Case Manager RN/LVN license required, Case Management, Days, PRN
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
Registered Nurse RN PRN 1 OR - Days
At Houston Methodist the Registered Nurse (RN) PRN position is a licensed staff nurse an experienced clinician functions at the Competent to Proficient stage of Benners model of clinical practice. PRN1 Shifts required as minimum availability if needed:. The RN PRN position provides professional nurs...
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...
Complex Case Manager RN - Oncology (Remote)
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. Maintain current knowledge and adheres to applicable CMS, state, local, and regulatory agency requirements ...
Case Management Processor (Remote- Must reside TX/CST)
Promotes communication, both internally and externally to enhance effectiveness of case management services. Responsible for initial review of assigned case levels to assist in Case Management assignment. Provides telephone, clerical, and data entry support for the Case Management team. Reviews data...
Utilization Management Nurse Consultant - Special Case Precertification Unit (Remote)
Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. Precertification: Utilization Management Nurse Consultant - SCPU. Must have active current and unrestricted RN licensure in state of residen...
Case Manager
Valid and in good standing driver’s license (or the ability to obtain an IL driver’s license within 15 days of employment). Home Study and Post Release Services Regional Case Manager. Are you passionate about making a difference in the lives of children in need? Our SAFEty Initiatives programs are s...
Field Case Manager, LTSS - Liberty County and Cleveland Area, TX
Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or master's degree in a social science, psychology, gerontology, public health or social work OR any combination of education and experience that would provide an equivalent background...
Case Manager Long-term Care - Delaware
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. A high school degree or equivalent and three years of qualifying experience w...
Director of Case Management
RN Licensure required, Bachelors degree in nursing required. They are opening a new hospital within the system and need a tenured Director of Case Management to join the team. This Director will be responsible for the strategy, function and operations of the Case Management, Utilization Review, and ...
Registered Nurse RN PRN 1 OR - Days
At Houston Methodist theRegistered Nurse (RN) PRN position is a licensed staff nurse anexperienced clinician functions at the Competent to Proficientstage of Benners model of clinical practice. PRN1 Shifts required asminimum availability if needed:. The RN PRN positionprovides professional nursing c...