- Molina Healthcare (Nampa, ID)
- … assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health ... psychosocial wellness, and triggers from the assessment. + Develops and implements a case management plan in collaboration with the member, caregiver, physician… more
- University of Miami (Miami, FL)
- … Educator - Medical Simulation and Education Lab to work in Miami, FL. The Nurse Educator provides clinical education to nursing and patient care staff and ... national standards. + Consults with and serves as a clinical resource for unit management to ensure...community clinical partners, to ensure high quality clinical outcomes. The Simulation Nurse Educator is… more
- HCA Healthcare (Kissimmee, FL)
- …and medical needs of assigned patients. + Develops a case management plan of care to include identified clinical , psychosocial, discharge needs, ... care with a focus on evaluating the appropriateness of clinical care, medical necessity, admission status, level of care,...+ Bachelor's in Nursing + 1+ year of prior case management experience + Registered Nurse… more
- HCA Healthcare (Pensacola, FL)
- …and medical needs of assigned patients. + Develops a case management plan of care to include identified clinical , psychosocial, discharge needs, ... care with a focus on evaluating the appropriateness of clinical care, medical necessity, admission status, level of care,...+ Bachelor's in Nursing + 1+ year of prior case management experience + Registered Nurse… more
- Penn Medicine (Lancaster, PA)
- …and experience required. BSN preferred. + Three 3+ years of rehab case management experience. + Clinical Rehab Nurse experience. + Experience and ... to rehabilitation services. **Preferred Qualifications:** + Certification in Case Management + Certification as a Registered Rehabilitation Nurse preferred +… more
- Veterans Affairs, Veterans Health Administration (Tacoma, WA)
- …services may be added or changed. Preferred Experience: BSN required, MSN preferred Case management or care coordination in an ambulatory care setting Consult ... enabling Veterans to make informed decisions tailored to their clinical needs. The Nurse Manager (NM) is...NM possesses detailed knowledge of the internal referral process, clinical review criteria, utilization management standards, … more
- CVS Health (Salt Lake City, UT)
- …procedures/services or initiate a Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners or vendors to ... feedback, + Actively cross-trains to perform reviews of multiple case types to provide a flexible workforce to meet...clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must… more
- Queen's Health System (Honolulu, HI)
- …administrative and clinical operations of Emergency Department and Inpatient Case Management services. * Develops, implements, monitors and evaluates for ... LICENSURE: * Current Hawaii State license as a Registered Nurse . * Bachelor's degree in Nursing. * Master's degree...experience with at least three (3) years experience in Case Management . * Two (2) years supervisory/leadership… more
- Elevance Health (Chicago, IL)
- …of life through home-care and community based services_ **Title** : **Disease Management Nurse ** **Location:** 700 Broadway Denver, CO 80273 **Virtual** : ... coverage 1/Mth** + **8AM-5PM MST/9AM - 6PM CST/10AM -7PM EST** The **Disease Management Nurse ** is responsible for participating in delivery of patient education… more
- Mount Sinai Health System (New York, NY)
- …EOW The Case Manager (CM) will be responsible for all aspects of case management for an assigned group of inpatients to determine the appropriateness of ... new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve… more