1434 case manager rn jobs found

Description: Case Manager (RN) - Case Management at Providence Holy Cross Medical Center Care Management in Hospital/Health Care Systems is a collaborative practice model including patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The Care Management process encompasses communication and facilitates care along a continuum through effective resource coordination. The goals of Care Management include the achievement of optimal health, access to care and appropriate utilization of resources, balanced with the patient's right to self determination. Please upload current resume

Description: Case Manager (RN) - Case Management at Providence Holy Cross Medical Center Care Management in Hospital/Health Care Systems is a collaborative practice model including patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The Care Management process encompasses communication and facilitates care along a continuum through effective resource coordination. The goals of Care Management include the achievement of optimal health, access to care and appropriate utilization of resources, balanced with the patient's right to self determination. Please upload current resume

Description: Case Manager (RN) - Case Management at Providence Holy Cross Medical Center Care Management in Hospital/Health Care Systems is a collaborative practice model including patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The Care Management process encompasses communication and facilitates care along a continuum through effective resource coordination. The goals of Care Management include the achievement of optimal health, access to care and appropriate utilization of resources, balanced with the patient's right to self determination. Please upload current resume

Case Manager (RN) - Case Management at Providence Holy Cross Medical Center Care Management in Hospital/Health Care Systems is a collaborative practice model including patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The Care Management process encompasses communication and facilitates care along a continuum through effective resource coordination. The goals of Care Management include the achievement of optimal health, access to care and appropriate utilization of resources, balanced with the patient's right to self determination.

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 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...

Description: $10K hiring/sign-on bonus for eligible external candidates that meet required qualifications and conditions for payment. Registered Nurse (RN) Case Manager - Hospice Department at Providence Home Services Under the direction of the Hospice Director or designee and on order of the physician is accountable for direct and indirect quality care for patients and families of all ages, according to the individualized needs of the patient, following the nursing process and in accordance with the Nurse Practice Act. Accepts professional development as an integral part of nursing practice. Manages a caseload of patients living within the service area of hospice. Coordinates patient care activities with other members of the health care team in a collegial relationship to promote patient comfort and assist in the achievement of a comfortable and peaceful death. Upholds the standards of confidentiality, attendance and punctuality.

Description: $10K hiring/sign-on bonus for eligible external candidates that meet required qualifications and conditions for payment. Registered Nurse (RN) Case Manager - Hospice Department at Providence Home Services Under the direction of the Hospice Director or designee and on order of the physician is accountable for direct and indirect quality care for patients and families of all ages, according to the individualized needs of the patient, following the nursing process and in accordance with the Nurse Practice Act. Accepts professional development as an integral part of nursing practice. Manages a caseload of patients living within the service area of hospice. Coordinates patient care activities with other members of the health care team in a collegial relationship to promote patient comfort and assist in the achievement of a comfortable and peaceful death. Upholds the standards of confidentiality, attendance and punctuality.

Description: $10K hiring/sign-on bonus for eligible external candidates that meet required qualifications and conditions for payment. Registered Nurse (RN) Case Manager - Hospice Department at Providence Home Services Under the direction of the Hospice Director or designee and on order of the physician is accountable for direct and indirect quality care for patients and families of all ages, according to the individualized needs of the patient, following the nursing process and in accordance with the Nurse Practice Act. Accepts professional development as an integral part of nursing practice. Manages a caseload of patients living within the service area of hospice. Coordinates patient care activities with other members of the health care team in a collegial relationship to promote patient comfort and assist in the achievement of a comfortable and peaceful death. Upholds the standards of confidentiality, attendance and punctuality.

Description: $10K hiring/sign-on bonus for eligible external candidates that meet required qualifications and conditions for payment. Registered Nurse (RN) Case Manager - Hospice Department at Providence Home Services Under the direction of the Hospice Director or designee and on order of the physician is accountable for direct and indirect quality care for patients and families of all ages, according to the individualized needs of the patient, following the nursing process and in accordance with the Nurse Practice Act. Accepts professional development as an integral part of nursing practice. Manages a caseload of patients living within the service area of hospice. Coordinates patient care activities with other members of the health care team in a collegial relationship to promote patient comfort and assist in the achievement of a comfortable and peaceful death. Upholds the standards of confidentiality, attendance and punctuality.

Description: Clinical Care Manager (RN) - Utilization Review Quality Management at Providence Medical Group The Registered Nurse Clinical Case Manager (RNCCM) provides care management and care coordination services for at-risk patients, including patients with complex medical and psychosocial issues. Population-based, chronic care management approaches and application of clinical protocols are integral to the program. This position is a core member of the patient centered medical home (PCMH) teams led by the physician/provider.

Description: Clinical Care Manager (RN) - Utilization Review Quality Management at Providence Medical Group The Registered Nurse Clinical Case Manager (RNCCM) provides care management and care coordination services for at-risk patients, including patients with complex medical and psychosocial issues. Population-based, chronic care management approaches and application of clinical protocols are integral to the program. This position is a core member of the patient centered medical home (PCMH) teams led by the physician/provider.

Description: Clinical Care Manager (RN) - Utilization Review Quality Management at Providence Medical Group The Registered Nurse Clinical Case Manager (RNCCM) provides care management and care coordination services for at-risk patients, including patients with complex medical and psychosocial issues. Population-based, chronic care management approaches and application of clinical protocols are integral to the program. This position is a core member of the patient centered medical home (PCMH) teams led by the physician/provider.

Description: RN Inpatient Case Manager - Ambulatory Cor at Providence Facey Medical Foundation Responsible for utilization review and discharge planning for capitated patients who are hospitalized. The review includes coordination of services for medical necessity, cost effectiveness, timelines of service and ensuring that quality standards are met. Performs coordination of services for patients whose health plan has an at-risk agreement to ensure that services are medically necessary, cost effective, provided in a timely manner and meet local standards or care.

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...