Utilization Management RN - Case Coordination & Care Planning
Signature HealthCARE LLC
Signature HealthCARE in Louisville, KY is seeking an experienced Registered Nurse with a strong background in case management. You will collaborate with hospital, SNF and rehab teams, assess resident care needs, coordinate with MCOs, and ensure accurate billing and documentation using Case Management software. Requires an active RN license, an Associate degree, and three years of hospital/SNF/acute rehab clinical experience. #J-18808-Ljbffr Signature HealthCARE
- Signature HealthCARE, LLC in Louisville, KY seeks an experienced RN Case Manager to coordinate care with Managed Care Organizations and internal teams. You will assess resident needs, authorize services, and ensure accurate reporting and billing. A strong background in...SuggestedFull time
$80.61k - $120.91k
...Nurse Case Mgr II (US) Telephonic Nurse Case Manager II This role enables... ...greater access to care for our members... ...implementing, coordinating, monitoring,... ...evaluating care plans designed to optimize... ...development of utilization/care management... ..., unrestricted RN license in...SuggestedFull timeTemporary workLocal areaMonday to FridayDay shift1 day per week$75k - $82k
...Our continuum of care includes skilled... ...with Managed Care Organizations... ...givers, and external Utilization Management Nurses. Coordinate internal and external... ...and discharge planning with agencies, and... ...activity in Case Management software... ...Nurse (RN) in good standing...Suggested- ...Job Description Eagle One Case Management Solutions, Inc RN Case Manager Summary... ...barriers and on resolution planning. Demonstrates the... ...proceed as necessary Utilizes appropriate cost management... ...of appointment date and coordinates return to work per protocol...SuggestedRemote jobFull timePart timeReliefWork at officeImmediate startHome office
- ...RN Case ManagerThe RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime.Minimum Requirements:Current RN licensure in state...SuggestedWeekly payContract workLocal area
- ...Health in Louisville, KY seeks a Utilization Review RN to support the Utilization Management process, including admission... ..., using current criteria and coordinating with physicians and case managers. You will ensure appropriate level of care, communicate payor requirements...
- ...Care Management Supervisor The Care Management Supervisor is responsible... ...management of the rehab case management departments.... ...organizational issues. Utilizes the management process (plan, organize, direct and control... ...: Education: Must have RN with a BSN. Master's...Local area
$71.1k - $97.8k
...Become a part of our caring community Humana Healthy... ...is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and... ..., Medicare Advantage plans, and Medicare... ...Licensed Registered Nurse (RN) in the state of Indiana... ...a nurse in providing case management or similar...Full timeTemporary workApprenticeshipWork at officeRemote workHome officeMonday to FridayNight shift- ...RN Case ManagerOur client, a healthcare company, is looking for an RN Case Manager for their Louisville South, KY location... ...Collaborate with primary care providers to ensure... ...comprehensive care plan with specific... ...and transportation).Coordinate care transitions as...
$27 - $30 per hour
...including: Fortune 100 Health Plans, Mail Order Pharmacies,... ...Description Are you an experienced RN Case Manager looking for a new opportunity... ...; and analyze any gaps in care, using evidence based... ...members’ providers in order to coordinate care delivery and achieve agreed...Private practice$27 - $30 per hour
...staffing firm is seeking an experienced RN Case Manager in Louisville, Kentucky. This... ...collecting clinical history, and developing care plans. Candidates must hold an active nursing... ...nursing experience. The role focuses on coordinating care, tracking progress, and...Hourly pay- ...Registered Nurse (RN) Hospital Liaison PRN Float... ...from other post-acute care providers. We're... ...The Post-Acute Care Coordinator provides patient healthcare... ...conferences and coordination of case management Functions as a... ...in the discharge planning process Builds and...ReliefShift work
- Clarksville Rehabilitation Hospital, a brand new startup, seeks a Case Manager to coordinate individualized care plans in collaboration with physicians and the rehabilitation team. You will guide patients through the continuum of care, ensuring timely, cost-efficient services...
- ...The Admissions RN is also responsible... ...to our care will be treated... ...related to the case, to determine hospice... ...promote care coordination and a timely admission... ...the need for planning, implementation... ...as an RN Case Manager and maintain an... ...care by utilizing all elements of...Monday to FridayFlexible hoursShift work
$50k
...every patient gets the care they need. Valeris... ...to help better manage the stress involved... ...assignedQualifications:Must have active RN licensure in current... ...triage, Call Center Utilization Management, Call Center Case Management, a plus.... ...dental, and vision plans, including HSA- and...Temporary workWork at officeImmediate startRemote workWork from homeHome office$50k
...every patient gets the care they need. Valeris works... ...Key Responsibilities Manage disruptive impulses Team... ...Oncology Registered Nurse (RN) Case Manager you are... ...assigned by management Utilize Valeris’ values as the... ...Medical, dental, and vision plans, including HSA- and FSA...Temporary workWork at officeImmediate startHome office- ...TRILOGY At Trilogy, you'll experience a caring, supportive community that values each team... ...thrive! POSITION OVERVIEW The MDS Coordinator (RN) is responsible for overseeing the resident assessment and care planning process and ensuring compliance with...Weekly payLocal area
- ...Case Management Registered Nurse (RN) The Case Management (CM) Registered Nurse (RN) executes position responsibilities that... ...management. Provides patient management, care coordination, and discharge/disposition planning for inpatient and outpatient settings. Assists...Permanent employmentRemote workRelocation packageMonday to Friday
- Humana is seeking an Utilization Management Nurse 2 in Kentucky to review medical necessity, determine level of care, and support discharge planning for Medicaid members. The role requires clinical judgment, cross-functional collaboration, and adherence to state regulations...Remote jobWork from home
$87k - $94k
...RN Case Manager Bristol Hospice Indiana, IN - New Albany, IN 47150 Overview Salary Range... ...providing compassionate, whole-person care—and wants to be more than just a caregiver... ...and implement individualized care plans based on current and prior medical history...Flexible hoursShift work- Our Company Abode Care Partners Overview... ...Director will help build, manage, and scale a high-... ...health conditions, care coordination, and support for medically... ...emergency department utilization reduction, and total... ...management, and care planning for common geriatric behavioral...Full time
- ...leading a world-class Care Team. Our empowered and... ...success. They’re not just managers; they’re passionate... ...Must hold a current RN license in the state of... ...data set). The MDS Coordinator participates in the Resident... ...individualized resident Care Plans, identifying the needs...Local areaHome office
- ...in the power of compassionate care. Like the river that inspired... ...matters. As a Registered Nurse Case Manager, you will be the heart of our... ...to develop individualized care plans, guide end-of-life conversations... ...accredited nursing program (RN) 1+ years of recent acute care...Full timeTemporary work
- ...services across multiple states. Our continuum of care includes skilled nursing, rehabilitation, assisted... ...MDSC.Exhibit competency in all areas of the RAI, Care Planning, PPS, Medicare, and when applicable Medicaid Case MixWhat You Need to Make a DifferenceCurrent...Full timeMonday to FridayNight shift
- ...is accountable for the care of a group of patients. The Registered Nurse (RN) focuses on safe and effective... ..., and evaluate the plan of care. The RN focuses... ...services. Utilizes resources appropriately... ...interventions. Facilitates, coordinates, provides, and...Temporary workLocumLocal area
$2,668 per month
...Nursing Profession RN Specialty L&D... ...prioritizes and implements the plan of care and reviews and revises the plan... ...interdisciplinary services; utilizes resources appropriately to... ...interventions. -Education: Facilitates/coordinates/provides/evaluates education...Weekly payShift workNight shift$2,590 per month
...Nursing Profession RN Specialty L&D... ...EFM Must-Have: Acute Care Nursing, Patient Assessment, Plan of Care Development,... ...interdisciplinary services. The RN utilizes resources appropriately... ...Education: Facilitates, coordinates, provides, and evaluates...Weekly payShift workNight shift- ...providing top quality care to our residents... ...company that micro-manages you to a point where... ...Retirement Savings Plan: Offering a 401K... ...compensation options. LPN/RN Core Responsibilities: Consults and coordinates with healthcare... ...planning. Utilizes time management skills...Daily paidLocal areaShift workNight shiftWeekend workDay shiftAfternoon shift
- ...Director of Nursing (DON) by planning, organizing, developing, and overseeing... ...to maintain high-quality care, as directed by the Executive... ...the clinical team.Assists in coordinating nursing and ancillary services... ...a current, valid state RN license and current, valid CPR...Weekly payLocal areaFlexible hours
- ...Trilogy, you'll experience a caring, supportive community... ...Registered Nurse (RN) role supports short- and... ...family teaching, care planning and patient care conferencing... ...and Procedures.Utilize the nursing process in... ...gender-affirming care coordination.Tuition & Student Loan...Weekly payTemporary workLocal areaImmediate start
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