Newstaff - Registered Nurse (RN) - Case Management - $31-42 per hour Detroit Medical Centerstaff - Registered Nurse (RN) - Case Management - $31-42 per hourHamtramck, MI$31–$42 / hourThe individuals responsibilities include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning assessment and reassessment, d) implementation or oversight of implementation of the transition plan, e) leading and facilitating multi-disciplinary patient care conferences, f) managing concurrent disputes, g) making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services, i) communicating with patients and families about the plan of care, j) collaborating with physicians, office staff and ancillary departments, k) leading and facilitating Complex Case Review, l) assuring patient education is completed to support post-acute needs, m) timely complete and concise documentation in Case Management system, n ) maintenance of accurate patient demographic and insurance information, o) identification and documentation of potentially avoidable days, p) identification and reporting over and underutilization, q) and other duties as assigned. To meet the needs of our community, we operate 8 hospitals and more than 140 clinics and outpatient facilities across southeast Michigan, including a nationally recognized dedicated pediatric hospital (Children’s Hospital of Michigan) as well as a nationally recognized rehabilitation hospital (Rehabilitation Institute of Michigan).
Newstaff - Director Registered Nurse (RN) - Case Management - $67K-97K per year Detroit Medical Centerstaff - Director Registered Nurse (RN) - Case Management - $67K-97K per yearDetroit, MI$67,000–$97,000 / yearLeadership skills including demonstrated willingness to pursue leadership roles with increasing levels of accountability, comfort with decision-making responsibilities, coaching, teaching and counseling skills, and the ability to inspire and build confidence in others and to forge alliances and garner support. Oversees hospital utilization performance improvement and operational management of the site Case Management Department to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services.
NewTravel Nurse RN - Case Management - $1,998 per week Anders GroupTravel Nurse RN - Case Management - $1,998 per weekNorth Ypsilant, MIFounded in 2010 by experienced healthcare recruiters, Anders Group was built on a simple idea: people come before numbers. That’s why we focus on delivering exceptional customer service, personalized support, and access to some of the best-paying travel opportunities nationwide.
NewLocal Contract Nurse Manager RN - Case Management - $90 per hour Trusted Resource Associates (TRA)Local Contract Nurse Manager RN - Case Management - $90 per hourDetroit, MITrusted Resource Associates (TRA) is seeking a local contract nurse RN Case Management Manager for a local contract nursing job in Detroit, Michigan. TRA is Tenet's in-house nationwide contingent pool for Interim Leaders, Nursing and Allied travel and local contracts.
NewManager - Case Management SSM HealthManager - Case ManagementSaint Louis, VAApplies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department‘s Scope of Service. Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
NewCase Manager Registered Nurse (LTSS) - Field MI (Wayne and Macomb County) CVS HealthCase Manager Registered Nurse (LTSS) - Field MI (Wayne and Macomb County)Warren, MIRemote$60,522–$129,615The LTSS RN Case Manager is responsible for comprehensive assessment, care planning, coordination, implementation, and monitoring of Long-Term Services and Supports (LTSS) for dual-eligible Medicare and Medicaid members. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs.
NewCase Manager Registered Nurse (LTSS) - Field MI (Southwest Michigan) CVS HealthCase Manager Registered Nurse (LTSS) - Field MI (Southwest Michigan)St. Joseph, MIRemote$60,522–$129,615The LTSS RN Case Manager is responsible for comprehensive assessment, care planning, coordination, implementation, and monitoring of Long-Term Services and Supports (LTSS) for dual-eligible Medicare and Medicaid members. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs.
NewTravel Nurse RN - Case Manager, Director of Nursing - $3,643 per week Coast Medical ServiceTravel Nurse RN - Case Manager, Director of Nursing - $3,643 per weekPetoskey, MICoast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler.
NewTravel Nurse RN - Clinic Case Manager, Utilization Review - $2,250 per week AMN Healthcare Revenue CycleTravel Nurse RN - Clinic Case Manager, Utilization Review - $2,250 per weekLansing, MI$1,800–$2,700This consultant will serve as an extension of the Director of Revenue Cycle by providing clinical and Utilization Management expertise, assessing the department’s current operations, and helping implement improvements while minimizing disruption to the existing team. At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
NewNurse Case Manager II IconmaNurse Case Manager IIWayne and Macomb Counties, MIResponsibilities: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.
Registered Nurse (RN) Case Manager UP Health System - MarquetteRegistered Nurse (RN) Case ManagerMarquette, MIOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Using expert clinical assessment, real‑time collaboration with physicians and care teams, and strong utilization management skills, they ensure patients receive the right level of care while supporting timely discharges, reducing avoidable delays, and improving the overall hospital experience.
NewHospice RN Case Manager - Sign on Bonus Eligible BJC HealthCareHospice RN Case Manager - Sign on Bonus EligibleSaint Louis, VAoffers patients and their families a complete range of home care services, including skilled nursing services, adult and pediatric hospice and supportive care, rehabilitation therapy, home infusion therapy, infusion treatment rooms, home medical equipment and high-tech respiratory care. Preferred Qualifications Role Purpose Evaluates the client and furnishes services requiring substantial and specialized skill, appropriate preventive and rehabilitative nursing procedures, and instructions to assist the client in learning appropriate self-care techniques.
NewCertified Case Manager Encompass Health Rehabilitation Hospital of MiddletownCertified Case ManagerNorth Star, DEThe CCM oversees the effective coordination of services and manages issues in the following main areas: admission and discharge, team conference and interdisciplinary plan of care communication, patient and family education, payor relations and total fiscal management. The Certified Case Manager (CCM) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes during a patient's rehabilitation experience.
NewTravel Nurse RN - Case Manager - $2,103 per week in Ypsilanti, MI AHS StaffingTravel Nurse RN - Case Manager - $2,103 per week in Ypsilanti, MIYpsilanti, MI$2,103AHS Staffing is looking for a Case Management Registered Nurse in Ypsilanti, MI for a Long Term (Travel) position. Apply today to speak with a recruiter about the position!
NewTravel Nurse RN - Case Manager - $2,514 per week in Lansing, MI AHS StaffingTravel Nurse RN - Case Manager - $2,514 per week in Lansing, MILansing, MI$2,514AHS Staffing is looking for a Case Management Registered Nurse in Lansing, MI for a Long Term (Travel) position. Apply today to speak with a recruiter about the position!
NewTravel Nurse RN - Case Manager - $2,035 per week in Ypsilanti, MI Advantis Medical StaffingTravel Nurse RN - Case Manager - $2,035 per week in Ypsilanti, MIYpsilanti, MI$2,035Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced Case Manager Registered Nurse (RN) for an exciting new travel job in Ypsilanti, MI 48197. If you are an experienced Case Manager Registered Nurse (RN) with a passion for providing exceptional patient care, just let us know you’re interested.
NewTravel Nurse RN - Case Manager in Lansing, MI SkyBridge HealthcareTravel Nurse RN - Case Manager in Lansing, MILansing, MI$48.95–$57.85 / hourWhether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. SkyBridge Healthcare wants the best for our employees, and we are dedicated to helping professionals land their ideal travel assignment.
NewTravel Nurse RN - Case Manager - $1,950 per day in Pontiac, MI SkyBridge HealthcareTravel Nurse RN - Case Manager - $1,950 per day in Pontiac, MIPontiac, MI$1,950Whether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. SkyBridge Healthcare wants the best for our employees, and we are dedicated to helping professionals land their ideal travel assignment.
NewTravel Nurse RN - Case Manager - $1,910 per week in Ypsilanti, MI Core Medical GroupTravel Nurse RN - Case Manager - $1,910 per week in Ypsilanti, MIYpsilanti, MI$1,910In addition to dedicated, personalized support from your recruiter, when you work with CoreMedical Group you'll receive: Access to an extensive benefits package, including day 1 health, dental, and vision insurance, employer paid life insurance, a health reimbursement account, and more! *Estimate of weekly payments is intended for informational purposes and includes hourly wages, as well as reimbursements for meal & incidental expenses, and housing expenses incurred on behalf of the Company.
NewTravel Nurse RN - Case Manager - $2,117 to $2,347 per week in Lansing, MI LRS HealthcareTravel Nurse RN - Case Manager - $2,117 to $2,347 per week in Lansing, MILansing, MI$2,117–$2,347Demonstrated ability to maintain high level of professionalism during stressful times. LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture.
NewTravel Nurse RN - Case Manager - $1,681 to $1,864 per week in Ypsilanti, MI LRS HealthcareTravel Nurse RN - Case Manager - $1,681 to $1,864 per week in Ypsilanti, MIYpsilanti, MI$1,681–$1,864Demonstrated ability to maintain high level of professionalism during stressful times. LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture.
NewRegistered Nurse - Case Manager SSM HealthRegistered Nurse - Case ManagerSaint Louis, VAApplies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department‘s Scope of Service. May also be responsible for: utilization management process, ED case management process, admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home health, etc.).
NewTravel Nurse RN - Case Manager - $2,300 per week in Lansing, MI FlexCareTravel Nurse RN - Case Manager - $2,300 per week in Lansing, MILansing, MI$2,300Less hassle, more control: one recruiter, transparent pay, and concierge-level support that anticipates your needs. Start faster, stay supported, and keep working where and the way you want.
NewTravel Nurse RN - Case Manager - $1,874 to $2,074 per week in Ypsilanti, MI Ventura MedStaffTravel Nurse RN - Case Manager - $1,874 to $2,074 per week in Ypsilanti, MIYpsilanti, MI$1,874.11–$2,074.11Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Ventura’s MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience.
NewRN-Case Manager SSM HealthRN-Case ManagerSaint Louis, VAApplies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department‘s Scope of Service. May also be responsible for: utilization management process, ED case management process, admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home health, etc.).
NewRN - Case Manager SSM HealthRN - Case ManagerSaint Louis, VAApplies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department‘s Scope of Service. May also be responsible for: utilization management process, ED case management process, admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home health, etc.).
NewTravel Nurse RN - Administration / Management in Lansing, MI Titan Medical GroupTravel Nurse RN - Administration / Management in Lansing, MILansing, MITitan Medical is looking for travelers to fill a Travel Case Management position for a 13-week assignment in Lansing, MI! Minimum years of experience: 2 - previous travel experience is not required.
NewNurse Practitioner or Physician Assistant (PRN) - In-Home Health Assessments Matrix Medical NetworkNurse Practitioner or Physician Assistant (PRN) - In-Home Health AssessmentsMonroe, TXAdditional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments. Our providers: Conduct adult / geriatric assessments to include medical history, diagnosis and treatment, health education, physician referrals, case management referrals, follow-up and clear documentation according to Matrix guidelines and protocols.
NewNurse Practitioner or Physician Assistant - PRN Matrix Medical NetworkNurse Practitioner or Physician Assistant - PRNMonroe, TXAdditional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments. Our providers: Conduct adult / geriatric assessments to include medical history, diagnosis and treatment, health education, physician referrals, case management referrals, follow-up and clear documentation according to Matrix guidelines and protocols.
NewNurse Practitioner (PRN) - In-Home Health Assessments Matrix Medical NetworkNurse Practitioner (PRN) - In-Home Health AssessmentsAu Gres, MIMatrix Medical Network pioneered the first national in-home clinical network, and today we’re an independent provider of comprehensive health assessments serving people across the nation. Additional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments.
NewPhysician - Pediatric Hospital Medicine - Ann Arbor Trinity HealthPhysician - Pediatric Hospital Medicine - Ann ArborAnn Arbor, MIYou will collaborate closely with the Emergency Department, as well as a multidisciplinary care teamincluding nursing staff, case management, social work, and allied health professionalsto ensure high-quality, family-centered care across the continuum of pediatric hospital medicine. Location: Ann Arbor, Michigan Specialty: Pediatrics Team Size: 6.5 Physicians, 2.0 PNP Call Requirements: no requirement If you are a dedicated Physician looking to make a difference in the lives of the patients and their families, Trinity Health IHA Medical Group.
Registered Nurse Case Manager (RN) - Case Management Tenet Healthcare CorpRegistered Nurse Case Manager (RN) - Case ManagementDetroit, MIThe individuals responsibilities include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning assessment and reassessment, d) implementation or oversight of implementation of the transition plan, e) leading and facilitating multi-disciplinary patient care conferences, f) managing concurrent disputes, g) making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services, i) communicating with patients and families about the plan of care, j) collaborating with physicians, office staff and ancillary departments, k) leading and facilitating Complex Case Review, l) assuring patient education is completed to support post-acute needs, m) timely complete and concise documentation in Case Management system, n ) maintenance of accurate patient demographic and insurance information, o) identification and documentation of potentially avoidable days, p) identification and reporting over and underutilization, q) and other duties as assigned. The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patients resources and right to self-determination.
RN Case Manager - Inpatient Case Management - Weekends Only* Henry Ford HospitalRN Case Manager - Inpatient Case Management - Weekends Only*Detroit, MICertifications: Certification in Case Management (CCM) by the Commission for Case Management Certification or Accredited Case Manager (ACM) by the American Case Management Association is required within one year of hire. The Case Manager-RN will collaborate closely with patients, families, healthcare providers, and community resources to optimize patient outcomes and promote efficient resource utilization.
Social Worker - Case Management Tenet Healthcare CorpSocial Worker - Case ManagementDetroit, MIThis individual's responsibility will include the following activities: a) complex psycho-social transition planning assessment and reassessment and intervention, b) assistance with adoptions, abuse and neglect cases, including assessment, intervention and referral as appropriate to local, state and /or federal agencies, c) care coordination, d) implementation or oversight of implementation of the transition plan, e) leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review, f) making appropriate referrals to other departments, g ) communicating with patients and families about the plan of care, h) collaborating with physicians, office staff and ancillary departments, i) assuring patient education is completed to support post-acute needs, j) timely complete and concise documentation in Case Management system, k ) maintenance of accurate patient demographic and insurance information, l) and other duties as assigned. The Social Worker is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination.
Registered Nurse Case Manager (RN) - Case Management DMC Sinai-Grace HospitalRegistered Nurse Case Manager (RN) - Case ManagementDetroit, MIThe individuals responsibilities include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning assessment and reassessment, d) implementation or oversight of implementation of the transition plan, e) leading and facilitating multi-disciplinary patient care conferences, f) managing concurrent disputes, g) making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services, i) communicating with patients and families about the plan of care, j) collaborating with physicians, office staff and ancillary departments, k) leading and facilitating Complex Case Review, l) assuring patient education is completed to support post-acute needs , m) timely complete and concise documentation in Case Management system, n ) maintenance of accurate patient demographic and insurance information, o) identification and documentation of potentially avoidable days, p) identification and reporting over and underutilization, q) and other duties as assigned. The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patients resources and right to self-determination.
Social Worker - Case Management - Part Time 20 hrs./week - Days - Southfield Henry Ford HospitalSocial Worker - Case Management - Part Time 20 hrs./week - Days - SouthfieldSouthfield, MIServes as a resource to assess, evaluate, recommend and treat legal, neglect, substance abuse, crisis, psychosocial and various adjustment needs. Additional Information Organization: Henry Ford Providence Hospitals Department: Social Service 001 Shift: Day Job Union Code: Not Applicable.
NewSocial Worker - Case Management - Part Time - Afternoon - Warren Henry Ford HospitalSocial Worker - Case Management - Part Time - Afternoon - WarrenWarren, MIServes as a resource to assess, evaluate, recommend and treat legal, neglect, substance abuse, crisis, psychosocial and various adjustment needs. Licensure / Certification / Registration: One or more of the following required: Counselor credentialed from the Michigan Board of Counseling obtained prior to hire date or job transfer date.
Social Worker - Case Management DMC Sinai-Grace HospitalSocial Worker - Case ManagementDetroit, MIThis individual's responsibility will include the following activities: a) complex psycho-social transition planning assessment and reassessment and intervention, b) assistance with adoptions, abuse and neglect cases, including assessment, intervention and referral as appropriate to local, state and /or federal agencies, c) care coordination, d) implementation or oversight of implementation of the transition plan, e) leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review, f) making appropriate referrals to other departments, g ) communicating with patients and families about the plan of care, h) collaborating with physicians, office staff and ancillary departments, i) assuring patient education is completed to support post-acute needs , j) timely complete and concise documentation in Case Management system, k ) maintenance of accurate patient demographic and insurance information, l) and other duties as assigned. The Social Worker is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination.
Case Management Manager DMC Harper University/Hutzel Women's HospitalCase Management ManagerDetroit, MIAt DMC Harper University/Hutzel Women's Hospital , we’reseeking an innovative and experienced healthcare leader to drive excellence and inspire our teamtowards exceptional patient outcomes andoperational success. A specialty referralhospital, Harper has established Centers of Excellence in neurosciences, bariatricsurgery, vascular services, multidisciplinary cardiovascular services, hypertension,stroke prevention and heart failure.
Case Management Manager Tenet Healthcare CorpCase Management ManagerDetroit, MIA specialty referral hospital, Harper has established Centers of Excellence in neurosciences, bariatric surgery, vascular services, multidisciplinary cardiovascular services, hypertension, stroke prevention and heart failure. At DMC Harper University/Hutzel Women's Hospital, we're seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.
Supervisor - Case Management - Full Time - Days - Jackson Henry Ford HospitalSupervisor - Case Management - Full Time - Days - JacksonJackson, MICERTIFICATIONS/LICENSURES REQUIRED: Full License to practice as a Registered Nurse in the State of Michigan, or Full License (LMSW) to practice as a Social Worker in the State of Michigan. Under the direction of the Manager of Case Management, supervises functions of case management including basic discharge planning activities to achieve desired outcomes.
Director - Case Management DMC Receiving HospitalDirector - Case ManagementDetroit, MIOversees hospital utilization performance improvement and operational management of the site Case Management Department to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services. Leadership skills including demonstrated willingness to pursue leadership roles with increasing levels of accountability, comfort with decision-making responsibilities, coaching, teaching and counseling skills, and the ability to inspire and build confidence in others and to forge alliances and garner support.
Supervisor - Integrated Case Management - Full Time - Day Shift - Wyandotte Henry Ford HospitalSupervisor - Integrated Case Management - Full Time - Day Shift - WyandotteWyandotte, MIThis entails monitoring and guiding a team of professionals responsible for the collaborative practice of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's and family's comprehensive health care needs through communication and available resources to promote patient safety, quality of care and cost-effective outcomes. The Supervisor of Integrated Case Management for Population Health is responsible for overseeing daily case management operations under the guidance of the Manager or Director of Integrated Case Management.
Director Case Management [Full Time / Permanent] Central Business SolutionsDirector Case Management [Full Time / Permanent]Detroit, MichiganOversees hospital utilization performance improvement and operational management of the site Case Management Department to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services. • Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent, and authorizations or denials documented and followed up, and that transition planning assessments are completed timely.
Integrated Care Management Assistant Case Management McLaren Health Care CorpIntegrated Care Management Assistant Case ManagementFlint, MIPerforms concurrent and retrospective utilization management-related activities and functions to ensure that appropriate data are tracked, evaluated, and reported including Important Message from Medicare (IMM) and Medicare Outpatient Observation Notice (MOON) completion. Assists with the coordination post discharge placement and services by making referrals, confirming specific placement and service arrangements, processing, organizing and obtaining insurance verification and/or prior authorization from insurance companies for discharge arrangements.
Utilization Management Case Manager University Health Services IncUtilization Management Case ManagerAUBURN HILLS, MIThese duties shall be directed toward supporting the hospital's mission in the pursuit of excellence in care/service and will include (but not limited to ): conducting timely admission and continues stay record reviews with external payers, utilizing approved criteria to make determinations of medical necessity and level of care planning, verifying active treatment by completing internal audit reviews within approved time frames, assisting the treatment team when indicated in the discharge planning process, and acting as liaison with MD/Clinical Treatment Team and external agencies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Manager, Vocational Case Management Allsup Employment ServicesManager, Vocational Case ManagementSaint LouisThe Manager of Vocational Case Management will manage personnel and functions within the Vocational Case Management department, as it relates to Allsup Employment Services Return to Work program, with the goal of helping Social Security Disability recipients retain self-sufficiency through gainful employment in the Ticket to Work Program. Ability to skillfully manage multiple, complex projects and competing priorities concurrently while working under pressure to meet deadlines and maintaining strong customer service orientation.
Supervisor Case Management MyMichigan HealthSupervisor Case ManagementSault Ste. Marie, MichiganPart timeAct as a resource and role model for unit practice, develops and maintains collaborative relationships and channels communication with members of multi-disciplinary care teams, including essential service leadership. The Supervisor will have responsibility for planning, directing, coordinating and evaluating case management roles as they directly interact with other hospital departments and community resources.
Registered Nurse Care Manager - Case Management (LAN) McLaren Health Care CorpRegistered Nurse Care Manager - Case Management (LAN)Lansing, MIWorks collaboratively with the social worker and other disciplines to ensure a safe, appropriate, and timely transition to the next level of care, taking into consideration the patient's available resources. Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN).
Interim Manager, Case Management B. E. Smith, Inc.Interim Manager, Case ManagementDetroit, MI$160,000–$170,000 / yearKey responsibilities include managing care coordination operations; partnering with physicians and market leaders to improve patient outcomes; collaborating closely with Utilization Management and Revenue Cycle teams; mentoring staff; and stabilizing team performance through strong leadership and accountability. An Interim Manager, Case Management is needed to provide day-to-day leadership for a hospital-based care management team, ensuring effective cross-continuum care coordination and patient-centered services.