accountable for expediting the timely and safe discharge for all patients in their case load. Responsibilities: The Care Manager is responsible for care coordination, progression of care, and proactive discharge planning and is accountable for expediting the timely and safe discharge for all patients in their case load. Qualifications: Education Graduate of Nursing Program Required Masters degree Masters degree Preferred Work Experience 2 years of experience in an acute or post-acute setting Required Experience using InterQual or Milliman Preferred Licenses and Certifications Current unrestricted registered nurse (RN) license, or eligible...

Job Description Summary Hospice RN Case manger Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type​ Regular Cost Center CC001404 KER - Hospice (KMC) Pay Rate Type Hourly Pay Grade Health-28 Scheduled Weekly Hours 40 Work Shift Day (United States of America) Job Description Responsible for planning, coordinating and documenting care for terminally ill patients from day of admission through day of discharge. Utilizing physicians' orders and professional skills the Hospice RN develops and implements a hospice plan that meets each patient's specific needs . The RN Case Manger acts as a members of the interdisciplinary group team. Provides nursing care to patients using the nursing process (assessment, planning, implementation, and evaluation). Directs and leads other assigned team members and collaborates with multidisciplinary team members to provide age/developmentally appropriate care in accordance with...

Job Description Summary Come join our Florence, SC Case Management team as a full-time Case Manager RN! Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type​ Regular Cost Center CC001193 FLO - Case Management (FMC) Pay Rate Type Salary Pay Grade Health-29 Scheduled Weekly Hours 40 Work Shift Job Description Coordinates the overall interdisciplinary plan of care for patients, from admission to discharge. Monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Evaluates the needs of the patient, the resources available, and recommends and facilitates the plan for the best outcome. Develops a discharge plan that provides the best available resources to meet ongoing patient needs and that encourages compliance with medical advice. Identifies patient care issues and suggests revisions to or new clinical pathways to improve quality of care. May also be responsible for...

Job Description Summary Come join our Florence, SC Case Management team as a PRN Case Manager RN! Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type​ PRN Cost Center CC001193 FLO - Case Management (FMC) Pay Rate Type Hourly Pay Grade Health-28 Scheduled Weekly Hours 8 Work Shift Job Description Coordinates the overall interdisciplinary plan of care for patients, from admission to discharge. Monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Evaluates the needs of the patient, the resources available, and recommends and facilitates the plan for the best outcome. Develops a discharge plan that provides the best available resources to meet ongoing patient needs and that encourages compliance with medical advice. Identifies patient care issues and suggests revisions to or new clinical pathways to improve quality of care. May also be responsible for conducting...

UOVUNIUSR0059525EXTERNALENUS In support of patient progression practice, create optimal outcomes for the patient and the family by managing complex psychosocial and economic barriers to patient progression. Through advanced practice skills mobilizes resources to reduce risk to the patient and families secondary to social determinant based needs and challenges. Provides patient support with cultural humility to ensure that interventions by the care team are rendered respectfully to diverse populations. Identifies patient and/or families requiring coordination of continuing care or community support members of the care team.  Reviews medical records, attends rounds, and responds to patient’s needs.  Applies knowledge based on professional experience. Understands and adheres to the practice standards consistent with patient progression and its contribution to the strategic plan. Works collaboratively with the RN Case Manager and the treatment team members to develop and...

UOVUNIUSR0074710EXTERNALENUS In support of patient progression practice, create optimal outcomes for the patient and the family by managing complex psychosocial and economic barriers to patient progression. Through advanced practice skills mobilizes resources to reduce risk to the patient and families secondary to social determinant-based needs and challenges. Provides patient support with cultural humility to ensure that interventions by the care team are rendered respectfully to diverse populations. Identifies patient and/or families requiring coordination of continuing care or community support members of the care team.  Reviews medical records, attends rounds, and responds to patient’s needs.  Applies knowledge based on professional experience. Understands and adheres to the practice standards consistent with patient progression and its contribution to the strategic plan. Works collaboratively with the RN Case Manager and the treatment team members to develop and...

Job ID: 9291 STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application. RN Care Manager Responsibilities: RESPONSIBLE FOR: The Care Manager is responsible for care coordination, progression of care, and proactive discharge planning and is accountable for expediting the timely and safe discharge for all patients in their case load. Qualifications: MINIMUM EDUCATION REQUIRED: Graduate of Nursing Program. MINIMUM EXPERIENCE REQUIRED: Two (2) years of experience in an acute or post-acute setting. MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: Current unrestricted registered nurse (RN) license, or eligible for licensure, in the state of Georgia, required. ADDITIONAL QUALIFICATIONS: Certification in Case or Care Management; experience using InterQual or Milliman; Master?s degree preferred. Business Unit : Name: Piedmont Hospital Apply...

remote typeOnsite locationsNorth Fulton Hospital time typePart time posted onPosted 4 Days Ago job requisition idJR-60340 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Job Summary: Wellstar North Fulton Hospital has an opportunity for a Senior Care Coordinator Social Worker. Full-Time Day shift The Care Coordination Social Worker Sr. (SW Sr ) is responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with...

Department Post Acute Access Job Summary We are seeking a dynamic inpatient rehabilitation Admission Liaison to join our team! Job duties of the Admissions Liaison are: Assesses patients to determine the appropriate level of post-acute care services within CMS/payor guidelines and reviews the options with the patient and/or designated representatives. Primary assignment includes one level of post-acute care (SNF or IRF). Gathers and communicates significant referral information to appropriate staff within the continuum to promote continuity of care post-acute discharge. Responsible for all referral data collection as required. Responsible for supporting the referral development goals for the post-acute continuum and to educate/liaison with physicians, physician office staff, APRN, PA, nursing, case managers and social workers to facilitate the patient's discharge process. Responsible for growing the post-acute business and developing positive and effective...

Job Description Summary The RN Nurse Auditor is a key member of the Clinical Appeals team and reports directly to the Clinical Appeals Manager. This role is responsible for conducting clinical reviews of payer audit determinations, identifying improper denials, and preparing detailed appeals that support the validity of charges and medical necessity of services rendered. Utilizing strong clinical judgment, in-depth knowledge of payer policies, and regulatory compliance standards, the RN Nurse Auditor advocates for appropriate reimbursement and contributes to the financial health of the organization. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type​ Regular Cost Center CC005031 SYS - Revenue Cycle Middleware Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours 40 Work Shift Job Description The RN Nurse Auditor is a key member of the Clinical Appeals team and reports directly to the Clinical...

Job Description Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. UNC Health Nash, an affiliated member of the UNC Health system, invites passionate healthcare professionals to join our esteemed team. Governed locally, we proudly serve a diverse patient base, spanning Nash, Edgecombe, Halifax, Wilson Counties, and beyond. With a steadfast commitment to elevating community health through exceptional care, we prioritize excellence, compassion, and innovation, ensuring every individual receives the highest standard of support. Joining our team means becoming an integral part of our dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs. Join us in this transformative journey, where your contributions will make a...

Job ID: 11385 STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application. Care Manager Overview: The Care Manager is responsible for care coordination, progression of care, and proactive discharge planning and is accountable for expediting the timely and safe discharge for all patients in their case load. Responsibilities: The Care Manager is responsible for care coordination, progression of care, and proactive discharge planning and is accountable for expediting the timely and safe discharge for all patients in their case load. Qualifications: Education Graduate of Nursing Program Required Masters degree Masters degree Preferred Work Experience 2 years of experience in an acute or post-acute setting Required Experience using InterQual or Milliman Preferred Licenses and Certifications Current unrestricted registered nurse (RN) license, or eligible...

Job ID: 11341 STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application. Care Manager - Inpatient Overview: Location: Piedmont Fayette Care Management - Inpatient Shift: Monday- Friday 8-4:30pm (Full Time) Responsibilities: RESPONSIBLE FOR: The Care Manager is responsible for care coordination, progression of care, and proactive discharge planning and is accountable for expediting the timely and safe discharge for all patients in their case load. Qualifications: MINIMUM EDUCATION REQUIRED: Graduate of Nursing Program MINIMUM EXPERIENCE REQUIRED: Two (2) years of experience in an acute or post-acute setting MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: Current unrestricted registered nurse (RN) license, or eligible for licensure, in the state of Georgia, required. ADDITIONAL QUALIFICATIONS: Certification in Case or Care Management; experience...

Job ID: 7886 STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application. RN - Case Management Overview: Sign-on Bonus Available Experience the advantages of real career change Join Piedmont to move your careerin the right direction.Stay for thediverseteamsyoulllove, a sharedpurpose, and schedule flexibility that frees you to live for what matters both in and outside of work.Youllfeel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders arein your corner, invested inyour success. Our wellness programs and comprehensive total benefits and rewards meet your needstoday andhelp youplan for the future. Responsibilities: RESPONSIBLE FOR: The Care Manager is responsible for care coordination, progression of care, and proactive discharge planning and is accountable for expediting the...

Job ID: 10499 STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application. Care Manager Responsibilities: RESPONSIBLE FOR: The Care Manager is responsible for care coordination, progression of care, and proactive discharge planning and is accountable for expediting the timely and safe discharge for all patients in their case load. Qualifications: MINIMUM EDUCATION REQUIRED: Graduate of Nursing Program. MINIMUM EXPERIENCE REQUIRED: Two (2) years of experience in an acute or post-acute setting. MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: Current unrestricted registered nurse (RN) license, or eligible for licensure, in the state of Georgia, required. ADDITIONAL QUALIFICATIONS: Certification in Case or Care Management; experience using InterQual or Milliman; Master?s degree preferred. Business Unit : Name: Piedmont Hospital Apply...

Job ID: 13703 STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application. Care Manager, PRN Overview: Piedmont Eastside, PRN The PEM Care Management department is made up of a diverse group of individuals. Each come with their own unique backgrounds, skills, and experiences. The department is comprised of Social workers, RNs, and CMAs. Together we have built a team that can draw on each others strengths and supplement each others weaknesses. We expand each others knowledge and skills through collaboration and coaching, and provide opportunities for growth within the department and organization. We work together as a team every day to expedite the most appropriate and timely discharges for our patients. We work collaboratively with other members of the interdisciplinary team, as well as post-acute providers to ensure continuity of care. We do this and so much more...

46708242 Overview Facilitates the management of illness and health promotion. Provides assessment, information and referral, advocacy services, and other resource assistance to patients directly or through consultation. Manages a panel of moderate to high complexity patients for longitudinal Care Management. Responsibilities Manages and coordinates interdisciplinary care of defined populations through the care continuum from wellness through end of life from a psychological, social and environmental perspective. Partners with RN Care Managers for the management of patients with medical and social needs and barriers. Identifies high risk patients requiring on-going coordination of care; performs a comprehensive patient/family assessment, develops a comprehensive treatment plan that will span the continuum of psychosocial issues, implements a plan of care to provide continuing support and coordination for patient/family with multiple complex system needs Utilizes...

46708241 Overview Facilitates the management of illness and health promotion. Provides assessment, information and referral, advocacy services, and other resource assistance to patients directly or through consultation. Manages a panel of moderate to high complexity patients for longitudinal Care Management. Responsibilities Manages and coordinates interdisciplinary care of defined populations through the care continuum from wellness through end of life from a psychological, social and environmental perspective. Partners with RN Care Managers for the management of patients with medical and social needs and barriers. Identifies high risk patients requiring on-going coordination of care; performs a comprehensive patient/family assessment, develops a comprehensive treatment plan that will span the continuum of psychosocial issues, implements a plan of care to provide continuing support and coordination for patient/family with multiple complex system needs Utilizes...

Job ID: 14066 STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application. Care Manager - Med Surg Overview: This Care Manager will work full time, Monday through Friday 8:00AM - 430 PM and be centered in our new Med Surg Unit. Responsibilities: The Care Manager is responsible for care coordination, progression of care, and proactive discharge planning and is accountable for expediting the timely and safe discharge for all patients in their case load. Qualifications: Education Graduate of Nursing Program Required Masters degree Masters degree Preferred Work Experience 2 years of experience in an acute or post-acute setting Required Experience using InterQual or Milliman Preferred Licenses and Certifications Current unrestricted registered nurse (RN) license, or eligible for licensure, in the state of Georgia Required Additional Licenses and...

PRN ECMO Specialist RT PRN ECMO Specialist RT Apply! Apply! Position Details Department: PCH-MAIN | ECLS Location: Phoenix Shift: Mon-Fri, Nights, 6:30pm-6:30am...

remote typeOnsite locationsWindy Hill Hospital time typeFull time posted onPosted 25 Days Ago job requisition idJR-50390 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Click Here to Visit the Windy Hill Hospital Website The Clinical Liaison is a member of the care coordination department and is responsible for participating in the referral coordination for local hospitals. Functions as a marketing representative for clinical referrals. Interacts with the...