Molina Healthcare is seeking a Registered Nurse with experience in Hospital Acute Care, Concurrent Review/Utilization Review, and knowledge of Interqual/MCG guidelines for an Inpatient Review Case Manager role. The position requires California licensure and involves working from home with a high degree of scheduling flexibility, including the ability to work weekends and holidays. The role focuses on assessing inpatient services for members to ensure optimum outcomes, cost-effectiveness, and compliance with all state and federal regulations and guidelines.

Inpatient Review (RN) Case Manager, California Pacific Hours

Inpatient Review Case Manager

Haven Homes, a 5-star rated senior care campus, is seeking a full-time Registered Nurse to work in our Transitional Care Unit (TCU). This role involves assessing, planning, implementing, and evaluating care plans for residents, supervising LPNs, TMAs, and Nursing Aides, and administering medications and treatments. The position offers a $10,000 bonus, competitive wages, and a comprehensive benefits package including healthcare, dental, vision, life, disability insurance, 403(b) or 401(k) with employer match, paid time off, and more. The role is based in Maple Plain, MN, and requires a MN RN License.

Registered Nurse (RN)- TCU

Registered Nurse

The On-Call Registered Nurse at St Croix Hospice is responsible for organizing and directing hospice care, with an emphasis on community health education and experience. This role involves available to receive and respond to calls during assigned shifts, completing comprehensive assessments of patients and families, providing professional nursing care, and ensuring continuity of care. The position requires availability for after-hours calls, including nights and weekends, to make visits as needed and complete weekend admissions.

Registered Nurse (RN) - On-Call Nights & Weekends / 7 On & 7 Off

Join the team at Park View Care Center as a full-time or part-time Registered Nurse, where you'll be part of a 5-star rated senior care campus. This role involves providing loving professional care to residents, administering medications, managing supplies and equipment, and documenting care. New graduates are welcome, and the position offers up to a $10,000 bonus for full-time and $7,500 for part-time. Benefits include competitive wages, tuition discounts, paid time off, 403(b) or 401(k) with employer match, healthcare benefits, and more.

Registered Nurse (RN) 10000 Bonus

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

CVS Health is seeking a self-motivated, energetic, and detail-oriented Bilingual Case Manager RN for a full-time remote role with 50-75% travel required for face-to-face visits in Seminole, Orange, Brevard, and Osceola Counties. The role involves telephonic and/or face-to-face assessing, planning, implementing, and coordinating all case management activities with members to evaluate their medical needs and facilitate their overall wellness. The position offers a competitive salary, full benefits, and promotes autonomy through a standard Monday-Friday working schedule.

Bilingual - Case Manager RN - Orange County, FL

Bilingual Case Manager RN

This is a full-time, remote position with field travel required in Essex, Passaic, and Union counties of NJ, offering a hybrid work schedule. The role involves developing, implementing, and supporting health service strategies to deliver quality healthcare to members, requiring advanced clinical judgment and critical thinking skills. Responsibilities include care planning, direct provider collaboration, and effective utilization of resources in a cost-effective manner. Strong assessment, writing, and communication skills are essential.

Field Case Manager RN - Union, Essex, Passaic County NJ

Field Case Manager RN

The Complex Case Manager RN - Oncology at Highmark Health is responsible for overseeing a specified panel of members with varying health status and clinical needs. This role involves assessing health management needs, identifying appropriate clinical interventions, and managing an active case load of members enrolled in case management. The incumbent will conduct outreach, develop care plans, and monitor quality outcomes for the panel. The position requires a high level of clinical judgment, teamwork, and the ability to work with diverse populations.

Complex Case Manager RN - Oncology (Remote)

Complex Case Manager RN - Oncology

Griswold Home Care, Inc is seeking a highly motivated Registered Nurse to join their compassionate team. This part-time role offers flexible hours with the option for full-time, competitive pay, and ongoing education. The role involves preparing and overseeing client care plans, supervising caregivers, and ensuring quality care. This position is ideal for individuals looking for flexibility and the opportunity to make a significant difference in providing quality care.

Registered Nurse - Flexible Scheduling

Lap of Love is seeking a Patient Care Manager to support its Practice Operations department. This role involves overseeing active hospice patients and aftercare services, ensuring consistent quality care for families and veterinary associates. The Patient Care Manager will leverage their veterinary practice management skills to elevate end-of-life care services and lead the hospice care team using a servant leadership style.

Patient Care Manager

The Ambulatory Triage Registered Nurse at Community Health Network functions as a member of the Internal Medicine Care team, conducting duties such as phone triage, patient education, scheduling appointments, prior authorizations, prescription refill, referrals, care coordination, and other related tasks as needed. This role primarily operates remotely from home, with training conducted in Indianapolis, Indiana. The position requires residing in the Indianapolis area or surrounding counties.

Registered Nurse Ambulatory Triage (RN) - Internal Medicine Care - East (PRN)

Registered Nurse Ambulatory Triage

The Clinical Referral Nurse at Sutter Health acts as the in-office clinical liaison, representing the agency via telephone to receive and process referrals for patient care within the regional home health referral management team. This role involves interactions with various referral sources, including hospitals, physicians, and the general public, to ensure timely and consistent admissions. The nurse enters referral information into the Electronic Medical Records (EMR) and creates initial orders to facilitate the start of care. This position requires excellent customer service skills, clinical knowledge, and the ability to work closely with multiple teams to facilitate patient care.

Clinical Referral Nurse

The RN Care Manager at HCA Healthcare is a remote position focused on enhancing the patient and primary care relationship through care delivery. This role involves serving as a subject matter expert in quality and value-based care programs, developing professional relationships with healthcare providers and staff, and assisting in education and workflow processes to meet organizational goals. The position requires a current RN licensure and offers a comprehensive benefits package.

RN Care Manager WFH-Local

RN Care Manager

The Nurse Medical Management I at Elevance Health is responsible for collaborating with healthcare providers and members to promote quality member outcomes, optimize member benefits, and promote effective use of resources. This role involves conducting pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews, ensuring compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. The position also includes consulting with clinical reviewers and/or medical directors to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process.

Nurse Medical Management I

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Registered Nurse Case Manager Jobs in Big Lake, MN Hiring Now