Nurse Case Manager

6 days ago


Harrisburg, Pennsylvania, United States Spring Creek Rehabilitation and Nursing Center Full time
Registered Nurse (RN) Case Manager Opportunity

We are seeking a compassionate and experienced Registered Nurse (RN) to join our team as a Case Manager at Spring Creek Rehabilitation and Nursing Center. As a Case Manager, you will play a vital role in ensuring the highest quality of care for our patients and their families.

Responsibilities:
  • Provide communication to managed care providers regarding patient care and current level of functioning.
  • Ensure comprehensive care is continued from hospital to skilled nursing center.
  • Insurance updates with focus on increasing levels and RUGs when appropriate.
  • Assist in gathering and reviewing patient records for appeal requests.
  • Medicare certifications/recertifications.
  • Assist in reviewing hospital records for diagnosis codes, treatments, and medications.
  • Interview patients when necessary.
  • Assist in communicating with nursing staff and other members of the IDT to gather skilled documentation.
  • Key player in UR/Medicare meetings.
  • Attend clinical meetings as necessary.
  • Resolve insurance/managed care operational issues such as authorization and payment level of service.
Requirements:
  • Current, unencumbered, active license to practice as a Registered Nurse (RN) in this state.
  • Bachelor's Degree in Nursing (BSN) from an accredited college or university preferred.
  • Minimum two (2) years of experience with case management skills in a long-term care setting.
  • Proficient in ability to interpret Managed Care/Medicare Advantage Contracts and provide education to teams.
  • Knowledge of various payment models for Managed Care.
  • Managed Care/Medicare Advantage billing knowledge and experience.
  • Successful completion of a post-offer, pre-employment criminal background check and physical/drug screen.

We offer a dynamic work environment that cares about our staff's life goals. Come experience why we have high employee retention rates and continuously improved survey results. It's a new day at Spring Creek, and our survey results speak for themselves. Come take a tour and meet our strong, stable leadership team.

Spring Creek Rehabilitation and Nursing Center is an equal opportunity employer and complies with applicable Federal, State, and Local civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, and protected veteran status.


  • Nurse Case Manager

    2 days ago


    Harrisburg, Pennsylvania, United States Spring Creek Rehabilitation and Nursing Center Full time

    Job Title: Registered Nurse (RN) Case ManagerSpring Creek Rehabilitation and Nursing Center is seeking a compassionate and enthusiastic Registered Nurse (RN) with case management experience in long-term care to join our team.Job Summary:The Registered Nurse (RN) Case Manager will assist with leading our nursing team and provide communication to managed care...

  • Nurse Case Manager

    4 days ago


    Harrisburg, Pennsylvania, United States PennState Health Full time

    Job Title: Registered Nurse - Case ManagementPennState Health is seeking a skilled Registered Nurse to join our Case Management team. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and promoting optimal health outcomes.Job Summary:This is a full-time, 36-hour per week position working 12-hour shifts....

  • Nurse Case Manager

    5 days ago


    Harrisburg, Pennsylvania, United States PennState Health Full time

    Job Title: Registered Nurse - Case ManagementPenn State Health is seeking a skilled Registered Nurse to join our team as a Case Manager in Harrisburg, Pennsylvania.Job Summary:As a Case Manager, you will provide targeted case management services to child and adult mental health consumers with serious and persistent mental illness. Your goal will be to...


  • Harrisburg, Pennsylvania, United States PennState Health Full time

    Job Title: Registered Nurse Case ManagerPenn State Health is seeking a skilled Registered Nurse to join our Case Management team. As a Registered Nurse Case Manager, you will play a vital role in promoting the health and well-being of our patients.Job Summary:The Registered Nurse Case Manager will be responsible for providing high-quality patient care,...

  • Nurse Case Manager

    5 days ago


    Harrisburg, Pennsylvania, United States PennState Health Full time

    Job Title: Registered Nurse - Case ManagementPennState Health is seeking a highly skilled Registered Nurse (RN) to join our team as a Case Manager. This is a fantastic opportunity to work in a dynamic and supportive environment, where you will have the chance to make a real difference in the lives of our patients.About the Role:As a Case Manager, you will be...

  • Nurse Case Manager

    2 weeks ago


    Harrisburg, Pennsylvania, United States Amedisys Full time

    Unlock a Rewarding Career in HomecareAt Amedisys, we're dedicated to providing compassionate, patient-centered care in the comfort of our patients' homes. As a Registered Nurse (RN) in our case management team, you'll have the opportunity to make a meaningful impact on the lives of those we serve.Attractive Pay and BenefitsWe offer a competitive salary range...

  • Nurse Case Manager

    4 days ago


    Harrisburg, Pennsylvania, United States PennState Health Full time

    Job SummaryPennState Health is seeking a highly skilled Registered Nurse (RN) to join our Case Management team. As a key member of our healthcare team, you will play a vital role in promoting patient-centered care and improving health outcomes.ResponsibilitiesProvide expert nursing care to patients with complex medical needs, including those with mental...

  • Nurse Case Manager

    4 weeks ago


    Harrisburg, Pennsylvania, United States Amedisys Full time

    About AmedisysAmedisys is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system.Job SummaryWe are seeking a highly skilled and compassionate Registered Nurse (RN) to join our team as a Case Manager. As a Case Manager, you will be responsible for performing patient...

  • Nurse Case Manager II

    2 weeks ago


    Harrisburg, Pennsylvania, United States US Tech Solutions Full time

    {"title": "Case Manager", "subtitle": "Join our team as a skilled Case Manager to provide exceptional care to our clients", "content": "We are seeking a highly motivated and experienced Case Manager to join our team at US Tech Solutions. As a Case Manager, you will be responsible for providing comprehensive care to our clients, including assessment,...


  • Harrisburg, Pennsylvania, United States PennState Health Full time

    Job Title: Registered Nurse Case ManagerPenn State Health is seeking a skilled Registered Nurse to join our Case Management team. As a Registered Nurse Case Manager, you will play a vital role in promoting optimum mental and emotional health for our patients.Job Summary:Counsel and advise individuals and groups to promote optimum mental and emotional health,...


  • Harrisburg, Pennsylvania, United States CorVel Corporation Full time

    Job Title: Case Management SupervisorThe Case Management Supervisor is a key role within our organization, responsible for overseeing the operations of our case management department. This position requires a strong leader who can direct a team of employees in their day-to-day activities, ensuring the delivery of high-quality services to our clients.Key...

  • Registered Nurse

    5 days ago


    Harrisburg, Pennsylvania, United States Spring Creek Rehabilitation and Nursing Center Full time

    Job Title: Registered Nurse (RN) Case ManagerSpring Creek Rehabilitation and Nursing Center is seeking a compassionate and enthusiastic Registered Nurse (RN) with case management experience in long-term care to join our team as a Full-Time Registered Nurse (RN) Case Manager.Job Summary:The Registered Nurse (RN) Case Manager will be responsible for providing...

  • Nurse Case Manager

    2 weeks ago


    Harrisburg, Pennsylvania, United States Amedisys Full time

    OverviewAmedisys is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system.We are seeking a highly skilled and compassionate Registered Nurse (RN) to join our team as a Case Manager. As a Case Manager, you will be responsible for performing patient assessments,...


  • Harrisburg, Pennsylvania, United States PennState Health Full time

    Job DescriptionPennState Health is seeking a highly skilled Registered Nurse (RN) to fill a Case Management position in Harrisburg, Pennsylvania.Key ResponsibilitiesAssist clients enrolled in the Opioid Treatment Program with accessing community-based resources, housing, and employment.Make appropriate referrals and perform general case management and...

  • RN Case Manager

    3 weeks ago


    Harrisburg, Pennsylvania, United States Hospice of Central Pennsylvania Full time

    Job Title: RN Case ManagerWe are seeking a skilled RN Case Manager to join our team at Hospice of Central Pennsylvania. As a RN Case Manager, you will be responsible for providing high-quality patient care and coordinating services to meet the unique needs of our patients and their families.Job Summary:The RN Case Manager will work closely with our...


  • Harrisburg, Pennsylvania, United States PennState Health Full time

    Job Title: Registered Nurse - Case ManagementPenn State Health is seeking a skilled Registered Nurse to join our Case Management team. As a key member of our healthcare team, you will play a vital role in ensuring the highest quality patient care and outcomes.Job Summary:The Registered Nurse - Case Management will be responsible for assessing, planning,...

  • Case Manager

    4 weeks ago


    Harrisburg, Pennsylvania, United States HAMILTON HEALTH CENTER INC Full time

    {"h2": "Job Title: Case Manager", "p": "At Hamilton Health Center Inc., we are seeking a skilled Case Manager to join our team. As a Case Manager, you will play a vital role in providing high-quality, patient-centered healthcare and related social services to our community members. Responsibilities: * Assist with the dissemination of information to...

  • Case Manager

    4 days ago


    Harrisburg, Pennsylvania, United States The GEO Group, Inc. Full time

    Job SummaryWe are seeking a highly motivated and experienced Case Manager to join our team at The GEO Group, Inc. As a Case Manager, you will be responsible for managing a caseload of participant cases, administering policies and procedures, and ensuring compliance with program requirements.Key ResponsibilitiesManage a participant caseload using principles...

  • RN Case Manager

    2 weeks ago


    Harrisburg, Pennsylvania, United States SAFREST Full time

    Job Summary:We are seeking skilled and compassionate Registered Nurses (RNs) to join our team at SAFREST, a leading Senior Care provider in Harrisburg, PA. As a RN Case Manager, you will provide direct and indirect primary nursing care to assigned participants in both clinic and home-based environments.Under the direct and indirect supervision of the Program...

  • RN Case Manager

    2 weeks ago


    Harrisburg, Pennsylvania, United States SAFREST Full time

    Job Summary:We are seeking a skilled and compassionate Registered Nurse (RN) to join our team at SAFREST, a leading Senior Care provider in Harrisburg, PA. As a RN Case Manager, you will provide direct and indirect primary nursing care to assigned participants in both clinic and home-based environments.Key Responsibilities:Provide high-quality nursing care...