• Kaiser Permanente (Atlanta, GA)
    …chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to develop ... quality of care issues. Acts as a liaison between inpatient facility and referral facilities/agencies and provides case...setting. Minimum two (2) years of experience in utilization review , case management, and discharge planning preferred.… more
    Upward (07/18/25)
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  • Family & Children's Services (Tulsa, OK)
    …Applicants will have previous background working in community mental health, inpatient psychiatric facilities, criminal justice, home health, or similar settings. ... is required, with consideration given for degrees in Criminal Justice or Education. Case Management II certification or obtain by taking the first available Case more
    Upward (07/10/25)
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  • Hampton VA Medical Center (Chesapeake, VA)
    …contiguous and based on a continuum of services. Provides clinical psychosocial and case management services for eligible Veterans and their family members in the ... suicide risk factors, warning signs, psychosocial stressors, and protective factors. Case Management and Clinical Intervention: Provides counseling to the patient,… more
    Upward (07/27/25)
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  • Encompass Health (Bellefonte, PA)
    Case Manager Career Opportunity Full-Time Opportunity Available Recognized for your abilities as a Case Manager Are you ready for a Case Management ... role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link… more
    Upward (07/11/25)
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  • Kaiser Permanente (Panorama City, CA)
    …related to quality, risk and/or patient safety which are identified during case review or other activities. Reviews, analyses and identifies utilization ... general and specialized principles, practices, techniques and methods of Utilization review /management, discharge planning or case management. Working knowledge… more
    Upward (07/29/25)
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  • Sheppard Pratt (Amesbury, MA)
    …medical records for evidence of medical necessity and appropriateness of admission/continued stay, case review for appeals of payment denials, and the review ... process of patients admitted to the Hospital for Inpatient and Day Hospital levels of care. Trains or...and appropriateness of patient admissions and continued stay. Conducts case review to determine justification for appeals… more
    Upward (07/26/25)
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  • Advocate Aurora Health (Oak Lawn, IL)
    … Management Association (ACM) needs to be obtained within 1 year, or RN or SW: Certified Case Manager (CCM) issued by the Commission for Case Manager ... Department: 11224 Advocate Aurora Health Corporate - IL Inpatient Care Management Operations Status: Full time Benefits...the team member practices and RN or SW: Accredited Case Manger (ACM) or SW (ACM) certification issued by… more
    Upward (07/01/25)
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  • California Rehabilitation Institute (Los Angeles, CA)
    …*A Joint Venture with Cedars, UCLA and Select Medical* Century City / Los Angeles, CA Case Manager (CM) - 8 hr shifts (on-site) Per Diem (variable schedule) Pay ... Rate: $66.00 **2,500 Sign on Bonus ** Benefits of becoming a Case Manager with us: Manageable case loads Impact on patient's recovery process and quality of… more
    Upward (07/26/25)
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  • Mayo Clinic (Rochester, MN)
    …social workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission ... status and continued stay clinical review ; communication with clinical providers to identify quality value...meet managed care and continued stay requirements. The RN Case Manager participates with interdisciplinary, inpatient more
    Upward (07/17/25)
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  • NavitsPartners (Hyannis, MA)
    Job Title: Travel Case Manager - LPN/RN (Emergency Department) Location: Hyannis, MA 02601 Duration: 13 Weeks Shift: 11:00 AM - 9:30 PM or 11:30 AM - 10:00 PM ... Hyannis, MA is seeking an experienced Travel Emergency Department Case Manager (LPN or RN) for a...hospital setting (within past 5 years) 2+ years in case management, discharge planning, and utilization review more
    Upward (07/23/25)
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  • Tenet Health (Commerce Township, MI)
    …consistently ranks among the top hospitals in the nation. Job Summary The RN Case Manager is responsible to facilitate care along a continuum through effective ... with physicians, office staff and ancillary departments, k) leading and facilitating Complex Case Review , l) assuring patient education is completed to support… more
    Upward (07/17/25)
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  • Bay Cove Human Services, Inc. (Boston, MA)
    …Greater Boston and Southeastern Massachusetts. Job Summary The RN Clinical Care Manager (CCM) provides intensive care coordination and clinical care management for ... enrollees including the medical, psychiatric and social issues of enrollees served; Review /sign off on medical component of comp assessment of Care Team enrollees;… more
    Upward (07/28/25)
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  • South Shore Health (Weymouth, MA)
    …status. A call or page should be made to physician if the RN Case Manager believes that this should be an inpatient admission and not wait until the 24 ... Management Manager acts as a patient advocate/ Case Manager to SSH&EC clients. An autonomous...to meet criteria and refers these cases to appropriate manager or physician advisor for secondary review .… more
    Upward (07/25/25)
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  • LHC Group, Inc. (Corpus Christi, TX)
    Job Description We are hiring for an RN Case Manager in Hospice At Christus Hospice in Corpus Christi, TX, a part of LHC Group , we embrace a culture of caring, ... and provides all necessary documentation. Performs 60 or 90 day record review for recertifications as appropriate. Follows processes and regulations for admissions… more
    Upward (07/29/25)
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  • SUNSHINE ENTERPRISE USA LLC (Orange, CA)
    …CalOptima Health Customer Service department regarding health network enrollments. Assists the inpatient Medical Case Manager in gathering medical records, ... of new case information into the medical management system. Creates inpatient events based on facility face sheets and/or clinical received. Verifies member… more
    Upward (07/26/25)
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  • Marshfield Clinic Health System (Marshfield, WI)
    …together to support the most exciting missions in the world! Job Title: RN Case Manager - Rehab Liaison Cost Center: 301351181 MfdHos-Rehab Unit-5W Scheduled ... States of America) Job Description: JOB SUMMARY The RN Case Manager - Rehab Liaison identifies adult...by completing a thorough assessment of candidates including- chart review , clinical assessment, and interaction with the ancillary staff… more
    Upward (07/23/25)
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  • OhioHealth (Mansfield, OH)
    …high risk clients from newborn to elderly. A hospital-based case manager coordinates and performs comprehensive patient care review , which includes the ... quality client care within fiscally expedient time frames. The case manager works with acutely ill and/or...Day Scheduled Weekly Hours : As Needed Department Acute Inpatient Rehab Unit 1 Join us! if your passion… more
    Upward (07/18/25)
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  • Vinfen (Allston, MA)
    Schedule: Mon-Fri 9:00am-5:00pm Salary: $90,000 / year The Clinical Care Manager - Registered Nurse (RN) on the Community Partner team provides clinical care ... needs. The RN will act as a Clinical Care Manager and is a vital member of the Community...of enrollees including the medical, psychiatric and social components. Review /sign off on medical component of comprehensive assessment Monitor… more
    Upward (07/08/25)
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  • LHC Group, Inc. (Bowling Green, MO)
    Job Description We are hiring for an RN Case Manager in Hospice At Community Loving Care Hospice , in Bowling Green, MO, a part of LHC Group,we embrace a culture ... Take your nursing career to a new level of caring. Responsibilities As the RN Case Manager , you will assume full nursing responsibility for the delivery of the… more
    Upward (07/24/25)
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  • Odyssey House Louisiana, Inc. (New Orleans, LA)
    …other duties as assigned. Client Inductionduties include the following: *Nurse will review all admissions packets todetermine if potential client is eligible for ... PPD,medical records requested, H & P, Psych evaluation. On review of thecandidate's drug of choice, last use and...the use of any narcotic mustcome from the Program Manager prior to administration of such medication.) Certainpain relievers… more
    Upward (07/06/25)
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