2799 care management rn jobs found

Description: Care Management RN - Utilization Review at Providence St. Peter Hospital Apply Today! Applicants that meet qualifications will receive a text with some additional questions from our Modern system. $10,000. Hiring Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits and compensation package offered by Providence that begin on your first day of employment. Under supervision of Care Management Manager, works as a catalyst to promote 1) Coordination of care, 2) Continuity of Care, 3) achievement of consistent and/or expected clinical conditions, 4) patient advocacy and 5) efficient resource management. Coordinates the care for complex patients from pre-admission to immediate post-discharge. Acts in a non-caregiver capacity by facilitating coordination and communication between all members of the health care team, in the decision making process to minimize fragmentation of the health...

Description: Care Management RN - Utilization Review at Providence St. Peter Hospital Apply Today! Applicants that meet qualifications will receive a text with some additional questions from our Modern system. $10,000. Hiring Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits and compensation package offered by Providence that begin on your first day of employment. Under supervision of Care Management Manager, works as a catalyst to promote 1) Coordination of care, 2) Continuity of Care, 3) achievement of consistent and/or expected clinical conditions, 4) patient advocacy and 5) efficient resource management. Coordinates the care for complex patients from pre-admission to immediate post-discharge. Acts in a non-caregiver capacity by facilitating coordination and communication between all members of the health care team, in the decision making process to minimize fragmentation of the health...

Description: Care Management RN - Utilization Review at Providence St. Peter Hospital Apply Today! Applicants that meet qualifications will receive a text with some additional questions from our Modern system. $10,000. Hiring Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits and compensation package offered by Providence that begin on your first day of employment. Under supervision of Care Management Manager, works as a catalyst to promote 1) Coordination of care, 2) Continuity of Care, 3) achievement of consistent and/or expected clinical conditions, 4) patient advocacy and 5) efficient resource management. Coordinates the care for complex patients from pre-admission to immediate post-discharge. Acts in a non-caregiver capacity by facilitating coordination and communication between all members of the health care team, in the decision making process to minimize fragmentation of the health...

Description: Care Management RN - Utilization Review at Providence St. Peter Hospital Apply Today! Applicants that meet qualifications will receive a text with some additional questions from our Modern system. $10,000. Hiring Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits and compensation package offered by Providence that begin on your first day of employment. Under supervision of Care Management Manager, works as a catalyst to promote 1) Coordination of care, 2) Continuity of Care, 3) achievement of consistent and/or expected clinical conditions, 4) patient advocacy and 5) efficient resource management. Coordinates the care for complex patients from pre-admission to immediate post-discharge. Acts in a non-caregiver capacity by facilitating coordination and communication between all members of the health care team, in the decision making process to minimize fragmentation of the health...

Description: Providence is calling a Care Management Registered Nurse (RN) (1.0 FTE, Day Shift) to the Utilization Review at Providence St. Peter Hospital in Olympia, WA. Apply today! Applicants who meet qualifications will receive a text with some additional questions from our Modern Hire System. $10,000 Hiring Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits and compensation package offered by Providence that begin on your first day of employment. The Care Management RN will work as a catalyst to promote 1) Coordination of care, 2) Continuity of Care, 3) achievement of consistent and/or expected clinical conditions, 4) patient advocacy and 5) efficient resource management. Coordinates the care for complex patients from pre-admission to immediate post-discharge. Acts in a non-caregiver capacity by facilitating coordination and communication between all members of the health care team, in...

Description: Registered Nurse (RN) Care Coordinator Case and Disease Management. This position will be remote and may pivot to a hybrid model in 2022 working a combination of in office and remote. We are seeking candidates that are available in commute distance to the office in Beaverton, OR. The Registered Nurse (RN) Care Coordinator Case and Disease Management will provide care coordination services to Providence Health Plans(PHP) members. Care coordination services include: disease management programs, including educating, motivating and empowering members to manage their disease. Case management including: triage and referral, transition of care planning, end of life care planning, other acute and catastrophic case management. These services are offered to members and their families who have acute and complex health care needs; members with chronic conditions at risk for poor health outcomes and members who are terminal and nearing end of life. Care management...

Overview The Registered Nurse provides nursing care to individuals and groups which require specialized knowledge, judgment, and skill derived from the principles of biological, physical, behavioral, social, spiritual/cultural, and nursing sciences. The Registered Nurse functions within the full scope of nursing practice as noted by the Board of Nursing of their designated state for which they are practicing in addition to compliance with any of the hospitals accrediting bodies. Full-Time Level: Mid Travel: No Back to navigation (Overview) Success Profile Who is the ideal Promedica employee? We're looking for people to join our team who are motivated by making an impact and doing meaningful work. Responsible 10 Critical thinker 9 Compassionate 9 Communicator 9 Adaptable 9 Multi-tasker 8 Additional success profiles: Detail oriented,   Flexible,   Helpful,  ...

Overview The Registered Nurse provides nursing care to individuals and groups which require specialized knowledge, judgment, and skill derived from the principles of biological, physical, behavioral, social, spiritual/cultural, and nursing sciences. The Registered Nurse functions within the full scope of nursing practice as noted by the Board of Nursing of their designated state for which they are practicing in addition to compliance with any of the hospitals accrediting bodies. Full-Time Level: Mid Travel: No Back to navigation (Overview) Success Profile Who is the ideal Promedica employee? We're looking for people to join our team who are motivated by making an impact and doing meaningful work. Responsible 10 Critical thinker 9 Compassionate 9 Communicator 9 Adaptable 9 Multi-tasker 8 Additional success profiles: Detail oriented,   Flexible,   Helpful,  ...

The Utilization Management (UM) Case Manager as a member of the health care team, collaborates to enhance the delivery of patient care services along the continuum of care.  The UM Case Manager ensures the appropriate level of care determination for each patient. This nurse helps to ensure the institutional standards of high-quality patient care, reducing cost and ensuring reimbursement.  Through broad knowledge of clinical care and systems management, the case manager evaluates, predicts, and facilitates the trajectory of patient care for appropriate admission classification and continued stay authorizations.   Maintains strict adherence and maintains professional competency by keeping abreast of Medicare, MassHealth, and third-party payers regulatory and compliance requirements Documents in the medical record as appropriate, as part of the Interdisciplinary team in accordance with the MGH Case Management Documentation standards Utilize a...

Description Experience: • 24 months of role experience is required. • 12 months of Case Management experience is required. • 3 months of experience with Meditech is preferred. Requirements: • Candidates may apply for a California license upon receiving a job offer. • This role may require floating to additional units and locations • Candidates must live at least 50 miles away from this facility in order to be considered a traveler when applying for this role. • COVID vaccination and booster required. This facility accepts declinations. Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process. •  Shift:  Mixed (day 8 am-430 pm, 3-1130 pm, 630-1900, 10-2230, 1830-0700). Bachelor’s Degree preferred Minimum of one year acute care or payer case management, utilization...

Description Experience: • 24 months of role experience is required. • 12 months of Case Management experience is required. • 3 months of experience with Meditech is preferred. Requirements: • Candidates may apply for a California license upon receiving a job offer. • This role may require floating to additional units and locations • Candidates must live at least 50 miles away from this facility in order to be considered a traveler when applying for this role. • COVID vaccination and booster required. This facility accepts declinations. Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process. •  Shift:  Mixed (day 8 am-430 pm, 3-1130 pm, 630-1900, 10-2230, 1830-0700). Bachelor’s Degree preferred Minimum of one year acute care or payer case management, utilization...

Description Shift: 7:00 AM - 3:00 PM Experience: • 24 months of role experience is required. • 12 months of Case Management experience is required. • 3 months of experience with Meditech is preferred. Requirements: • Candidates may apply for a California license upon receiving a job offer. • Candidates must live at least 50 miles away from this facility in order to be considered a traveler when applying for this role. Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process. • Weekend Requirement: as needed Floating required CCM preferred, Bachelor’s Degree preferred Minimum of one year acute care or payer case management, utilization management, discharge planning, resource management experience required. Minimum of three years of acute care nursing required. Proficiency with...

Description Shift: 7:00 AM - 3:00 PM Experience: • 24 months of role experience is required. • 12 months of Case Management experience is required. • 3 months of experience with Meditech is preferred. Requirements: • Candidates may apply for a California license upon receiving a job offer. • Candidates must live at least 50 miles away from this facility in order to be considered a traveler when applying for this role. Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process. • Weekend Requirement: as needed Floating required CCM preferred, Bachelor’s Degree preferred Minimum of one year acute care or payer case management, utilization management, discharge planning, resource management experience required. Minimum of three years of acute care nursing required. Proficiency with...

Description Shift: 8:00 AM - 4:00 PM Experience: • 24 months of Case Management experience is required. Requirements: • Candidates must have a Pennsylvania license in hand at the time of application. • Candidates must live at least 75 miles away from this facility in order to be considered a traveler when applying for this role. • COVID vaccination required. This facility accepts declinations. • Flu vaccination is required. This facility accepts declinations. Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process. • If you have recent PA fingerprint results and PA Child Abuse Clearance Results (obtained within <5 years), you may be eligible for an earlier start date Monday-Friday Experience with discharge planning in an acute care hospital preferred. BLS must be AHA  

Description Experience: • 24 months of Case Management experience is preferred. • Experience with Epic is preferred. Requirements: • Candidates must have a California license in hand at the time of application. • COVID vaccination and booster required. This facility does not accept declinations. Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process. • 40 Guaranteed Hours Monday through Friday - 0800 to 1630 / alternating weekends. RN Case Manager with experience as follows: -Discharge planning -Conducting patient initial assessments -Acute Care hospital experience -EMR documentation experience  

Description Experience: • Experience with Cerner is required. Requirements: • Travel and Local candidates are eligible to apply for this role. • COVID vaccination required. This facility accepts declinations. Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process. • 40 GWW Must have experience with appeals and denials, inpatient discharge and interqual criteria. (Level I) two (2) years of experience or its equivalent as a registered nurse in an acute care hospital, at least one (1) of which was on a medical/surgical ward or unit. (Level II) one (1) year of utilization review/discharge planning experience in an acute care hospital or as a Case Manager in an alternate medical setting such as a clinic or physician’s office performing utilization review or discharge planning. BLS must be AHA  

Description Experience: • Experience with Cerner is required. Requirements: • Travel and Local candidates are eligible to apply for this role. • COVID vaccination required. This facility accepts declinations. Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process. • 40 GWW Must have experience with appeals and denials, inpatient discharge and interqual criteria. (Level I) two (2) years of experience or its equivalent as a registered nurse in an acute care hospital, at least one (1) of which was on a medical/surgical ward or unit. (Level II) one (1) year of utilization review/discharge planning experience in an acute care hospital or as a Case Manager in an alternate medical setting such as a clinic or physician’s office performing utilization review or discharge planning. BLS must be AHA

Description: Providence is calling a Manager Case Management RN(Full-Time/Day shift) at Providence Little Company of Mary Medical Center Torrance in Torrance, CA. $20,000 Sign-On Bonus Eligible to External Candidates! Apply today! Please upload a current resume reflecting all relevant experience. Applicants that meet qualifications will receive a text with additional questions from our MODERN HIRE system. We are seeking a Manager Case Management RN  who will provide departmental direction for the functions of case management, utilization management, discharge planning, and denial management for all PMI HMO inpatient acute and skilled level care. Responsibilities include all aspects and activities responsible for monitoring the delivery of care to patients, the development of strategies to reduce costs and ensure the appropriate utilization of facilities and services and to provide appropriate discharge planning for every patient to return to...

Description: RN Case Manager Providence Alaska Medical Center Under general supervision this position uses Case Management Guiding Principles in partnering with patients and physicians to assure access, services, and transition for the continuum of care. Works as team member with health care professionals, community resources, liaisons, and families to provide coordinated admission and discharge planning. Advocates and supports the case management process using the Physician-Centric Care Management Model as a guideline. Partner in identifying and achieving timely patient care needs with implementation of the plan of care that is appropriate, resourceful, and valuable. Effectively utilizes tools that measure, monitor, and manage quality and stewardship of patient care resources. As applicable (i.e. Acute Rehabilitation Unit assignment) coordinate rehabilitation patient services from the time of screening for admission to the Acute Rehabilitation Unit to the point of...

Description: Providence is calling a Manager Case Management RN(Full-Time/Day shift) at Providence Little Company of Mary Medical Center Torrance in Torrance, CA. $20,000 Sign-On Bonus Eligible to External Candidates! Apply today! Please upload a current resume reflecting all relevant experience. Applicants that meet qualifications will receive a text with additional questions from our MODERN HIRE system. We are seeking a Manager Case Management RN  who will provide departmental direction for the functions of case management, utilization management, discharge planning, and denial management for all PMI HMO inpatient acute and skilled level care. Responsibilities include all aspects and activities responsible for monitoring the delivery of care to patients, the development of strategies to reduce costs and ensure the appropriate utilization of facilities and services and to provide appropriate discharge planning for every patient to return to...