- Molina Healthcare (Detroit, MI)
- … assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health ... for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially… more
- Tufts Medicine (Boston, MA)
- …with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care ... disciplines to implement plan of care by participation in nursing, physician, and case management reporting rounds. 16. Delegates responsibilities to others with… more
- HCA Healthcare (Tallahassee, FL)
- …psychosocial and medical needs of assigned patients + Develops a case management plan of care to include identified clinical , psychosocial and discharge ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...quality initiatives as it relates to the provision of Case Management Services + Makes appropriate referrals… more
- HCA Healthcare (Portsmouth, NH)
- …Bachelor's Degree in Nursing Preferred 2+ years experience in case management OR 3+ years experience in clinical nursing Required InterQual experience ... colleagues in their positions. Join our Team as a Case Manager Registered Nurse and access programs...balance of optimal care and appropriate resource utilization. Provides case management services for both inpatient and… more
- Bassett Healthcare (Cooperstown, NY)
- …decisions and plan/implement performance improvement strategies related to case management for assigned patients, including fiscal, clinical and patient ... with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost...Registered Professional Nurse , if applying as a nurse , required + Case Management … more
- Henry Ford Health System (Detroit, MI)
- …in Nursing or a Master's degree in Social Work. + Five (5) years of clinical experience. + Case management experience required, including experience in ... programs that are aimed at improving the quality of case management . Provides direction and consultation to...to Case Managers, clerical staff, and departmental management . EDUCATION/EXPERIENCE REQUIRED: + Registered Nurse (RN)… more
- St. Luke's University Health Network (Allentown, PA)
- … Work Queues for Medical Necessity and Late-Pick-Up/Notification that are entered by Case Management and Business Office. + Monitors retro denials to ensure ... level and final decision with revenue impact. + Assists Case Management as necessary to ensure that...EDUCATION: Graduate of an accredited professional nursing program. Registered nurse with current license to practice in the state… more
- Stanford Health Care (Palo Alto, CA)
- …teams, influence and direct the delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure the most ... discharge planning process and applicable regulatory requirements; educates the staff on case management ; and provides specific information related to casetypes.… more
- US Tech Solutions (Hopewell, NJ)
- …+ Referrals sent to encourage member participation and compliance in the case /disease management program efforts. + Documents accurately and comprehensively ... of hospital structures and payment systems. - Requires working knowledge of case /care/disease management principles. + Requires working knowledge of operations… more
- Veterans Affairs, Veterans Health Administration (Walla Walla, WA)
- Summary The Clinical Nurse Coordinator position is located within the Referral Coordination Program (RCP), which is a clinical service under the Chief, Care ... personnel in the transition of veterans through the VA Healthcare system. RCP Clinical Nurse Coordinator will provide quality and performance measures analysis… more