The RN Care Manager II at AmeriHealth Caritas is responsible for assisting members with care coordination and case management services to achieve their optimal level of health. This role involves engaging members and providers to assess, plan, and establish individual member goals, facilitating and coordinating care while ensuring quality and cost-effective resource use. The position serves as a single point of contact and advocate for members, completing comprehensive assessments, identifying care coordination and case management needs, and implementing appropriate interventions to resolve problems and achieve goals.

RN Care Manager II, Special Needs, BSN (must reside within 30 minutes Philadelphia County, PA)

RN Care Manager II, Special Needs

As a Care Manager (RN) at Fidelis Care - New Jersey, you will evaluate the needs of members, address barriers to accessing appropriate care, and develop care plans in collaboration with providers to ensure the best outcomes. This role involves coordinating care between members, their families/caregivers, and the care provider team, providing resource support, and ensuring compliance with regulators. The position requires residing in Bergen and/or Passaic County, NJ, and offers a comprehensive benefits package.

Care Manager (RN) Bergen and/or Passaic County NJ

Care Manager (RN)

Case Management Nurses coordinate long-term care for their patients, aiming to treat them at optimal times to keep them healthy and out of the hospital. They may specialize in treating specific groups of patients, such as those with HIV/AIDS, cancer, or certain age groups like geriatrics or pediatrics. The role involves researching the latest treatments and procedures and working with insurance companies to ensure patients receive the best possible care in a cost-effective way.

Travel Registered Nurse RN Case Manager

The Case Manager RN at CVS Health is a remote position responsible for utilizing a collaborative process of assessment, planning, facilitation, and advocacy to meet individual's benefit plan and/or health needs. This role involves assessing health status and care coordination needs, inpatient review, discharge planning, developing and implementing case management plans, and monitoring and evaluating the plans. The position requires independent judgment, strong decision-making, interpersonal skills, and the ability to manage multiple priorities.

Case Manager RN - Case Management

Case Manager RN

Alvarez & Marsal is seeking a Case Manager RN to join its Healthcare Industry Group, focusing on clinical management within the newly formed Clinical Support Services business unit. The role involves a major role in the collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for Medicare/Medicaid options and services to meet the comprehensive health needs of each patient and/or family. The position requires great communication skills for engaging members and managing a caseload of 130-140 patients.

Remote - Case Manager RN - Registered Nurse Complex Cal Mediconnect

Molina Healthcare Services is seeking a RN (Registered Nurse) Case Manager for Washoe County, Nevada. This remote position involves assessing, facilitating, planning, and coordinating integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. The role requires excellent computer skills, attention to detail, and virtual office skills for collaboration. Travel in the field to do member visits in the county is required, with mileage reimbursed.

Case Manager (RN): Nevada, Washoe County

Case Manager (RN)

Garden Spring Center, a 173-bed long-term care facility located in Willow Grove, PA, is seeking a Manager Registered Nurse (RN) to oversee resident care in accordance with facility and state standards. This role involves supervising and directing nurse staff, ensuring quality care, promoting patient independence, and maintaining professional and technical knowledge through continuous training.

staff - Manager Registered Nurse (RN) - Skilled Nursing Facility Long Term Care- $95K per year

Manager Registered Nurse

Amedisys is seeking a highly skilled and compassionate registered nurse (RN) for the role of Case Manager in hospice. This full-time position offers a rewarding career in home health and hospice care, with a focus on providing compassionate, patient-centered care in the home setting. The role involves patient assessments, collaborating with the care team to develop and implement care plans, and teaching patients and families appropriate care techniques. Amedisys offers a supportive work environment, better work/life balance, job stability, and the opportunity to make a meaningful impact on patients and their families.

RN Case Manager Hospice - Hospice

RN Case Manager Hospice

This is a full-time remote position at WellGuide Health, LLC, focusing on telephonic case management for members. The role involves collaborating with utilization management nurses and medical directors, working on discharge planning for hospitalized members, providing disease and condition education and management, and working autonomously. The position requires strong communication skills, the ability to multi-task, and a minimum of 3 years of experience in nursing or social work.

Nurse Case Manager

Join Genesis as a Unit Manager/Director - RN, where you will support the Director of Nursing with the delivery of high-quality care while achieving positive clinical outcomes, and patient/resident, family, and employee satisfaction. This role involves leading, guiding, and directing the overall operations, coordination, and direction of nursing and patient/resident care for an assigned nursing unit, ensuring compliance with Genesis HealthCare's mission, vision, values, and standards of practice.

Unit Manager **Registered Nurse**

Unit Manager Registered Nurse

Ennoble Care is seeking a full-time Hospice RN Case Manager to join their team in Philadelphia, PA. The role involves managing an assigned patient caseload, providing skilled nursing assessments, planning, and care to maximize patient and caregiver comfort. The RN Case Manager works under the direction of the Director of Nursing, attending physician, and interdisciplinary group to ensure high-quality care. This position offers a flexible schedule, autonomy, support, and growth opportunities.

Hospice RN Case Manager (Philadelphia)

Hospice RN Case Manager

The Nurse Case Manager II at Elevance Health is responsible for managing care for members with complex and chronic care needs. This includes assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health across the care continuum. The role is virtual and requires a minimum of 5 years of clinical experience, a BA/BS in a health-related field, and current, unrestricted RN licensure in applicable states. Multi-state licensure is required for individuals providing services in multiple states.

Nurse Case Mgr II - Case Management

Nurse Case Manager II

As a Care Manager (RN) at Fidelis Care - New Jersey, you will play a crucial role in transforming the health of our communities by providing person-centered care or services to our members. This position involves identifying and addressing barriers to care, coordinating between members, families, caregivers, and providers, and ensuring members receive adequate and appropriate care. The role requires residing in NJ and involves a mix of telephonic, digital, home, and site outreach to assess member needs and collaborate with resources.

Care Manager (RN) Morris and Somerset County NJ

The Case Management Utilization Review Registered Nurse at Steward Health Care is responsible for documenting medical necessity for inpatient status or placement in observation, communicating with physicians and clinicians, and ensuring timely clinical information is sent to payors for authorization. This role involves coordinating with allied health professionals to ensure quality care and outcomes, developing physician profiles for utilization patterns, and optimizing inpatient length of stay and resource utilization.

Case Management Utilization Review RN - REMOTE - Utilization Review

Case Management Utilization Review Registered Nurse

Jacoby & Meyers is seeking a Case Manager to join their team, offering a full-time, remote position with a focus on interviewing new clients, setting up appointments, and managing cases using the firm's software. The role requires strong organization, communication skills, and the ability to multitask. Training will be provided for the firm's software, and the position offers a supportive culture with opportunities for growth.

Case Manager

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RN Case Manager Jobs in Glendora, NJ Hiring Now