34 rn utilization review inpatient case manager days jobs found

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...

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...

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.

We are looking for a Registered Nurse II for the Emergency Services Department at Mission Hospital Regional Medical Center. Location: Mission Viejo, CA Work Schedule: Full Time - 80 Biweekly Hours Shift: 12-hour, Evenings Job Summary: The RN independently uses the nursing process to safely, therapeutically and efficiently care for a group of patients. Uses information from a variety of sources to assess, plan, implement, identify outcomes and evaluate patient's plan of care. The Clinical Nurse II oversees the duties and competencies of the healthcare team; these include the performance of nursing assistant duties, and in specified departments basic respiratory, phlebotomy, cardiology, clerical, food service, and environmental services duties as applicable. The Clinical Nurse II will practice in accordance with all regulatory, professional, legal, and hospital policies. Essential Functions CLINICAL PRACTICE: The practitioner is accountable to...

We are looking for a Registered Nurse II for the Emergency Services Department at Mission Hospital Regional Medical Center. Location: Mission Viejo, CA Work Schedule: Full Time - 80 Biweekly Hours Shift: 12-hour, Evenings Job Summary: The RN independently uses the nursing process to safely, therapeutically and efficiently care for a group of patients. Uses information from a variety of sources to assess, plan, implement, identify outcomes and evaluate patient's plan of care. The Clinical Nurse II oversees the duties and competencies of the healthcare team; these include the performance of nursing assistant duties, and in specified departments basic respiratory, phlebotomy, cardiology, clerical, food service, and environmental services duties as applicable. The Clinical Nurse II will practice in accordance with all regulatory, professional, legal, and hospital policies. Essential Functions CLINICAL PRACTICE: The practitioner is accountable to...

Description: RN Care Manager - Care Management at Providence St Vincent Medical Center Fulltime, Days Mon-Fri and every 4th Weekend 8:00 AM 0 4:30 PM We are seeking a Registered Nurse (RN) Care Manager - Care Management that will provide a variety of services to appropriately help progress patients through the continuum of care. Key services include screening for post-acute needs; transition planning; care coordination; education; community care referrals; care planning in accordance with regulatory requirements; collaboration with the continuum care team; ongoing monitoring of plan effectiveness and reassessment of the need for Care Management (CM) services. Proactively develop and implement transition plans in coordination with the patient/family and interdisciplinary team for patients who require care in a non-home setting or those who require in-home services post-hospitalization. Support the interdisciplinary team as needed to develop transition plans for...

Description: RN Quality Management Coordinator - Quality Management And Medical Staff Services at Providence St. Vincent Medical   Center. This is a full-time (1.0 FTE), day shift position. Provides assessment, evaluation and support for all quality initiatives within PHS Oregon. Provides concurrent and retrospective support managing initiatives to comply and in accordance with Center for Medicare and Medicaid requirements, The Joint Commission (TJC) requirements, administrative and program personnel, and third party payors. Actively works with physician leadership, Directors and Managers in the development and implementation of quality efforts, including preparation, risk monitoring and reduction in clinical and non-clinical systems, and coordination of multidisciplinary quality improvement projects. Acts as a facilitator and mentor for Department teams related to performance improvement. Authorizes and makes decisions on recommendations and innovative solutions....

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: 357409 Job Category: Case Management Schedule: Full-time Shift: Day   Description: RN Care Manager - Care Management at Providence St Vincent Medical Center Float position based at St. Vincent Medical Center, with float to Providence Milwaukie, Willamette Falls, and Newberg Medical Centers with advanced scheduling notice. The Registered Nurse (RN) Care Manager - Care Management will provide a variety of services to appropriately help progress patients through the continuum of care. Key services include screening for post-acute needs; transition planning; care coordination; education; community care referrals; care planning in accordance with regulatory requirements; collaboration with the continuum care team; ongoing monitoring of plan effectiveness and reassessment of the need for Care Management (CM) services. Proactively develop and implement transition plans in coordination with the patient/family...

Description: RN Care Manager - Care Management at Providence St Vincent Medical Center Fulltime, Days Mon-Fri and every 4th Weekend 8:00 AM 0 4:30 PM We are seeking a Registered Nurse (RN) Care Manager - Care Management that will provide a variety of services to appropriately help progress patients through the continuum of care. Key services include screening for post-acute needs; transition planning; care coordination; education; community care referrals; care planning in accordance with regulatory requirements; collaboration with the continuum care team; ongoing monitoring of plan effectiveness and reassessment of the need for Care Management (CM) services. Proactively develop and implement transition plans in coordination with the patient/family and interdisciplinary team for patients who require care in a non-home setting or those who require in-home services post-hospitalization. Support the interdisciplinary team as needed to develop transition plans for...

Description: Providence is calling a Care Management Registered Nurse (RN) (0.5 FTE, Day Shift) to the Utilization Review at Providence St. Peter Hospital in Olympia, WA. Apply today! Applicants that meet qualifications will receive a text with some additional questions from our Modern Hire System. $10K 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. We are seeking a compassionate and caring Care Management Registered Nurse (RN) to coordinate the care for complex patients from pre-admission to immediate post-discharge. In a non caregiver capacity, the RN will facilitate coordination and communication between all members of the health care team in the decision making process to minimize fragmentation of the health care delivery system. In this position you will: Demonstrate expertise...

Description: RN Quality Management Coordinator - Quality Management And Medical Staff Services at Providence St. Vincent Medical   Center. This is a full-time (1.0 FTE), day shift position. Provides assessment, evaluation and support for all quality initiatives within PHS Oregon. Provides concurrent and retrospective support managing initiatives to comply and in accordance with Center for Medicare and Medicaid requirements, The Joint Commission (TJC) requirements, administrative and program personnel, and third party payors. Actively works with physician leadership, Directors and Managers in the development and implementation of quality efforts, including preparation, risk monitoring and reduction in clinical and non-clinical systems, and coordination of multidisciplinary quality improvement projects. Acts as a facilitator and mentor for Department teams related to performance improvement. Authorizes and makes decisions on recommendations and innovative solutions....

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...

Posting Description We are looking for an Admissions Coordinator Registered Nurse for Home Health Indirect   at St. Joseph Home Care Network. Location: Santa Rosa, CA Work Schedule: On Call/ Per Diem Shift: 8-hour, Days Job Summary: Implements programs to inform clients of St. Joseph Health, Home Care Services (HCS) capabilities and benefits. Coordinates home health services after patients are referred to assist in the transition from hospital to home and ensure continuity of care between hospital or clinic setting and home. Essential Functions: Assesses referrals for appropriateness for home care to include medical, physical, social, and emotional status, home environment and family's acceptance and ability to care for the patient in the home and determine the need for equipment and supplies. Coordinates home health service needs of referral sources including but not limited to hospitals, clinics, physicians and the community....

We are looking for a Home Health Registered Nurse II   for Home Health Direct   at Home Health Network. Location: Hesperia, CA Work Schedule: Full time - 80 Biweekly Hours Shift: Pay Per Visit Employee Job Summary: The Registered Nurse assesses patients for skilled home health needs, develops and initiates a plan of care with the physician approval and provides nursing care, ordered by the physician to patients in their place of residence. The Registered Nurse continually re-evaluates the patients nursing needs. The Senior Registered Nurse assists in the delivery of clinical orientation, validation of clinical competency for new and current caregivers, and provides new caregiver observation of clinical experiences. The Senior Registered Nurse is able to apply best practices, adult learning principles, coaching and mentoring skills in order to foster the growth and learning of caregivers. Senior Registered Nurses also provide direct patient care for a...

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...

We are looking for a Home Health Registered Nurse II   for Home Health Direct   at Home Health Network. Location: Hesperia, CA Work Schedule: Full time - 80 Biweekly Hours Shift: Pay Per Visit Employee Job Summary: The Registered Nurse assesses patients for skilled home health needs, develops and initiates a plan of care with the physician approval and provides nursing care, ordered by the physician to patients in their place of residence. The Registered Nurse continually re-evaluates the patients nursing needs. The Senior Registered Nurse assists in the delivery of clinical orientation, validation of clinical competency for new and current caregivers, and provides new caregiver observation of clinical experiences. The Senior Registered Nurse is able to apply best practices, adult learning principles, coaching and mentoring skills in order to foster the growth and learning of caregivers. Senior Registered Nurses also provide direct patient care for a...

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...