4832 rn case manager inpatient jobs found

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.

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 Inpatient Case Management Coordinator (RN) (Hospital Administration, Day Shift, 1.0 FTE) to Providence ElderPlace in Seattle, Washington. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all – especially those who are poor and vulnerable. $5,000 Sign-on 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. In this position you will: Monitor ElderPlace Administrative System (EPAS) desk top and call sheets to be apprised of PEP participants admitted to the ED and/or hospital inpatient service. Authority for health plan decisions related to areas such as length of stay Collects all pertinent information from Centricity regarding medical condition, care plan, recent...

Description: Providence is calling a Inpatient Case Management Coordinator (RN) (Hospital Administration, Day Shift, 1.0 FTE) to Providence ElderPlace in Seattle, Washington. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all – especially those who are poor and vulnerable. $5,000 Sign-on 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. In this position you will: Monitor ElderPlace Administrative System (EPAS) desk top and call sheets to be apprised of PEP participants admitted to the ED and/or hospital inpatient service. Authority for health plan decisions related to areas such as length of stay Collects all pertinent information from Centricity regarding medical condition, care plan, recent...

Description: Providence is calling a Inpatient Case Management Coordinator (RN) (Hospital Administration, Day Shift, 1.0 FTE) to Providence ElderPlace in Seattle, Washington. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all – especially those who are poor and vulnerable. $5,000 Sign-on 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. In this position you will: Monitor ElderPlace Administrative System (EPAS) desk top and call sheets to be apprised of PEP participants admitted to the ED and/or hospital inpatient service. Authority for health plan decisions related to areas such as length of stay Collects all pertinent information from Centricity regarding medical condition, care plan, recent...

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 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...

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 Home Health and Hospice Aide (NAC) (1.0 FTE, Day Shift) to work in Hospice Snohomish at SCS Hospice in Everett, WA. The Home Health/Hospice Aide provides personal care, assistance with performing activities of daily living and prescribed therapeutic exercises, and basic housekeeping services essential to the comfort and cleanliness of receiving home care or hospice services. These services are specified by a written plan of care that is developed and supervised by a Registered Nurse. In this position you will: Provide direct patient / basic nursing care and simple housekeeping tasks as reflected on the Home Health Aide Plan of Care under the direction and supervision of a Registered Nurse (RN) or other licensed professional: Patient care duties may include: bathing, pericare (with or without indwelling catheter), oral care, and care of skin, hair and finger nails; may also include helping patients to move; turn;...

Description: Providence is calling a Home Health Aide (0.9 FTE, Night Shift) to work in Hospice Inpatient Care Ctr Snoh at SCS Hospice in Everett, WA. The Home Health/Hospice Aide provides personal care, assistance with performing activities of daily living and prescribed therapeutic exercises, and basic housekeeping services essential to the comfort and cleanliness of receiving home care or hospice services. These services are specified by a written plan of care that is developed and supervised by a Registered Nurse. In this position you will: Provide direct patient / basic nursing care and simple housekeeping tasks as reflected on the Home Health Aide Plan of Care under the direction and supervision of a Registered Nurse (RN) or other licensed professional Assist with prescribed exercises which patient and aide have been taught by the Physical, Speech, or Occupational Therapist or Registered Nurse and as described in the Home Health Aide plan of...

Description: Providence is calling a Home Health Aide (0.9 FTE, Night Shift) to work in Hospice Inpatient Care Ctr Snoh at SCS Hospice in Everett, WA. The Home Health/Hospice Aide provides personal care, assistance with performing activities of daily living and prescribed therapeutic exercises, and basic housekeeping services essential to the comfort and cleanliness of receiving home care or hospice services. These services are specified by a written plan of care that is developed and supervised by a Registered Nurse. In this position you will: Provide direct patient / basic nursing care and simple housekeeping tasks as reflected on the Home Health Aide Plan of Care under the direction and supervision of a Registered Nurse (RN) or other licensed professional Assist with prescribed exercises which patient and aide have been taught by the Physical, Speech, or Occupational Therapist or Registered Nurse and as described in the Home Health Aide plan of...

Description: Providence is calling a Home Health Aide (0.9 FTE, Night Shift) to work in Hospice Inpatient Care Ctr Snoh at SCS Hospice in Everett, WA. The Home Health/Hospice Aide provides personal care, assistance with performing activities of daily living and prescribed therapeutic exercises, and basic housekeeping services essential to the comfort and cleanliness of receiving home care or hospice services. These services are specified by a written plan of care that is developed and supervised by a Registered Nurse. In this position you will: Provide direct patient / basic nursing care and simple housekeeping tasks as reflected on the Home Health Aide Plan of Care under the direction and supervision of a Registered Nurse (RN) or other licensed professional Assist with prescribed exercises which patient and aide have been taught by the Physical, Speech, or Occupational Therapist or Registered Nurse and as described in the Home Health Aide plan 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...

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...

ReqID: 358282 Job Category: Nurse Lead/Supervisor/Manager Schedule: Full-time Shift: Day   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...

Description: Providence is calling a Home Health Aide (0.9 FTE, Night Shift) to work in Hospice Inpatient Care Ctr Snoh at SCS Hospice in Everett, WA. The Home Health/Hospice Aide provides personal care, assistance with performing activities of daily living and prescribed therapeutic exercises, and basic housekeeping services essential to the comfort and cleanliness of receiving home care or hospice services. These services are specified by a written plan of care that is developed and supervised by a Registered Nurse. In this position you will: Provide direct patient / basic nursing care and simple housekeeping tasks as reflected on the Home Health Aide Plan of Care under the direction and supervision of a Registered Nurse (RN) or other licensed professional Assist with prescribed exercises which patient and aide have been taught by the Physical, Speech, or Occupational Therapist or Registered Nurse and as described in the Home Health Aide plan of...

ReqID: 306410 Job Category: Case Management Schedule: Full-time Shift: Day   Description: Find what you’re looking for in your career at PacMed as an RN Case Manager (1.0 FTE, Days) to work in Uniformed Services Family Health Plan at Pacific Medical Centers in Seattle, WA. $5,000 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. Applicants that meet qualifications will receive a text with some additional questions from our Modern Hire system. Coordinates care for Pacific Medical Centers' Managed Care patient in order to assure cost effective, appropriate utilization of health care resource. Nurse Case Manager manages, directs, and coordinates the entire spectrum of care for patient throughout a variety of settings, both inpatient...