Top 9500 Rn Case Managers Jobs

RN Case Manager Acute Care
River Oaks Hospital and Clinics —Houston, TX
- $70,000 - $80,000 a year
- Full-time
- Background check
- Spanish
- Nursing
- Disability insurance
- Health insurance
Quick Apply
12d
Hospice Case Manager (RN)
Prime Med Staffing —Milwaukee, WI
- Full-time
- RN License
- Mid-level
- Driver's License
Quick Apply
10d
RN- Case Manager/ Trainer
United Cerebral Palsy of GA —Atlanta, GA
- Full-time
- CPR Certification
- Nursing
- RN License
Quick Apply
6d
RN - Nurse Case Manager, Coordinated Care
UW Health —Madison, WI
- $83,817 - $125,725 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- Inpatient
- Health insurance
- Dental insurance
RN Case Manager- OB/GYN
Southcentral Foundation —Anchorage, AK
- $87,921.60 - $117,235.73 a year
- Nursing
- RN License
- BLS Certification
Quick Apply
Case Manager / RN
MedWatch —Remote
- $72,000 - $81,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Residential
RN Case Manager
Arkansas Blue Cross and Blue Shield —Remote
- Full-time
- Nursing
- Microsoft Outlook
- RN License
13d
Clinical Operations-Director, RN Case Management
MOBE, LLC —Remote
- Full-time
- Recruiting
- Budgeting
- Senior level
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 - Disability Case Manager
Clear Guidance Consulting and Care Management —Falmouth, MA
- $75 an hour
- Choose your own hours
- 18 years or older
- RN License
- Working with individuals with disabilities
- 401(k)
- Paid time off
Quick Apply
TX, RN Certified Case Manager - Workers Compensation
The Reny Company —Dallas, TX
- $80,000 - $90,000 a year
- 8 hour shift
- Remote
- Nursing
- RN License
- Research
- Mileage reimbursement
- Disability insurance
Quick Apply
RN Case Manager - Surgery Services
UCLA Health —Los Angeles, CA
- $65.53 - $84.75 an hour
- Nursing
- Surgery
- RN License
RN Case Manager - Medicine ICU
UCLA Health —Los Angeles, CA
- $65.53 - $84.75 an hour
- Nursing
- RN License
- BLS Certification
Travel RN Case Manager/Care Coordinator $80/HR
MTK Healthcare —California
- $76 - $80 an hour
- 8 hour shift
- Background check
- RN License
- Hospital
Quick Apply
4d
Manager, Integrated Case Management - Sarasota Campus
Sarasota Memorial Health Care System —Sarasota, FL
- $49.40 - $74.10 an hour
- Full-time
- Background check
- Master of Social Work
- Nursing
- Free parking
- Disability insurance
Quick Apply
11d
Case Manager I, RN - Patient Case Management
WakeMed Health & Hospitals —Raleigh, NC
- Full-time
- Nursing
- RN License
- No experience needed
12d
Nurse Case Manager, Utilization Management
1199SEIU Family of Funds —New York, NY
- $89,400 - $106,100 a year
- Full-time
- Nursing
- RN License
- Mid-level
RN Case Manager
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Nursing
- Microsoft Excel
- RN License
Case Manager I
Community Health Plan of Washington —Seattle, WA
- $78,960 - $122,390 a year
- Full-time
- Acute care
- Bilingual
- LMFT
- Paid jury duty
- Health savings account
Quick Apply
RN Case Manager
Green Key Resources —Brooklyn, NY
- $90,000 - $105,000 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- Mid-level
Quick Apply

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RN Case Manager Acute Care

River Oaks Hospital and Clinics
Houston, TX

Quick Apply

Job Details

Full-time
$70,000 - $80,000 a year
12 days ago

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance
Life insurance

Qualifications

Spanish
RN License
Intake
Patient assessment
BLS Certification
Microsoft Office
Managing patients as a nurse case manager
Driver's License
Medical records
Case management
Patient care
Discharge planning

Full Job Description

SUMMARY

This position works closely with the interdisciplinary team to facilitate and maintain compassionate, safe and efficient quality care and achieve desired treatment outcomes. This position works closely with the team to ensure effective discharge planning and continuity of care; and communicates clinical information to payers to ensure reimbursement.

Job Duties and Responsibilities
1. Collaborates with the physician and team to facilitate care, monitor the patient’s progress, intervening as needed to ensure high quality, efficient, and cost-effective services to the patient that are timely.

2. Educates staff and serves as a resource for meeting needs of the patient and facility.

3. Performs review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance.

3.1 Identifies when services no longer meet criteria, initiates discussion with physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from physician advisor when needed, and informs management of possible need for issuing Medicare Hospital Initiated Notice of Non-coverage.

3.2 Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay.

3.3 Reviews level of care denials to identify trends and collaborates with team to recommend opportunities for process improvement.

4. Plans for routine / difficult discharge and anticipates / prevents and manages emergent situations. Specific focus is given to discharge plan and elimination of barriers.

5. Performs post-discharge review by analyzing the medical record to ensure that compliance with quality indicators is met. Communicates reports to appropriate leader regarding regulatory concerns.

6. Monitors length of stay (LOS) on an ongoing basis. Proactively takes action to expedite care / facilitate discharge.

6.1 Manages all patients in observation status, daily, informing physicians of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital.

6.2 Secures reimbursement for hospital services by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, and state / federal agencies.

6.3 Responds to requests for information, monitors covered days, initiates review to assure that all days are covered and reimbursable.

7. Supports and follows the mission, vision, values and policies of the hospital and communicates with the appropriate leadership and staff.

Qualifications (Education, Experience and Certifications)

Education: RN graduate from an accredited nursing program. Master’s Degree preferred.

Certification, Licensure: Current license as a registered nurse in the state of Texas; current American Heart Association BLS certification.

Experience, Training, Knowledge: Three (3) years hospital clinical experience; two (2) years case manager experience.

KNOWLEDGE, Skills And Abilities
Strong assessment, organizational and problem solving skills

Knowledge of Medicare, Medicaid and managed care requirements.

Comprehensive knowledge of community resources, healthcare financial and payer requirements and eligibility requirements for county, state and federal programs.

Adept at computer operating skills, including Microsoft Office.

Job Type: Full-time

Pay: $70,000.00 - $80,000.00 per year

Benefits:

401(k)
Dental insurance
Disability insurance
Employee assistance program
Health insurance
Life insurance
Paid time off
Vision insurance

Medical Specialty:

Primary Care

Language:

Spanish (Required)

Ability to Commute:

Houston, TX 77027 (Required)

Ability to Relocate:

Houston, TX 77027: Relocate before starting work (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

Rn Case Managers jobs

RN Case Manager Acute Care

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TX, RN Certified Case Manager - Workers Compensation

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Manager, Integrated Case Management - Sarasota Campus

Case Manager I, RN - Patient Case Management

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RN Case Manager

Case Manager I

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