738 rn manager case management jobs found

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...

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: 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...

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,  ...

Diversity Statement Mass General Brigham Home Care, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community.  We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research. Mass General Brigham Home Care serves patients from rehabilitation after illness or injury, to chronic disease management. We are dedicated to providing the highest quality specialized care designed to meet the patients’ unique needs with the goal of...

Diversity Statement Mass General Brigham Home Care, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community.  We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research. Description Mass General Brigham Home Care serves patients from rehabilitation after illness or injury, to chronic disease management. We are dedicated to providing the highest quality specialized care designed to meet the patients’ unique needs...

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 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 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...

Diversity Statement Mass General Brigham Home Care, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community.  We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research. Mass General Brigham Home Care serves patients from rehabilitation after illness or injury, to chronic disease management. We are dedicated to providing the highest quality specialized care designed to meet the patients’ unique needs with the goal of...

Diversity Statement Mass General Brigham Home Care, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community.  We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research. Mass General Brigham Home Care serves patients from rehabilitation after illness or injury, to chronic disease management. We are dedicated to providing the highest quality specialized care designed to meet the patients’ unique needs with the goal of...

Diversity Statement Mass General Brigham Home Care, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community.  We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research. Mass General Brigham Home Care serves patients from rehabilitation after illness or injury, to chronic disease management. We are dedicated to providing the highest quality specialized care designed to meet the patients’ unique needs with the goal of...

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...