Top 15258 Case manager/rn Jobs

Temp RN Case Manager
Santa Clara Family Health Plan —San Jose, CA
- $53.45 - $68.14 an hour
- Temporary
- Spanish
- RN License
- Experience working with individuals with disabilities
Quick Apply
Hospice Registered Nurse (RN) Case Manager
VIA Health Partners —Greensboro, NC
- Full-time
- CPR Certification
- Nursing
- LVN
- Continuing education credits
- 403(b) matching
Quick Apply
CASE MANAGER - RN - FT
Hospital for Special Surgery —New York, NY
- $140,016.47 - $157,666.47 a year
- Full-time
- Acute care
- Nursing
- RN License
RN CASE MANAGER
Legent Health —Bellaire, TX
- Full-time
- Nursing
- Mid-level
- US work authorization
- Paid time off
Quick Apply
12d
RN Case Manager- Hospice
Tennessee Quality Care – an Addus family company —Jackson, TN
- CPR Certification
- Nursing
- RN License
- Mileage reimbursement
- Paid holidays
Quick Apply
Clinical Case Manager, RN
United Biosource Corporation —Remote
- Overtime
- Remote
- Nursing
- RN License
- Research
- Wellness program
- Health savings account
Clinical Case Manager-RN
For The People of Georgia, LLC —Atlanta, GA
- $100 - $500 a day
- Contract
- Remote
- Nursing
- Mid-level
- Bachelor's degree
- Flexible schedule
Quick Apply
RN, Case Manager
Banner Health —Arizona
- $35.43 - $59.05 an hour
- Full-time
- Remote
- Nursing
- RN License
- BLS Certification
- Health insurance
- Flexible schedule
5d
Case Manager Nurse-RN
Personify Health —Remote
- $36 - $38 an hour
- Email
- Nursing
- RN License
- Computer literacy
- Health insurance
- Dental insurance
13d
Telephonic Case Manager
Enlyte —Missouri
- $74,000 - $86,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health savings account
- AD&D insurance
Remote Case Manager (RN)
CORE Occupational Medicine —Baton Rouge, LA
- $70,000 a year
- Full-time
- Remote
- RN License
- Mid-level
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
RN, Case Manager
ISYS SOLUTIONS INC —Palm Springs, CA
- $120,000 - $180,000 a year
- Full-time
- Hospital
- Research
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
RN II - Oncology Case Manager-REMOTE BASED
Horizon Blue Cross Blue Shield of New Jersey —Hopewell, NJ
- $79,100 - $105,945 a year
- Weekends as needed
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Care Management RN
Clearlink Partners —Remote
- $70,000 - $100,000 a year
- RN License
- Writing skills
- English
Quick Apply
7d
Telephonic Case Manager I
CorVel Corporation —Nottingham, MD
- $63,739 - $95,264 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
Case Manager RN – Level I - Bilingual
MedWatch —Remote
- $72,000 - $81,000 a year
- Full-time
- Nursing
- RN License
- Writing skills
RN II- CASE MGR.TRANSPLANT(REMOTE) HCC
Horizon Blue Cross Blue Shield of New Jersey —Hopewell, NJ
- $79,100 - $105,945 a year
- Full-time
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
HOME CARE - RN CASE MANAGER
Aultman Health Foundation —Canton, OH
- Weekends as needed
- Nursing
- RN License
- Computer literacy
Registered Nurse Case Manager (RN) $5,000 Sign On Bonus
St. Croix Hospice —Platteville, WI
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Hospice Registered Nurse Case Manager RN
Affinity Hospice Management LLC —South Portland, ME
- Full-time
- CPR Certification
- Nursing
- RN License
Quick Apply
5d

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Temp RN Case Manager

Santa Clara Family Health Plan -
San Jose, CA

Quick Apply

Job Details

Temporary | Full-time
$53.45 - $68.14 an hour

Qualifications

Spanish
Long-term care regulations
Utilization review
RN License
Experience working with individuals with disabilities
Managed care organization experience
Regulatory compliance
Utilization management

Full Job Description

About Us:

Santa Clara Family Health Plan (SCFHP) is a local, community-based health plan dedicated to improving the health and well-being of the residents of Santa Clara County. Working in partnership with providers and community organizations, we serve our neighbors through our Medi-Cal and SCFHP DualConnect (HMO D-SNP) health care plans.

About the role:

TEMPORARY POSITION (6 months, depending on department needs)

The RN Case Manager is responsible for providing on-going case management services for Santa Clara Family Health Plan (SCFHP) members. As a SCFHP member advocate, the RN Case Manager facilitates communication and coordination among all participants of the care team to ensure member identified goals and needed services are provided to promote quality cost-effective outcomes. Through the development and implementation of member individualized care plans, the RN Case Manager provides medical and psychosocial case management support to help coordinate resources and services for individuals across the healthcare and social services continuum, and facilitate the use of available healthcare benefits in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures, and business requirements.

Day to Day:

Conduct, review and document comprehensive clinical and/or psychosocial assessments and on-going follow-up interventions to measure progress towards meeting goals as they relate to a member’s physical, psychosocial, environmental, safety, developmental, cultural and linguistic needs.
Maintain case files by assuring that they are documented in accordance with SCFHP policies and procedures, state and federal requirements and organized in a manner that adheres to standards for audit requirements.
Facilitate involvement of the member and/or family/responsible party for development and implementation of a member specific care plan which includes individualized prioritized goals.
Coordinate member’s care with PCP, Specialists, Behavioral Health and Long Term Services and Supports providers to assist member to achieve or maintain a level of functional independence which allows them to remain at home or in the community.
Facilitate and coordinate communication with member’s interdisciplinary care team including SCFHP internal staff, as well as the member’s physicians, specialists, public services, community agencies and vendors to ensure care plan development and coordination of benefits and services.
Facilitate successful transition of care for members who move between care settings by coordinating services for medical appointments, pharmacy assistance and by facilitating utilization review.
If assigned to MLTSS, support the transition of long-term care members residing in nursing facilities to a lower level of care, or community setting in partnership with MLTSS providers and programs.
If assigned to Community Based Adult Services (CBAS):
Conduct face-to-face, on-site eligibility determinations for CBAS services with members using the standardized California Department of Health Services approved tool – CBAS Eligibility Determination Tool (CEDT) & Patient Health Record Quick Guide;
Review and approve Individual Plan of Care for CBAS members; and
Provide care coordination to targeted CBAS members including assessment, care plan implementation and care transitions.
Conduct telephonic and/or visits/assessments, as needed in the home, facility or community setting.

About You:

Active California RN License without restriction.
Minimum three years of experience in case management, discharge planning, or education or certifications, or equivalent experience.
Knowledge of managed care principles and practices with emphasis in Utilization Management and/or Case Management.
Clinical knowledge and critical thinking skills with the ability to assess individualized whole-person care needs necessary to develop an effective care plan.
Ability to consistently meet accuracy and timeline requirements to maintain regulatory compliance.
Spanish, Vietnamese, Chinese, or Tagalog language bi-lingual skills. (Desired)
Experience working with designated member population (e.g. behavioral health, seniors and persons with disabilities, children).

Please review the full job description on our Career’s page:

https://phf.tbe.taleo.net/phf04/ats/careers/v2/viewRequisition?org=SANTCLAR2&cws=38&rid=3118

Job Types: Full-time, Temporary

Pay: $53.45 - $68.14 per hour

Work Location: In person

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