Case manager rn jobs | MotherWorks

Mar 30, 2023

Case Manager RN - Remote- Must reside in OK

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. If you are located in Oklahoma City OK, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Making outbound calls to assess members' current health status Visiting members in the hospital to prepare for transition home (varies by market) Identifying gaps or barriers in treatment plans Providing patient education to assist with self-management...

UnitedHealth Group Remote * (Oklahoma City, OK, USA)

Mar 30, 2023

Remote RN Care/Case Manager - $10K Sign On Bonus - Corpus Christi - Transition Care Nurse

Description At Conviva Care Solutions, we want to inspire people to live their best healthy life. Conviva Care Solutions is a management services organization representing nearly 300 physician practices, 800 clinicians, and 300,000 patients across the states of Florida and Texas. We need people with a passion for helping others and making change happen. We don't want to be like everyone else in the industry - we want to be better. And we're looking for talent that wants to grow, be challenged and inspired to help make that happen. Responsibilities Role The Case Manager/Transition Care Nurse will work alongside providers and staff to assess discharge care coordination needs of patients, make telephonic follow up calls and coordinate services for identified members who have acute and long term chronic conditions and/or needs. The RN will also work with members that have been discharged from acute facilities to facilitate care post discharge. The RN will be an integral...

Humana Remote * (USA)

MH

Mar 29, 2023

Case Manager - Behavioral Health/RN, Licensed in CA, Remote

Seeking California independent licensed RN or behavioral health professionals to provide case management services with our members with some of the most complex/condition management and behavioral health needs. E xperience with telephonic case management programs and Motivational Interviewing skills are preferred. Must be licensed in CA. This is a remote position. Bilingual /Spanish is a plus and CCM is a plus! This position is responsible for the assessment, reassessment, care planning and coordination of care and services for Members enrolled in the case management program. Includes ongoing monitoring of an appropriate and effective person centered care plan, member education and care coordination. Regularly communicates with the member’s PCP and other providers, and integrates the member, caregiver and other provider feedback into the assessment and planning. Maintains a caseload of members enrolled in the case management program, including risk stratification of...

Magellan Health San Diego, CA, USA

Mar 20, 2023

RN Care Manager - Ambulatory Care Coordination, Hybrid-Remote

Description As an RN Care Manager, you will function as a clinician, advocate, and educator to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization. The RN Care Manager utilizes clinical expertise and understanding of care management, CMS and NCQA regulatory requirements, quality measures of care, and provides safe and appropriate patient transitions across different levels of care. The RN Care Manager develops person-centered care goals, identifies barriers to health and implements interventions to meet patient goals through development of an individualized care plan with emphasis on promoting patient self -management and family responsibility. The RN Care Manager identifies and ranks relative importance and urgency of potential problems and plans contingencies. Accepts ownership of problems and willingly engages in the problem solving process, as an individual and as a group member. They maintain a positive...

UCLA Health Los Angeles, CA, USA

Mar 30, 2023

Lead, Nurse Case Manager - Remote

Careers at Landmark , part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and whenever they need it. We focus on doing what's right for the people we serve, even when it's not easy. This is your opportunity to be part of a compassionate team that is setting out to change health care for complex, chronic patients. We're looking for driven people like you because changing the status quo takes dedication. Here, we'll invest in your personal and professional growth while giving you a unique opportunity to make a difference. Helping people feel their best is a rewarding part of doing your life's best work.(sm) Do you want to make a difference in healthcare? Landmark Health was created to transform how healthcare is delivered to the most medically vulnerable members in our community.Our medical group provides home-based medical care to chronically ill...

UnitedHealth Group Remote * (Saginaw, MI, USA)

Mar 30, 2023

Hospital Inpatient Coder II - Remote position

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Job Type: Regular Scheduled Hours: 40 Work Shift: Day (United States of America) Under the direction of the Hospital Coding Manager or Supervisor, and exercising independent judgment within the scope of the job, the Hospital Inpatient Coder II assigns applicable ICD-10 Codes, Present on Admission (POA), Hospital Acquired Condition (HAC), and Patient Safety Indicators (PSI) using current industry standards, the Official Coding Guidelines, Coding Clinic, UHDDS and regulatory requirements. Ensures the integrity and quality of patient data to achieve minimal variation in coding practices; assigns codes only as supported by physician/licensed independent practitioner (LIP) documentation within the body of the medical record. Applies in-depth knowledge of medical terminology and anatomy and physiology specific to coding. This is a remote position. Job Description:...

Beth Israel Lahey Health Remote * (Burlington, VT, USA)

Mar 30, 2023

Registered Nurse (Hybrid Remote in Bronx, NY)

Job Introduction: Maximus is currently hiring hybrid remote Registered Nurse (RN) UAS-Assessors to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting UAS assessments to determine eligibility for community-based long-term services. The Nurse will bring robust qualifications and a strong desire to contribute their knowledge and expertise to a meaningful program. This position is the front line ensuring consistent and accurate assessment are completed in a telehealth or in-home setting. What you will receive: Salary ranges from $95,000 - $100,000 based on experience Competitive health benefits and 401k Flexible scheduling options The opportunity to work from home in a telehealth capacity or at in-home settings as necessary Satisfaction in being able to assist New York residents with receiving a better quality of living through the NYIA program Education and Experience Requirements:...

Maximus NY, USA

Mar 30, 2023

Registered Nurse (Hybrid Remote in Manhattan, NY)

Job Introduction: Maximus is currently hiring hybrid remote Registered Nurse (RN) UAS-Assessors to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting UAS assessments to determine eligibility for community-based long-term services. The Nurse will bring robust qualifications and a strong desire to contribute their knowledge and expertise to a meaningful program. This position is the front line ensuring consistent and accurate assessment are completed in a telehealth or in-home setting. What you will receive: Salary ranges from $95,000 - $100,000 based on experience Competitive health benefits and 401k Flexible scheduling options The opportunity to work from home in a telehealth capacity or at in-home settings as necessary Satisfaction in being able to assist New York residents with receiving a better quality of living through the NYIA program Education and Experience Requirements:...

Maximus New York, NY, USA

Mar 30, 2023

Registered Nurse (Hybrid Remote in Brooklyn, NY)

Job Introduction: Maximus is currently hiring hybrid remote Registered Nurse (RN) UAS-Assessors to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting UAS assessments to determine eligibility for community-based long-term services. The Nurse will bring robust qualifications and a strong desire to contribute their knowledge and expertise to a meaningful program. This position is the front line ensuring consistent and accurate assessment are completed in a telehealth or in-home setting. What you will receive: Salary ranges from $95,000 - $100,000 based on experience Competitive health benefits and 401k Flexible scheduling options The opportunity to work from home in a telehealth capacity or at in-home settings as necessary Satisfaction in being able to assist New York residents with receiving a better quality of living through the NYIA program Education and Experience Requirements:...

Maximus NY, USA

Mar 30, 2023

Lead Registered Nurse (Hybrid Remote-Brooklyn, New York)

Job Introduction: Maximus is currently seeking a Lead Registered Nurse to provide outstanding home assessment services to vulnerable populations and meet position qualifications to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services. In this role, the nurse will have the opportunity to conduct home assessments and develop leadership skills by supporting the Regional Nurse Manager and a team of Nurse Assessors. * This position is remote and will support a regional area in New York State. The position requires attending and conducting assessments in consumer homes or through a telehealth modality. About the position If you are passionate about providing outstanding home assessment services to vulnerable populations and meet position qualifications, then we are excited to meet you! In this role, you’ll have the...

Maximus NY, USA

Mar 30, 2023

Lead Registered Nurse (Hybrid Remote-Manhattan, New York)

Job Introduction: Maximus is currently seeking a Lead Registered Nurse to provide outstanding home assessment services to vulnerable populations and meet position qualifications to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services. In this role, the nurse will have the opportunity to conduct home assessments and develop leadership skills by supporting the Regional Nurse Manager and a team of Nurse Assessors. * This position is remote and will support a regional area in New York State. The position requires attending and conducting assessments in consumer homes or through a telehealth modality. About the position If you are passionate about providing outstanding home assessment services to vulnerable populations and meet position qualifications, then we are excited to meet you! In this role, you’ll have the...

Maximus New York, NY, USA

Mar 30, 2023

Lead Registered Nurse (Hybrid Remote-Bronx, New York)

Job Introduction: Maximus is currently seeking a Lead Registered Nurse to provide outstanding home assessment services to vulnerable populations and meet position qualifications to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services. In this role, the nurse will have the opportunity to conduct home assessments and develop leadership skills by supporting the Regional Nurse Manager and a team of Nurse Assessors. * This position is remote and will support a regional area in New York State. The position requires attending and conducting assessments in consumer homes or through a telehealth modality. About the position If you are passionate about providing outstanding home assessment services to vulnerable populations and meet position qualifications, then we are excited to meet you! In this role, you’ll have the...

Maximus NY, USA

Mar 30, 2023

Registered Nurse (Hybrid Remote in Staten Island, NY)

Job Introduction: Maximus is currently hiring hybrid remote Registered Nurse (RN) UAS-Assessors to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting UAS assessments to determine eligibility for community-based long-term services. The Nurse will bring robust qualifications and a strong desire to contribute their knowledge and expertise to a meaningful program. This position is the front line ensuring consistent and accurate assessment are completed in a telehealth or in-home setting. What you will receive: Salary ranges from $95,000 - $100,000 per year based on experience Competitive health benefits and 401k Flexible scheduling options The opportunity to work from home in a telehealth capacity or at in-home settings as necessary Satisfaction in being able to assist New York residents with receiving a better quality of living through the NYIA program Education and Experience...

Maximus NY, USA

BS

Mar 30, 2023

Member Care Coordinator - Start remote, benefits from day 1!

The Opportunity Description We're looking for a Member Care Coordinator - Start remote, benefits from day 1! , working in the Healthcare Systems & Services industry in Downers Grove, Illinois, United States . Manage home health assessments and system updates. Perform outreach and follow up attempts to members on their health care plan. Build relationships with members to encourage compliance with care plans and to alert the Case Manager quickly when issues arise. Inform and educate members on their program, may use supplied scripts. Complete records in system by performing data entry. Encourage member usage of our programs, including arranging appointments and additional member services (e.g., transportation). Generate appropriate correspondence and send to member manually, electronically, or telephonically. Conduct check-ins with members to review individual care plan goals. Maintain production requirements based on established department business needs....

Bluestone Staffing Solutions Downers Grove, IL, USA

TU

Mar 30, 2023

PHSO Care Manager - Hybrid Remote

Join the Population Health Service Organization (PHSO)! We are currently hiring for a Care Manager. - The ideal candidate for this role will have pediatric Care Management experience. - Care Management experience is required, CCM highly preferred. - This is a hybrid remote position, requiring remote and in-office work supporting Central Vermont Medical Center (CVMC) Pediatric Primary Care in Berlin, VT . JOB DESCRIPTION: Coordinates the care and services of selected patient populations across the continuum of illness; promotes effective utilization and monitoring of health care resources; and assumes a role with the interdisciplinary teams to achieve optimal patient-centered, clinical and resource outcomes. Proactively identifies and intervenes to address barriers to treatment, health, wellness, prevention, improvement and outcomes. Serves as an important link between the patient, the healthcare teams, the payers and the community. Actively participates in...

The University of Vermont Health Network Burlington, VT, USA

Mar 22, 2023

Utilization Management RN - Remote Hybrid Float - Regular Part Time

Utilizing a collaborative process, the Utilization Analyst (UA) will assess, plan, monitor and evaluate all pertinent clinical, psycho-social, and medical information and criteria (Interqual) to assist in determination of the initial and concurrent plan of care for all patients presenting to CMC for intervention. The UA will ensure the utilization of appropriate and timely intervention being the steward of resources for all populations. Conducts a thorough assessment utilizing approved criteria, protocols, pertinent information available through Plan of Care (POC), patient demographics, Interqual criteria, multidisciplinary rounds (MDRs), consultations, and payor source. Applies approved criteria, protocols, UM acuity criteria, to monitor ongoing appropriateness of admission, level of care (LOC), and ongoing stay. Documents assessment based on department and criteria standards. Monitors length of stay (LOS) and ancillary resource use on an ongoing basis. Takes action to achieve...

Carilion Clinic Roanoke, VA, USA

MH

Mar 22, 2023

Manager Clinical Services - PA Licensed, Remote in PA area

This position requires PA State licensure and is a remote position in PA or NJ area, just need to be available to attend in person meetings at times. Responsible for the management, direct supervision and coordination of clinical and/or nonclinical management staff, including utilization management and intensive care management staff, providing expertise in designated programs. Assists clinical management in the development and on-going management of designated staff. Performs care management review activities consistent with Magellan policies, procedures, and standards. Conducts recruitment, interviewing, and selection of properly qualified staff members and ensures appropriate orientation is provided. Regularly monitors the performance of care management staff. Monitors adherence to the efficiency goals for all staff including case volume, case closure rates, average handle time and other metrics. Supervises care management staff through approved audit processes...

Magellan Health Newtown, PA, USA

University of Mississippi Medical Center

Feb 19, 2023

RN-Utilization Review Remote

Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application. You can only apply one time to a job requisition. Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted. After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the large...

University of Mississippi Medical Center

Mar 30, 2023

RN Care Manager - Gulfport MS - Hybrid (in-clinic and remote/WAH)

Description The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Responsibilities The Field Care Manager Nurse 2 employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. May create member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes...

Humana Remote * (Gulfport, MS, USA)

Mar 30, 2023

Acelis Connected Health/Trainer/RN/Per-Diem/Possible Work from Home- Ann Arbor, Kalamazoo, MI

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries. About Abbott Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 103,000 colleagues serve people in more than 160 countries. Abbott's Diagnostics family of businesses, bringing together exceptional teams of experts and industry leading technologies. In this role, you will provide personalized Face-2-Face training to Acelis Connected Health's home testing customers on obtaining a finger stick blood...

Abbott Laboratories Remote * (Grand Rapids, MI, USA)

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