The Medical Case Manager at Crawford & Company is responsible for providing effective case management services in an appropriate, cost-effective manner. This role involves reviewing case records, analyzing data, evaluating medical status, identifying needs and obstacles to resolution, and facilitating return to work. The position requires local field case management travel within the Sacramento, CA region and offers a great work-life balance, monthly bonuses, free continuing education, and license and certification reimbursement.

Medical Case Manager - CA

Medical Case Manager

Wellpath is hosting a Virtual Hiring Event for Registered Nurses (RN) and Licensed Practical Nurses (LPN) in Fayetteville. This event offers an opportunity to learn more about the company, its benefits, and to apply for positions. The event is designed to make it easy for interested candidates to connect with the recruiter and potentially start their career with Wellpath.

Virtual Hiring Event for RN's & LPN's - Fayetteville

Registered Nurse

Vitability Health is seeking a Patient Care Manager to join their team, focusing on providing remote care to patients. This role involves building trusting relationships with patients, utilizing motivational communication to drive health behavior change, and educating patients on managing their medical conditions to avoid emergency room utilization and hospitalization. The position offers a remote work opportunity and the chance to be an integral part in the development of processes and best practices for RPM patients.

Patient Care Manager Spanish speaking

Patient Care Manager

The Registered Nurse - Utilization Review at Ascension St. Vincent's Birmingham is responsible for providing health care services regarding admissions, case management, discharge planning, and utilization review. This role involves reviewing admissions and service requests for medical necessity, providing case management for complex cases, assisting staff with coding, documentation, and reimbursement issues, and overseeing compliance with utilization management rules. The position requires at least 3 years of acute care experience and utilization management experience.

Registered Nurse RN - Utilization Review  PRN

Registered Nurse - Utilization Review

The Clinical Triage Nurse at Sutter Health aids patients in obtaining the correct level of care with the appropriate provider at the right time. This role involves providing advance clinical telephone support to patients, other callers, in-basket and other remote support for physicians, and limited in-clinic support. The nurse uses the nursing process, input from physicians, and Sutter Health's approved telephone nursing guidelines and protocols to maintain highly efficient operations, provide quality care, and ensure positive patient outcomes. Responsibilities include assessing patients' needs, appropriately disposing of cases, collaborating with clinic and hospital-based providers, and performing nursing follow-up activities.

Clinical Triage Nurse - Work From Home

Clinical Triage Nurse

We are seeking a dedicated Chronic Care Manager to provide one-on-one attention via telephone calls to patients with two or more chronic diagnoses. The Chronic Care Manager will collect patient health information to identify risks, provide education, and encourage compliance with treatment. This role involves creating patient-specific Care Plans that outline goals and interventions to implement, monitor, and support the patient's needs as defined by the Primary Care Physician (PCP). The Chronic Care Management (CCM) program aims to support patients and promote the highest level of quality care.

Chronic Care Management

Chronic Care Manager (LPN)

The Medical Management Team Lead, RN at McLaren Health Care is responsible for providing clinical oversight of staff and functions to meet organizational goals in utilization, disease, case, and medical management. This role involves expert knowledge of screening criteria, clinical criteria, and research abilities, independent judgment within the scope of practice, and participation in the medical management of members across all product lines. The position emphasizes member advocacy through education on managed care, disease management, and PCP treatment plans, while also monitoring utilization patterns and collaborating on complex cases.

Medical Management Team Lead, RN, MI - Remote - McLaren Careers

Medical Management Team Lead, RN

As a Registered Nurse at Interim HealthCare, you will provide one-on-one in-home direct patient care according to the provider’s prescribed plan of care. This role involves assessing and documenting patient conditions, administering medication and IV fluids, inspecting and caring for wounds, and collaborating with a multidisciplinary team to ensure exceptional patient outcomes. The position offers competitive pay, benefits, incentives, and the flexibility to maintain a healthy work/life balance.

Registered Nurse (RN) – 1:1 School Setting-$30/hr.

As a Manager Case Management at Guidehealth, you will lead the department in meeting complex care management goals. This role involves managing outreach to patients identified by Blue Cross Blue Shield based on ICD 10 codes, readmissions, and ER visit frequency. Responsibilities include project management, supervision of Case Managers, and working towards meeting Key Performance Indicators around program enrollment. The ideal candidate will have a Registered Nursing Degree and 5+ years of nursing experience in an acute care setting, with care management experience being a plus.

Remote Manager Case Management

Manager Case Management

We are seeking a Registered Nurse Coder to join our team in the healthcare industry, working remotely with EST hours. This role involves working on a COC/SPD project to build out the coding for our benefit plans, utilizing clinical knowledge and coding skills to support project deliverables. The position offers an opportunity to work in a thriving sector and contribute to the team's objectives.

Registered Nurse Coder

Grane Hospice is seeking a passionate, dedicated RN Case Manager to join our team in Altoona, PA. This role involves planning, directing, and delivering safe patient care in the patient's home while supporting their families. The position offers flexibility, autonomy, and the opportunity to grow your nursing skillset in a meaningful way.

RN / REGISTERED NURSE CASE MANAGER - HOSPICE

Registered Nurse Case Manager - Hospice

BAYADA Home Health Care is seeking Registered Nurses (RNs) to provide high-quality home health care to clients of all ages and acuity levels, including those requiring advanced care such as tracheostomy and ventilator management. The role offers a variety of shifts, weekly pay, clinical support, health benefits, paid time off, and opportunities for training and advancement. Interested candidates, including those new to pediatric care, are encouraged to apply for paid training opportunities.

Registered Nurse (RN)

The Pediatric Care Manager, RN at Centene Corporation is responsible for developing, assessing, and facilitating complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes. This includes personalized care plans and education for members and their families. The role involves evaluating member needs, developing care plans, coordinating care, and providing education and support. This is a remote position with local travel required for member visits, and candidates must reside in Broward County, Florida, with a preference for those in Pembroke Pines, Weston, or Dania Beach.

Pediatric Care Manager, RN (ECC)

Pediatric Care Manager, RN

The RN Care Coordinator at Crouse Medical Practice is responsible for coordinating all systems/services required for an organized, multidisciplinary, patient-centered care team approach. This role ensures quality, cost-effective care for the identified patient population by managing the course of treatment in collaboration with physicians, nurses, other staff, and community health care providers. The position involves directing LPN Care Coordinators and participating in Patient Centered Medical Home activities.

Registered Nurse Care Coordinator

The RN Nurse Case Manager I at Elevance Health is responsible for performing care management within the scope of licensure for members with complex and chronic care needs. This includes assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health care across the care continuum. The role is remote but requires residency in the Central region of Virginia.

RN Nurse Case Mgr I

RN Nurse Case Manager I

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Registered Nurse Case Manager Jobs in Bellefonte, PA Hiring Now