NewCase Management Nurse Blue Cross and Blue Shield of KansasCase Management NurseTopeka, KansasThe Case Management Nurse – Non-Certified/Certified is primarily and independently responsible for the day-to-day operations of reviewing, processing, and communicating with members and providers involved in case management activities which may include determining appropriateness and cost effectiveness of care in light of quality-of-care objectives. Deliver onboarding, training, and guidance to new team members, and participate in multidisciplinary case management decision meetings involving patients, providers, caregivers, and facility representatives.
RN Case Mgr - Case Management Dept - FT - 1st Shift Huntsville Hospital Health SystemRN Case Mgr - Case Management Dept - FT - 1st ShiftHuntsville, AlabamaExcellent interpersonal communication and negotiation skills; strong organizational and time management skills as evidenced by capacity to prioritize multiple tasks and role components; ability to work independently and exercise sound judgment in interactions with physicians, patients and their families, and payers. Overview: The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers.
RN Case Mgr Weekend - Case Management - FT - 1st Shift Huntsville Hospital Health SystemRN Case Mgr Weekend - Case Management - FT - 1st ShiftHuntsville, AlabamaOverview: The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. With 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills.
RN Case Manager - Case Management - FT - 1st Shift Huntsville Hospital Health SystemRN Case Manager - Case Management - FT - 1st ShiftHuntsville, AlabamaExcellent interpersonal communication and negotiation skills; strong organizational and time management skills as evidenced by capacity to prioritize multiple tasks and role components; ability to work independently and exercise sound judgment in interactions with physicians, patients and their families, and payers. Overview: The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers.
RN Case Manager - Outcome Management Outpatient - 500793 University of ToledoRN Case Manager - Outcome Management Outpatient - 500793Toledo, OhioThe overall goal is to enhance the quality of patient care throughout the continuum of care to achieve excellence in healthcare delivery, within a framework of fiscal responsibility and focus on optimization of the transition between the outpatient, inpatient, and post-acute settings. The RN Case Manager provide a collaborative process of assessment, planning, facilitation, case management, evaluation and advocacy for options and services to meet each patient’s needs to achieve optimal clinical, financial, and satisfactory patient outcomes.
Care Transition Assistant - Case Management - PT - 1st Shift Huntsville Hospital Health SystemCare Transition Assistant - Case Management - PT - 1st ShiftHuntsville, AlabamaHuntsville Hospital is the region’s primary referral center for advanced and specialty care, home to a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU and North Alabama’s Level I Trauma Center. At Huntsville Hospital, Huntsville Hospital for Women & Children and Madison Hospital, you’ll find meaningful work, supportive teams and opportunities to grow within a locally governed, nonprofit health system committed to the communities we serve.
RN Case Mgr - Case Management - FT - 1st Shift Huntsville Hospital Health SystemRN Case Mgr - Case Management - FT - 1st ShiftHuntsville, AlabamaExcellent interpersonal communication and negotiation skills; strong organizational and time management skills as evidenced by capacity to prioritize multiple tasks and role components; ability to work independently and exercise sound judgment in interactions with physicians, patients and their families, and payers. Overview: The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers.
Case Management -Case Manager Full-Time Days MMH University Health Services IncCase Management -Case Manager Full-Time Days MMHBRADENTON, FLServices include cardiac care and cardiovascular medicine, emergency care for all ages, surgery services - including robotic-assisted surgery with the da Vinci Surgical System, a weight-loss program, orthopedic services, outpatient and inpatient radiology and rehabilitation, respiratory care, sleep, oncology, wound care and women's and children's services. 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 in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Utilization Management Case Manager- Per Diem (Hybrid) University Health Services IncUtilization Management Case Manager- Per Diem (Hybrid)Dearborn, 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 continued 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. Responsibilities Utilization Management Case Manager- Per Diem (Hybrid) Metropolitan Health (a UHS Facility) A growing, 144-bed behavioral health facility - Metropolitan Behavioral Hospital provides a full continuum of inpatient services across the entire patient population, including specialty programs to serve adolescents, adults and older adults, and perform behavioral health assessments 24 hours a day.
RN Case Manager - Outcome Management Outpatient University of ToledoRN Case Manager - Outcome Management OutpatientToledo, OH$68,077–$87,000 / yearThe overall goal is to enhance the quality of patient care throughout the continuum of care to achieve excellence in healthcare delivery, within a framework of fiscal responsibility and focus on optimization of the transition between the outpatient, inpatient, and post-acute settings. Job Description: The RN Case Manager provide a collaborative process of assessment, planning, facilitation, case management, evaluation and advocacy for options and services to meet each patient's needs to achieve optimal clinical, financial, and satisfactory patient outcomes.
Epic Clinical Case Management Analyst Advocate Aurora Health IncEpic Clinical Case Management AnalystOak Brook, ILRemote$38.20–$57.30 / hourHeadquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.
Outcomes Manager, Case Management, BSN/LSW, Part Time, Camden Virtua Health IncOutcomes Manager, Case Management, BSN/LSW, Part Time, CamdenCamden, NJ$79,719–$123,934 / yearLocation: Lourdes Health System - 1600 Haddon Ave Remote Type: On-Site Employment Type: Employee Employment Classification: Regular Time Type: Part time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 24 Additional Locations: Job Information: Summary: Responsible for partnering with the physician and multidisciplinary team in coordinating patient care with the underlying objective of enhancing quality and cost effective care. Position Qualifications Required: Required Experience: Minimum 3 years clinical nursing (RN) experience or Social Work Minimum of 1 year Case Management or other interdisciplinary experience including Homecare Coordination in an Acute Care setting; understanding of Medicare, Medicaid, managed care and discharge planning.
Social Worker Case Management Full Time Days MMH University Health Services IncSocial Worker Case Management Full Time Days MMHBRADENTON, FLServices include cardiac care and cardiovascular medicine, emergency care for all ages, surgery services - including robotic-assisted surgery with the da Vinci Surgical System, a weight-loss program, orthopedic services, outpatient and inpatient radiology and rehabilitation, respiratory care, sleep, oncology, wound care and women's and children's services. 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 in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Product Owner II (Case Management) PNC BankProduct Owner II (Case Management)Pittsburgh, PennsylvaniaIn addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.
Clinical Supervisor LICENSED/Macomb Case Management/ Full time /Days /Mount Clemens MI Hope Network New PassagesClinical Supervisor LICENSED/Macomb Case Management/ Full time /Days /Mount Clemens MIMt Clemens, MI$22.50–$27 / hourPart timeThe Clinical Supervisor is a key associate at Hope Network whose primary responsibilities include: The overall purpose of the Clinical Supervisor directly oversees the work product of assigned clinicians pertaining to tasks related to their caseload assignment and provides clinical supervision and direction to workforce member as needed. A Clinical Supervisor also directly provides comprehensive assessments for adults with serious mental illness or children/adolescents with emotional disturbances (and their families) to improve quality of life and maintain the highest possible ability to function within the community.
Urgent Care Veterinarian – New Britain, Connecticut | Client Communication + Case Management – Paid Time Off DesortUrgent Care Veterinarian – New Britain, Connecticut | Client Communication + Case Management – Paid Time OffNew Britain, ConnecticutThis role is ideal for a doctor who enjoys a fast-paced environment and is passionate about providing timely medical attention to pets in need of non-emergency, after-hours care. A thriving small animal practice is seeking an experienced or early-career Veterinarian to join their team in an urgent care setting.
Manager, Case Management (Trauma) Fox Point RecruitmentManager, Case Management (Trauma)Houston, TexasThis leadership role partners closely with the Director of Case Management to ensure effective care coordination, utilization management, discharge planning, and performance improvement initiatives while promoting high-quality patient outcomes and efficient use of healthcare resources. Residents enjoy diverse neighborhoods, excellent cultural attractions, and convenient access to the Gulf Coast, making it an attractive place to live and build a healthcare leadership career.
MANAGER OF CASE MANAGEMENT Southwest General Health CenterMANAGER OF CASE MANAGEMENTPhoenix, AZThe Manager collaborates with physician advisors/medical directors, case management, clinical operations, revenue cycle, payer relations, quality, compliance, and other stakeholders to support timely, accurate, evidence-informed case management decisions and appropriate stewardship of healthcare resources. Position summary: The Case Management Manager is responsible for the daily operational leadership of the Case Management Department, including staffing, workflow oversight, patient progression, discharge planning, staff performance, regulatory compliance, and departmental performance outcomes.
Manager - Case Management - Multiple Locations Mercy HealthManager - Case Management - Multiple LocationsSpringfield, OHAccredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred). Utilizes systems within the Care Management Department to support an effective and proactive care management process across the continuum, working closely with and aligns with population health and community health efforts supporting a patient-centered care management model that spans the continuum.
Manager of Case Management - Springfield, Ohio Market Mercy HealthManager of Case Management - Springfield, Ohio MarketSpringfield, OHAccredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred). Utilizes systems within the Care Management Department to support an effective and proactive care management process across the continuum, working closely with and aligns with population health and community health efforts supporting a patient-centered care management model that spans the continuum.