HEDIS Nurse Case Manager: Chart Review & Care Coordination
$25 - $28 per hourHealthCare Support
A national healthcare recruiting firm is seeking a qualified professional for a role involving extensive chart reviewing. Candidates should possess recent experience in Case Management and HEDIS, along with a minimum of 2 years as an LPN or RN. A valid nursing license in Florida is needed, along with a valid driver's license and reliable transportation. This position offers a competitive salary ranging from $25 to $28 per hour based on certification and experience, alongside excellent medical benefits including dental, vision, 401k, and PTO. #J-18808-Ljbffr
$25 - $28 per hour
...rewarding career! Job Description Extensive chart reviewing Qualifications Candidates should have recent Case Management and HEDIS experience with extensive chart review... ...years experience as a LPN or a RN Valid/clear nursing license in the state of FL Valid driver’s license...HEDISPrivate practiceMonday to Friday- ...Expedition The Medical Case Manager is a Licensed Practical Nurse or a Registered Nurse... ...of securing and reviewing clinical data in order... ...that there is coordination and delegation of care between all providers... ...and / or denials. Chart Your Course Collects...SuggestedTemporary workInternshipWork at officeLocal areaImmediate startWork from home2 days per week3 days per week
$70.56k - $105.84k
...Elevance Health is seeking a Nurse Case Manager I to manage care for members with complex health needs. The role involves assessing, developing, implementing, and coordinating care plans, primarily through telephonic means. Candidates must hold a BA/BS in a health-related...SuggestedRemote work- ...or staff position, please review this tip sheet . The Case Manager RN coordinates the overall interdisciplinary plan of care for patients, from... ...plan of care regularly by chart review and patient interviews... ...an accredited school of nursing, Bachelor’s degree (BSN)....SuggestedDaily paidTemporary workPart timeWorldwide
- ...employer of Registered Nurses, we’re honored by the... ...supporting safe, high-quality care for which they can... ...As a Case Manager, your role will be to... ...care journey. You will coordinate services, connect resources... ...Talent Acquisition team is reviewing applications for our Registered...SuggestedTemporary workFlexible hours
- ...communities. As a(an) Registered Nurse Case Manager with HCA Florida Aventura Hospital... ...families through every step of their care journey. You will coordinate services, connect resources, and... ...organization that invests in you! We are reviewing applications for our Registered...Temporary workFlexible hours
- ...Case Manager Career Opportunity Clinical License Required... ...link between exceptional care and the transformative... .... Manage resources, coordinate patient care from... ...department operations. Review/analyze case management... ...Minimum Qualifications: For Nursing, must possess a...Full timeContract workPart timeFlexible hours
- ...The Elevance Health Companies, Inc. is looking for a Nurse Case Manager I to perform remote care management for members with complex needs. The position requires a current RN license and offers the flexibility of remote work, although candidates must travel as needed....Remote work
- ...Nurse Case Manager I Location: This role enables associates to work virtually... ...responsible for performing care management within the scope... ..., developing, implementing, coordinating, monitoring, and evaluating... ...under Florida law should review the education and awareness...Full timeTemporary workWork at officeLocal areaImmediate startFlexible hours1 day per week
- ...patient- and family-centered care that exceeds all... ...below. Summary: The RN Case Manager coordinates the care and service of patient... ...discharge.Performs ongoing chart review to identify actual or potential... ...: Accredited Program: Nursing (Required)BLS American...Daily paidWork experience placementShift work
- ## Case Manager Registered Nurse - Full TimeApplyremote type: On-Sitelocations... ...position, please review this tip sheet.# ****... ...*The Case Manager RN coordinates the overall interdisciplinary plan of care for patients, from... ...of care regularly by chart review and patient interviews...Full timeTemporary workWorldwide
$79.46k - $119.2k
...Telephonic Nurse Case Manager II Location: This role enables associates... ...Manager II is responsible for care management within the scope... ..., developing, implementing, coordinating, monitoring, and evaluating... ...quickly. Ability to manage, review and respond to emails/...Full timeTemporary workWork experience placementWork at officeLocal areaMonday to FridayAfternoon shift1 day per week- ...staff position, please review this tip sheet ( .... ...UHealth Tower The Case Manager RN coordinates the overall interdisciplinary plan of care for patients, from admission... ...of care regularly by chart review and patient... ...accredited school of nursing, Bachelor’s degree (BSN...Full timeTemporary workWorldwide
$25 - $27 per hour
...for a talented Care Navigator (... ...Remote). Please review the job... ...engaged in care management. Assessment &... ...evolve Care Coordination Connect members... ...and close HEDIS care gaps to... ...phone call and chart audits 90% monthly... ...Practical Nurse" Fast learner... ...working in case management or...HEDISContract workWork at officeLocal areaImmediate startRemote workMonday to Friday- ...LTSS Service Coordinator (Bilingual in Spanish/English)... ...in interdisciplinary care rounds to support development... ...support and overall management of the individuals... ...coordinates those member’s cases (serving as the single... ...Florida law should review the education and...Contract workTemporary workWork at officeLocal areaMonday to Friday1 day per week
- ...Case Manager RN The Case Manager RN coordinates the overall interdisciplinary plan of care for patients, from admission to discharge. Monitors... ...of care regularly by chart review and patient interviews, as... ...an accredited school of nursing, Bachelor's degree (BSN)....Full timeWorldwide
- ...high-quality health care. Since 1949, Mount... ...& Preventive Management (WPM) Program, focusing on HEDIS measures, Annual Wellness... ...is responsible for reviewing medical records,... ...Appointments, and other Care Coordination tasks. Reviews... ...flags patient’s charts with the missing...HEDIS
- Position Overview LTSS Service Coordinator - Case Manager (RegionF: Lee/Sarasota County) Bilingual in Spanish... ..., participate in interdisciplinary care rounds, and coordinate care plans that... ...be screened under Florida law should review the education and awareness resources...Temporary workWork at officeLocal areaMonday to Friday1 day per week
$30 - $35 per hour
...Overview LPN Care Coordinator role at The MedElite Group in Hollywood... ...directly to residents in skilled nursing and long-term care... ...with MedElite Healthcare Management Group empowers us to focus... ...Practical Nurse to assist with reviewing patient charts. You will review patient...Hourly payFull timeWork at office$30.75 - $33 per hour
...LPN Care Coordinator (BHI) Hollywood, FL LPN Care Coordinator... ...in skilled nursing and long-term care facilities... ...MedElite Healthcare Management Group empowers us to... ...to assist with reviewing patient's charts. You will review... ...emotional needs Provide case management services...Full timeWork at office- ...highest quality in-home care services that improve... ...As a Utilization Management Nurse, you will ensure that... ...compliance. By continuously reviewing and auditing patient... ...medical necessity Coordinates patient care needs with... ...Utilization Management or Case Management...Full timeTemporary work
- ...Clinical Reviewer Nurse IHCS provides an Integrated Delivery... ...quality in-home care services that improve... ...As a Utilization Management Nurse, you will ensure... ...medical necessity Coordinates patient care needs with... ...Utilization Management or Case Management certification...Full timeTemporary work
- ...building the best primary care environment for... ...treatment, and overall care coordination for patients. This... ...laboratory requisitions, and manage specimen collection... ...setup and chart reviews. Reconcile medications... ...documenting and assisting with HEDIS measures (PHQ-9, COA,...HEDISTemporary workWork at office
- Job Title LTSS Service Coordinator - Case Manager (Region A: Bay/Escambia/Santa Rosa) Schedule Monday-Friday... ...directors and interdisciplinary care teams, and managing the individual's physical... ...be screened under Florida law should review the education and awareness resources...Contract workTemporary workWork at officeLocal areaMonday to Friday
- ...Graduate or Registered Nurse (preferred) CCM (Certified Case Manager) (preferred) ACM (Accredited... ...Performs concurrent reviews Contacting all HMO's... ...appropriate level of care and utilization of services... ...in the planning and coordination of patients discharge planning...Full timeWork at office
$25k
...Join Our Caring Community The Clinical Care Nurse (RN) is a clinic-based nursing role focused... ...support, follow-up coordination, and avoidable readmission... ...Advantage Stars, HEDIS and quality performance... ...in chronic disease self-management, particularly in DM, HTN...HEDISTemporary workWork at officeMonday to Friday- ...comprehensive healthcare management services to facilitate... .... Duties: Coordinates case management activities... ...for Medicaid Long Term Care/Comprehensive Program... ...and information/data review Coordinates and implements... ...degree required - No nurses. Social work degree or...Full timeContract workWork at officeMonday to Friday
- ...The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case... ...and the quality of patient care. Assists the Case Management staff in... ...length of stay, in conjunction with nursing director of case management. Leads hospital...Work experience placement
$64k - $70k
...Job Description LPN CoCM Care Coordinator Location: Hollywood, FL... ...directly to residents in skilled nursing and long-term care... ...with MedElite Healthcare Management Group empowers us to focus... ...you will be responsible for reviewing patient charts and communicating with the...Full timeWork at office- ...The University of Miami is seeking a full-time Case Manager Registered Nurse to coordinate the overall interdisciplinary plan of care for patients, from admission to discharge, in Miami, FL. This role involves acting as a liaison between patients, families, and healthcare...Full time
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