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RN Case Manager Lead (Winter Haven)
Salary not disclosed
Introduction

Do you have the career opportunities as an RN Case Manager Lead you want with your current employer? We have an exciting opportunity for you to join HCA Florida Osceola Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Benefits

HCA Florida Osceola Hospital 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 free 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.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance 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)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

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 an RN Case Manager Lead 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!

Job Summary and Qualifications

The primary purpose of the Lead Case Manager is to ensure that primary operations of the Case Management/Utilization Review Department function efficiently. This position maintains a caseload or equivalent assignment as volume dictates while providing a first line resource to Case Managers, Utilization Review, and Medical Social Workers. This position routinely dialogs with the Manager and/or Director to ensure seamless front line communication.

  • Performs a comprehensive assessment of psychosocial and medical needs of assigned patients, in collaboration with the assigned Treatment Coordinator.
  • Acts as coordinator of patient/family/caregiver education and monitors documentation of education by team members. Promotes participation of the patient/family/caregiver in team discussions related to plans, goals and status through Family Conferences and other interactions.
  • Ensures implementation of an individual treatment plan that supports patient strengths, abilities, needs, and preferences. Directs activities of the Patient Care Conference. Coordinates team activities in the implementation of patient treatment plan and re-assesses treatment plan after a change in patient condition. Facilitates the involvement of the patient throughout the rehabilitation process.
  • Documents findings of the Discharge Planning Evaluation (DPE) and psychosocial assessments. Communicates information of social, financial or discharge needs and preferences of the patient/family/caregiver. Uses financial information available in decision making about the provision of services for the patient.
  • Ensures communication with external and internal sources. Interacts with patients, team members and other stakeholders.
  • Provides thorough verbal and/or printed information to help patients/families/caregivers make informed decisions about post-acute care options, while addressing goals of care and treatment preferences. Provides printed tools explaining how to access additional details from website.
  • Adheres to hospital policy when making post discharge referrals, documenting the process in the patient record. Provides Patient Choice letter and full list of post-acute providers in patient's designated area.
  • Provides or makes appropriate referral for individual, family, group, or sexual counseling as needed. Makes appropriate peer support referrals within the community prior to discharge.
  • Facilitates discharge and arrangement of follow-up services. Facilitates implementation of discharge/transition recommendations. Identifies and utilizes appropriate community resources to meet patient discharge and continuity of care needs.
  • Participates in quality improvement activities. Assists in the collection and analysis of utilization data, identification of improvement areas, and improvement plan implementation.
  • Assumes accountability for promoting consistent, positive patient interactions that advance the agenda of unparalleled patient service.
  • Maintains a patient-first philosophy and engages in service recovery when necessary.
  • Supports the development and implementation of strategies to elevate the patient experience.
  • Performs other duties as assigned.
  • Practices and adheres to the Code of Conduct and Mission and Value Statement.
What qualifications you will need:
  • Associate Degree in Nursing or RN Diploma Required

  • Bachelor's Degree in Nursing Preferred
  • 3 years experience Required Years of Experience

HCA Florida Osceola Hospital is a 404-bed tertiary care hospital. We are accredited by the Joint Commission and are a Level II Trauma Center. We are a teaching hospital in collaboration with UCF College of Medicine. Our hospital is conveniently and centrally located in the Heart of Kissimmee. We are only minutes from Orlando, St. Cloud, Celebration, and Poinciana. We are committed to enhancing the standard of healthcare by providing services including Emergency Care, Trauma Care, Pediatric ER, Heart & Vascular Institute, and Comprehensive Stroke Center. Other services include The Baby Suites Maternity Care, Neonatal Intensive Care Unit Level II, Women's Services, Behavioral Health, Orthopedics & Spine, and a Graduate Medical Education Program. We expand our care to the community with our freestanding Emergency Department at Hunter's Creek ER.

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.


Bricks and mortar do not make a hospital. People do.- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our RN Case Manager Lead opening. We promptly review all applications. Highly 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.

temporary
RN Case Manager Lead (Kissimmee)
🏢 HCA Florida Osceola Hospital
Salary not disclosed
Kissimmee, Florida 2 days ago
Introduction

Do you have the career opportunities as an RN Case Manager Lead you want with your current employer? We have an exciting opportunity for you to join HCA Florida Osceola Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Benefits

HCA Florida Osceola Hospital 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 free 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.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance 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)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

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 an RN Case Manager Lead 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!

Job Summary and Qualifications

The primary purpose of the Lead Case Manager is to ensure that primary operations of the Case Management/Utilization Review Department function efficiently. This position maintains a caseload or equivalent assignment as volume dictates while providing a first line resource to Case Managers, Utilization Review, and Medical Social Workers. This position routinely dialogs with the Manager and/or Director to ensure seamless front line communication.

  • Performs a comprehensive assessment of psychosocial and medical needs of assigned patients, in collaboration with the assigned Treatment Coordinator.
  • Acts as coordinator of patient/family/caregiver education and monitors documentation of education by team members. Promotes participation of the patient/family/caregiver in team discussions related to plans, goals and status through Family Conferences and other interactions.
  • Ensures implementation of an individual treatment plan that supports patient strengths, abilities, needs, and preferences. Directs activities of the Patient Care Conference. Coordinates team activities in the implementation of patient treatment plan and re-assesses treatment plan after a change in patient condition. Facilitates the involvement of the patient throughout the rehabilitation process.
  • Documents findings of the Discharge Planning Evaluation (DPE) and psychosocial assessments. Communicates information of social, financial or discharge needs and preferences of the patient/family/caregiver. Uses financial information available in decision making about the provision of services for the patient.
  • Ensures communication with external and internal sources. Interacts with patients, team members and other stakeholders.
  • Provides thorough verbal and/or printed information to help patients/families/caregivers make informed decisions about post-acute care options, while addressing goals of care and treatment preferences. Provides printed tools explaining how to access additional details from website.
  • Adheres to hospital policy when making post discharge referrals, documenting the process in the patient record. Provides Patient Choice letter and full list of post-acute providers in patient's designated area.
  • Provides or makes appropriate referral for individual, family, group, or sexual counseling as needed. Makes appropriate peer support referrals within the community prior to discharge.
  • Facilitates discharge and arrangement of follow-up services. Facilitates implementation of discharge/transition recommendations. Identifies and utilizes appropriate community resources to meet patient discharge and continuity of care needs.
  • Participates in quality improvement activities. Assists in the collection and analysis of utilization data, identification of improvement areas, and improvement plan implementation.
  • Assumes accountability for promoting consistent, positive patient interactions that advance the agenda of unparalleled patient service.
  • Maintains a patient-first philosophy and engages in service recovery when necessary.
  • Supports the development and implementation of strategies to elevate the patient experience.
  • Performs other duties as assigned.
  • Practices and adheres to the Code of Conduct and Mission and Value Statement.
What qualifications you will need:
  • Associate Degree in Nursing or RN Diploma Required

  • Bachelor's Degree in Nursing Preferred
  • 3 years experience Required Years of Experience

HCA Florida Osceola Hospital is a 404-bed tertiary care hospital. We are accredited by the Joint Commission and are a Level II Trauma Center. We are a teaching hospital in collaboration with UCF College of Medicine. Our hospital is conveniently and centrally located in the Heart of Kissimmee. We are only minutes from Orlando, St. Cloud, Celebration, and Poinciana. We are committed to enhancing the standard of healthcare by providing services including Emergency Care, Trauma Care, Pediatric ER, Heart & Vascular Institute, and Comprehensive Stroke Center. Other services include The Baby Suites Maternity Care, Neonatal Intensive Care Unit Level II, Women's Services, Behavioral Health, Orthopedics & Spine, and a Graduate Medical Education Program. We expand our care to the community with our freestanding Emergency Department at Hunter's Creek ER.

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.


Bricks and mortar do not make a hospital. People do.- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our RN Case Manager Lead opening. We promptly review all applications. Highly 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.

temporary
RN Case Manager - Full Time - Days (UTICA, NY)
Salary not disclosed
UTICA, NY 3 days ago
Job Summary

Reports to and is under direct supervision of Case Management Department. Provides ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Promotes continuity of care and cost effectiveness through the integrating and functions of case management.

Core Job Responsibilities

- Coordinates discharge planning to assure that the patient progresses through the continuum of care and is discharged to the least restrictive environment.
- Coordinate the hospital activities concerned with case management and discharge planning.
- Ensure compliance with quality patient care and regulatory compliance.

Education/Experience Requirements

Required:

- Minimum of two (2) years utilization review/case management experience or social work experience.

Preferred:

- Associate degree in healthcare related filed.
- Bachelor’s degree is preferred.
- Licensed professional nurse may be considered.
- Bachelors or Masters Degree in related healthcare field (such as respiratory therapy or social work) may be considered.

Licensure/Certification Requirements

Required:

- Maintain current professional licensure in nursing or professional filed of certification.

Preferred:

- Appropriate certification in the case management preferred (e.g. Commission for Case Management Certification (CCMC) or Association of Rehabilitation Nurses).

Disclaimer

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.

Successful candidates might be required to undergo a background verification with an external vendor.

Job Details

Req Id 97141
Department CASE MGMT
Shift Days
Shift Hours Worked 9.50
FTE 0.94
Work Schedule NYSNA - 7.5 HR
Employee Status A1 - Full-Time
Union 2004 - NYSNA
Pay Range $40.19 - $56.51/Hourly
permanent
RN Case Manager, Full time, Days
Salary not disclosed
The Registered Nurse (RN) Case Manager provides care coordination which emphasizes positive partnerships with nursing, physicians and other key disciplines in order to pace the care for outcomes while meeting core measures within the appropriate level of care. The RN Case Manager provides discharge planning by collaboratively determining level of care needs beyond acute care, providing decision support to patients and families and physicians, managing patient and family expectations and ensuring a smooth transition to the next level of care and services. The RN Case Manager performs utilization review with a high level of expertise by using criteria that demonstrates medical necessity to achieve reimbursement for services and ensuring appropriate utilization of hospital resources.
PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit or follow us on Facebook , Twitter , or Instagram .

Required Skills Excellent verbal, written, and organizational skills required.
Ability to follow chain of command.
Knowledge of medical terminology and current third party payor reimbursement methodologies.
Self-motivated and results oriented.
Must be able to demonstrate sound decision making and prioritization skills.
Proficiency with main-frame and personal computers.

Required Experience Required:
Maintain an active California RN License.
Minimum of 5 years hospital nursing experience
Preferred:
BSN or MSN degree
CCM or ACM (Certified Case Manager, Accredited Case Manager)
Previous experience in case management

Address
12401 Washington Blvd.

Salary
55.00-87.50

Shift
Days

Zip Code
90602
permanent
Lead, RN Case Manager, Full time, Days
🏢 PIH Health Careers
Salary not disclosed
Whittier, California 2 days ago
The Lead, RN Case Manager is an experienced RN Case Manager who provides clinical and operational support to the Care Management leadership team. In addition to performing the full scope of an RN Case Manager, the Lead is responsible for supporting department operations, conducting audits, reinforcing regulatory compliance, leading assigned performance improvement projects, and ensuring standardization and quality in utilization review, care coordination, and discharge planning. Provides real-time guidance to team members, supports onboarding and competency development, leads quality and documentation audits, participates in throughput initiatives, and assists in implementing workflows and education to support safe and timely transitions of care. Manages the Student Internship and Preceptor Program for RN case management students, serving as liaison to academic partners and coordinating onboarding, preceptor assignments, and ongoing education.    PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit or follow us on Facebook, Twitter, or Instagram.
Required Skills   • Demonstrated ability to provide consultation and instruction to staff regarding their assessment, intervention, planning and evaluation of cases.  • Contributes to staff performance annual evaluation, performs staff annual competencies evaluations, provides staff orientation and training. • Strong working knowledge of CMS Conditions of Participation for Discharge Planning and Utilization Review, InterQual/MCG criteria, payer requirements, and hospital policies. • Knowledge with regulatory agency requirements, policies, and protocols. • Demonstrate leadership and organizational skills. • Independent performer and manages multiple assignments in a fast-paced environment. • Strong critical thinking and problem-solving skills to identify and resolve problems and or escalate barriers to support throughput.  • Excellent communication and writing skills

Required Experience   • Current California license as current California RN license  • Bachelor’s degree of Science in Nursing • 3 or more years of work experience as a case manager in hospital inpatient healthcare setting • Evidence of continuing education and obtain ACM (Accredited Case Manager) within 3 years of hire.

Address
12401 Washington Blvd.

Salary
57.04-94.11

Shift
Days

Zip Code
90602
permanent
Manager, Case Management (RN)
Salary not disclosed
Bristol, PA 4 days ago

The working Manager of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program. Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators and utilization review technicians. Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs. Integrates and coordinates services using continuous quality improvement tools.

Required qualifications:

1. Licensed RN in PA.

2. Minimum 5 years’ experience in a Case Management position.

3. Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process.

4. Experience and knowledge in basic to intermediate computer skills.

Preferred qualifications:

1. Certification in Case Management, BS or BSN or related field preferred.

2. Current BCLS certificate preferred.

3. Knowledge of Milliman Criteria and InterQual Criteria preferred.

Not Specified
RN Case Manager, Home Health
$77,200 - $106,200 per year
Wilkesboro, NC 4 days ago
Become a part of our caring community and help us put health first
 Make a meaningful impact every day as a CenterWell Home Health nurse. You’ll provide personalized, one-on-one care that helps patients regain independence in the comfort of their homes. Working closely with a dedicated team of physicians and clinicians, you’ll develop and manage care plans that support recovery and help patients get back to the life they love.

Area Coverage - Yadkin & Surry, Elkin, Jonesville, State road , Thurmond

We are offering a $10,000 sign on bonus for our full-time registered nurse case manager position.

As a Home Health RN Case Manager, you will:

  • Provide admission, case management, and follow-up skilled nursing visits for home health patients.

  • Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager.

  • Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment.  Provide hands-on care, management, and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision.  Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation.

  • Coordinate appropriate care, encompassing various healthcare personnel (such as Physical Therapists, Occupational Therapists, Home Health Aides, and external providers).

  • Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis. 

  • Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems. 

  • Coordinate/oversee/supervise the work of Home Health Aides, Certified Home Health Aides and Personal Care Workers and provides written personal care instructions/care plan that reflects current plan of care.  Monitor the appropriate completion of documentation by home health aides/personal care workers as part of the supervisory/leadership responsibility.

  • Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation.

  • Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes.  Prepare visit/shift reports, updates/summarizes patient records and confers with other health care disciplines in providing optimum patient care


Use your skills to make an impact
 

Required Experience/Skills:

  • Diploma, Associate, or Bachelor Degree in Nursing

  • A minimum of one year of nursing experience preferred

  • Strong med surg, ICU, ER, acute experience

  • Home Health experience is a plus

  • Current and unrestricted Registered Nurse licensure

  • Current CPR certification

  • Strong organizational and communication skills

  • A valid driver’s license, auto insurance, and reliable transportation are required.


Pay Range
•    $49.00 - $69.00 pay per visit/unit
•    $77,200 - $106,200 per year base pay

 

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


 

$77,200 - $106,200 per year


 

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
 About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

permanent
RN Inpatient Case Mgr - Discharge Planner - Relocation Offered!
USD $89,065.00/Yr. - USD $162,801.00/Yr
Washington, DC 2 days ago
About this Job:

General Summary of Position


Serves as a member of the Case Management Team and applies RN clinical expertise and medical appropriateness to care coordination and discharge planning. Facilitates the delivery of quality cost effective patient-centered care from pre-admission through post-discharge timeframe. Ensures the care is designed to meet individualized patient outcomes. Monitors the care and services delivered to selected patient populations during the acute hospital stay promotes effective case management and utilization of resources and works to achieve optimal clinical and resource outcomes for the acute and post-hospital phases of care.

 

Primary Duties and Responsibilities

 

  • Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
  • Collaborates with the multidisciplinary health care team to develop and coordinate the plan of care.
  • Communicates with patient family and/or significant other health care team external case manager community resources and facility to address appropriate issues and patient/family goals.
  • Demonstrates the ability to develop a plan of care that addresses needs across the continuum; have an intervention for problems identified; develop long- and short-term goals with specific time frames for resolution; identify specific services to be provided in the care plan; include the family/care-giver in the plan of care; and show life planning contingencies such as power of attorney and/or advance directives.
  • Evaluates and documents the patient's response to the plan of care and achievement of outcomes. Makes recommendations for modifications to the plan of care as indicated. Adheres to all policies and procedures regarding documentation and confidentiality of information.
  • Maintains knowledge of regulatory agencies' requirements necessary criteria for admission to various care settings and Medicare's/Medicaid's reimbursement methods for different levels of care.
  • Manages a caseload of patients. Identifies essential resources needed to implement the plan of care.
  • Manages own professional growth in the area of managed care care management other health care financial trends clinical practice and research.
  • Manages patient care according to multidisciplinary plan of care and/or managed care contracts by directing decision making and identifying and managing barriers that impact on patient care outcomes.
  • Participates in Performance and Service Improvement teams. Assists in program evaluation through customer service surveys LOS data analysis charge/discharge data comparison to state averages and best practice/benchmark data.
  • Performs a comprehensive assessment in collaboration with interdisciplinary team to identify patient-specific problems and needs related to diagnosis treatment including psychosocial and financial concerns as well as medical.

Minimal Qualifications
Education

  • Associate's degree in Nursing (ADN) required
  • Bachelor's degree in Nursing (BSN) preferred

Experience

  • Minimum of 2 years clinical experience in an acute care hospital setting required
  • 1-2 years case management experience preferred

Licenses and Certifications

  • RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia or Maryland depending on work location required
  • CCM - Certified Case Manager preferred

Knowledge Skills and Abilities

  • Ability to use computer to enter and retrieve data.
  • Working knowledge of Microsoft Word Excel and PowerPoint applications.
  • Effective verbal and written communication skills.
  • Must be able to run and analyze departmental productivity reports.
  • Excellent interpersonal skills required.
This position has a hiring range of : USD $89,065.00 - USD $162,801.00 /Yr.
permanent
RN Case Manager - Bilingual
$100,000 to $115,000 per year
Bronx, NY 4 days ago
RN Case Manager – MLTC (Bilingual highly preferred) – Hybrid (4 days remote)

Job Summary:

The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes.

Essential Functions:

  • Ensures consistent care along the entire health care continuum by assessing and closely monitoring members’ needs and status.
  • Authorizes covered services and coordinates care regardless of payer.
  • Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team.
  • Works with member/family to maintain the most independent living situation possible
  • Assesses, plans and provides continuous care management across all venues of care, including hospital, sub-acute, long-term and home settings.
  • Regularly assesses members for ongoing eligibility for services based on the specific plan’s eligibility criteria.
  • Performs home visits as required to assess members’ living situation, cultural influences, functional and cognitive needs.
  • Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member.
  • Ensures appropriate, safe plan for members’ discharge from their plan.
  • Identifies same day grievances, investigates and documents accordingly. Documents any grievance according to plan policy.
  • Identifies and presents members with complex care management needs or in difficult to manage situations at Intensive Care management meetings (ICM).
  • Responds to members’ requests in the designated timeframes and completes Initial Adverse Determinations (IAD) as indicated
  • Identifies members requiring Care Management Review (CMR), evaluates documentation provided by the IDT including hospital or nursing home discharges planners, and formulates appropriate plan of care.
  • Documents care management/coordination according to company policy to the specific plan the member is enrolled in, which may include monthly telephonic and in person recertification notes.
  • Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members’ needs.
  • Perform any other job related duties as requested.


Education and Experience:


  • Associates degree in Nursing from an accredited nursing program required
  • Bachelor's degree in Nursing preferred
  • Three (3) years of experience as a registered nurse required
  • Clinical experience in geriatrics and/or managed long-term care experience preferred
  • Experience using multiple languages may be required based on operational needs

Competencies, Knowledge and Skills:


  • Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
  • Ability to communicate effectively with a diverse group of individuals
  • Ability to multi-task and work independently within a team environment
  • Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
  • Adhere to code of ethics that aligns with professional practice
  • Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice
  • Strong advocate for members at all levels of care
  • Strong understanding and sensitivity of all cultures and demographic diversity
  • Ability to interpret and implement current research findings
  • Awareness of community & state support resources
  • Critical listening and thinking skills
  • Decision making and problem-solving skills
  • Strong organizational and time management skills
  • Bilingual speaking and writing skills are preferred

Licensure and Certification:


  • Current, unrestricted Registered Nurse licensure in the state of New York required
  • Case Management Certification preferred

Working Conditions:


  • General office environment; may be required to sit or stand for extended periods of time
  • Up to 25% (regular) travel may be required to travel to different locations, including homes, offices, or other public settings, to perform work duties

Compensation Range:

$100,000 - $115,000.. We takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

#AC1

#ACP
Not Specified
RN, Registered Nurse -Transplant Case Manager
✦ New
Salary not disclosed
Dublin, OH 1 day ago
Description

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

What’s in it for you
  • 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 .

permanent
RN - Field Case Manager Home Care (Champaign)
Salary not disclosed
Champaign, Illinois 4 days ago
Overview

Sign on Bonus Available

$7,500 greater than 1yr of experience

$2,500 Relocation Bonus (greater than 50 miles)

(external candidate only)

Serving patients of all ages through skilled home care nursing visits in Champaign, Vermilion, Edgar, Iroquois, Ford, Coles, Douglas, Piatt, Moultrie, and Macon counties.

Home Care RN/Field Case Managers work independently and as part of an interdisciplinary home care team (LPN, HHA, PT, PTA, OT, OTA, MSW, SLP).

Enjoy working at the top of your practice:

Coordinating care plans, educating patients/family and performing skilled nursing assessments and care in areas such as:
  • Complex wound care, wound vac, ostomy
  • PICC lines/Ports/Blood Draws
  • TPN and Antibiotic Infusion
  • Catheters/Tubes/Drains/PleurX
  • Tracheostomy management
  • Monitor and educate on health conditions to promote independence and wellness


Why Join Us?
  • Supportive team environment with 24/7 clinical backup
  • Flexible scheduling and autonomy
  • Competitive pay and mileage reimbursement
  • The reward of building meaningful relationships every day


The Home Care Field RN is a professional caregiver who is a member of the interdisciplinary team. Responsibilities include the coordination and provision of direct and indirect patient care using the nursing process to meet the physical, psychosocial, environmental, and spiritual needs of Carle Home Services specific patient populations and families throughout the geographical area.

Qualifications

Certifications:IL RN, BLS 30 days, Drivers License, Proof Auto Insurance , Education: College Diploma Nursing, Work Experience: 1yr nursing experience

Responsibilities

Demonstrates understanding of Medicare Home Care benefits including covered services, recertifications, transfers, and non-recertifications. Follows regulatory requirements regarding documentation standards.Comprehends department specific indicators.Performs case management activities of assessment, coordination, planning, monitoring, implementation, and evaluation. Interacts with clients, caregivers and families to assess, plan care, arrange services, monitor, and provide support and education.Consistently completes all admission documentation within policy guidelines.Returns admission documents to office complete and in a timely manner (according to policy).Completes required OASIS/485 changes within 24 hours of receiving them.Completes visits notes and telephone conversations records and transmitted timely according to policy (includes physician orders, admission, routine, supervisory, telephone and discharge notes.)Ensures Physician Orders are written timely, corrections to care plans are entered and transmitted according to time line.Reviews verbal orders with MD office, written and evidenced as read-back, completed immediately and transmitted within time frame established by policy. Once documented and transmitted orders are never changed. Ensures patient visit string(s) are added to the record to make sure visits are not missed.Ensures proper acronym is evident on all physician orders.Completes Home Health Aide supervisory visits.Acts as the coordinator of the health care team in order to maintain the proper linkages within the continuum of care.Collaboratively communicates and initiates case conferencing as necessary and documents interacts (other disciplines, MD, care coordinator, insurers, etc.). Communicates pertinent information for patient care conferences on all admits done by him/her.Practices in a manner sensitive to the needs of patients and families. Provides care according to plan of care and orders.Directs the activities of the licensed practical nurse.Makes home health aide assignments, prepare written instructions for the aide and supervises the aide in the patient home.Demonstrates adequate knowledge of State and Federal regulatory and accreditation guidelines which is evidenced by daily performance. Perform OASIS assessments for admissions, recertifications, resumptions and discharges. Performs complex wound care including wound vacs, packing, removal of staples or sutures. Monitors central lines including PICC and Hickman catheters and performs dressing changes per agency protocol. Accesses mediports for IV infusion and/or blood draws and flushes per agency protocol. Performs case management for patients assigned to her/his case load. Communicates with MD per phone or electronically regarding patient updates and condition changes.
About Us

Find it here.

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We've grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We're developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world's first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care.

We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. For more information: .

Compensation and Benefits

The compensation range for this position is $33.62per hour - $57.83per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit /benefits.
permanent
Registered Nurse RN Case Manager PRN
Salary not disclosed
Tomball, TX 3 days ago

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!

Job Summary and Qualifications

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 
What qualifications you will need:
  • 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.

"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.

Not Specified
Registered Nurse Case Manager (Socorro)
Salary not disclosed
Socorro, Texas 2 days ago

As a Registered Nurse Case Manager, 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.

Job Summary and Qualifications

The Registered Nurse (RN) CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.

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
What qualifications you will need:

Education & Experience:

  • 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

Licensure, Certifications, Training: Credential:

  • Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation. Required
  • Certification in Case Management Preferred
Benefits

Del Sol Medical Center, 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

Del Sol Medical Center is a full service, acute-care hospital in east El Paso, Texas. We have a Level II trauma designation. This facility has 300+ patient beds. Our range of services include emergency care, cardiac care, women's services, Level III NICU, rehabilitation, a bariatric clinic , and a Minimally Invasive Surgery Center. Del Sol Medical Center is part of Las Palmas Del Sol Healthcare. We are a leading healthcare provider for El Paso and the surrounding region that is part of HCA Healthcare.

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 Case Manager 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.

temporary
Registered Nurse Case Manager (Sunland Park)
🏢 Del Sol Medical Center
Salary not disclosed

As a Registered Nurse Case Manager, 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.

Job Summary and Qualifications

The Registered Nurse (RN) CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.

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
What qualifications you will need:

Education & Experience:

  • 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

Licensure, Certifications, Training: Credential:

  • Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation. Required
  • Certification in Case Management Preferred
Benefits

Del Sol Medical Center, 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

Del Sol Medical Center is a full service, acute-care hospital in east El Paso, Texas. We have a Level II trauma designation. This facility has 300+ patient beds. Our range of services include emergency care, cardiac care, women's services, Level III NICU, rehabilitation, a bariatric clinic , and a Minimally Invasive Surgery Center. Del Sol Medical Center is part of Las Palmas Del Sol Healthcare. We are a leading healthcare provider for El Paso and the surrounding region that is part of HCA Healthcare.

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 Case Manager 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.

temporary
Registered Nurse Case Manager (El Paso)
🏢 Del Sol Medical Center
Salary not disclosed
El Paso, Texas 2 days ago

As a Registered Nurse Case Manager, 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.

Job Summary and Qualifications

The Registered Nurse (RN) CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.

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
What qualifications you will need:

Education & Experience:

  • 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

Licensure, Certifications, Training: Credential:

  • Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation. Required
  • Certification in Case Management Preferred
Benefits

Del Sol Medical Center, 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

Del Sol Medical Center is a full service, acute-care hospital in east El Paso, Texas. We have a Level II trauma designation. This facility has 300+ patient beds. Our range of services include emergency care, cardiac care, women's services, Level III NICU, rehabilitation, a bariatric clinic , and a Minimally Invasive Surgery Center. Del Sol Medical Center is part of Las Palmas Del Sol Healthcare. We are a leading healthcare provider for El Paso and the surrounding region that is part of HCA Healthcare.

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 Case Manager 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.

temporary
Registered Nurse Case Manager (Horizon City)
🏢 Del Sol Medical Center
Salary not disclosed
Horizon City, Texas 2 days ago

As a Registered Nurse Case Manager, 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.

Job Summary and Qualifications

The Registered Nurse (RN) CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.

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
What qualifications you will need:

Education & Experience:

  • 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

Licensure, Certifications, Training: Credential:

  • Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation. Required
  • Certification in Case Management Preferred
Benefits

Del Sol Medical Center, 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

Del Sol Medical Center is a full service, acute-care hospital in east El Paso, Texas. We have a Level II trauma designation. This facility has 300+ patient beds. Our range of services include emergency care, cardiac care, women's services, Level III NICU, rehabilitation, a bariatric clinic , and a Minimally Invasive Surgery Center. Del Sol Medical Center is part of Las Palmas Del Sol Healthcare. We are a leading healthcare provider for El Paso and the surrounding region that is part of HCA Healthcare.

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 Case Manager 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.

temporary
Social Worker II - Case Management
✦ New
Salary not disclosed
Desert Regional Medical Center is a 385 bed acute-care hospital classified as a stroke receiving center and level 2 trauma facility with an innovative , patient centered and evidence-based Rehabilitation Services Department.

Our compassionate team provides a wide range of inpatient and outpatient services, including acute care rehabilitation, joint replacement & spinal surgery, neurosurgery, ICU, Telemetry, step-down care, skilled nursing, as well as outpatient therapy, hand and lymphedema clinics.

Summary The Social Worker is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination.

The individual in this position has overall responsibility for to assess the patient for transition needs including identifying and assessing patients at risk for readmission.

Conducts complex psycho-social assessment and intervention to promote timely throughput, safe discharge and prevent avoidable readmissions.

This position integrates national standards for case management scope of services including: Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy Education provided to physicians, patients, families and caregivers -Leads a population of patients by service line and/or leads the team by being a resource to Tenet performance standards.

Responsibilities This individual's responsibility will include the following activities: Complex psycho-social transition planning assessment and reassessment and intervention, Assistance with adoptions, abuse and neglect cases, including assessment, intervention and referral as appropriate to local, state and /or federal agencies, Care coordination, d) implementation or oversight of implementation of the transition plan, Leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review, Making appropriate referrals to other departments, g ) communicating with patients and families about the plan of care, Collaborating with physicians, office staff and ancillary departments, I) assuring patient education is completed to support post-acute needs , Timely complete and concise documentation in Case Management system, k ) maintenance of accurate patient demographic and insurance information, Precepts new staff members and acts as a resource to all staff, Facilitates TEMPO as needed, Participates in department quality improvement initiatives, and Other duties as assigned.

Qualifications Experience Preferred: Two (2) years acute hospital experience.

Certifications Required: LCSW based on license requirements of the state in which the Tenet Hospital operates.

Preferred: Accredited Case Manager (ACM).

Sign On Bonus: Up to $25,000 Hours: 1200pm
- 12:30am Schedule: Fridays through Sunday LI-DH1 Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce.

If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date.

If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Who We Are We are a community built on care.

Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing.

Your community is our community.

Our Story We started out as a small operation in California.

In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals.

Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.

We have a rich history at Tenet.

There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need.

Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.

Our Impact Today Today, we are leading health system and services platform that continues to evolve in lockstep with community need.

Tenet's operations include three businesses
- our hospitals and physicians, USPI and Conifer Health Solutions.

Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care.

We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve.

The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.

Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.

Careers at Tenet At Tenet Healthcare, the heart of what we do centers on caring with compassion, which ultimately creates a bond between our caregivers and patients.

Everyone contributes to these moments, whether providing care directly or supporting those who do.

As an organization, we provide employees with resources, tools and support to serve our patients and customers in the best way possible.

We also take care of one another, helping team members further develop their career pathways and maximize their potential.5c143e31-5e48-4549-b638-05792d185386
Not Specified
FORGE Case Manager
Salary not disclosed
Kansas City, KS 2 days ago
Description

We are seeking a FORGE Case Manager to join our team.



Starting Salary: $50,000 (Salary)



Contingent Upon Funding- External Research Project. Employment is contingent upon its continued grant support.



We are seeking a FORGE Case Manager to join our team. The University of Kansas School of Social Welfare (KUSSW) and its partner, Cornerstones of Care, will develop and deliver the project, Family Opportunity, Resilience, Grit, Engagement - Fatherhood (Kansas FORGE Fatherhood). Kansas FORGE Fatherhood will serve fathers and father-figures raising a child by improving outcomes in healthy relationships, parenting practices, economic stability, and receive support in accessing community resources to long-term success.



The FORGE Case Manager works under the direction of the Manager of FORGE Fatherhood Project and is responsible for delivering the proposed program model, which includes supporting the evidence-based Strengthening Father Involvement (SFI) curriculum, the evidence-informed financial program Money Habitudes (MH), and identifying individualized service plans for participants. The Case Manager works closely with the participants to ensure participants build relationship skills, gain positive parenting abilities, and move towards economic stability.



WHAT YOU WILL DO:




  • Ensure program implementation supports methods for fathers to work collaboratively with spouses or co-parents.
  • Manage a case load of father participants, developing individualized plans to assist them in obtaining healthy relationships, positive parenting skills, and economic stability.
  • Administer assessments to identify service supports to connect participants to resources.
  • Connect fathers with community resources to assist them in meeting personalized goals.


WHAT YOU WILL BRING:



Our ideal candidate will have 2-5 years of child and families services experience and the following:




  • Bachelor's degree in social work or other human service-related field.



  • Master's degree in social work or other human service-related field and 2-5 years of work experience in child and family services. Licensed by the Behavioral Sciences Regulatory Board to practice in Kansas (LBSW, LMSW, LSCSW, Professional Counselor, LMFT, and/or Alcohol and Drug Counselor) preferred.



  • A valid driver's license in the state you reside in, proof of current vehicle insurance, and reliable transportation.


WHO WE ARE:



Cornerstones of Care is a mental and behavioral health nonprofit certified in trauma-informed care that provides evidence-based prevention, intervention, treatment, and support services to help children and families improve their safety and health by making positive changes in their lives. Each year, our team empowers children and families in Kansas, Missouri, and beyond through three key service areas:




  • Youth & Family Support - We help youth gain independence through social and living support programs while empowering families with the skills and resources they need to become resilient and successful.
  • Foster Care & Adoption - We reunify and unite families while recruiting and providing support to foster parents and youth in foster care.
  • Education & Community Trainings - We help students achieve academic success while giving educators the tools to create safe learning environments to improve their students' behaviors and offer innovative learning opportunities to build and improve knowledge in the community.


CORNERSTONES OF CARE'S ORGANIZATIONAL COMMITMENTS:




  • Nonviolence - helping to build safety skills and a commitment to a higher purpose.
  • Emotional Intelligence - helping to teach emotional management skills.
  • Social Learning - helping to build cognitive skills.
  • Open Communication - helping to overcome barriers to healthy communication, learn conflict management.
  • Democracy - helping to create civic skills of self-control, self-discipline, and administration of healthy authority.
  • Social Responsibility - helping to rebuild social connection skills, establish healthy attachment relationships.
  • Growth and Change - helping to work through loss and prepare for the future.


OUR BENEFITS:



Cornerstones of Care offers a competitive benefits package, which includes:




  • 9 Paid Holidays, Unlimited Paid Time Off, and Paid Sick Leave
  • Team members who work at least 30 hours per week are eligible for

    • Health insurance benefits (medical, prescription, dental, vision)
    • Cafeteria plans (Health Savings Account (HSA) and Medical and Dependent Care Flexible Spending Accounts)
    • Ancillary insurance benefits (accident insurance, critical illness insurance, hospital indemnity insurance, short-term disability insurance, voluntary life)
    • Cornerstones of Care provides long-term disability insurance and basic term life/AD&D insurance at no cost to the team member


  • Retirement savings plan (401K) with employer match
  • Pet Insurance
  • Employee assistance program (EAP)
  • Tuition reimbursement program
  • Public Service Loan Forgiveness.
  • To view more information on our benefits, please visit our Job Openings page at Join Our Team - Cornerstones of Care to download the current benefits guide.


Questions?



Please contact: Cornerstones of Care, People Experience Team



8150 Wornall Rd., Kansas City, MO 64114



Phone: Fax:



Like us on Facebook at: cornerstonescareers



Employment Conditions:



Contingent Upon Funding - External Research Project. The project is supported by grant number 90ZJ0128 from the Children's Bureau within the Administration of Children and Families, a division of the U.S. Department of Health and Human Services. Employment is contingent upon its continued grant support.



Cornerstones of Care is an Equal Opportunity Employer



We are an equal employment opportunity employer without regard to a person's race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status, or genetic information.


Not Specified
Telephonic Complex Case Care Manager, LTSS (RN) - TEXAS Only
✦ New
Salary not disclosed
San Antonio, Texas 16 hours ago

JOB DESCRIPTION

Opportunity for a TX licensed RN, residing in Texas, with experience functioning as a Care Manager working with Complex/Intensive cases. Telephonically you will complete assessments needed for determining the types of services we need to provide and managing their care until they are discharged from your service. The ideal candidate will have experience as a Case Manager within a managed care organization (MCO) like Molina, but we also consider RNs with a strong background in complex cases. Hours are Monday – Friday, 8 AM – 5 PM CST working from home.

Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, and Teams as well as being confident in moving between different programs to complete the necessary forms and documentation. Excellent computer skills and attention to detail are very important to multitask between systems and talking with members on the phone while entering accurate contact notes. This is a fast-paced position and productivity is important.

Job Summary

Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties


• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care.
• Assesses for medical necessity and authorizes all appropriate waiver services.
• Evaluates covered benefits and advises appropriately regarding funding sources.
• Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
• Identifies critical incidents and develops prevention plans to assure member health and welfare.
• May provide consultation, resources and recommendations to peers as needed.
• Care manager RNs may be assigned complex member cases and medication regimens.
• Care manager RNs may conduct medication reconciliation as needed.

Required Qualifications


• At least 2 years experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
• Registered Nurse (RN). License must be active and unrestricted in state of practice.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Ability to operate proactively and demonstrate detail-oriented work.
• Demonstrated knowledge of community resources.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations and various personalities and personal situations.
• Ability to work independently, with minimal supervision and demonstrate self-motivation.
• Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
• In some states, must have at least one year of experience working directly with individuals with substance use disorders.

Preferred Qualifications


• Certified Case Manager (CCM).
• Experience working with populations that receive waiver services.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Not Specified
Contract Case Management RN (Registered Nurse) in Ashland, WI
✦ New
$2,498 - $3,009
Benoit, WI 16 hours ago

Registered Nurse - Case Management


Ashland, WI


Specialty: Case Management


Position Type: Travel


Contract Length: 13 weeks


Pay: $2498 - $3009 | Shift: 5x8 Days


Are you a skilled Case Management RN looking for your next adventure? Do you thrive in an acute care setting, providing exceptional patient support? Our healthcare partner in Ashland, WI, is seeking a dedicated Registered Nurse to join their team on a travel assignment. This is your chance to make a meaningful impact while exploring a new community.



As a Case Management RN, you will play a crucial role in coordinating patient care and ensuring the best outcomes. Your responsibilities will include:


  • Utilizing InterQual criteria to assess and plan patient care
  • Collaborating with interdisciplinary teams to develop comprehensive care plans
  • Facilitating patient transitions and discharge planning
  • Documenting patient information using the EPIC charting system
  • Maintaining BLS (AHA) certification
  • Need 1 year experience in setting


Apply today and let Capstone Health help you reach your full potential! At Capstone, we know that when healthcare professionals feel supported, they provide the best care for their patients. That's why we offer personalized recruiter support and comprehensive benefits to help you build a fulfilling career while maintaining a healthy work-life balance. Our travelers enjoy a range of traditional and modern benefits, including:


  • Dedicated Recruiter
  • $1,000 Unlimited Referral Bonus
  • Medical, Dental, and Vision Insurance
  • Complementary Life Insurance
  • 401(k)
  • Lodging and Meals & Incidental Reimbursement (with qualified tax home)
  • Licensure/Certification Reimbursement
  • Voluntary Insurance Benefits
  • Completion Bonus
  • Equal Employment Opportunity
  • And more!
contract
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