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

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)

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

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

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

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

Heartland Hospice is seeking a Hospice RN Administrator to join their team in Beltsville, MD. This role involves overseeing the day-to-day operations of the assigned hospice location, coordinating patient admissions, arranging ancillary services, and supervising hospice personnel and volunteers. The position requires a commitment to excellence in quality care, continuous quality improvement, and compliance with relevant standards and laws.

Hospice RN Administrator

Nsight Health, Inc. is seeking a Remote Chronic Care Management LVN to conduct comprehensive assessment calls and develop comprehensive care plans for patients. This role involves direct patient care from a home office, offering a flexible remote work arrangement and career growth opportunities. The position requires an active compact LPN/LVN license and a passion for patient care and education.

Chronic Care Management LVN

Join Village Care as a full-time RN- Care Manager, working remotely to provide care and support to members in the greater NYC area. This role involves managing the care needs of a diverse patient population, with a focus on care planning, coordination, and health assessments. The position offers a competitive salary, comprehensive benefits, and the opportunity to make a significant impact on patient well-being.

RN- Care Manager

The Pediatric Case Manager RN at CVS Health supports a population of primarily medically complex pediatric members across various lines of business, focusing on those receiving private duty nursing and nursing facility services. This remote role involves telephonic and face-to-face assessments, planning, implementing, and coordinating care management activities to ensure members' medical and behavioral health needs are met. The position requires advanced clinical judgment, critical thinking skills, and the ability to work collaboratively with members, their care teams, and healthcare providers.

Pediatric Case Manager RN - Orlando, FL

Pediatric Case Manager RN

The RN Care Manager at UNC Health Alliance plays a crucial role in providing comprehensive and coordinated care to patients. This position involves utilizing a variety of skills, including risk segmentation, patient assessments, patient-centered care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare providers, patients, and their families to ensure patients receive the highest quality of care and support throughout their healthcare journey.

RN Care Manager - Health Alliance

RN Care Manager

The Behavioral Health Case Manager, RN at Health Plans Inc is responsible for the coordination of services and cost-effective management of health care resources to meet individual members' health care needs and promote positive health outcomes. This role involves communication with members, physicians, and other health care professionals, telephonic assessment for discharge outreach services, determination of case management outcomes, advocacy for health plan options, and promotion of self-management and self-advocacy among patients.

Behavioral Health Case Manager, RN (Remote)

Behavioral Health Case Manager, RN

Signallamp Health is seeking passionate Registered Nurses to join their team as Chronic Care Managers, working from home to provide compassionate care and guidance to chronically ill patients. This role involves maintaining consistent connections with patients, offering guidance on medication side effects, transportation, and health decisions, and acting as a vital link within the patient's care team. The position offers a flexible schedule, comprehensive benefits, and the opportunity to make a significant impact on patient care.

Nurse Care Manager Telehealth Minnesota

Registered Nurse Chronic Care Manager

The Nurse Case Manager Senior at Elevance Health is responsible for collaborating with healthcare providers and/or consumers to drive personalized health management and improve health outcomes for optimal consumers. This role involves performing care management activities within the scope of licensure for members with complex and chronic care needs, ensuring medically appropriate, high-quality, cost-effective care, and implementing and coordinating a care plan.

Nurse Case Manager SR-1

Nurse Case Manager Senior

The Behavioral Health Case Manager, RN at Health Plans, Inc. is responsible for the coordination of services and cost-effective management of health care resources to meet individual members' health care needs and promote positive health outcomes. This role involves communication with members, physicians, and other health care professionals, telephonic assessment for discharge outreach, determination of case management outcomes, advocacy for health benefit plan options, and ensuring excellent communication among the member, family, and health care team.

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RN Case Manager Hospice Jobs in Frederick, MD Hiring Now

Case Manager RN - Case Management

Case Manager (RN): Nevada, Washoe County

Remote - Case Manager RN - Registered Nurse Complex Cal Mediconnect

Nurse Case Mgr II - Case Management

Nurse Case Manager

Case Management Utilization Review RN - REMOTE - Utilization Review

Hospice RN Administrator

Chronic Care Management LVN

RN- Care Manager

Pediatric Case Manager RN - Orlando, FL

RN Care Manager - Health Alliance

Behavioral Health Case Manager, RN (Remote)

Nurse Care Manager Telehealth Minnesota

Nurse Case Manager SR-1

Behavioral Health Case Manager, RN (Remote)