- Brighton Health Plan Solutions, LLC (New York, NY)
- …The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers' Compensation and ... other Casualty clients. The Workers' Compensation Nurse Case Reviewer collaborates with medical care...disability services for timely return to work. + Provides case management , utilization review, continued stay reviews,… more
- Mayo Clinic (Phoenix, AZ)
- …ensuring appropriate utilization management , care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within ... outcomes. The RN Case Manager provides leadership through education on case management /utilization management concepts, committee work, research, and… more
- Public Consulting Group (Austin, TX)
- …+ Ability to work independently and on a team. + Proven working experience in case management , including as a nurse , medical, mental health care manager ... + Develops effective working relations and cooperate with medical team throughout the entire case management process + Interacts with patients to keep track of… more
- Actalent (Baltimore, MD)
- …oncology or Med/Surg departments. Work Environment The position involves inpatient case management within the Oncology department. The nurse case manager ... Job Title: Nurse Case Manager Job Description Coordinate...select caseload of patients from triage, care coordination during management , and safe transfer to home. Proactively communicate with… more
- Hackensack Meridian Health (Hackensack, NJ)
- … and PC skills. + Current working knowledge of discharge planning, utilization management , case management , performance improvement, and managed care ... with Nursing. **Education, Knowledge, Skills and Abilities Required:** + Case Manager, Registered Nurse Graduate of a...a minimum of 2 of the 2 years in Case Management in an acute care setting.… more
- CVS Health (Eureka, IL)
- …that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - ... with heart, each and every day. **Position Summary** This Case Manager Registered Nurse position is with...decision-making. Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management … more
- Crouse Hospital (Syracuse, NY)
- … Nurse in New York State + Bachelor's degree + Five (5) years previous case management / discharge planning in an acute care setting or other care continuum ... Manager who is responsible for providing day to day management of the RN Care Managers in the department....experience in a clinical setting + Knowledge of regulatory requirements related to… more
- CenterWell (Pink Hill, NC)
- …As a **Home Health Registered Nurse ** , you will: + Provide admission, case management , and follow-up skilled nursing visits for home health patients. + ... meaningful impact every day as a CenterWell Home Health nurse . You'll provide personalized, one-on-one care that helps patients...Administer on-going care and case management for each patient, provide necessary… more
- WellSpan Health (Lebanon, PA)
- …Care experience. Required + Field of experience in Utilization Management , Case Management , or Clinical Nursing Specialty. Preferred **Licenses:** + ... Performs a variety of duties and applies utilization and case management techniques to determine the most... Nurse Upon Hire Required or + Registered Nurse Multi State License Upon Hire Required and +… more
- UC Health (Cincinnati, OH)
- …not limited to clinical effectiveness, discharge planning, care coordination, and clinical resource management . The Case Manager interacts with Medical, ... The Case Manager utilizes advanced nursing skills and knowledge of resource management and fiscal responsibility to coordinate the clinical care for a… more