5 Case Manager jobs

Position Description We're making a strong connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today! The schedule for this position is Monday - Friday, 3 days per week will be 8am - 5pm and 2 days 11am - 8pm. Opportunity to telecommute / work at home after 6 months if meeting all job goals. Primary Responsibilities: Make outbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self-management Interact with Medical Directors on challenging cases Coordinate...

Position Description We're making a strong connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN with OrthoNet, a non-integrated entity to UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today! The OrthoCare Manager is directly responsible to either the Manager or Director of Medical Management depending upon their job location and program that they are managing, and has the administrative responsibility for the overall direction, utilization, supervision, instruction, and examination of the medical care of the member assigned to them. Primary Responsibilities: You'll enjoy the flexibility to...

Reports To: Health Services Management Supervisor & Manager of Inpatient Utilization Management Primary Function: Under the supervision of the Health Services Management Supervisor and Manager of Inpatient Utilization Management, the Inpatient Review Nurse is responsible for effective, efficient medical management of the population. The Inpatient Review Nurse is responsible for the effective, efficient & proactive completion of all utilization management activities that facilitate the member's movement through the continuum of care. Responsibilities include prospective, concurrent & retrospective reviews of Inpatient, LTAC, SNF & Rehabilitation members in their area of assignment. Medical necessity determinations and appropriateness of setting will be determined based on established policies and approved criteria. Responsibilities: Performs all utilization review activities according to Health Services policy and procedures. Conducts onsite/telephonic...

Piper Clinical Solutions is seeking multiple Remote Nurse Case Manager professionals to support a fast-growing Healthcare Information Technology (HIT) company with ongoing case management and care coordination needs across the ongoing continuum of care for hospital centers, skilled nursing facilities, and complex care outpatient facilities. The Nurse Case Manager will utilize state-of-the-art healthcare technology to provide real-time feedback to medical providers related to appropriate levels of care and patient support. Responsibilities for the Remote Nurse Case Manager: • Collaborate with Medical Centers & Facilities to advocate for their patients, to reach optimal function and health at an appropriate level of care to reduce costs and readmission rates and increase quality of care and patient safety • Utilize proprietary software to track real-time patient data from time of admission through discharge and provide consultation to partner medical facilities...