Responsible for utilization review and discharge planning of all acute clinical areas.Responsible for all insurance authorizations, clinical communication, and denial and appeals.Tracking and reporting of data for other departments.Graduate of Registered Nurse Program.Tenet complies with federal, st...
The Case Manager RN acts as a resource to all levels of staff in defining/educating/implementing and evaluating patient care and nursing practice standards utilizing the nursing process, current concepts/principles of case management/utilization management/disease management, education, quality impr...
The Case Manager RN coordinates the overall interdisciplinary plan of care for patients, from admission to discharge. Minimum of one 1 year in Hospital Case Management/nursing. ...
Epic Travel Staffing is hiring a Travel RN - Case Management. ...
Cardiac Telephonic Nurse Case Manager . Case-management experience desired – Workers’ Compensation case-management preferred. Providing telephonic case-management in a Workers’ Compensation environment; focusing on medical appropriateness of care to injured worker with cost savings by coordination a...
If you are an experienced work comp case manager, we want to connect with you as we may have needs specific to your location. A Field Case Manager role is a home-based position, with travel to doctors' offices, hospitals, and various other locations. The Case Manager works with insurance carriers, m...
Serving Children and Reaching Families, LLC is seeking a Targeted Case Manager to provide Outpatient Mental Health services to adults and adolescents in need. Flexible schedule, including morning, day, evening, and weekend shifts as neededHybrid position with 50% travel requiredRemote meetings and t...
In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: dev...
Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Fulfills the obligation of requested and/or accepted case assignments. ...
The Case Manager acts as a patient advocate to hospital clients. The Case Manager is responsible for team building, educating, and consulting interdisciplinary team members. The Case Manager is responsible for discharge planning, and care coordination to facilitate the delivery of quality health car...
Behavioral Health Case Manager I. Experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be ...
Available to work every other weekend and rotate major/minor holidays.No planned time off throughout contract.Required: +yrs recent acute CM RN exp in a hospital setting strongly preferred, BLS, Discharge planning experience, prior travel.Utilization Review exp a plus but not mandatory.Cerner, MCG e...
PATH is seeking candidates passionate about helping others make a positive change in their lives to join our Interim Housing Services Team as the Program Manager -Case Management at the Yale location. PATH operates services throughout California, connecting our clients to a comprehensive continuum o...
Telephonic Nurse Case Manager . Must have at least one year of Florida Workers’ Compensation or occupational case management experience. Providing telephonic case-management in a Workers’ Compensation environment; focusing on medical appropriateness of care to injured worker with cost savings by coo...
The Case Manager role’s main function is to assist clients in breaking the cycle of homelessness by utilizing a “whatever it takes” approach. The Case Manager assists clients with accessing and . PATH operates services throughout California, connecting our clients to a comprehensive continuum of hom...
Provide Case management service to clients as outlined in the case management procedure manual in accordance with Children and Families Rules and Regulations. Conduct case management activities for assigned clients to include assessment of strengths and needs, service goals, service planning, client...
PATH is seeking candidates passionate about helping others make a positive change in their lives to join our Interim Housing Services as the Case Manager III at the Yale Navigation Center. As part of the Interim Housing Services team, the Case Manager III performs supports clients through all phases...
Certification as a Case Manager is preferred. Certification as a Case Manager and a BS in a health or human services related field preferred. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Unless specified as primarily virtual...
Case Manager!! Excellent career opportunity!!. Looking for a Registered Nurse Case Manager. The successful candidate will assess and oversee case reviews, coordinate with many providers, help to provide a cost-effective outcome while meeting all case deadlines. ...
Presents cases at case conferences/rounds to obtain multidisciplinary view in order to achieve optimal outcomes. The Pediatric Care Manager RN will support a population of primarily medically complex pediatric members across the MMA and Florida Healthy Kids Medicaid lines of business with an emphasi...
URAC recognized Case Management Certification must be obtained within 4 years of hire as a Case Manager. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc. Provides active case management, assesses se...
Serving Children and Reaching Families, LLC is seeking a Targeted Case Manager to provide Outpatient Mental Health services to adults and adolescents in need. Flexible schedule, including morning, day, evening, and weekend shifts as neededHybrid position with 50% travel requiredRemote meetings and t...
Identify resources needed for a fully integrated care coordination approach including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. Document all case management services and intervention in the electronic heal...
Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost e...
Telephonic Nurse Case Manager . Case-management experience desired – Workers’ Compensation case-management preferred. Providing telephonic case-management in a Workers’ Compensation environment; focusing on medical appropriateness of care to injured worker with cost savings by coordination and utili...