- Beth Israel Lahey Health (Plymouth, MA)
- …weekend. One summer and one winter holiday. **Job Description:** The Emergency Department Case Manager is responsible and accountable for patient trajectory by ... identify the most appropriate level of care while facilitating throughput. The ED Case Manager will assist in identifying patients appropriate for Admission,… more
- Community Health Systems (Franklin, TN)
- … Nurse - State Licensure and/or Compact State Licensure required + CCM - Certified Case Manager preferred or + Accredited Case Manager (ACM) preferred ... + Documents all utilization review activities in the hospital's case management software, including clinical reviews, escalations, avoidable days, payer… more
- KBR (Fort Bragg, NC)
- Title: Special Operations Nurse Case Manager /...their level of function and self-care. + Current licens ur e ; full , active, and unrestricted license ... organization, ie Commission for Case Management Certification , American Case Manager Association, or American Nurse Credentialing Center, or shall… more
- Beth Israel Lahey Health (Exeter, NH)
- Registered Nurse Case Manager + Full...as a liaison among the patient, family members, physicians, nurse , social worker, UR nurse , insurance ... to 5pm; one weekend per month (may change), alternating holiday rotation The Nurse Case Manager /Discharge Planner collaborates, facilitates and negotiates… more
- Select Medical (Los Angeles, CA)
- …medical case management setting. + Management experience and/or 2 years as a Case Manager with demonstrated and effective leadership skills are required + A ... + Multiple Traumas Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/340435/director-of- case -management-%28registered- nurse %2c-rn-or-lcsw%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job **Job… more
- Guthrie (Troy, PA)
- Acute Case Manager Position Summary: The Acute...in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to ... operational outcomes timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and authority for… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case Management PT Days** The Case Manager (CM) will be responsible for all aspects of case management ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...Utilization Review: a. Maintains a working knowledge of the UR (Utilization Review) requirements of each payor within the… more
- HCA Healthcare (Kansas City, MO)
- …Medical Center we support our colleagues in their positions. Join our Team as a(an) RN Case Manager Lead and access programs to assist with every stage of your ... certifications and job skills. Apply today for our RN Case Manager Lead opening and continue to...using IQ criteria appropriately. + Conduct reviews with the UR physician to adhere to the self-denial process. **What… more
- HCA Healthcare (Panama City, FL)
- …nurses set us apart from any other healthcare provider. We are seeking a(an) RN Case Manager to join our healthcare family. **Benefits** HCA Florida Gulf Coast ... passion for patient care. Apply today for our RN Case Manager opportunity. **Job Summary and Qualifications**...Identifies and transmits system issues impacting patient care to Case Management Director/CFO/ UR committee, as appropriate +… more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN + San Leandro,...- coordinates denials with the attending physician, and the UR physician advisor. Prepares case reports; documents ... Req #:42605-31625 + FTE:0.7 + Posted:August 6, 2025 **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing comprehensive case … more
- Select Medical (Tallahassee, FL)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure… more
- Select Medical (Chicago, IL)
- **Overview** **Rush Specialty Hospital** ** Case Manager ** **Hours/Shift: Per Diem (PRN)** *Availability to work a minimum of 2 shifts per month on an "as needed" ... current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW...and doing well by doing what is right. The Case Manager is responsible for utilization reviews… more
- Select Medical (Nashville, TN)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure… more
- Cambridge Health Alliance (Somerville, MA)
- RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10421 **Location:** CHA Somerville Campus **Work Days:** Mon-Fri; 8:00-4:30, rotating ... weekends and holidays **Category:** Registered Nurse **Department:** Inpatient Case Management SH **Job...supervision of the Director of Care Management, the RN Case Manager provides clinically-based case … more
- Select Medical (Newport News, VA)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** **$10,000 Sign On Bonus** _Requires a current licensure in a clinical discipline either as a ... Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical...and doing well by doing what is right. The Case Manager is responsible for utilization reviews… more
- Stony Brook University (Stony Brook, NY)
- Case Manager - Part Time Temporary **Position Summary** At Stony Brook Medicine, a **TH Staff Associate/ Case Manager ** is a valuable member of our team, ... high standard of excellence. **Duties of a TH Staff Associate/ Case Manager in the Care Management Department...review screen for inpatient and observation cases. Activity includes UR from the Emergency Room or on the unit… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …the globe. **Exciting Opportunity at MSK:** Are you passionate about using your Case Management experience to support Oncology Patients? The MSK Case Management ... for evaluating and responding to clinical and administrative denials referred to Case Management Department for appeal. You will participate in the daily management… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** REGISTERED NURSE - PER DIEM **Job Description:** **Duties/Responsibilities:** + Identifies continuing care ... of treatments/procedures to optimize reimbursement. + Collaborates with the UR team regarding level of care determination/LOS. + Coordinates continuing… more
- University of Utah Health (Salt Lake City, UT)
- …members or third-party payer. + Alerts and discusses with physician/provider and case manager /discharge planner when patient no longer meets medical necessity ... utilization to identify at risk patients. + Refers to UR committee any case that surpasses expected...Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one… more
- University of Rochester (Rochester, NY)
- …Time Type: Full time Scheduled Weekly Hours: 40 Department: 400151 Urology M&D Work Shift: UR - Day (United States of America) Range: UR URC 212 H Compensation ... individual, and internal equity considerations._ **Responsibilities:** To serve as Research Nurse for clinical trial activities in the Department of Urology. This… more