The RN Case Manager is expected to function within the full scope of the nursing practice with specialized focus on care coordination, compliance, transition management, education, and utilization management.Education:
Miami Dade County, FL10 days ago
Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources. Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
p style="margin-top:0;margin-bottom:10pt;line-height:115%;font-size:11pt">Job Description: In the UM department, Case Management Coordinator is to assist with the coordinating of the day-to day activities in the medical group, request for authorization for ancillary services, and certify the group is utilizing the most cost effective provider.
Qualifications:
This 200 bed hospital has a state-of-the-art Ambulatory Surgery Center, Level 3 Trauma Center / ER with a dedicated Pediatric Emergency Unit, an Express Care area for non-life-threatening emergency cases and cardiac catheterization lab, and is recognized for the exceptional care in cancer surgery, joint replacement, cardiac care, treatment of stroke, breast imaging, sleep medicine, diabetes education and treatment of substance use disorders. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Looking to hire an experienced RN with AAS or BSN Degree and at least 2+ years’ experience in Hospice or Palliative care or med/surg, community health, and/or oncology nursing setting preferred.
Nurses with experience in any of the following areas are strongly encouraged to apply: Assistant Nurse Manager, CNO, Charge, Clinical Nurse Coordinator, Clinical pathway, Director, Manager, Navigator, Supervisor, Utilization Review, or VP. Hospitals on Incredible Health are actively hiring and accepting applications in the Memphis, TN area for the following position: Nurse Manager - Case Management.
Nurses with experience in any of the following areas are strongly encouraged to apply: Assistant Nurse Manager, CNO, Charge, Clinical Nurse Coordinator, Clinical pathway, Director, Manager, Navigator, Supervisor, Utilization Review, or VP. Hospitals on Incredible Health are actively hiring and accepting applications in the Memphis, TN area for the following position: Registered Nurse - Case Management Director.
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. The Nurse Care Manager will work with the member and/or family member to maintain the most independent living situation possible; ensure consistent care along the entire health care continuum by assessing and closely monitoring member’s needs and status.
The successful candidate will work independently under limited supervision and will be responsible for all aspects of the case management process, including admissions, assessments and reassessments, service planning, monitoring, coordination of care, and discharge planning. This position plays a critical role in coordinating services for aging and disabled populations while helping individuals maintain independence and quality of life within their homes and communities.
As a senior-level case management professional, you will play a vital role in helping individuals navigate complex healthcare needs while ensuring they have access to the resources, services, and support necessary to achieve the best possible outcomes. Candidates should demonstrate a history of leadership, sound clinical decision-making, and a commitment to delivering compassionate, high-quality care, and one year paid professional experience with the aging adult or disabled population.
DESCRIPTION: The AB109 Case Manager (CM) is responsible for coordinating programming, services and supports for ex-offenders during transition or after release from custody in the assigned geographic service area, with the goal of promoting successful community re-entry and decreasing the likelihood of recidivism. Bachelors Degree in criminal justice, social work or related area and minimum of three years working in a community based or non profit organization; OR 5+ years of experience working with ex-offenders or related populations (e.g.
li>Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Assists the Director in the development and check-off of on-going staff competencies and ensures that all staff members are compliant with annual safety, HIPAA and Code of Conduct requirements; provides input on staff performance evaluations.
Mechanicsburg, PA11 days ago
Join us in this journey of care, compassion, and leadership as we work together to make a difference where it matters most, serving as a key member of our leadership team overseeing the day-to-day operations and management of our Case Management department. - Oversee the interdisciplinary plan of care and the discharge planning process to ensure the effectiveness and appropriateness of services with a central focus on census management, patient care outcomes, and key care indicators.
Oversees those who provide direct case management services to specific patient populations providing interventions to patients/families of varying ages with age related needs. Collects and analyzes data and implements departmental or inter-departmental performance improvement activities to improve the organization's efficiency.
p>• Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes. • Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.
strong> Essential Functions/Key Responsibilities: - Responsible for maintaining individual case load, which involves conducting individual intake evaluations, treatment and aftercare planning, medication management support, and safety planning as needed. This includes assessing service needs; counseling, developing plans for access to services, liaison with client, families, programs, and service providers.
ul style="margin-top:0;margin-bottom:0">Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options. Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources.
To successfully perform the essential functions of the job, the employee needs to be able to sit at a workstation for extended periods; use hand(s) to handle or feel objects, tools, or controls; reach with hands and arms; talk and hear; see to read printed materials and computer screens; mobility to work in a typical office setting. The Lawyer – OCR Case Processing Support provides direct support to the Office for Civil Rights by reviewing, analyzing, and processing civil rights complaints in accordance with Article I of the OCR Case Processing Manual (CPM).
Join us as a Case Management Assistant, a pivotal role dedicated to streamlining workflow, facilitating communications, and enhancing the efficiency of our Case Management department. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.
The particulars of the opportunity are below: Description: The client is seeking consultant position in its Family Partnerships Department, to work as Case Managers providing a wide range of supportive services to elderly and disabled residents in Manhattan and the Bronx. Minimum Qualification Requirements: • Fluency in English and Spanish. • Bachelor’s degree from an accredited college with at least 1 year experience in case management, including home visits.
Monitors nursing and medical plans of care/discharge plans and provides appropriate interventions to assure care is appropriate, coordinated and that avoidable patient days are addressed effectively through education, consultation, and counseling as needed. Ensures collaboration between multidisciplinary healthcare team members, primary physician, community agencies, HMOs/PPOs, CCS, etc., whose services may be required and/or related to the care needs of the patient after hospital discharge.
Cortlandt Manor, NY6 days ago
p/>At NewYork Presbyterian Hudson Valley Hospital (located in Cortlandt Manor, Upper Westchester County, NY), talented RN Case Managers lead, learn and educate in a department like no other.
Must possess good understanding of Managed Care/HMO requirements, laws and regulations, Medicare/Medicaid requirements, policy and procedure, and community health, welfare and social agencies policies and procedures.
The role supports front-end new group business sales activity and ensures proper coordination with Sales Management, BCBS representatives, agency managers, brokers, managing general agents and other business partners. These positions are responsible for the new case submission process and review of sold case paperwork for completeness and accuracy in order to release the acceptance of risk for new business.
Winter Garden, FL2 days ago
Join us in this journey of care, compassion, and leadership as we work together to make a difference where it matters most, serving as a key member of our leadership team overseeing the day-to-day operations and management of our Case Management department. Oversee the interdisciplinary plan of care and the discharge planning process to ensure the effectiveness and appropriateness of services with a central focus on census management, patient care outcomes, and key care indicators.
To successfully perform the essential functions of the job, the employee needs to be able to sit at a workstation for extended periods; use hand(s) to handle or feel objects, tools, or controls; reach with hands and arms; talk and hear; see to read printed materials and computer screens; mobility to work in a typical office setting. The Attorney – OCR Case Processing Support provides direct support to the Office for Civil Rights by reviewing, analyzing, and processing civil rights complaints in accordance with Article I of the OCR Case Processing Manual (CPM).
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Our team is dedicated to delivering high-quality representation and compassionate client service, ensuring that every case is handled with diligence and care.
p>This is not an entry-level position—you’ll need to manage a high volume of work with accuracy and professionalism, while delivering excellent client service and internal support. Klain and Associates, LLC is a boutique law firm located in the heart of downtown Chicago, committed to delivering exceptional legal services with a personalized touch.
Minimum Qualifications: Bachelor's Degree in a behavioral science required, with a preference for social work experience; Master's Degree encouraged; meet all WCS requirements for criminal and caregiver background checks, references, and driving record; valid driver's license with automobile and sufficient insurance to meet agency requirements. Knowledge, Skills and Abilities: Good computer skills including Word, Excel and the CSP Exchange; good organizational skills and the ability to multitask; ability to meet deadlines; some knowledge of mental illness and the ability to work with individuals diagnosed with mental illness.
li style="font-size:10pt;font-family:'arial' , sans-serif;color:#151920;font-weight:400">Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources. - Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options.
Albuquerque, NM5 days ago
Lead Discharge Planning and Care Transitions - Develop and coordinate individualized discharge plans, arrange post-acute services, and ensure timely, safe transitions to prevent delays and reduce readmissions. Collaborate with Interdisciplinary Teams - Partner with physicians, nursing, social work, and ancillary services through daily rounds, care conferences, and complex case discussions to optimize length of stay and patient outcomes.
p>The Federal Student Aid Regulatory Case Analyst supports the Department of Education, Federal Student Aid (FSA) Ombudsman by reviewing, analyzing, and resolving complex consumer financial and regulatory cases in accordance with applicable federal statutes (Title IV), regulations, and established program guidance. To successfully perform the essential functions of the job, the employee needs to be able to sit at a workstation for extended periods; use hand(s) to handle or feel objects, tools, or controls; reach with hands and arms; talk and hear; see to read printed materials and computer screens; mobility to work in a typical office setting.
You will only see FOUR Hospice patients per day and will manage caseload of terminally ill, end-of-life patients, delivering skilled nursing care in home and facility settings, supporting patients and families throughout the end-of-life process . Collaborate with Physicians to regularly titrate medications and update individualized care plans while simultaneously working with IDT team in developing comprehensive, patient-centered plans of care .
You will only see FOUR Hospice patients per day and will manage caseload of terminally ill, end-of-life patients, delivering skilled nursing care in home and facility settings, supporting patients and families throughout the end-of-life process . Collaborate with Physicians to regularly titrate medications and update individualized care plans while simultaneously working with IDT team in developing comprehensive, patient-centered plans of care .
You will only see FOUR Hospice patients per day and will manage caseload of terminally ill, end-of-life patients, delivering skilled nursing care in home and facility settings, supporting patients and families throughout the end-of-life process . Collaborate with Physicians to regularly titrate medications and update individualized care plans while simultaneously working with IDT team in developing comprehensive, patient-centered plans of care .
You will only see FOUR Hospice patients per day and will manage caseload of terminally ill, end-of-life patients, delivering skilled nursing care in home and facility settings, supporting patients and families throughout the end-of-life process . Collaborate with Physicians to regularly titrate medications and update individualized care plans while simultaneously working with IDT team in developing comprehensive, patient-centered plans of care .
li>Collaborate with Cone’s UR / UM division to ensure both patient choice and aligned post-acute partners to ensure appropriate next level of care is optimized Resource Utilization and Advocacy Assist in preparing a cost-benefit analysis for medically and socially complex Long LOS patients and advocate for necessary resources to support discharge.
Work with Cone’s EPIC predictive analytics to identify and manage potential complex patients or those with a predictive difficult to place flag Care Planning Develop and implement comprehensive, patient-centered discharge plans using advanced clinical judgment and creative problem-solving to promote continuity of care and appropriate resource utilization.
Overland Park, KS3 days ago
HCA Healthcare Co-FounderIf you're looking for a leadership opportunity that provides both personal satisfaction and professional growth, apply to join HCA Healthcare as a(an) RN Manager of Case Management.Unlock your leadership potential with HCA Healthcare..
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Pediatric Hospice Registered Nurse (RN) provides specialized care to children with life-limiting illnesses, focusing on symptom management, pain relief, and emotional support for both the child and their family.