• Alternate Solutions Health Network (Detroit, MI)
    …TERRITORY: Dearborn, Redford Charter Township, Detroit HOW YOU'LL MAKE A DIFFERENCE: As a Registered Nurse Case Manager (RNCM) you will make a difference ... the patient condition and plan of care. You will case manage and provide clinical care under the direction...critical, as is being observant and following directions REQUIREMENTS: Registered Nurse with current license in the… more
    Upward (06/29/25)
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  • Salt River Pima-Maricopa Indian Community (Scottsdale, AZ)
    …Bachelor's Degree in Nursing from an accredited college or university and certification as a Registered Nurse ( RN ) required. Arizona Registered Nurse ... all positions in this classification. Examples of Tasks Transitional RN Case Management: Oversees the care of...theory, principles and scope of practice for a Licensed Registered Nurse . Knowledge of federal, state, and… more
    Upward (07/20/25)
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  • UnitedHealth Group (Kansas City, MO)
    …Qualifications: Associates Degree (or higher) in Nursing OR equivalent Registered Nurse Diploma Current unrestricted licensure as RN in state of Missouri ... Join us to start Caring. Connecting. Growing together. Field Case Manager RN in the Optum at...2+ years of experience as a Registered Nurse 6+ months of experience in… more
    Upward (07/22/25)
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  • HCA Healthcare (Pasadena, TX)
    Introduction Do you want to join an organization that invests in you as a(an) Registered Nurse Case Manager Rehab? At HCA Houston Healthcare Southeast, you ... make a difference. We are looking for a dedicated Registered Nurse Case Manager Rehab...continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process,… more
    Upward (07/23/25)
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  • FC Compassus LLC (Youngstown, OH)
    Company: Mercy Health by Compassus Position Summary The Inpatient Unit (IPU) Registered Nurse Case Manager is responsible for modeling the Compassus values ... relationships within the company, among all departments, and all external stakeholders. The IPU Registered Nurse Case Manager functions as a member of the… more
    Upward (07/13/25)
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  • Healogics (Coquille, OR)
    …direction of the Wound Care Center Clinical Nurse Manager/Clinical Coordinator, the Registered Nurse ( RN ) primarily provides patient care and handles ... as scheduled. The position may also serve as a Case Manager to a group of assigned Wound Care...federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. Weekday… more
    Upward (07/23/25)
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  • The Pennant Group, Inc. (Everett, WA)
    …about providing quality patient services to join our team as a Full Time Home Health Registered Nurse Case Manager Job Details: Status: Full Time FTE: 1.0 ... Alpha Home Health and Hospice is a Medicare -certified agency serving seeking someone just as passionate as we are… more
    Upward (07/13/25)
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  • UnitedHealth Group (Atlanta, GA)
    …delivery and provision of clinical care of members in a facility setting. The Optum RN within SCC provides care to our highest-risk health plan members and is part ... the provider / team with benefit determination associated with Medicare part A, part B, and part D benefits...and participate in family conferences, team meetings, and team case presentations Coordination of training, tracking, and compliance with… more
    Upward (06/27/25)
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  • Brockton Home Health Care Agency LLC (Duxbury, MA)
    …field travel. Salaried position, that is paid bi-weekly. Great environment to work Registered Nurse ( RN )Responsibilities: Follow a designated care plan in ... properly document doctors' orders Perform client assessments as necessary RN Case management and coordination Accurately document... ( RN ): A current license as a Registered Nurse in Massachusetts Graduation from an… more
    Upward (07/16/25)
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  • Traditions Health (Ridgeland, MS)
    …Graduate of an accredited school of nursing. Licensure: Valid license as a Registered Nurse . Current Basic Life Support certification. Valid state Driver's ... The Hospice On-Call Nurse responds to calls from patients, families, caregivers,...Requires excellent problem- solving skills. Essential Functions: Schedule : RN to be On-Call from Fridays 5PM to Mondays… more
    Upward (07/20/25)
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  • CHN Home Health Services (Pearland, TX)
    …supervision of LPN/provide Adhere to Medicaid and Medicare regulations Qualifications Be a registered nurse ( RN ) with a current license OR LVN license ... of patient care. Maintain compliance with agency policy and procedures. Follow Medicare and Medicaid regulations. Job Duties and Responsibilities Perform the initial… more
    Upward (07/16/25)
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  • Atlantic Health System (Morristown, NJ)
    …supervision of the operating physician following AORN guidelines. In its entirety, the perioperative nurse is the registered nurse who, using the nursing ... for repairs; and evaluate new equipment as necessary. Ensure case readiness by confirming that supplies, equipment, instruments, and...of Nursing Bachelor Degree preferred Current NJ (New Jersey) Registered Nurse License One (1) year of… more
    Upward (07/02/25)
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  • UnitedHealth Group (Providence, RI)
    …provision of clinical care of members in a facility setting. The Optum Care Team RN within SCC provides care to our highest-risk health plan members and is part of ... care coordination activities Assist the provider/team with benefit determination associated with Medicare part A, part B, and part D benefits Responsible for… more
    Upward (07/20/25)
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  • KeystoneCare (Plymouth Meeting, PA)
    …pain management, and emotional and spiritual support tailored to the patient's wishes. The Hospice RN Case Manager is a vital member of that team. See what it's ... it means the most. Keystone Hospice is a community-focused, Medicare Certified and CHAP accredited independent agency, providing services...others Graduate of an accredited school of nursing Current RN license in good standing to practice in the… more
    Upward (07/06/25)
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  • McLaren Health Care Corporation (Indianapolis, IN)
    We are looking for a Utilization Management RN , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of ... Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana… more
    Upward (07/13/25)
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  • Mohawk Valley Health Systems (Utica, NY)
    …Requirements REQUIRED: Licensed and currently registered to practice as a Registered Professional Nurse or BSN in New York State, with preferred ... effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal...services that are not a benefit of the plan ( Medicare Services). Completes comprehensive assessment using the DOH approved… more
    Upward (07/01/25)
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  • HealthCare Partners (Garden City, NY)
    …We are currently seeking a Case Manager! Position Summary : The role of the Nurse Case Manager is to engage members enrolled in case management to ... specialists delivering services to our 125,000 members enrolled in Commercial, Medicare and Medicaid products. Our MSO employs 200+ skilled professionals dedicated… more
    Upward (07/04/25)
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  • BAYADA Home Health Care (Fayetteville, NC)
    BAYADA Home Health Care is seeking a Registered Nurse ( RN ) to fill the position of Nurse Manager for our Fayetteville, NC Medicare Certified, Home ... lead and support a team of clinicians in delivering Medicare -certified home health services. The Nurse Manager...team Qualifications for a Clinical Nurse Manager: Registered Nurse ( RN ) with 2or… more
    Upward (07/17/25)
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  • DHR Health (Edinburg, TX)
    …Health - US:TX:Edinburg - Varies Summary: POSITION SUMMARY: Under the general supervision of the Case Management Coordinator, the RN Case Manager acts as a ... achievement of quality and cost efficient patient outcomes. The RN Case Manager identifies opportunities to reduce...school for nursing required. A valid license as a Registered Nurse with the State of Texas… more
    Upward (07/07/25)
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  • Duke Health (Durham, NC)
    …regulations, including JCAHO and DFS standards, ICD-9 Coding. Knowledge of scope of the registered nurse , licensed practical nurse and NCA Knowledge of and ... of caregivers for those in hospice care. The visiting nurse and the case managers they support...and families in accordance with the scope of the RN as defined by the North Carolina Board of… more
    Upward (07/15/25)
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