Job Summary : Assesses, plans, implements and evaluates the needs of patients for discharge planning and utilization review.
This includes those who may have Medicare, Medicaid, HMO or private insurance to cover their stay at various units. Discharge planning is coordinated with physicians, Social Workers, Nursing, patient and significant others who have an ongoing caring relationship with the patient.
Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers.
Perform other duties as assigned. PRN, Days
Case Manager RN/LVN license required, Case Management, Days, PRN
Assesses, plans, implements and evaluates the needs of patients for discharge planning and utilization review.This includes those who may have Medicare, Medicaid, HMO or private insurance to cover their stay at various units.Discharge planning is coordinated with physicians, Social Workers, Nursing,...
Case Manager RN/LVN license required, Case Management, Days, PRN - Paris Regional Health
Job Summary: Assesses, plans, implements and evaluates the needs of patients for discharge planning and utilization review.This includes those who may have Medicare, Medicaid, HMO or private insurance to cover their stay at various units.Discharge planning is coordinated with physicians, Social Work...
Registered Nurse (RN), Oncology, Days PRN
Applicants are required to have graduated from an accredited nursing school and current state RN license. Registered Nurse (RN), Oncology. Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve. Connect with o...
Case Manager RN/LVN license required, Case Management - Paris Regional Health
Job Summary: Assesses, plans, implements and evaluates the needs of patients for discharge planning and utilization review.This includes those who may have Medicare, Medicaid, HMO or private insurance to cover their stay at various units.Discharge planning is coordinated with physicians, Social Work...
RN Case Manager
The Case Manager (CM) will continue to manage and evaluates medical care alternatives for cases of illness, injuries or medical/surgical diagnoses that require extensive services. The Case Manager must communicate, verbally and in writing, clearly and effectively with team members, patients, patient...
Registered Nurse (RN), Oncology, Days PRN - Paris Regional Health
Registered Nurse (RN), Oncology Job Type: PRN| Days Relocation Assistance Available Your experience matters At Paris Regional Health, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a registered nurse (RN) joining our team, you...
Telephonic Case Manager, LTSS (RN) Behavioral Health - TEXAS ONLY
Opportunity for a TX licensed RN with a strong background in Behavior Health to work with our Medicaid members as a telephonic Case Manager in Texas. Preference will be given to RNs who have been employed by another managed care organization as a case manager. Provides consultation, recommendations ...
Case Manager RN- Field
Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Monitoring, Evaluation and Documentation of...
Medical Director Case Management
Provides clinical oversight of the Dual Eligible Special Needs Plan (DSNP) and Medicare-Medicaid Plan (MMP) care management teams and the Interdisciplinary Care Team (ICT) processes by participating in the development of members’ Individual Care Plans (ICP) and assisting care management staff as the...
Case Manager RN
Ability to occasionally travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise. Willing and able to obtain multi state RN licenses if needed, company will provide. Registered Nurse with active state license in good...