staff - Registered Nurse (RN) - Float Med Surg - $58+ per hour Perm Staff Jobsstaff - Registered Nurse (RN) - Float Med Surg - $58+ per hourWaynesville, NCThe Clinical Team Lead ensures effective utilization of staffing resources across the Mission Health System by coordinating, educating, organizing and engaging CarePartners Internal Staffing nursing and therapy staff; while collaborating with Mission System leaders and educators to provide competent and safe staff to serve the Mission System as needed. Ensures effective utilization of staffing resources by evaluating staffing needs of the continuum, making staffing adjustments, and recruiting new staff to work additional hours in support of the Internal Staffing Agency.
NewCare Coordinator RN - Family Medicine Clinic - Augusta, GA WellstarCare Coordinator RN - Family Medicine Clinic - Augusta, GACollaborates effectively with the utilization review nurse, patient's physicians and the interdisciplinary care team to provide a comprehensive assessment of the patient's medical care needs, psychosocial needs, any social determinants of health needs, goals/outcome attainment and continued care needs. Specific functions within this role include: Psychosocial and functional status assessment, transitional care planning, clinical care progression, facilitate patient/family care conferences, participate in interdisciplinary rounds, and patient/family education.
NewTravel Nurse RN - Utilization Review - $2,084 per week in Fort Myers, FL Openwork HealthTravel Nurse RN - Utilization Review - $2,084 per week in Fort Myers, FLFort Myers, FL$2,084If you’ve got: 2+ years of experience in your specialty An active RN license BLS certification from the American Heart Association And a love for nursing (plus a little sense of adventure!). Pay That’s Worth Your Time: We offer competitive pay packages, weekly direct deposit, and a dedicated payroll specialist who’s always just a message away.
Remote Utilization Management/Review Nurse Zp Group LlcRemote Utilization Management/Review NurseCary, NCRemote$65,000–$75,000 / yearLocation: Remote (Eligible in Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Pennsylvania, North Carolina, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming). This role applies clinical expertise, regulatory knowledge, and critical thinking to support high-quality, compliant care decisions while collaborating with providers and internal teams.
Newstaff - Registered Nurse (RN) - PCU - Progressive Care Unit - $38-41 per hour Perm Staff Jobsstaff - Registered Nurse (RN) - PCU - Progressive Care Unit - $38-41 per hourLive Oak, TX$38–$41 / hourS/he is responsible 24 hours a day for the staffing and management of patient care in each of his/her units, for promoting the practice of professional nursing in a specified patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill those responsibilities. Job Summary and Qualifications The Nurse Manager is responsible to the Director, Vice President and/or the Chief Nursing Officer for facilitating, coordinating and delegating the delivery of patient care to a defined group of patients during their entire hospitalization period.
Inpatient Registered Nurse Care Manager Concord Hospital, IncInpatient Registered Nurse Care ManagerConcord, NHInterfaces with patient, physicians, nurses, social workers, other hospital departments, community based facilities, services and financial institutions as necessary, to affect changes in the management of cases, monitoring delivery of services and/or to secure the necessary resources. The Inpatient Nurse Care Manager, in collaboration with the multidisciplinary team is responsible for assessing, planning, implementing, and evaluating patients, incorporating the clinical, psychosocial, and family factors specific to the care and disease management plan.
Newstaff - Registered Nurse (RN) - Labor and Delivery - $28-38 per hour Perm Staff Jobsstaff - Registered Nurse (RN) - Labor and Delivery - $28-38 per hourSan Antonio, TX$28–$38 / hourS/he is responsible 24 hours a day for the staffing and management of patient care in each of his/her units, for promoting the practice of professional nursing in a specified patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill those responsibilities. Job Summary and Qualifications The Nurse Manager is responsible to the Director, Vice President and/or the Chief Nursing Officer for facilitating, coordinating and delegating the delivery of patient care to a defined group of patients during their entire hospitalization period.
RN Case Manager - Utilization Review (Temple Hospital Jeanes Campus) Temple HealthRN Case Manager - Utilization Review (Temple Hospital Jeanes Campus)Philadelphia, PAWill determine the medical necessity for admission and continued stays for patients within department's scope of service and to meet the hospital's objectives for assuring a high quality of patient care as well as assuring the effective and efficient utilization of available health services. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team.
Registered Nurse Care Manager | Per Diem Concord Hospital, IncRegistered Nurse Care Manager | Per DiemConcord, NHInterfaces with patient, physicians, nurses, social workers, other hospital departments, community based facilities, services and financial institutions as necessary, to affect changes in the management of cases, monitoring delivery of services and/or to secure the necessary resources. The Inpatient Nurse Care Manager, in collaboration with the multidisciplinary team is responsible for assessing, planning, implementing, and evaluating patients, incorporating the clinical, psychosocial, and family factors specific to the care and disease management plan.
UM Nurse Reviewer Astiva HealthUM Nurse ReviewerOrange, CA$75,000–$95,000 / yearSUMMARY: The Utilization Management Authorization Review Nurse is responsible for managing inpatient & outpatient utilization by conducting thorough reviews of clinical documentation and applying clinical knowledge in accordance with relevant Care Guidelines and CMS regulations. This policy relates to all phases of employment, including but not limited to recruiting, employment, placement, promotion, transfer, demotion, reduction of workforce and termination, rates of pay or other forms of compensation, selection for training, the use of all facilities, and participation in all company sponsored employee activities.
Case Manager III, Ambulatory ( RN ) Sutter HealthCase Manager III, Ambulatory ( RN )San Francisco, CaliforniaRegular Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines. Serves as a Case Manager (CM) Subject Matter Expert (SME) performing case management roles and functions, with a focus on InterQual medical necessity reviews, training newly hired team members, quality assurance and support.
Registered Nurse Care Manager | Concord Hospital | Per Diem Concord HospitalRegistered Nurse Care Manager | Concord Hospital | Per DiemConcord, NHInterfaces with patient, physicians, nurses, social workers, other hospital departments, community based facilities, services and financial institutions as necessary, to affect changes in the management of cases, monitoring delivery of services and/or to secure the necessary resources. The Inpatient Nurse Care Manager, in collaboration with the multidisciplinary team is responsible for assessing, planning, implementing, and evaluating patients, incorporating the clinical, psychosocial, and family factors specific to the care and disease management plan.
Inpatient Registered Nurse Care Manager | Full Time Concord HospitalInpatient Registered Nurse Care Manager | Full TimeLaconia, NHInterfaces with patient, physicians, nurses, social workers, other hospital departments, community based facilities, services and financial institutions as necessary, to affect changes in the management of cases, monitoring delivery of services and/or to secure the necessary resources. The Inpatient Nurse Care Manager, in collaboration with the multidisciplinary team is responsible for assessing, planning, implementing, and evaluating patients, incorporating the clinical, psychosocial, and family factors specific to the care and disease management plan.
Nurse Case Manager - Care Transitions (Part Time) Lahey Hospital and Medical CenterNurse Case Manager - Care Transitions (Part Time)Burlington, MA$38.11–$98.23 / hourCoordinates patient care utilization and discharge planning by applying clinical criteria, collaborating with care teams, and ensuring appropriate levels of care. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.
Registered Nurse AveraRegistered NurseScotland, South DakotaREQUIRED COMMUNICATION/MATHEMATICAL/REASONING SKILLS: • Must possess the required level of skills and abilities to read, write, speak, and apply mathematical concepts and sound reasoning to successfully perform the essential duties and responsibilities of this job. SUMMARY: Nursing Services at Landmann-Jungman Memorial Hospital requires all nurses to practice at a competent level of nursing care and demonstrate a competent and professional level of behavior in her/his role as an RN.
NewOperations Nurse VinfenOperations NurseHaverhill, MassachusettsFull timeVinfen's 3,500 dedicated employees are experienced, highly-trained professionals who provide a full range of supportive living, health, educational, and clinical services in over 550 sites throughout Massachusetts and Connecticut. Established in 1977, Vinfen is a nonprofit, health and human services organization and a leading provider of community-based services to individuals with mental health conditions, intellectual and developmental disabilities, brain injuries, and behavioral health challenges.
Registered Nurse - Case Management ERP InternationalRegistered Nurse - Case ManagementLuke AFB, AZMust have the knowledge and skills to effectively apply the following core case management functions: a) Assessment: Identification of patients for case management; comprehensive collection of patient information and medical status; and continued evaluation of an established plan of care; b) Planning: Collaboration with the patient, family/caregiver, primary provider and other members of the health care team for developing an effective plan of care; c) Facilitation: Care coordination and communication among all involved parties; d) Advocacy: Support for the patient and family/caregivers to ensure identified education and appropriate, timely care is received. * Clinical Certification: Certified Case Manager by Commission for Case Management (CCM) or Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) -OR- Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) -OR- American Board for Occupational Health Nurses Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S) -OR- National Board for Certification in Continuity of Care: Advanced Certification in Continuity of Care.
RN Case Manager Blue Cross and Blue Shield AssociationRN Case ManagerARESSENTIAL ABILITIES & SKILLS Independence Detail oriented Skills Administrative Process Affinite CM Affinite UM CCI Edits Collaborative Communications Critical Reasoning Cross-Functional Planning Customer Relationship Management (CRM) Customer Service Workstation Deductive Reasoning Five9 Information Security Interpersonal Relationship Management Microsoft Excel Microsoft Office Microsoft Outlook Microsoft PowerPoint Needs Assessment Oral Communications Problem Sensitivity Researching Sound Judgment Support Coordination Written Communication Responsibilities Assesses, plans, implements, coordinates, monitors, and evaluates options and services required to meet an individual's health needs through the use of plan benefits and community resources to facilitate appropriate cost effectiveness and cost containment measures are met. Certifications Accredited Case Manager (ACM) - American Case Management Association (ACMA), Certified Case Manager (CCM) - The Commission for Case Manager Certification (CCMC), Registered Nurse (RN) - Arkansas State Board of NursingArkansas State Board of Nursing Security Requirements This position is identified as level three (3).
Home Health Wound Care RN HumanaHome Health Wound Care RNMiramar, Ohio$77,200–$106,200 / yearYou will work closely with physicians, nurses, and interdisciplinary partners to promote evidence-based wound care practices, optimize resource utilization, and support quality improvement initiatives that enhance patient outcomes. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$77,200 - $106,200 per year Description of Benefits .
RN Case Manager - Medical Pod Carilion ClinicRN Case Manager - Medical PodRoanoke, VirginiaOther Minimum Qualifications: Must demonstrate knowledge and competency in the following areas: satisfactory completion of orientation; positive interpersonal oral communication skills; effective written communication skills; integrity; innovation; team player; courteous; ability to resolve complaints/problems; customer-focused philosophy of service delivery; ability; willingness to work as an integral member of a multi-skilled team. Experience: Three years of recent experience in a clinical health care setting with responsibilities reflecting direct management of patient care including planning, coordination, and delivery of needed services such as education, psychosocial support, discharge planning and utilization management.