RN Case Manager
1 week ago
Is this the role you are looking for If so read on for more details, and make sure to apply today.
The RN Case Manager responsibilities include:
- Working independently while handling multiple priorities simultaneously.
- Utilizes the nursing process of assessment, planning, implementation and evaluation to direct or provide nursing care.
- Manages patients across the healthcare continuum to achieve optimal clinical, financial, operational and satisfaction outcomes.
- Assess the patients' plan of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through their care.
- Active participant in the interdisciplinary healthcare team to promote/facilitate discharge planning, facilitating options and services to meet patients' health care needs.
- Identifies and intervenes when necessary to ensure efficient and cost-effective delivery of patient care services.
- Coordinates the necessity of case management and utilization review for any patient at AZSH.
- Provides requested documentation to payors in a timely manner.
- Establishes and promotes collaborative relationships with physicians, patients, families and additional members of the healthcare team.
- Educates members of the healthcare team on case management and managed care concepts.
- Review medical necessity and coordinate with the interdisciplinary team to assure correct status for payment.
- Assist with clinical interpretation for denial and appeals management.
- Knowledgeable about Medicare, Medicaid, and commercial insurance plans.
- Strong analytical, organizational, and time management skills.
- Experience with InterQual and or MCG
- EMR Experience
Benefits:
- Medical, Dental, Vision
- PTO and Sick time Plans
- 401k after 30 days
- Employer Paid Life Insurance
- Employee Paid Life Insurance
- and more
- Unencumbered RN license
- Hospital experience preferred
- Current unencumbered RN license
- Recent Case Management experience in a hospital setting
- Utilization review experience
- Discharge planning in a hospital setting
- Ability to be part of the RN Case Management On Call rotation, with 1-2 on call weekends a month, depending on case load.
-
Case Manager RN
3 weeks ago
Phoenix, Arizona, United States CVS Health Full timeJob SummaryCVS Health is seeking a skilled Case Manager RN to join our team. As a Case Manager RN, you will play a critical role in coordinating and documenting all aspects of the utilization/benefit management program.Key Responsibilities:Apply critical thinking and knowledge in clinically appropriate treatment, evidence-based care, and medical necessity...
-
Case Manager RN
4 weeks ago
Phoenix, Arizona, United States CVS Health Full timeJob SummaryCVS Health is seeking a skilled and compassionate Case Manager RN to join our team. As a key member of our healthcare team, you will play a vital role in coordinating and delivering high-quality care to our members.Key ResponsibilitiesUtilize critical thinking and clinical expertise to coordinate and document all aspects of the utilization/benefit...
-
Hospice RN Case Manager
4 weeks ago
Phoenix, Arizona, United States Assisteo North Hospice Llc Full timeJob Title: Hospice RN Case ManagerAssisteo North Hospice LLC is seeking a compassionate and skilled Hospice RN Case Manager to join our team. As a Hospice RN Case Manager, you will play a vital role in providing high-quality care to our patients and their families.Job SummaryThe Hospice RN Case Manager will be responsible for assessing the needs of patients...
-
RN Orthopedic Case Manager
1 week ago
Phoenix, Arizona, United States Abrazo Scottsdale Campus Full timeRN Case Manager Position SummaryThe RN Case Manager is responsible for managing the care of patients to ensure they receive the right level of care, at the right time, and in the right setting. This role integrates national standards for case management, including utilization management, transition management, care coordination, and compliance with...
-
Case Manager RN
4 weeks ago
Phoenix, Arizona, United States CVS Health Full timeJob SummaryCVS Health is seeking a skilled RN Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in coordinating and managing the care of our members.Key ResponsibilitiesUtilize critical thinking and clinical expertise to coordinate and document all aspects of the utilization/benefit management program.Evaluate...
-
Hospice RN Case Manager
4 weeks ago
Phoenix, Arizona, United States Assisteo North Hospice Llc Full timeJob Title: Hospice RN Case ManagerAssisteo North Hospice LLC is seeking a compassionate and skilled Hospice RN Case Manager to join our team. As a Hospice RN Case Manager, you will play a vital role in providing high-quality patient care and connecting with our patients and their families.Job SummaryThe Hospice RN Case Manager will be responsible for...
-
RN - Case Manager
4 weeks ago
Phoenix, Arizona, United States Tsehootsooi Medical Center Full timeThriving in Patient CareWe are seeking a skilled Registered Nurse Case Manager to join our team at Tsehootsooi Medical Center. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and coordinating services to ensure optimal outcomes.Key Responsibilities:Assess patient needs and develop individualized care...
-
RN Case Manager
1 month ago
Phoenix, United States Hospice Of The West Full timeOverviewOur Hospice of the West team is looking for a Full Time Registered Nurse Case Manager (RNCM) that is ready to make a meaningful difference in the lives of the patients and families we serve in and around the Phoenix Area! We are looking for a high-energy, compassionate, detail-oriented Registered Nurse (RN) to be a Hospice Case Manager for our...
-
RN Case Manager
1 day ago
Phoenix, United States Hospice Of The West Full timeOverviewOur Hospice of the West Hospice team is looking for a Full-Time Registered Nurse Case Manager (RNCM) that is ready to make a meaningful difference in the lives of the patients and families we serve in and around the West Valley area! We are looking for a high-energy, compassionate, detail-oriented Registered Nurse (RN) to be a Hospice Case Manager...
-
RN - Case Manager
2 days ago
Phoenix, United States Banner Rehabilitation Hospital Phoenix Full timeDetailsClient Name Banner Rehabilitation Hospital Phoenix Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 29352071 Job Title RN - Case Manager Weekly Pay $2208.5 Shift DetailsShift 8 hour days Scheduled Hours 40 Job Order DetailsStart Date 11/12/2024 End Date 02/11/2025 Duration 13 Week(s) Client DetailsAddress 775 E Willetta St...
-
Travel Nurse RN Case Manager
3 weeks ago
Phoenix, Arizona, United States MedPro Healthcare Staffing Full timeMedPro Healthcare Staffing is seeking a travel nurse RN Case Management professional to coordinate continuity of care for patients in a variety of settings.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelThe ideal candidate will have eight months of recent experience in an Acute Care Case Manager setting, an...
-
Hospice RN Case Manager
2 weeks ago
Phoenix, Arizona, United States Strong Force Staffing Full timeStrong Force Staffing is seeking a dedicated RN Case Manager for a respected hospice care agency in Phoenix. This critical field role involves direct patient care and comprehensive case management, aiming to enhance end-of-life care and improve patient outcomes.**Key Responsibilities:*** Assess patient conditions and develop individualized care plans...
-
RN - Case Manager
1 month ago
Phoenix, Arizona, United States Tsehootsooi Medical Center Full timeThriving in Patient CareWe are seeking a skilled Registered Nurse to join our team as a Case Manager. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and ensuring seamless transitions between healthcare settings.Key Responsibilities:Develop and implement individualized care plans to meet the unique...
-
Travel Nurse RN Case Manager
4 weeks ago
Phoenix, Arizona, United States DT-Healthcare Staffing Full timeJob Title: Travel Nurse RN Case ManagerDT-Healthcare Staffing is seeking a skilled Travel Nurse RN Case Manager to join our team in Fort Defiance, Arizona.Job SummaryWe are looking for a dedicated and compassionate RN Case Manager to provide high-quality patient care in an acute care setting. As a Travel Nurse RN Case Manager, you will work collaboratively...
-
Bariatric RN Case Manager
4 weeks ago
Phoenix, Arizona, United States Optum Full timeJob SummaryOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. We are seeking a highly skilled and experienced Bariatric RN Case Manager to join our team. In this role, you will be responsible for clinical operations and medical management activities across the continuum of care for members...
-
Travel Nurse RN Case Manager
3 weeks ago
Phoenix, Arizona, United States MedPro Healthcare Staffing Full timeMedPro Healthcare Staffing is seeking a travel nurse RN Case Management professional for a travel nursing job in a top healthcare facility. Job Description & Requirements Specialty: Case Management Discipline: RN Employment Type: Travel MedPro Healthcare Staffing, a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered...
-
Travel Nurse RN Case Manager
3 weeks ago
Phoenix, Arizona, United States GHR Healthcare - Travel Division Full timeGHR Healthcare - Travel Division is seeking a travel nurse RN Case Manager for a travel nursing job in Phoenix, Arizona.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelGHR Healthcare - Travel Division Job ID #. Pay package is based on 8 hour shifts and 40 hours per week (subject...
-
RN Case Manager
4 weeks ago
Phoenix, Arizona, United States UnitedHealth Group Full timeBariatric Prior Authorization RN Case ManagerAt UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As a Bariatric Prior Authorization RN Case Manager, you'll play a critical role in ensuring that our members receive the care they need to achieve their health goals.Key...
-
Travel Nurse RN Case Manager
4 weeks ago
Phoenix, Arizona, United States Providence Health Care Staffing Full timeJob Opportunity: Travel Nurse RN Case ManagementProvidence Health Care Staffing is seeking a skilled travel nurse RN Case Management professional to join their team in Fort Defiance, Arizona.Key Responsibilities:Provide exceptional case management services to patientsCollaborate with healthcare teams to develop and implement effective care plansEnsure...
-
Case Manager
4 weeks ago
Phoenix, Arizona, United States Select Medical Full timeJob SummaryWe are seeking a skilled Case Manager to join our team at Banner Rehabilitation Hospital in Phoenix, AZ.As a Case Manager, you will be responsible for coordinating healthcare decisions, promoting cost-effective care, and ensuring safe and appropriate discharge plans for our patients.Key ResponsibilitiesAssess and address the social work needs of...