- US Tech Solutions (Richmond, VA)
- …impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility. + Assessments include the member's level of ... conferences for multidisciplinary focus to benefit overall claim management . + Utilizes case management ... and/or discharge planning experience preferred **Position Summary** + Nurse Case Manager is responsible for telephonically… more
- HCA Healthcare (Derry, NH)
- …work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Parkland Medical Center! ... the needs of each. The CM collaborates with the Director and Facility Case Management Director regarding departmental functions. The CM coordinates efforts… more
- HCA Healthcare (Hopewell, VA)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates efforts ... colleagues in their positions. Join our Team as a(an) Case Manager Registered Nurse RN PRN and...as RN years demonstrated leadership experience + Commercial Utilization Management and/or Case Management experience;… more
- Cleveland Clinic (Port Saint Lucie, FL)
- …to helping patients stay on track with their health goals. As an Assistant Nurse Manager in Care Management , you will assist with day-to-day operations, utilize ... clinical expertise and understanding of care management and Medicare regulations, contribute to the goals of...professional nursing. * Current state FL licensure as Registered Nurse (RN). * Professional certification as a Case… more
- Nuvance Health (Poughkeepsie, NY)
- …of the Director, The Nurse Case Manager role provide clinically-based case management to support the delivery of effective and efficient patient care. ... Paces the case from physiological and economic perspectives. Has overall accountability...and economic perspectives. Has overall accountability for the utilization management and transition management for patients within… more
- Gentiva (Allentown, PA)
- …care and hospice to give people the care they need with dignity, grace, and love. **Registered Nurse - RN Case Manager - Hospice - FT - Mon-Fri - Dayshift** **- ... company quality assessment and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart:… more
- St Croix Hospice (Livonia, MI)
- …Job Shift Day Job Category Nurse Description St Croix Hospiceis hiring aRegistered Nurse Case Managerto work out of our branch in Livonia, MI. TheRegistered ... Nurse Case Managerplans, organizes and directs hospice...self-sufficiency and optional comfort care. + Acts as RN Case Manager when assigned by Clinical Supervisor… more
- Roper St. Francis (Mount Pleasant, SC)
- …of healthcare services. The Case Manager MSW integrates the roles of Case Management and Discharge Planning utilizing a prospective approach for planning the ... (required, preferred in VA) Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from… more
- CVS Health (Tallahassee, FL)
- …themselves. In this role, you will assess, plan, implement, and coordinate comprehensive case management activities. Your focus will be to evaluate members' ... CVS Health Aetna has an opportunity for a full-time Case Manager, Registered Nurse (RN). Case...and quality improvement initiatives. + Travel locally for in-person case management activities, as directed by leadership… more
- CVS Health (Christiansburg, VA)
- …And we do it all with heart, each and every day. **Position Summary** Nurse Case Manager is responsible for assessing, planning, implementing and coordinating ... all case management activities with members to evaluate...Services strategies policies and programs are comprised of network management and clinical coverage policies. Through the… more