- Highmark Health (Jefferson Hills, PA)
- …BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - ... + Case Management - American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for Case Manager Certification… more
- Arnot Health (Elmira, NY)
- …processes related to the management of patient care . The Case Manager will review all patients for utilization management and appropriate discharge ... Job Description CASE MANAGER - Up to $10,000 Sign...Job Description CASE MANAGER - Up to $10,000 Sign on Bonus for...and participates in them. . The Case Manager tracks and trends LOS , resource utilization… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- Northwell Health (Staten Island, NY)
- …delays and resolves issues with appropriate departments. + Identifies appropriate utilization of Social Work Services and makes referrals when appropriate. + ... + Serves as a resource to the health care team regarding quality, utilization of clinical resources, payer, and reimbursement issues. + Works with on-site screeners… more
- University of Southern California (Los Angeles, CA)
- In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an ... patient populations. The role integrates the functions of complex case management, utilization management, quality management, discharge...care. As more complex medical treatment options emerge the Case Manager will look to eliminate gaps… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management. The Manager leads a team of ... stakeholders, supporting disability claims, and facilitating return-to-work planning. The Manager also escalates high-risk cases, conducts utilization reviews,… more
- Ellis Medicine (Schenectady, NY)
- …patient's required needs and covered services. Support services provided by the Case Manager include, but are not limited to, utilization review, case ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ...inpatient experience in a hospital environment preferred. + Previous case management, utilization review, and discharge planning… more
- Access Dubuque (Dubuque, IA)
- Bilingual RN Case Manager **Cottingham & Butler/ SISCO** 1 Positions ID: 4773630008 Posted On 07/28/2025 Refreshed On 12/12/2025 **Job Overview** **Bilingual RN ... Case Manager ** **Location** : Onsite in Dubuque,...is also available remotely. **Key Responsibilities:** + Provide telephonic case management and utilization review for assigned… more
- Henry Ford Health System (Detroit, MI)
- …to offer. Register today by following this link: qrco.de/bffvep Job Summary: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient care, ... excellent communication skills, and a deep understanding of healthcare systems. The Case Manager -RN will collaborate closely with patients, families, healthcare… more
- HCA Healthcare (Wichita, KS)
- …at Wesley Medical Center have the opportunity to make a real impact. As a(an) RN Case Manager Lead you can be a part of change. **Benefits** Wesley Medical ... positive outcomes for your patients as a (an) RN Case Manager Lead. We want your knowledge... management regulatory guidelines per CMS. + Manages VPro utilization for case management vendors + Assists… more