RN-Medical Case Reviewer 2026-01345 State of WyomingRN-Medical Case Reviewer 2026-01345Cheyenne, WYAA) VETERANS PREFERENCE: If you are a war veteran as defined in section 101, Title 38, United States Code or are the surviving spouse of a war veteran who receives survivor benefits from the federal government based on the veterans military service, and wish to claim veterans preference, please attach the appropriate documentation substantiating your claim. Additional duties include documenting all interactions, reviews, approvals, and denials within the claims management system; reviewing CPT and ICD-10 codes and surgical descriptions for accuracy; and maintaining tracking systems for pre-authorizations, surgical procedures, clinical bills, and prescription requests.
Pain Management Medical Director Compass Palliative CarePain Management Medical DirectorWYRemotePart timeCompass Palliative and Pain Management is a patient-centered mobile medical practice dedicated to improving quality of life through comprehensive pain and palliative care services. We provide compassionate, evidence-based care to patients in skilled nursing facilities, assisted living communities, and private homes throughout Wyoming.
Nurse Case Manager / Outpatient Coordinator Crook County Medical Services DistrictNurse Case Manager / Outpatient CoordinatorSundance, WYFull timePosition SummaryThe Nurse Case Manager/Outpatient Coordinator is responsible for coordinating patient care across the continuum of care for acute, swing-bed, and outpatient services at Crook County Medical Service District (CCMSD). Essential FunctionsAcute Care Case ManagementCoordinates patient care from admission through discharge for acute care patients.
Social Worker Case Manager Sheridan Memorial HospitalSocial Worker Case ManagerSheridan, WYESSENTIAL JOB FUNCTIONS Assesses each patient within an identified caseload prior to admission or on first contact with the organization, including clinical, functional, developmental, psychosocial and financial status, within no later than one working day of admission identifies support systems and available resources. Communicates quality concerns to patient care services leadership and/or medical staff department chairmen as appropriate; identifies opportunities for system performance improvement; actively participates in data driven performance improvement activities targeting optimal clinical outcomes for patients of all ages.
Case Manager Ironside Human ResourcesCase ManagerCasper, WYA medical facility located near Casper, Wyoming is seeking a full-time, permanent Case Manager to join their team! The Surrounding Area: Low cost of living, low crime rate, and affordable housing.
Case Manager Care Coordination Banner HealthCase Manager Care CoordinationWyomingThis position provides developmentally appropriate care for the population that it serves which includes planning for the safe discharge, continuity of care, the ability to recognize and plan for the unique needs of all ages as well as the physically disabled, mentally ill, chronically ill and terminally ill patient. Case Managers are responsible for conducting initial assessments on patients, participating in daily multi-disciplinary rounds, communicating the discharge plan and updates to patients, families, and the medical team, as well as delegating tasks to a transitional care associate.
NewCase Manager Per Diem Ernest HealthCase Manager Per DiemCasper, WyomingFull timeElkhorn Valley Rehabilitation Hospital has been ranked in the Top 10% nationally for rehabilitative care for 16 years, has earned The Joint Commission’s Stroke Certification and Certification in Hip Rehabilitation, and ranked in Newsweek’s top Physical Rehabilitation Centers in the US. Ability to establish and maintain pro-active relationships with internal interdisciplinary team members, local payer, physicians, community service organizations and health care facilities.
Case Manager Youth Emergency Services Inc.Case ManagerGillette, WYTech-savvy and data-driven, with the ability to document progress effectively, analyze patterns, and use technology to enhance case management efficiency. This role goes beyond supervision-it requires proactive leadership, mentorship, and advocacy to close gaps in support and create transformational outcomes for clients.
Case Manager Immigration Bilingual Spanish The GEO Group IncCase Manager Immigration Bilingual SpanishCasper, WYEstablishes schedules for ISAP participants that include, but are not limited to, recreation, life skills, counseling as needed, group interaction, free time, religious services, visitation, immigration Court appearances, and access to legal services. Utilizing a combination of face-to-face case management meetings, electronic monitoring technologies and home visits to engage participants and drive compliance you will ensure that participants attend court hearings and comply with conditions set by DHS.
RN Case Manager in Casper, WY United Energy Workers HealthcareRN Case Manager in Casper, WYCasper, Wyoming$38–$40 / hourFull timeAs a Registered Nurse Case Manager, you will: Manage Nursing Care: Oversee the coordination of nursing care, home health aide services, and applicable therapies once approved by the Department of Labor. At Four Corners Healthcare, established by the grandchildren of a dedicated Department of Energy worker, we’re committed to providing exceptional, personalized care to the energy worker community.
RN Case Manager in Riverton, WY United Energy Workers HealthcareRN Case Manager in Riverton, WYRiverton, Wyoming$38–$40 / hourFull timeAs a Registered Nurse Case Manager, you will: Manage Nursing Care: Oversee the coordination of nursing care, home health aide services, and applicable therapies once approved by the Department of Labor. At Four Corners Healthcare, established by the grandchildren of a dedicated Department of Energy worker, we’re committed to providing exceptional, personalized care to the energy worker community.
Case Manager, Registered Nurse (Oncology experience required) CVS Health CorpCase Manager, Registered Nurse (Oncology experience required)WY$54,095–$155,538 / yearApplies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license.
Case Manager, Registered Nurse CVS Health CorpCase Manager, Registered NurseWY$54,095–$155,538 / yearApplies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license.
RN Case Manager in Riverton, WY Four Corners HealthcareRN Case Manager in Riverton, WYRiverton, Wyoming$38–$40 / hourFull timeAs a Registered Nurse Case Manager, you will: Manage Nursing Care: Oversee the coordination of nursing care, home health aide services, and applicable therapies once approved by the Department of Labor. At Four Corners Healthcare, established by the grandchildren of a dedicated Department of Energy worker, we’re committed to providing exceptional, personalized care to the energy worker community.
RN Case Manager in Casper, WY Four Corners HealthcareRN Case Manager in Casper, WYCasper, Wyoming$38–$40 / hourFull timeAs a Registered Nurse Case Manager, you will: Manage Nursing Care: Oversee the coordination of nursing care, home health aide services, and applicable therapies once approved by the Department of Labor. At Four Corners Healthcare, established by the grandchildren of a dedicated Department of Energy worker, we’re committed to providing exceptional, personalized care to the energy worker community.
NewCase Managers Needed ASAP in COLORADO / Govt Contract with VA / Serving our country's Veterans Talented Medical SolutionsCase Managers Needed ASAP in COLORADO / Govt Contract with VA / Serving our country's VeteransDiamond, WY$2,200–$2,500Talented Medical Solutions is thrilled to offer exciting travel opportunities for experienced Case Managers Registered Nurses (RNs) who are interested in working with the VA on a government contract . WE have openings NATIONWIDE --- currently filling a large contract for Multiple openings in Aurora, Colorado (ACCEPTING ANY STATE LICENSE) FOR MAY 1ST START.
RN Case Manager Home Health Spark RecruitingRN Case Manager Home HealthEvanston, WyomingCompletes and submits OASIS (Outcome and Assessment Information Set) assessments, reassessments, transfers, resumptions of care, discharges, and significant change in condition in accordance with company's defined time frames. Refers to Physical Therapist, Speech Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills.
NewRN Case Managers Needed ASAP in COLORADO / Govt Contract with VA / Serving our country's Veterans Talented Medical SolutionsRN Case Managers Needed ASAP in COLORADO / Govt Contract with VA / Serving our country's VeteransCheyanne, WY$55–$57.50Talented Medical Solutions is thrilled to offer exciting travel opportunities for experienced RN Case Managers and Registered Nurses (RNs) interested in working with the VA on a government contract . To be considered, please send your most recent resume, active BLS certification (AHA or ARC), and RN jseymore@talentedmedicalsolutions.com, 623-268-7666 .
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementCheyenne, WYRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Medical Director of Revenue Integrity Cheyenne Regional Health SystemMedical Director of Revenue IntegrityCheyenne, WYAdvisor shall develop expertise on matters regarding physician practice patterns, over and underutilization of resources, medical necessity, levels of care, care progression, denial management, compliance with governmental and private payer regulations, appropriate physician coding and documentation requirements. The Medical Director of Revenue integrity (Physician Advisor) is a key member of the healthcare organization's leadership team and is charged with meeting the organization's goals and objectives for assuring the effective, efficient utilization of health care services.