LPN Case Manager: Care Coordination & Utilization Review
MedStar Health Corporate Office
MedStar Health is seeking an LPN Case Manager to support the Care Management Department. The role focuses on coordinating and promoting quality, cost‑effective care for patients. You will review cases, obtain necessary clinical information, and ensure timely documentation in the system. Ideal candidates have 1–2 years of utilization review and 3–4 years of diverse clinical experience, with a Maryland/DC LPN license. #J-18808-Ljbffr MedStar Health
- MedStar Health is seeking an LPN Case Manager to support the Care Management Department, coordinating quality, cost-effective care... .... The role involves clinical review, referrals, and ensuring compliance... ...in Maryland or DC and have utilization review experience plus...Suggested
- ...Health’s Washington Hospital Center is seeking an experienced LPN Case Manager to support the Care Management Department by coordinating quality, cost-effective care. The role requires 1-2 years utilization review experience and 3-4 years diverse clinical experience; valid...Suggested
- Luminis Health in Lanham, MD seeks a Utilization Review/Case Manager for the Partial Hospitalization Program. The role involves coordinating utilization reviews, obtaining clinical documentation... ..., and interfacing with managed care to ensure appropriate patient placement...SuggestedFull time
- Luminis Health in Bowie, MD, is seeking a Utilization Review/Case Manager for the Partial Hospitalization Program. The role performs concurrent... ...for review and optimal patient placement. In coordination with managed care and external payors, you will ensure appropriate...Suggested
$81.97k - $122.95k
Luminis Health Title: Utilization Review/Case Manager-Partial Hospitalization Program Department: Lanham Partial Hospitalization Reports To: Director... ...optimal patient placement. Maintains contact with Managed Care and other third party payors to assure appropriate case...SuggestedFull time- ...Hospital in Washington, DC is seeking a Case Manager Hybrid I/II to lead discharge planning and utilization review for complex pediatric patients, coordinating with interdisciplinary teams to ensure a high-quality, efficient care experience. The role emphasizes collaborating...
- Luminis Health in Lanham, MD seeks an experienced Utilization Review/Case Manager for the Partial Hospitalization Program. You will perform and monitor integrated utilization review and case referrals with clinical staff to assure appropriate patient placement. Requirements...
- ...Recovery Hospital Case Manager (PRN) Requires a current... ...in critical care setting required. Previous... ...is responsible for utilization reviews and resource management... ...relationships and coordinate with payor sources to... ...either as a Nurse (RN /LPN/ LVN) or a Respiratory...ReliefShift workWeekday work
$64.4k - $79.86k
...Below!!** Service Coordination, Inc. is looking for... ...*finally* be taken care of to the same degree... ...education, relevant case management experience and relevant... ...Town Halls and Annual Reviews Our roots at SCI... ...Meet performance utilization benchmark to ensure compliance...Temporary workH1bLive inWork at officeLocal areaShift work$23.18 - $25 per hour
.... Our Process Is Simple. Review the vacancy announcements... ...inquiries. Family Services Case Manager - Adult Services Coordinator SOME (So Others Might Eat... ...case management services utilizing the strength-based... ...to evaluate the level of care and implement service appropriately...Hourly payImmediate start- BridgePoint Continuing Care Hospital - Capitol... ..., DC Hospital Case Manager - Be the Heart of... ...performance reviews and competitive bi... ...the RN Case Manager coordinates the management of... ...and ensures optimum utilization of resources, service... ...Nurse - RN, LPN or LCSW in the District...Hourly payDaily paidFull timePart timeReliefShift workDay shift
$82k - $100k
...Description Job title - Nursing Care Coordinator (RN or LPN) Location - Renton Clinic... ...patient education. Utilize verbal and physical de-escalation techniques to manage behaviorally escalated/... ...~ Participate in audits and reviews to ensure compliance and quality...Full timeWork at officeLocal areaMonday to FridayFlexible hoursShift work- Optum seeks an RN Utilization Manager to lead the DSNP clinical team in Washington, DC, coordinating HCBS reviews and care planning for members in home-based settings. You will partner with medical directors, providers, and plans to ensure high-quality utilization outcomes...Work from home
- ...Readmissions Reduction Hospital Coordinator is responsible for the... .... Additionally, managing the administrative/... ...program. Further, serves as case manager for clients... ...and Mindoula to ensure care coordination services are... ...through interviews and review of records, making reasonable...Work at officeLocal areaImmediate startWork from home
- ...seeking an experienced Registered Nurse Case Manager 1 for our Medical Units. This full-... ...You will lead discharge planning and coordinate care across acute and post-acute settings,... ...optimize patient outcomes and manage utilization efficiently. #J-18808-Ljbffr Inova Health...Full timeWeekday work
$87.17k - $145.27k
...Case Manager II Kids Are Our Everything. Pay Range... ..., compassionate care by supporting patients... ...teams to ensure seamless coordination of services, while... ...project development, utilization management, clinical... ...Provide clinical reviews to third party payers...For contractorsWork experience placementMonday to FridayWeekend work- ...Job Description Case Manager Career Opportunity Recognized... ...between exceptional care and the transformative... .... Manage resources, coordinate patient care from... ...department operations. Review/analyze case... .... Participate in utilization review process: data collection...Full timeContract workPart timeFlexible hours
- MedStar Health is seeking a Field RN Case Manager to oversee comprehensive care coordination for DC enrollees, integrating physical and behavioral health, social... ...and community resources, and responsibility for utilization management, referrals, and ensuring person-...
- ...assistance and housing-focused case management, rooted in trauma-informed care, strengths-based,... ...trauma-informed counseling, utilizing motivational... ...referrals to provide and coordinate mental health and substance... ...statistics as necessary. Review client files to ensure adherence...Full timeTemporary workWork experience placementImmediate startFlexible hoursAfternoon shift
$64.4k - $79.86k
...Below!!** Service Coordination, Inc. is looking for... ...to *finally* be taken care of to the same degree... ...education, relevant case management experience and relevant... ...Halls and Annual Reviews Our roots at SCI extend... ...Meets performance utilization benchmark to ensure compliance...Temporary workH1bLive inWork at officeLocal areaWork from homeShift work$35 - $50 per hour
...Case Manager - 0.4 FTE - Day - DCMC The Case Manager works... ...the clinical director of care management, providing coordination of care for patients at Luminis... ...across the continuum. Utilizing a collaborative process,... ...submit appropriate denial review for Medicare, Medicaid...Full time- ...Description TITLE: Case Manager / Discharge... ...Providing compassion and care isn’t just our profession... ...Case Manager / Discharge Coordinator plays a central role in... ...and goals. Develop, review, and update... ...system. Monitor service utilization, client engagement, and...Work at office
$28.27 per week
...Everett New Start Center Case Manager STATUS: Regular... ...knowledge and training in the care of clients with aging... ...skills, ability to utilize databases, and complex... ...as assigned and coordinates in-house training for... ...and performing periodic review of case files, case notes...Hourly payPermanent employmentFull timeContract workTemporary workLocal areaShift work$31.64 per hour
...in Seattle, WA. The Case Manager for the Bills Bed/Unified Care Team program will provide... ...training as assigned and coordinate in-house training for... ...appropriate team behavior and utilizing opportunities to promote... ...performing the periodic review of case files, case...Full timeContract workTemporary workMonday to FridayShift work$21.4 - $30.6 per hour
...Full time 20185871 What Individualized Care contributes to Cardinal Health... ...unusual problems Accountabilities The Case Manager supports patient access to therapy through... ...initiating prior authorization and step therapy reviews, proactively following up with various...Hourly payFull timeTemporary workWork experience placementLocal areaImmediate startRemote workMonday to FridayFlexible hoursShift work- Luminis Health in Lanham, MD is seeking a Case Manager to coordinate patient care across the continuum under the clinical director of care management. You will assess, plan, implement and evaluate options and services to meet health needs, including social determinants,...
- ...is seeking a Social Worker at Virginia Hospital Center’s UR-Discharge Planning department in Arlington. The role involves coordinating with the care team to ensure appropriate, cost-effective services aligned with each member’s plan of care and goals for independence...Work experience placement
- MedStar Health is seeking an LMSW/LGSW Inpatient Case Manager at Washington Hospital Center to coordinate comprehensive, patient-centered discharge planning across the hospital stay. You will collaborate with a multidisciplinary team, conduct psychosocial assessments,...
- ...is seeking a social work professional focused on discharge planning and case management for pediatric inpatients at Children's Hospital Washington DC. The role requires coordination with the care team to ensure appropriate, cost-effective services and adherence to care...
- Promethean Consulting Inc. seeks a Case Manager to join the HIV Clinical Care Team, manage a caseload, perform assessments, and submit encounter notes.... ...intake and screening, develop comprehensive care plans, coordinate services, monitor medications, and maintain full...
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