Top 1640 Ed case manager Jobs

ED UTILIZATION REVIEW/CASE MANAGER
Insight —Chicago, IL
- $85,000 - $90,000 a year
- Acute care
- Microsoft Word
- Nursing
- Disability insurance
- Health insurance
Quick Apply
Customer Success Manager NOA Higher Ed. Southeast Region (USA Remote)
Turnitin, LLC —Atlanta, GA
- $77,700 - $129,500 a year
- Full-time
- Remote
- 5 years
- Senior level
- Communication skills
- Paid holidays
- Health insurance
Quick Apply
Case Manager
Stony Brook University Hospital —Stony Brook, NY
- $89,760 - $127,975 a year
- Online Application
- Bilingual
- Nursing
- RN License
Registered Nurse - Case Manager
SSM Health —Lake Saint Louis, MO
- Part-time
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Health insurance
Special Education Teacher
Mingus Mountain Youth Treatment Center —Prescott Valley, AZ
- Full-time
- Background check
- Classroom
- Experience working with individuals with disabilities
- Wellness program
- Paid holidays
Quick Apply
Registered Nurse Case Manager ED Full Time Nights
Martin Luther King, Jr. Community Hospital —Los Angeles, CA
- $53.07 - $82.27 an hour
- Full-time
- Background check
- Spanish
- Nursing
- Wellness program
- 403(b) matching
Quick Apply
Case Manager - Bronson Battle Creek
Bronson Healthcare —Battle Creek, MI
- Part-time
- Acute care
- Nursing
- RN License
Quick Apply
RN, Emergency Department Case Manager
Iredell Memorial Hospital Incorporated —Statesville, NC
- Weekends as needed
- Nursing
- RN License
- Word processing
Quick Apply
14d
Educational Technician - III
Thornton Academy —Saco, ME
- Full-time
- School experience
- Classroom
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Secondary Affective Needs Teacher (26/27 School Year)
KIPP Colorado —Denver, CO
- $65,990 a year
- Full-time
- Classroom
- Spanish
- Microsoft Outlook
- AD&D insurance
- Disability insurance
Special Education Teacher/Case Manager (2026-2027)
Academic Arts High School —West Saint Paul, MN
- $49,291.43 - $65,000.00 a year
- Full-time
- Background check
- Classroom
- Experience working with individuals with developmental disabilities
- Health savings account
- Health insurance
Quick Apply
Radiological Technologist (Inpatient)
Childrens Hospital of The Kings Daughters —Norfolk, VA
- $30.55 an hour
- Full-time
- CPR Certification
- BLS Certification
- Inpatient
Continuous Care Hospice Nurse Per diem
All Care —North Andover, MA
- $48 - $50 an hour
- Weekends as needed
- RN License
- Mid-level
- Driver's License
- 403(b) matching
- Mileage reimbursement
Quick Apply
Medical Director
Widespread Whole Life Recovery —Springfield, IL
- $150 - $200 an hour
- Part-time
- Hybrid work
- Background check
- Medicine
- Management
Quick Apply
7d
IEP Case Manager/Special Education Teacher
Child Development Services —Oxford, ME
- $53,539 - $92,768 a year
- Full-time
- Background check
- Classroom
- Experience working with individuals with disabilities
- Paid holidays
- Disability insurance
Quick Apply
IEP Case Manager/Special Education Teacher
Child Development Services —Lovell, ME
- $53,539 - $92,768 a year
- Full-time
- Background check
- Classroom
- Experience working with individuals with disabilities
- Paid holidays
- Disability insurance
Quick Apply
Nurse Case Manager
Texas Nursing Services —Tallahassee, FL
- $31.94 - $43.92 an hour
- Full-time
- Acute care
- Nursing
- RN License
- Employee stock purchase plan
- Relocation assistance
Quick Apply
ED Case Manager (RN)
FirstHealth of the Carolinas, Inc. —Pinehurst, NC
- Full-time
- Nursing
- Mid-level
- 3 years
- Relocation assistance
- Loan forgiveness
Infant/Toddler Lead Teacher - Lahaina
Maui Family Support Services, Inc. —Lahaina, HI
- $40,688 - $48,897 a year
- Full-time
- Background check
- Classroom
- CPR Certification
- Health insurance
- Dental insurance
Quick Apply
12d
RN Case Manager Acute Care
Texas Nursing Services —Tallahassee, FL
- $31.94 - $43.92 an hour
- Full-time
- Acute care
- Nursing
- RN License
- Employee stock purchase plan
- Disability insurance
Quick Apply

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ED UTILIZATION REVIEW/CASE MANAGER

Insight -
Chicago, IL

Quick Apply

Job Details

$85,000 - $90,000 a year

Benefits

Disability insurance
Health insurance
Dental insurance
Vision insurance
Life insurance
Paid sick time

Qualifications

Microsoft Word
Customer communication
Microsoft Excel
RN License
Word embeddings

Full Job Description

WE ARE INSIGHT

At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now!

General Summary: The ED Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital resources by ensuring that the patient meets acute inpatient criteria, and anticipates and provides assistance with discharge needs in a timely fashion.

This position is a central communicator with external and internal customers, including vendors, payers, community agencies, patients, families, hospital staff and departmental personnel. The position collaborates with social workers and case managers for discharge planning and utilization review activities. This individual supports the functions of the department with efficient office management of the department by answering phones, ordering supplies, typing/computer entry, tracking and compiling data.

Duties and Responsibilities:

Performs inpatient utilization management activities as determined by the utilization plan, professional standards and requirements of payers:
Works collaboratively with physicians and other healthcare team members to effect timely and appropriate patient management on an ongoing basis.
Collects data as required to support necessity of admission and continued hospitalization based on department standards.
Supports the DRG (Diagnosis Related Group) Assurance Program through data collection and ensures that the DRG worksheets contain complete and accurate information and appropriate DRG assignment.
Provides accurate clinical information to payers as required.
Resolves system problems impeding diagnostic or treatment progress such as delays in the discharge process.
Performs non-acute profiling, collecting data on avoidable days and physician advisor referral codes.
Assists in the division of Patient Care Services staff in facilitating the safe discharge of patients:
Participates in family meetings and care conferences as needed to resolve identified issues.
Ensures timely referrals for discharge planning occur and regional/community resources are utilized when available.
Refers complex cases to Social Services as indicated.
Uses clinical and social work experts as needed to ensure delivery of comprehensive patient services.
Ensures the patient’s psychological needs are met through direct intervention or consultation with appropriate discipline.
Interacts regularly with physicians and other members of the health team to obtain information about the course of care; provides information in return regarding potential denial of reimbursement or inappropriate level of care:
Refers cases not meeting criteria in a timely manner to the physician advisor.
Determines need for and carries out termination of benefits and level of care changes based upon department procedures and maintaining responsibility for related communication and follow-up.
Follows up with Medical Director/Physician Advisor to determine outcome or resolution.
Central communicator with external and internal customers:
Practices, develops and endorses customer services skills in relationships with internal and external customers.
Provide continuity of care by using community resources and maintains updated resource manual for the department
Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered.
Collaborates with multidisciplinary team in facilitating the care of the patients and families within the acute setting and along the healthcare continuum.
Attends in-service presentations and completes all mandatory education requirements.

Additional Duties and Responsibilities:

Maintains a safe patient care environment by identifying potential safety hazards and intervening appropriately.
Operates and maintains equipment used in patient care in a safe manner.
Understands and follows infection control requirements in the care of patients.
Maintains awareness of hospital changes by reading posted notices, attachments to paychecks and attending scheduled staff meetings.
Performs all other duties as assigned.

Knowledge, Skills, and Abilities:

Graduate of an accredited school of nursing required.
Current RN License in the State of Illinois required.
Two years of relevant clinical experience preferred.
Previous utilization management experience preferred.
Knowledge of Medicare/Medicaid, Managed Care and Commercial insurance review processes preferred.
Ability to proactively anticipate and coordinate multiple functions to promote an optimal office environment.
Communicates clearly in written and oral modalities with appropriate grammar and vocabulary.
Proficient in Microsoft Word and Excel required.
Ability to provide excellent customer service at all times.

Benefits:

Paid Sick Time - effective 90 days after employment
Paid Vacation Time - effective 90 days after employment
Health, vision & dental benefits - eligible at 30 days, following the 1st of the following month
Short and long-term disability and basic life insurance - after 30 days of employment

Insight is an equal opportunity employer and values workplace diversity!

Quick Apply

Refine Your Search

ed case manager jobs

ED UTILIZATION REVIEW/CASE MANAGER

Customer Success Manager NOA Higher Ed. Southeast Region (USA Remote)

Case Manager

Registered Nurse - Case Manager

Special Education Teacher

Registered Nurse Case Manager ED Full Time Nights

Case Manager - Bronson Battle Creek

RN, Emergency Department Case Manager

Educational Technician - III

Secondary Affective Needs Teacher (26/27 School Year)

Special Education Teacher/Case Manager (2026-2027)

Radiological Technologist (Inpatient)

Continuous Care Hospice Nurse Per diem

Medical Director

IEP Case Manager/Special Education Teacher

IEP Case Manager/Special Education Teacher

Nurse Case Manager

ED Case Manager (RN)

Infant/Toddler Lead Teacher - Lahaina

RN Case Manager Acute Care

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