How Much Should A Case Manager Make Jobs in Usa

Bilingual Case Manager (English/Spanish) – Personal Injury

Miami, FL | Temp-to-Hire | Monday–Friday, 8:00 AM – 5:00 PM

We are seeking a dedicated and detail-oriented Bilingual Case Manager with personal injury experience to join our team in Miami, FL. This is a temp-to-hire opportunity with a consistent weekday schedule and the chance to join a supportive, fast-paced legal environment focused on helping injured clients navigate their medical and legal processes.

About the Role:

As a Case Manager, you will play a key role in coordinating Examinations Under Oath (EUOs) and Independent Medical Exams (IMEs) while managing ongoing communication and documentation for personal injury cases. Your ability to handle sensitive information, communicate effectively in both English and Spanish, and manage detailed casework will directly impact the success of our clients’ outcomes.

Key Responsibilities:

• Schedule and coordinate EUOs and IMEs; send timely and accurate notices to all involved parties
• Maintain ongoing follow-up with clients regarding treatment updates and case progress
• Request, receive, and organize medical records and billing documentation
• Review and analyze medical documentation for accuracy and completeness
• Communicate regular case status updates to clients
• Maintain well-organized, confidential, and compliant case files

Requirements:

• Minimum 1 year of personal injury case management experience
• Bilingual – fluent in English and Spanish (written and verbal)
• Strong organizational skills with high attention to detail
• Excellent communication and customer service skills
• Ability to manage confidential information with discretion
• Must be able to start immediately
• Comfortable working Monday through Friday, 8:00 AM to 5:00 PM

Case Manager Career Opportunity

Working Hours: Friday, Saturday, Sunday

Recognized for your abilities as a Case Manager
Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes.

A Glimpse into Our World
At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.

Starting Perks and Benefits
At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:

• Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
• Generous paid time off that accrues over time.
• Opportunities for tuition reimbursement and continuous education.
• Company-matching 401(k) and employee stock purchase plans.
• Flexible spending and health savings accounts.
• A vibrant community of individuals passionate about the work they do!

Become the Case Manager you always wanted to be

• Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences.
• Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans
• Participate in planning for and the execution of patient discharge experience.
• Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations.
• Facilitate team conferences weekly and coordinate all treatment plan modifications.
• Complete case management addendums and all required documentation.
• Maintain knowledge of regulations/standards, company policies/procedures, and department operations.
• Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions.
• Understand commercial contract levels, exclusions, payor requirements, and recertification needs.
• Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs.
• Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs. of admission.
• Perform assessment of goals and complete case management addendum within 48 hours of admission.
• Educate patient/family on rehabilitation and Case Manager role; establish communication plan.
• Schedule and facilitate family conferences as needed.
• Assist patient with timely procuring/planning of resources to avoid discharge delays or issues.
• Monitor compliance with regulations for orthotics and prosthetics ordering and payment.
• Make appropriate/timely referrals, including documentation to post discharge providers/physicians.
• Ensure accuracy of discharge and payor-related information in the patient record.
• Participate in utilization review process: data collection, trend review, and resolution actions.
• Participate in case management on-call schedule as needed.

Qualifications

License or Certification:

• Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
• If licensure is required for one's discipline within the state, individual must hold an active license.
• Must meet eligibility requirements for CCM® or ACM™ certification upon entry into this position OR within two years of entry into the position.

• CCM® or ACM™ certification required OR must be obtained within two years of being placed in the Case Manager II position

  Minimum Qualifications:

• For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an associate degree.
• For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor's degree and graduate degree is preferred.
• 2 years of rehabilitation experience preferred.

Do you want to join an organization that invests in you as a RN Case Manager? At Methodist Hospital Metropolitan, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

As a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient’s unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care. 

Your responsibilities will include:

• Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights 
• Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences 
• Developing and implementing individualized treatment plans that reflect the patient’s strengths, needs, and personal recovery goals 
• Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team 
• Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care 
• Promoting HCA Healthcare’s values of compassion, respect, and excellence through every patient and family interaction 

• Graduate of an accredited diploma, associates, or baccalaureate degree nursing program. Preferred: Bachelor of Science in Nursing
• RN License to practice as a professional registered nursing in the state of Texas or Active Multi-State RN Compact License. (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date.) 
• Minimum of 3 years RN experience
• Prefer at least one year experience in utilization review, resource management, discharge planning or case management. 

Methodist Hospital Metropolitan, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Methodist Hospital Metropolitan houses 370 bed. We house the largest emergency room in downtown San Antonio. Our women’s pavilion is the only freestanding, center city facility dedicated to the health of women and their newborn babies. We welcome nearly 3,000 newborns into the world each year. We are home to the Methodist Weight Loss Center. We have been designated an American Society for Metabolic Surgery Bariatric Surgery Center of Excellence®.

Our hospital has been recognized by Modern Healthcare as a Best Place to Work in Healthcare. We are the first hospital in San Antonio to achieve Pathway to Excellence designation. Methodist Hospital Metropolitan has been recognized by Leapfrog for focus on safety and quality. We received a Grade A Hospital Safety Score for 8 consecutive rating periods. We are proud to be an Accredited Chest Pain Center by the American College of Cardiology and Primary Stroke Center by the Joint Commission. We were the premier Texas hospital to earn a Gold Seal of Approval for Sepsis Certification. Join our accredited team today.

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our RN Case Manager opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

As a Registered Nurse RN Case Manager PRN, your  voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing.

Do you want to work where you have a voice? Nurses are at the forefront of our commitment to the care and improvement of human life. At HCA Healthcare, there are many ways for nurses to have a voice through professional practice councils, advisory councils, vital voices surveys, and units of distinction. We learn from our multi-generational nursing family. We partner with our Nurses at HCA Houston Healthcare Tomball!

As a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient’s unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care. 

Your responsibilities will include:

• Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights 
• Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences 
• Developing and implementing individualized treatment plans that reflect the patient’s strengths, needs, and personal recovery goals 
• Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team 
• Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care 
• Promoting HCA Healthcare’s values of compassion, respect, and excellence through every patient and family interaction 

• Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date)
• Graduate of an accredited school of professional nursing is required
• BSN preferred
• 3+ years RN experience in an acute care setting
• 2 years of supervisory experience is preferred
• Case Manager Cert preferred
• InterQual experience preferred 

HCA Houston Healthcare Tomball, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

"Nurses play a pivotal role and are the backbone of healthcare delivery. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing."

Sammie Mosier, DHA, MA, BSN, NE-BC

Senior Vice President and Chief Nursing Executive, HCA Healthcare

HCA Houston Healthcare Tomball has provided quality healthcare to Tomball, Magnolia and Northwest Houston communities since 1948. Fully accredited by The Joint Commission, our 350+ bed hospital is on a 150-acre campus that features designated specialty centers: The Orthopedic Center, The Women’s Center, the Heart and Vascular Center and the Texas Sports Medicine Center. Our services include a Level III Trauma Center, advanced robotic surgery program with 24/7 service, Joint Commission-certified Primary Stroke Center, comprehensive Women's Services and Labor & Delivery unit with Level II Neonatal Intensive Care Unit (NICU), orthopedic care including joint replacement, and much more. We are committed to providing quality healthcare while making a difference in our patients’ lives. Through exceptional technology and specialized medical staff, area residents receive a full range of medical services, close to home. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

If this opportunity is your next step in your career path, we encourage you to apply for our Registered Nurse RN Case Manager PRN opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Do you have the PRN career opportunities as a(an) RN Case Mgr PRN you want with your current employer? We have an exciting opportunity for you to join HCA Houston Healthcare Conroe which is part of the nation's leading provider of healthcare services, HCA Healthcare.

HCA Houston Healthcare Conroe, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.
  
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  
• Fertility and family building benefits through Progyny
  
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• Family support, including adoption assistance, child and elder care resources and consumer discounts
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan
  
• Retirement readiness and rollover services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Our teams are a committed, caring group of colleagues. Do you want to work as a(an) RN Case Mgr PRN where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

As a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient’s unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care. 

Your responsibilities will include:

• Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights 
• Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences 
• Developing and implementing individualized treatment plans that reflect the patient’s strengths, needs, and personal recovery goals 
• Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team 
• Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care 
• Promoting HCA Healthcare’s values of compassion, respect, and excellence through every patient and family interaction 

•  ​Associate Degree in Nursing or Nursing Diploma ​​Required,​Bachelor’s Degree in Nursing ​​Preferred​
• ​2+ years experience in case management OR 3+ years experience in clinical nursing ​​Required​
• ​InterQual experience ​​Preferred​​​
• ​Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation. 

At HCA Houston Healthcare Conroe, superior healthcare meets the comfort and convenience of a comprehensive hospital, close to home, in Conroe, Texas. We have been providing high-quality healthcare to the Montgomery County region for more than 80 years. During that time we have grown to become a full-service 330+ bed medical center and a tertiary referral center – all while remaining true to our mission of providing care, above all else. As a regional, tertiary referral center, other hospitals rely on us when higher levels of acute care are necessary. HCA Houston Conroe was the first hospital in Montgomery County to achieve the designation of a Level II Trauma Center. We are also a Certified Primary Stroke Center, an Accredited Chest Pain Center, and a designated Level III Neonatal ICU in order to treat for the most vulnerable patients of all ages. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our RN Case Mgr PRN opening. We review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status

Do you want to join an organization that invests in you as a(an) Registered Nurse Case Manager? At The Woman's Hospital of Texas, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

As a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient’s unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care. 

Your responsibilities will include:

• Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights 
• Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences 
• Developing and implementing individualized treatment plans that reflect the patient’s strengths, needs, and personal recovery goals 
• Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team 
• Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care 
• Promoting HCA Healthcare’s values of compassion, respect, and excellence through every patient and family interaction 

• Associates or BSN
• Current licensure in Texas as a Registered Nurse

The Woman's Hospital of Texas, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

At The Woman’s Hospital of Texas, our care philosophy is Woman First. It’s in our name, and it’s in our founding mission. Our 420+ bed hospital was founded in 1976 by 29 physicians who recognized a need in Houston for a facility focused solely on women in all stages of life. We were the first women's hospital in Houston and first facility in Texas dedicated to the health of women and newborns. Today, we are the state’s premier facility dedicated to the health of women and children offering expertise and an outstanding level of care in breast health, imaging, gynecology, minimally invasive surgery, infertility, obstetrics, high-risk pregnancy, and pediatrics. We deliver 800+ babies a month, more than any other hospital in Texas, and care for more multiple births than any other hospital in the region. Our Level IV NICU provides the highest level of care for premature babies and we have the area's only March of Dimes NICU Family Support program. As a member of HCA Houston Healthcare, the most comprehensive healthcare provider in the region, we are a part of a network that delivers stronger, smarter and more accessible care to women than any other medical system across the Houston area.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Registered Nurse Case Manager opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Company Description

Lakeside Manor is a health care assisted living facility located in Staten Island, NY. Our facility is dedicated to providing high-quality care and support to our residents. We are committed to creating a warm and welcoming environment where individuals can thrive and recover.

Role Description

This is a part-time on-site role for a Case Manager at Lakeside Manor in Staten Island, NY. The Case Manager will be responsible for coordinating care plans, conducting assessments, writing notes and ensuring quality care delivery.

Qualifications

• Case Management, Care Coordination, and Assessments skills
• Excellent communication and interpersonal skills
• Ability to advocate for patients and work in a team environment
• Knowledge of healthcare regulations and patient rights
• Bachelor's degree in Social Work, Psychology, or related field a plus
• Experience in a healthcare or long-term care setting is a plus

$20-$25 an hour depending on experience and education.

Flexible hours

Company Description

Lakeside Manor is a health care assisted living facility located in Staten Island, NY. Our facility is dedicated to providing high-quality care and support to our residents. We are committed to creating a warm and welcoming environment where individuals can thrive and recover.

Role Description

This is a full-time on-site role for a Case Manager at Lakeside Assisted Living in Staten Island, NY. The Case Manager will be responsible for coordinating care plans, conducting assessments, collaborating with healthcare providers, advocating for patients, and ensuring quality care delivery.

Qualifications

• Case Management, Care Coordination, and Assessments skills
• Excellent communication and interpersonal skills
• Ability to advocate for patients and work in a team environment
• Knowledge of healthcare regulations and patient rights
• Bachelor's degree in Social Work, Psychology, or related field preferred
• Experience in a healthcare or long-term care setting is a plus

Salary $60k to $80K negotiable based on qualifications and experience.

Strong staffing Support when it matters most. Technology and tools that streamline patient monitoring and communication to help you work more efficiently. Robust supply chains to keep you fully equipped. Ongoing clinical education to improve your skills. As a Registered Nurse at HCA Houston Healthcare Tomball, you’ll have all the staffing support, technology and resources you need to deliver safe, high-quality care—so you can focus on what you do best.

As a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient’s unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care. 

Your responsibilities will include:

• Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights 
• Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences 
• Developing and implementing individualized treatment plans that reflect the patient’s strengths, needs, and personal recovery goals 
• Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team 
• Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care 
• Promoting HCA Healthcare’s values of compassion, respect, and excellence through every patient and family interaction 

• Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date)
• Graduate of an accredited school of professional nursing is required
• BSN preferred
• 3+ years RN experience in an acute care setting
• 2 years of supervisory experience is preferred
• Case Manager Cert preferred
• InterQual experience preferred 

Benefits

HCA Houston Healthcare Tomball, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location

HCA Houston Healthcare Tomball has provided quality healthcare to Tomball, Magnolia and Northwest Houston communities since 1948. Fully accredited by The Joint Commission, our 350+ bed hospital is on a 150-acre campus that features designated specialty centers: The Orthopedic Center, The Women’s Center, the Heart and Vascular Center and the Texas Sports Medicine Center. Our services include a Level III Trauma Center, advanced robotic surgery program with 24/7 service, Joint Commission-certified Primary Stroke Center, comprehensive Women's Services and Labor & Delivery unit with Level II Neonatal Intensive Care Unit (NICU), orthopedic care including joint replacement, and much more. We are committed to providing quality healthcare while making a difference in our patients’ lives. Through exceptional technology and specialized medical staff, area residents receive a full range of medical services, close to home. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Nurses play a pivotal role and are the backbone of healthcare delivery. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing."

Sammie Mosier, DHA, MA, BSN, NE-BC

Senior Vice President and Chief Nursing Executive, HCA Healthcare

If growth and continued learning is important to you, we encourage you to apply for our Registered Nurse Case Mgr opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Company Description

Homecare Hub offers a unique solution for people with caregiving needs, focusing on small shared care and co-living environments to help individuals stay out of large institutional nursing facilities. Whether in existing care homes or customized on-demand setups, Homecare Hub provides superior, safe, and affordable care options. The innovative approach allows individuals to age with dignity in their community. Homecare Hub also partners with Health Systems to discharge patients from hospitals who are unable be safely cared for in their existing home environment.

Homecare Hub is arriving in Eastern Tennessee, and will partner with Ballad Health to discharge patients from their health system into Homecare Hub's network of personalized, small, residential assisted living homes.

Here are examples of other hospital partnerships: Description

This is a hybrid role for a case manager & care coordination position at Homecare Hub. This individual will help with placement of patients into small homes, and as well oversee a cohort of patients and assuring their clinical healthcare and non-clinical needs are met.

This hybrid role is located in Johnson City, TN with occasional travel across the state. Most in person work will be local, and there will be a component of work from home as well.

Qualifications

• We are seeking a social worker, Nurse, PT, or OT.
• Experience in the healthcare or caregiving industry
• Knowledge of Medicaid and Medicare and various plans
• Knowledge of Support and Social Services in the Johnson City Region
• Excellent bedside patient communication, interpersonal, and leadership skills.
• Technology skills
• Financial Counseling skills are advantageous
• Bachelor's or Master's degree in Nursing or Social work or OT/PT

Make a Difference on Your Own Schedule and Terms!

PCM is looking for a Senior Case Manager who is as passionate about delivering care as we are to come join our amazing team!

A few of our perks:

• Great Work/Life balance!

• $42 per hour (including 100% of Hourly Wage Paid for Drive Time)

• Benefits Available:

  • Medical, Vision and Dental Insurance

  • Accrued Paid Time Off

  • Annual Bonus Eligible

  • Health Savings Account (HSA)

  • Flexible Savings Account (FSA)

  • 401(K) with Company Match

  • Paid Parental Leave

  • Unlimited Peer Referral Program

  • Employee Discount Program

We provide in-home care to former Nuclear Weapons Workers who are suffering from chronic and terminal illnesses, as a result of their previous work environment.

Our Senior RN-Case Managers Direct assigned team members of RN Case Managers in the provision of care in accordance with Agency policy and with state-specific nurse practice act, and regulatory requirements.

Qualifications

• Graduate of a state approved school of professional registered nursing

• BSN preferred

• Current, unrestricted RN license in the state(s) of practice

• Minimum of two (2) years nursing experience including one (1) year in home care or closely related field

• One (1) year of supervisory and/or case management experience preferred

• Current CPR certification

Essential Functions/Areas of Accountability

• Responsible for functions and accountabilities as contained in the case manager job description

• Provide direct care and case management of assigned clients

• Assist and collaborate with the regional director and other personnel to identify and correct issues and/or improve services.

• Plan, implement, and evaluate care provided Participate, coordinate and manage client care conferences as needed.

• Serve as a local on-site clinical resource as needed and provides support to ensure client's home care needs are met.

• Assist and collaborate with staffing coordinators regarding the appropriateness of staffing and scheduling of personnel within scope of practice, competencies, client needs and complexity of home care.

• Adhere to nursing delegation guidelines as described in Agency Scope of Practice policy.

• Ensure adherence to Agency policies.

• Perform other functions as requested by the regional director which may include the following:

• Participate in interviewing, selection, and ongoing evaluation of clinical personnel as requested by the Regional Director

• Personnel training, education, and competency validation

• Review and evaluate clinical documentation for accuracy and completeness

• Participate in all Agency performance improvement initiatives including but not limited to quarterly medical record review

• Collect, document, and submit data on infections, occurrences, complaints and grievances, and performance improvement activities

• Perform and document supervisory visits as indicated to facilitate problem resolution

• Review nurse shift reports for adherence to policy and for opportunities for performance improvement

• Home chart completeness

• Timeliness of staffing cases post referral

• Equipment tracking

• Assist with marketing activities such as visiting with clients or physicians to discuss Agency programs as requested

• The senior case manager, or similarly qualified alternate, shall be available at all times during operating hours and participate in all activities relevant to the professional services furnished, including the development of qualifications and the assignment of personnel.

• Perform additional duties and responsibilities as deemed necessary

Professional Case Management is an Equal Opportunity Employer.

Were unique. You should be, too.

Were changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

Were different than most primary care providers. Were rapidly expanding and we need great people to join our team.

The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing quality of care across the continuum of care. The incumbent in this role will first and foremost serve as an advocate for our patients. He/She works closely with other members of the care team to develop effective plans of care and high levels of care coordination. This care planning and coordination may follow the patient from our centers into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with patients families and care givers, primary care physicians, specialists, other care providers, social workers, other case managers and nurses, acute and post-acute facilities, home health care companies, and health plans. He/She adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures.

CORE JOB DUTIES/RESPONSIBILITIES:

• Manages and plans for transitions of care, discharge and post discharge follow-up for patients admitted to key, high-volume/high-priority hospitals.
• Establishes a trusting relationship with patients and their caregivers.
• Collaborates with clinical staff in the development and execution of the plan of care and achievement of goals. Reports variations to PCP/Transitional Care Physicians (TCP) and implements actions as appropriate.
• Builds relationships with preferred acute care providers (hospitalists, specialists, etc.).
• Directs referrals to preferred providers.
• Coordinates the integration of social services/case management functions in the pre-acute, ER, acute and post-acute setting. Coordinates the patient care, discharge and home planning processes with hospital case management departments, and other healthcare facilities.
• In conjunction with the PCP, Hospitalist, Medical Director, insurance case manager and the hospital case manager, coordinates the patient transition to the appropriate/least constrictive level of care using a preferred provider.
• Keeps the PCP aware of patient(s) condition via e-mail, DASH, HITS or other appropriate means of communication.
• Introduces self to patient/family and explains Nurse Case Managers role and processes to contact the Nurse Case Manager for questions, guidance and education.
• Provides high intensity engagement with patient and family.
• Facilitates patient/family conferences to review treatment goals and optimize resource utilization; provides family education and identifies post-hospital needs.
• Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient/familys ability to make informed decisions.
• Addresses advanced care planning including treatment goals and advance directives.
• Refers cases to social worker (Hospital and ChenMed/JenCare/Dedicated) for complex psychosocial and economic needs.
• Refers cases where patient and/or family would benefit from counseling required to complete complex discharge plan to social worker.
• Reports observed or suspected child or adult abuse pursuant to mandated requirements.
• Obtains onsite and EMR access at priority facilities.
• Maintains clinical and progress notes for each patient receiving care and provides progress report to PCP and others as appropriate.
• Submits required documentation in a timely manner and in appropriate computer system.
• Participates in surveys, studies and special projects as assigned.
• Conducts concurrent medical record review using specific indicators and criteria as approved by medical staff. Acts as patient advocate: investigates and reports adverse occurrences, and performs staff education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery.
• Promotes effective and efficient utilization of clinical resources and mobilizes resources to assist in achieving desired clinical outcomes within specific timeframe.
• Conducts review for appropriate utilization of services from admission through discharge. Evaluates patient satisfaction and quality of care provided.
• Communicates with physicians at regular intervals throughout hospitalization and develops an effective working relationship. Assists physicians to maintain appropriate cost, case and desired patient outcomes.
• Coordinates the provision of social services to patients, families and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from healthcare services.
• Completes expanded assessment of patients and family needs at time of admission. Completes psychosocial assessment.
• Directs and participates in the development and implementation of patient care policies and protocols to provide advice and guidance in handling unusual cases or patient needs.
• Attends meetings as assigned
• Performs other duties as assigned and modified at managers discretion.

There are 4 Nurse Case Manager 1 Roles with additional Essential Job Functions:

Acute Case Manager (primarily hospital based)

Responsibilities include all the above Core duties/responsibilities plus the following:

• Identify appropriateness of inpatient vs. observation status.
• Identify and manage safety risk (complete a social assessment), identify functional status (ADLs and PT needs), discuss medications and self-management, identify and correct knowledge deficits.
• Implement the ACM Coaching program with the appropriate patient population.
• In markets as appropriate, when patient in SNF, in conjunction with the post-acute physician, coordinate the transition to a lower level of care as soon as appropriate using a preferred provider if further services are needed.
• Facilitate discharge to appropriate level of care and preferred providers
• Communicate discharge to all stakeholders including PCP, Center Manager and Community Case Manager.
• Document the appropriate date that the patient is medically discharged and update as appropriate.
• Contact the center manager to arrange for a follow-up PCP appointment prior to discharge and whenever possible, communicate this information to the patient/caregiver.
• As appropriate, discuss patients eligibility for CCM or DM programs and identify patient interest in participation.
• Coordinate acute UR physician meetings.

Community Case Manager (primarily clinic and community based)

Responsibilities include all the above Core duties/responsibilities plus the following:

• Provides telephonic or outpatient visits to patients at high-risk for readmissions (as identified by CM Plan) to the ER or hospital, to patients with active care planning requirements, to disease management patients per the Disease Management Plan and to others as referred via transitional care team, acute case managers and Transitional Care team.
• Visits may include evening and weekend hours with the goal of preventing ER visits or hospital admissions.
• Performs clinical functions including disease-oriented assessment and monitoring, medication monitoring, health education and self-care instructions in the outpatient setting.

Coordinate the Plan of Care:

• Conducts/coordinates initial case management assessment of patients to determine outpatient needs.
• Ensures individual plan of care reflects patient needs and services available.
• Makes recommendations to the team.
• Completes individual plan of care with patients and team members.
• Communicates instructions and methodologies as appropriate to ensure that the plan is implemented correctly.
• Assesses the environment of care, e.g., safety and security.
• Assesses the caregiver capacity and willingness to provide care.
• Assesses patient and caregiver educational needs.
• Coordinates, reports, documents and follows-up on Super Huddles and HPP/IDT meetings.
• Helps patients navigate health care systems, connecting them with community resources; orchestrates multiple facets of health care delivery and assists with administrative and logistical tasks.
• Coordinates the delivery of services to effectively address patient needs.
• Facilitates and coaches patients in using natural supports and mainstream community resources to address supportive needs.
• Maintains ongoing communication with families, community providers and others as needed to promote the health and well-being of patients.
• Establishes a supportive and motivational relationship with patients that support patient self-management
• Monitors the quality, frequency and appropriateness of HHA visits and other outpatient services.
• Assists patient and family with access to community/financial resources and refer cases to social worker as appropriate.

Community/Skilled Nursing Facility Case Manager (Community Case Manager Role with additional SNF duties as assigned)

Responsibilities include all the above Core duties/responsibilities plus the following:

• Community Case Manager role as above.
• CM telephonic or onsite visits to SNFs, communication with physical therapists (PT), social workers, patient and families as appropriate.
• Validates appropriate level of care/LOS.
• Validates Discharge plan for safe transition home, utilization of preferred providers or timely transition to long term care.
• Reminds patient of need for 4-day PCP post hospital/SNF discharge visit and future visits.
• Collaborates with payor onsite SNF CMs.

Transitional Case Manager (Blended Acute and Community Case Manager Roles)

Responsibilities include all the above Core duties/responsibilities plus the following:

• Acute and Community Case Manager roles as above.

KNOWLEDGE, SKILLS AND ABILITIES:

• Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
• Critical thinking skills required.
• Ability to work autonomously is required.
• Ability to monitor, assess and record patients progress and adjust and plan accordingly.
• Ability to plan, implement and evaluate individual patient care plans.
• Knowledge of nursing and case management theory and practice.
• Knowledge of patient care charts and patient histories.
• Knowledge of clinical and social services documentation procedures and standards.
• Knowledge of community health services and social services support agencies and networks.
• Organizing and coordinating skills.
• Ability to communicate technical information to non-technical personnel.
• Proficient in Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software.
• Ability and willingness to travel locally, regionally and nationwide up to 10% of the time.
• Spoken and written fluency in English.
• Bilingual preferred.

PAY RANGE:

$36.9 - $52.70 Hourly

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

Were ChenMed and were transforming healthcare for seniors and changing Americas healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. Were growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in peoples lives every single day.

Current employees, if you want to apply to our internal career site, please click HERE

Current Contingent Worker please see job aid HERE to apply

#LI-Onsite

Required

Preferred

Job Industries

• Other

Tittle: Case Manager RN

Location: Tallahassee, FL

Shift: Evening shift

Duration: Full time / Permanent role

Sign on Bonus: $10,000

Relocation Assistance: Case by case basis

Shift Differentials: Evening Shift - $2.50 Weekend Shift - $2.00

Job Summary and Qualifications

The RN CM Care Coordinator will facilitate the interdisciplinary plan of care with a focus on evaluating the appropriateness of clinical care, medical necessity, admission status, level of care, and resource management. The RN CM Care Coordinator will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. The RN CM Care Coordinator will identify potential barriers to patient throughput and quality outcomes and will facilitate appropriate discharge plans.

ESSENTIAL FUNCTIONS:

• Performs a comprehensive assessment of psychosocial and medical needs of assigned patients
• Develops a case management plan of care to include identified clinical, psychosocial and discharge needs; coordinates plan of care; plan is documented in the medical record; plan is communicated to appropriate clinical disciplines
• Assumes a leadership role with the interdisciplinary team to manage care, through criteria driven processes, for the appropriate level of care, patient status and resource utilization
• Conducts interdisciplinary team meetings to provide a mechanism for all clinical disciplines to collaborate, plan, implement, and assess the plan of car; patient selection should be criteria based and interventions will be documented
• Evaluates admissions for medical necessity using approved criteria at defined intervals throughout the episode of care; escalates medical necessity and admission status issues through the established chain of command
• Evaluates and assess observation patients for appropriateness in observation status
• Performs utilization management reviews and communicates information to third party payors
• Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies
• Demonstrates knowledge of regulatory requirements, facility ethics and Compliance policies, and quality initiatives; monitors self-compliance and implements process changes to ensure compliance to such regulations and quality initiatives as it relates to the provision of Case Management Services
• Makes appropriate referrals to third party payer disease and case management programs for recurring patients and patients with chronic disease states
• Documents professional recommendations, care coordination interventions, and case management activities to effectively communicate to all members of the health care team
• Facilitates patient throughput with an ongoing focus on quality and efficiency
• Tracks and trends barriers to care; makes recommendations and develops action plans to improve processes and systems
• Involves patient, family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals
• Assesses patients’ post discharge needs and facilitates the provision of services necessary to meet identified needs
• Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered
• Identifies patients with the potential for high risk complications and makes appropriate referrals acting as an advocate for the individual’s healthcare needs
• Directs activities to identify and provide for the needs of the under resourced patient population to include patient education activities, patient assistance programs, and community based resources
• Develops individual plans of care for recurring patients to include education on appropriately accessing healthcare resources, preventative education, and community based resources
• Assumes a leadership role in the development, revision, and implementation of clinical protocols which transition patients across the continuum of care or discharge patients to an appropriate service level of care
• Adheres to established policy and procedure and standards of care; escalates issues through the established Chain of Command timely
• Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered.

Qualifications:

• Candidates are required to have a minimum of 3 years of RECENT (Within the last year) Case Manager experience in an acute care setting.
• Also open to candidates with 3 years of experience on the following units: Med/Surg, Tele, Neuro, ICU, PCU, or ED. will also consider candidates with Case manager experience in home health or insurance. For home health and insurance, they must have 3 years of acute care experience total and must have at least 1 year of acute care experience within the last 5 years.
• Associate's degree in nursing or Diploma in Nursing required
• Bachelor’s degree in nursing preferred
• Current FL RN license required or appropriate compact licensure. If compact license held, active FL RN licenserequiredwithin90 days of hire
• Advanced Practice Registered Nurse license is acceptable for position if current and compliant
• Certification in Case Management, Nursing, or Utilization Review, preferred

Facility Name: UP Health System

Position: Case Manager, Registered Nurse (RN)

Schedule:

Full Time 1.0 FTE

M-F 8am-4:30pm

Your experience matters

Lifepoint Behavioral Health is part of Lifepoint Health , a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Case Manager- Registered Nurse (RN) joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

How you'll contribute

A Case Manager, Registered Nurse (RN) who excels in this role:

• Consults with nursing staff and multidisciplinary team regularly to evaluate patients' status and appropriateness of medical care including admission, length of stay, transfer and discharge

• Monitors patient and family satisfaction. Responds to questions and complaints from patients, family members and payors regarding care.

• Participates in discharge planning including coordinating patient transfers to other facilities and coordinating community resources. Provides discharge education and resource referrals to patients.

• Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost and reimbursement.

Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.

• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.

• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).

• Professional Development: Ongoing learning and career advancement opportunities.

What we're looking for

Applicants should have a current state RN license and possess a bachelor's degree from an accredited nursing school. Additional requirements include:

• Basic Life Support certification is required within 30 days of hire.

• ACLS and PALS are required within six months of hire.

• 5 Years of Nursing Experience

• ASLS certification preferred

EEOC Statement

Lifepoint Behavioral Health is an Equal Opportunity Employer. Lifepoint Behavioral Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

Who we are

Founded in 1999 and headquartered in Central Ohio, we’re a privately owned , independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we’re on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors®.

We’re committed to building diverse and inclusive teams – more than 2,000 of us and counting – so if you’re excited about this position, we encourage you to apply – even if your experience doesn’t match every requirement.

About the role

The Transplant Nurse (PCG) facilitates care coordination for a member with the potential for a transplant, including hematologic malignancies and end stage disease processes. The position requires a multidisciplinary, collaborative approach to manage the complexity, financial impact , frequent resource utilization and variable acuity across the transplant continuum. Management begins at referral and follows through pre-transplant care, evaluation , and the transplant phase to post-transplant case closure.

Location : This position is located at our Dublin, OH campus with hybrid flexibility.

What you’ll do (Essential Responsibilities)

Identify and assess members with the potential for solid organ or bone marrow transplant, end stage renal disease, and hematologic malignancies.

Apply the nursing process when actively case managing transplant members.

Utilize well-developed critical thinking and interpersonal skills to problem-solve and make knowledgeable recommendations for needed actions.

Document all activities specific to members, caregivers, providers, facilities and clients in appropriate database.

Maintain a collaborative relationship with members’ health care teams by communicating information, responding to requests, building rapport , and participating in team problem-solving methods.

Serve as member and provider advocate by educating and guiding through the transplant process.

Provide benefit and health information to each member so they are able to make informed health decisions.

Maintain a working knowledge of all policies and procedures related to Clinical Operations.

Work closely with and provide updates to internal client executives and employer contacts for transplant patients.  

Maintain a working knowledge of employer health benefit plans and know where to access benefit information.

Be a clinical resource for all Quantum Health work teams.

Maintain working knowledge of Transplant Vendor contracts, single case rate agreements, access agreements, and negotiated agreements as required by client plan design. 

Assist members and clients with wellness activities, enhanced benefits, behavioral incentives

Be a transplant clinical resource for all Quantum Health work groups.

Work closely with and provide updates to internal client executives and employer contacts for transplant patients.

Maintain contact with the QH clinical staff for transfer of cases when appropriate.

All other duties as assigned.

What you’ll bring (Qualifications)

Licensure : Current and active license as a Registered Nurse in the state of Ohio, BSN preferred

Experience: Minimum of two years clinical experience with direct patient care required

Certification in Case Management preferred within 2 years of hire

Outstanding computer skills including Microsoft applications

Excellent critical thinking skills

Possess excellent verbal and written communication skills

Possess excellent time management skills

Demonstrate ability to work autonomously

Solid organ or bone marrow transplant experience desired

Effective communication skills, both verbal and written.

A high degree of personal accountability and trustworthiness, a commitment to working within Quantum Health’s policies, values and ethics, and to protecting the sensitive data entrusted to us.

#LI-HW1 #LI-Hybrid #LI-Remote

• Compensation: Competitive base and incentive compensation
• Coverage: Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more.
• Retirement: 401(k) plan with up to 4% employer match and full vesting on day one.
  
• Balance: Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.
• Development: Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.
• Culture: Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision.
• Environment: A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more!

What you should know

• Internal Associates: Already a Healthcare Warrior? Apply internally through Jobvite.
• Process: Application > Phone Screen > Online Assessment(s) > Interview(s) > Offer > Background Check.
• Diversity, Equity and Inclusion: Quantum Health welcomes everyone. We value our diverse team and suppliers, we’re committed to empowering our ERGs, and we’re proud to be an equal opportunity employer .
• Tobacco-Free Campus: To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds.
• Compensation Ranges: Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate’s unique combination of experience and qualifications related to the position.
• Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.
• Agencies: Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party.

Reasonable Accommodation: Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, click here to submit a recruitment accommodation request.

Recruiting Scams: Unfortunately, scams targeting job seekers are common. To protect our candidates, we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending in @ . Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking/direct/tax details, etc. via email or any other non-secure system, nor will we instruct you to make any purchases related to your employment. If you believe you’ve encountered a recruiting scam, report it to the Federal Trade Commission and your state’s Attorney General .

• 
  
• Medical: Multiple plan options.
  
• Dental: Delta Dental or reimbursement account for flexible coverage.
  
• Vision: Affordable plan with national network.
  
• Pre-Tax Savings: HSA and FSAs for eligible expenses.
  
• Retirement: Competitive retirement package to secure your future.
  

The Registered Nurse (RN) Case Manager works within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional Practice Model, which includes accountability for assessing, planning, implementing, evaluating, and communicating the patient care plan progression. The RN Case Manager utilizes the principles of mutual respect, patient/family advocacy and provides leadership within the team of internal partners and outside agencies to facilitate best practices that achieve quality clinical, financial, and patient satisfaction outcomes. The RN Case Manager provides leadership through education on case management/utilization management concepts, committee work, research, and community involvement. The RN Case Manager bridges communication between providers, patients and families, members of the interdisciplinary team, and outside agencies to assure high-quality care that meets the patient's needs and is delivered in a cost-effective and timely manner. The ANA Nursing: Scope and Standards of Practice and Code of Ethics provide a basis for the practice of the RN. The American Case Manager Association Standards of Practice and Scope of Services for Health Care Delivery System Case Management and Transitions of Care Professionals (2013) are reflected. 

This role is eligible for TN sponsorship. 

Arizona: Graduate of an accredited, or those in the candidacy process, baccalaureate nursing program, as recognized by the Accreditation Commission for Education in Nursing (ACEN), Commission on Collegiate Nursing Education (CCNE), National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). If graduated from a nursing program that was not accredited by ACEN,CCNE, and NLN CNEA, at least one year of RN experience in an applicable care setting is required. If graduation did not occur within the last two years, one year of RN experience in an applicable care setting is required or, effective October 1st, 2017 one year of current LPN experience at Mayo Clinic is required. One year of RN Case Management experience or successful completion of the MCSHS RN Case Manager Fellowship within six months of hire required.

 

• 3 years of acute nursing preferred; 1 year of Case Management experience preferred. Certification (CCM or ACM-RN) preferred. 
• Current RN license by applicable state requirements. 
• Arizona - Maintains Basic Life Support (BLS) competency. 
• Positions that are not on campus may not require current Basic Life Support (BLS) competency as determined by the work area.
• Additional state licensure(s) and/or specialty certification/training as required by the work area.
• Previous hospital case management experience preferred.