1977 case manager patient care services jobs found

Description: Case Manager Patient Care Services (RN) Chart review of Medicare, other federally funded, and private insurance patients according to contract requirements using currently approved criteria. The goal is to evaluate the appropriateness of the admission and the continuing levels of care, using established guidelines for quality of care and reimbursement purposes.

Description: Case Manager Patient Care Services (RN) Chart review of Medicare, other federally funded, and private insurance patients according to contract requirements using currently approved criteria. The goal is to evaluate the appropriateness of the admission and the continuing levels of care, using established guidelines for quality of care and reimbursement purposes.

Description: Case Manager Patient Care Services (RN) Chart review of Medicare, other federally funded, and private insurance patients according to contract requirements using currently approved criteria. The goal is to evaluate the appropriateness of the admission and the continuing levels of care, using established guidelines for quality of care and reimbursement purposes.

Summary & Role Functions Nursing Case Manager, Per Diem at the Main Campus. The Nursing Case Manager will facilitate the coordination of care, from admission through discharge, with focus on realistic treatment outcomes within the scope of available resources. Oversee the assessment, planning, facilitation, coordination, evaluation and advocacy for options and services to meet a patient and family’s comprehensive health needs and to promote quality cost effective outcomes.  Collaborate with the interdisciplinary team, patient and family, as well as various departments within and outside the hospital to assure timely and appropriate discharge planning and cost effective outcomes. Assessment of the patient’s health and psychosocial needs is conducted per established guidelines. Case management plan is developed collaboratively with the interdisciplinary team, patient and family to maximize health care responses, quality and cost effective...

The advanced practice nurse develops, implements, and evaluates a program of specialized health care for patients with heart failure, in the outpatient setting  S/he participates in the initial evaluation and management of patients. S/he promotes a collaborative relationship among various health care professionals who participate in the care of heart failure patients while deploying efficient use of resources.  S/he serves as a role model for professional nursing practice in the management of heart failure patients PRINCIPLE ROLES and RESPONSIBILITIES   Provides direct care to a select population in collaboration with the physician. Performs and records the patient history and physical exam and discusses findings with the physician. Utilizes advanced nursing knowledge to identify, prevent or solve complex and/or recurring patient care problems that negatively impact the health outcomes of patients with heart failure. Follows and...

The 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 Case Manager meets patient’s needs efficiently and expeditiously by continuously improving the patient’s experience, helping 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.   Ensures the timely implementation of the plan of care Ensures that all elements critical to the plan and trajectory of care have been communicated to the patient/family and members of the Interdisciplinary Team Documents in the medical record as appropriate, as part of the Interdisciplinary team in accordance with the MGH Case Management Documentation standards Utilize a translator when appropriate...

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...

  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...

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...

The 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 Case Manager meets patient’s needs efficiently and expeditiously by continuously improving the patient’s experience, helping 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.   Ensures the timely implementation of the plan of care Ensures that all elements critical to the plan and trajectory of care have been communicated to the patient/family and members of the Interdisciplinary Team Documents in the medical record as appropriate, as part of the Interdisciplinary team in accordance with the MGH Case Management Documentation standards Utilize a translator when...

The Case Management Department collaborates to enhance the delivery of patient care services along the continuum of care.  The department helps to ensure high quality standards of patient care while reducing costs and ensuring reimbursement.  Through broad knowledge of clinical care and systems management, the staff evaluates, predicts, and facilitates the trajectory of patient care.  The department employs a collaborative process of assessment, planning, implementation, care coordination, monitoring, advocacy and evaluation to meet the individual’s health care needs.  The department encourages patients and families to participate in the decisions that affect their care.  The Case Management Department at MGH utilizes a dyad model which separates the utilization management and discharge planning functions.  The Nurse Practice Specialist will work within the discharge planning area of the department. The department services all inpatient...

The 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 Case Manager meets patient’s needs efficiently and expeditiously by continuously improving the patient’s experience, helping 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.   Ensures the timely implementation of the plan of care Ensures that all elements critical to the plan and trajectory of care have been communicated to the patient/family and members of the Interdisciplinary Team Documents in the medical record as appropriate, as part of the Interdisciplinary team in accordance with the MGH Case Management Documentation standards Utilize a translator when...

The 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 Case Manager meets patient’s needs efficiently and expeditiously by continuously improving the patient’s experience, helping 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.   Ensures the timely implementation of the plan of care Ensures that all elements critical to the plan and trajectory of care have been communicated to the patient/family and members of the Interdisciplinary Team Documents in the medical record as appropriate, as part of the Interdisciplinary team in accordance with the MGH Case Management Documentation standards Utilize a translator when...

A health services network on Long Island is currently seeking a licensed Registered Nurse (RN) to join their Inpatient team as a Case Manager. In this role, the Inpatient Case Manager (RN) will be responsible for directing, coordinating, and supervising the care management and discharge planning.

A health services network in New York City is currently seeking a new, licensed Registered Nurse (RN) to join their team in the Bronx as a Care Manager. In this role, the Care Manager (RN) will be responsible for coordinating and monitoring the management of patient-centered quality care by ensuring optimal utilization of resources, service delivery, and compliance with external review requirements and applicable state and federal rules and regulations.

A healthcare network in Virginia is currently seeking a new, licensed Registered Nurse (RN) to join their Medication Assisted Opioid Treatment Program at one of their Richmond facilities.

Maxim Healthcare Services is seeking a LPN/LVN Novice Nurse (less than 12 months of experience). The Novice Nurse Licensed Practical/Vocational Nurse is responsible for providing and documenting skilled nursing care in accordance with care developed for each individual patient in accordance with physician’s orders when applicable.

Job Title: The Licensed Vocational Nurse (LVN) )/Licensed Practical Nurse (LPN) Division: Homecare For Clinical Matters Reports To: Registered Nurse, Clinical Supervisor, and/or Director of Clinical Operations or Unit Manager For Non-Clinical Matters Reports To: FLSA Status: Non- Exempt Job Code: Short Code: E00304 LPVN EEO Category: 9 Effective Date: 6/18/2012 Updated: 5/27/2016 Position Description: The Licensed Vocational Nurse (LVN)/Licensed Practical Nurse (LPN) assumes responsibility and accountability for the application of the nursing process and the delivery of patient/client care and/or contracted services under the supervision of a registered nurse or licensed designee. The LVN/LPN provides service in accordance with Maxim philosophy, standards and policies. Essential Duties and Responsibilities: 1. Utilizes the nursing process to plan, implement, and evaluate patient/client...

Position Description: The Licensed Vocational Nurse (LVN)/Licensed Practical Nurse (LPN) assumes responsibility and accountability for the application of the nursing process and the delivery of patient/client care and/or contracted services under the supervision of a registered nurse or licensed designee. The LVN/LPN provides service in accordance with Maxim philosophy, standards and policies

Position Description: The Licensed Vocational Nurse (LVN)/Licensed Practical Nurse (LPN) assumes responsibility and accountability for the application of the nursing process and the delivery of patient/client care and/or contracted services under the supervision of a registered nurse or licensed designee. The LVN/LPN provides service in accordance with Maxim philosophy, standards and policies.