- 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 ... most appropriate level of care while facilitating throughput. The ED Case Manager will assist in identifying patients appropriate for Admission, Observation, or… more
- Community Health Systems (Franklin, TN)
- …- Registered Nurse - State Licensure and/or Compact State Licensure required + CCM - Certified Case Manager preferred or + Accredited Case Manager (ACM) ... + Documents all utilization review activities in the hospital's case management software, including clinical reviews, escalations, avoidable days, payer… more
- Henry Ford Health System (Detroit, MI)
- …. The Case Management department has recently redesigned into a dyad Social Work/RN Case Manager model where UR is remote, allowing staff to excel in ... by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred. Not… more
- Guthrie (Troy, PA)
- Acute Case Manager Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, clinical, and operational ... outcomes timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and authority for coordinating the… 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
- University of Rochester (Rochester, NY)
- …and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The CARE Case Manager provides strengths-based assessment, intervention, and ... 200203 Office of the Dean of Students Work Shift: UR - Day (United States of America) Range: ...to success and to enhance their holistic well-being. The Case Manager exercises independent judgment while coordinating… more
- KBR (Fort Bragg, NC)
- Title: Special Operations Nurse Case Manager / Case Manager ( JSOC Fort Bragg, NC) THIS POSITION OFFERS RELOCATION. THIS POSITION IS BASED ONSITE AT FORT ... and services. We are seeking a stellar Special Operations Case Manager that will provide a full...their level of function and self-care. + Current licens ur e ; full , active, and unrestricted license… 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
- 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 ... Summary: Under the general supervision of the Director of Care Management, the RN Case Manager provides clinically-based case management to support the… 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
- WMCHealth (Poughkeepsie, NY)
- Case Manager - RN Company: MidHudson Regional Hospital City/State: Poughkeepsie, NY Category: Nursing/Nursing Management Department: Case Management Union: No ... Internal Applicant link Job Details: JOB SUMMARY + The Case Manager assures timely, resource-effective transition planning, with… 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 ... + FTE:0.7 + Posted:August 6, 2025 **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing comprehensive case management services… 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" ... 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 (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
- 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 ... 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
- 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
- LifePoint Health (Hickory, NC)
- …**Job:** **Please select a valid job field* **Organization:** ** **Title:** *Clinical Case Manager * **Location:** *NC-Hickory* **Requisition ID:** *7469-10889* ... through discharge. * Coordinates care and services within the case managed population. * Educates Physicians and staff in...regulatory agencies. * Educates and mentors all staff in UR standards and LOS topics. * Coordinates care and… more
- Beth Israel Lahey Health (Exeter, NH)
- Registered Nurse Case Manager + Full Time + Exeter, NH 03833 ... one weekend per month (may change), alternating holiday rotation The Nurse Case Manager /Discharge Planner collaborates, facilitates and negotiates the delivery… 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