- Optum (Delano, MN)
- …Health Care and discover the meaning behind Caring. Connecting. Growing together . The Case Manager RN is responsible and accountable for coordination of patient ... and psychosocial approach through the continuum of care. Through concurrent case management, patients will be assessed to determine appropriateness of admission,… more
- Optum (Boulder, CO)
- …on a global scale. Join us to start Caring. Connecting. Growing together. The Case Manager RN is responsible and accountable for coordination of patient services ... and psychosocial approach through the continuum of care. Through concurrent case management, patients will be assessed to determine appropriateness of admission,… more
- Henry Ford Health System (Wyandotte, MI)
- …for the past 34 consecutive years. PART TIME 20 HOUR DAYS GENERAL SUMMARY: The Case Manager is a member of the hospital or specialty-based patient-centered care ... and family's health care needs. The goals of the case manager are to promote patient safety,...preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management… more
- StateJobsNY (Bronx, NY)
- …Hiring for Emergency Limited Placement - Statewide (NY HELPS) program as an Intensive Case Manager if they have: *Bachelor's degree in social work, psychology, ... appointment if they are reachable on the current Intensive Case Manager eligible list. OR Candidates within...for full and unconditional participation in the Medicaid and Medicare programs. If you receive an appointment, your continued… more
- Fallon Health (Worcester, MA)
- …or follow us on Facebook, Twitter and LinkedIn. Brief summary of purpose: The Nurse Case Manager (NCM) is an integral part on an interdisciplinary team focused ... o Manages NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point Geriatric Support Service Coordinator,… more
- Healthier Mississippi People (Jackson, MS)
- Job Summary: Support patients to which the RN- Case Manager I is assigned by facilitation of appropriate care coordination. The aim is to improve the efficiency ... tandem with coordinated care social workers and with financial counselors as needed. The RN- Case Manager works with a sense of urgency for appropriate patient… more
- ACI Health (Torrance, CA)
- We are seeking a dedicated and compassionate Case Manager to join our team. The ideal candidate will play a crucial role in supporting individuals and families ... of Experience: 2 year(s) Charting System: Required , Epic Skills The successful Case Manager will possess the following skills: Strong knowledge of behavioral… more
- Kaiser Permanente (Atlanta, GA)
- …and families to develop discharge planning, identification of patients for ambulatory case management, communication with case managers, home care reviewers, ... related to acute and chronic illness. Refers patients to the ambulatory case managers, care managers and/or social workers as appropriate. Documents all admissions… more
- Sevita (Tyler, TX)
- …treatments, and specialized services for infants, children, adolescents, Military Service Members and Veterans. Case Manager The Case Manager meets and ... through Medicaid, Medicare , Social Security, and private insurance. Maintain up-to-date case records with the status of case activity, including progress… more
- Pair Team (Sacramento, CA)
- …on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager , behavioral health care ... Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group,… more
- Gaylord Specialty Healthcare (Wallingford, CT)
- …and transforming the lives of our patients. JOB SUMMARY : The Care Manager coordinates all health care services required for an organized, multi-disciplinary team ... reviewers, physicians and hospital staff. Administers notices of non-coverage to Medicare patients who do not meet medical necessity. *Performs comprehensive… more
- EXL Service (Albuquerque, NM)
- …treatment to the right patient at the right time. Utilization Management & Complex Case Manager , Registered Nurse This is a remote, telephonic position in the ... or inpatient facility 1+ year of experience as a case manager for a health plan or...Previous Federal government plan program experience such as Tricare, Medicare Medicaid and commercial health insurance experience Active, Utilization… more
- Southeast Georgia Health System (Brunswick, GA)
- …responsibilities as may be assigned from time to time. Proactively performs case assessment and evaluation to determine possible next level of care. Coordinates ... for follow up in a timely manner. Oversees process/procedure of notification for Medicare and Medicare Managed Care beneficiary's rights per CMS regulations… more
- CVS Health (Charleston, WV)
- …comprised of network management, clinical coverage, and policies. The Community Care Case Manager use a collaborative process of assessment, planning, ... CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members. - 2 years Case Management,...cardiac) with Medicare members. - 2 years Case Management, Discharge Planning, and/or Home Healthcare Coordination experience… more
- Healogics (Gadsden, AL)
- …for the Wound Care Center patients as scheduled. The position may also serve as a Case Manager to a group of assigned Wound Care Center patients, as assigned and ... federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential...Healogics Vein Clinic training completed May also serve as Case Manager to a group of patients… more
- CVS Health (Sparta, NJ)
- …more compassionate. And we do it all with heart, each and every day. Position Summary: Case Manager Registered Nurse - Field in Sussex County, NJ This is a ... remote Case Manager role with 50-75% field travel...and/or discharge planning experience Managed Care experience Medicaid and Medicare experience Experience using computer, keyboard, mouse, multi-system navigation;… more
- Integritus Healthcar (East Longmeadow, MA)
- …established Standards of Nursing Practice and Home Health procedures. The RN Case manager will: Assesses patient/family learning needs, style and limitations ... skilled nursing and rehabilitation, hospice and senior living solutions. As a Medicare Certified Home Health agency, the Integrihome providers offer expertise and… more
- Orlando Health (Ocoee, FL)
- …use of hospital resources. Assists with planning an individual comprehensive case management plan addressing patient/family needs and transition to the next ... with review requirements for Managed Care contracts, governmental payors (ie Medicare , Medicaid, and Champus) and departmental review policies; adheres to… more
- FC Compassus LLC (Youngstown, OH)
- …Mercy Health by Compassus Position Summary The Inpatient Unit (IPU) Registered Nurse Case Manager is responsible for modeling the Compassus values of Compassion, ... company, among all departments, and all external stakeholders. The IPU Registered Nurse Case Manager functions as a member of the Interdisciplinary Team (IDT)… more
- The Ohio State University Wexner Medical Center (Columbus, OH)
- …Centerburg, Newark, Johnstown, Westerville HOW YOU'LL MAKE A DIFFERENCE: As a Registered Nurse Case Manager (RNCM) you will make a difference in the lives of ... for the assessment of the patient condition and plan of care. You will case manage and provide clinical care under the direction of the physician. You'll educate… more
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