Nurse Case Manager
2 weeks ago
ChristianaCare is seeking a skilled Registered Nurse (RN) to join our team as a Case Manager in Utilization Management. This role is part of our Weekend Incentive Program (WIP), which offers a special rate of pay and full benefits, except for Paid Time Off (PTO), for working 3 out of 4 weekends per a four-week schedule.
Job Summary:We are looking for a dedicated and detail-oriented RN to work collaboratively with our Utilization Management team, Denial Manager, Physician Advisor, Physician staff, Nursing staff, Case Management, Finance, Clerical Support staff, and payer liaisons. The successful candidate will be responsible for ensuring the delivery of efficient and effective healthcare while evaluating the medical necessity, appropriateness, and efficiency of the use of healthcare services, procedures, and facilities.
Key Responsibilities:- Performs admission and concurrent review to identify medical necessity, level of care, and appropriateness of setting using established criteria and clinical guidelines within 24 hours of admission.
- Reviews the admission assessment, collaborates with primary nurse and other healthcare providers to ensure a multidisciplinary plan-of-care is in place to meet identified patient care needs and desired outcomes.
- Manages observation level of care and works with the attending physician and/or clinical provider caring for the patient to ensure observation status does not exceed 48 hours.
- Identifies system issues that serve as barriers to care and participates in development and implementation of strategies to remove barriers and facilitate performance improvement measures.
- Monitors efficiencies in scheduling diagnostic procedures and coordination of treatments to facilitate achievement of effective clinical, fiscal, quality, and patient satisfaction goals.
- Reports information generated from the utilization management referral process for LOS data and physician profile with the unit medical director and/or physician advisor to facilitate achievement of clinical, quality, financial, and patient satisfaction goals.
- Active DE RN licensure or compact state RN licensure.
- Bachelor's degree in nursing.
- Minimum of 3 years recent experience as a Registered Nurse in acute care, adult care setting.
- Clinical Documentation, Performance Improvement, Case Management, or Utilization Management experience desirable.
- Completes a minimum of 8 continuing education credits (CEU's) per year in Utilization and/or Case Management.
- Actively participates in department operational planning work groups.
Occasional exposure to office materials (i.e., White Out, Toner, etc.).
ChristianaCare is an equal opportunity employer and welcomes applications from diverse candidates. We offer a comprehensive benefits package, including medical, dental, vision, life insurance, tuition assistance, and more. If you are a motivated and detail-oriented RN looking for a challenging and rewarding role, please apply today
-
Nurse Case Manager
3 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: Registered Nurse - Case ManagementChristianaCare is seeking a skilled Registered Nurse to join our team as a Case Manager. This role will be responsible for coordinating patient care and driving patient progression to establish a discharge plan.About the RoleThe RN Case Manager will work collaboratively with the interdisciplinary team to identify...
-
Nurse Case Manager
2 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: Case Manager (RN) – Utilization Management – Weekend Incentive Program (WIP)ChristianaCare is seeking a skilled Registered Nurse (RN) to join our team as a Case Manager in Utilization Management. This role is part of our Weekend Incentive Program (WIP), which offers a special rate of pay and full benefits, except for Paid Time Off (PTO), for...
-
Nurse Case Manager
3 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: Registered Nurse - Case ManagementChristianaCare is seeking a skilled Registered Nurse to join our team as a Case Manager in our Utilization Management department. This is a unique opportunity to work in a dynamic healthcare environment and make a meaningful impact on patient care.About the Role:As a Case Manager, you will be responsible for...
-
Nurse Case Manager
2 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: Registered Nurse - Case ManagementChristianaCare is seeking a skilled Registered Nurse to join our team as a Case Manager in our Utilization Management department. This role is part of our Weekend Incentive Program, which offers a unique opportunity to work in a dynamic and fast-paced environment.About the Role:As a Case Manager, you will be...
-
Nurse Case Manager
2 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: Registered Nurse - Case ManagementChristianaCare is seeking a skilled Registered Nurse to join our team as a Case Manager in our Utilization Management department. This role is part of our Weekend Incentive Program, which offers a unique opportunity to work in a dynamic and fast-paced environment.About the Role:As a Case Manager, you will be...
-
Nurse Case Manager
2 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: Registered Nurse - Case ManagementChristianaCare is seeking a skilled Registered Nurse to join our team as a Case Manager in our Utilization Management department. This role is part of our Weekend Incentive Program, which offers a unique opportunity to work in a dynamic and fast-paced environment.About the Role:As a Case Manager, you will be...
-
Nurse Case Manager
2 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: RN Case ManagerWe are seeking a skilled RN Case Manager to join our team at ChristianaCare. As a RN Case Manager, you will play a critical role in coordinating patient care and driving patient progression to establish a discharge plan.About the Role:Coordinate patient care and develop discharge plans in collaboration with the interdisciplinary...
-
Nurse Case Manager
2 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: Case Manager (RN) – Utilization Management – Weekend Incentive Program (WIP)ChristianaCare is seeking a skilled Registered Nurse (RN) to join our team as a Case Manager in Utilization Management. This role is part of our Weekend Incentive Program (WIP), which offers a special rate of pay and full benefits, except for Paid Time Off (PTO), for...
-
Nurse Case Manager
6 days ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: Registered Nurse - Case ManagementChristianaCare is seeking a skilled Registered Nurse to join our team as a Case Manager. This role will be responsible for coordinating patient care and driving patient progression to establish a discharge plan.About the Role:Collaborate with interdisciplinary teams to develop and implement patient care...
-
Nurse Case Manager
2 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: Case Manager (RN) – Utilization Management – Weekend Incentive Program (WIP)ChristianaCare is seeking a skilled Registered Nurse (RN) to join our team as a Case Manager in Utilization Management. This role is part of our Weekend Incentive Program (WIP), which offers a special rate of pay and full benefits, except for Paid Time Off (PTO).About...
-
Nurse Case Manager
3 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob SummaryChristianaCare is seeking a skilled Nurse Case Manager to join our team in a nursing role. As a key member of our Utilization Management team, you will play a critical role in ensuring the delivery of efficient and effective healthcare services.Key ResponsibilitiesUtilization Management: Perform admission and concurrent reviews to identify medical...
-
Nurse Case Manager
3 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob SummaryWe are seeking a skilled Registered Nurse to join our team as a Case Manager in Utilization Management. This role will involve working collaboratively with healthcare providers to ensure efficient and effective healthcare delivery.Key ResponsibilitiesConduct admission and concurrent reviews to identify medical necessity and level of...
-
Nurse Case Manager
3 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: Utilization Management Registered NurseChristianaCare is seeking a skilled Utilization Management Registered Nurse to join our team. As a key member of our healthcare organization, you will play a vital role in ensuring the delivery of efficient and effective healthcare services.About the Role:This is a unique opportunity to work in a dynamic...
-
Nurse Case Manager
4 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob SummaryChristianaCare is seeking a skilled Nurse Case Manager to join our team in a nursing role. As a key member of our Utilization Management team, you will play a critical role in ensuring the delivery of efficient and effective healthcare services.Key ResponsibilitiesUtilization Management: Perform admission and concurrent reviews to identify medical...
-
Registered Nurse
2 days ago
Elk Mills, Maryland, United States ChristianaCare Full timeAbout the RoleWe are seeking a highly skilled Registered Nurse to join our Case Management team at ChristianaCare. As a RN Case Manager, you will play a critical role in coordinating patient care and driving patient progression to establish a discharge plan.Key ResponsibilitiesCoordinate patient care and develop discharge plans in collaboration with the...
-
Registered Nurse Case Manager
3 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob SummaryChristianaCare is seeking a highly skilled Registered Nurse (RN) to join our team as a Case Manager in an acute care hospital setting. As a key member of our care management team, you will be responsible for coordinating patient care and driving patient progression to establish a discharge plan.About the RoleThis is a day shift position, Monday...
-
Weekend RN Case Manager
6 days ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: Weekend RN Case ManagerChristianaCare is seeking a skilled Registered Nurse (RN) to join our team as a Weekend Case Manager. This role will be responsible for managing the care of patients on the weekend shift, ensuring that they receive the necessary treatment and support to achieve optimal health outcomes.Responsibilities:Perform admission and...
-
Registered Nurse Assistant Manager
1 week ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: Registered Nurse Assistant ManagerChristianaCare is seeking a Registered Nurse (RN) Assistant Manager, CVOR for a nursing job in Elk Mills, Maryland.Job Description & RequirementsSpecialty: CVORDiscipline: RNDuration: OngoingEmployment Type: StaffAssistant Nurse Manager for the Cardiovascular Operating Room. 8 hour Shifts (5 days a week), 9 hour...
-
Registered Nurse
4 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob SummaryChristianaCare is seeking a highly skilled Registered Nurse to join our team as a Utilization Management Specialist. This role will be responsible for ensuring the efficient and effective delivery of healthcare services, while evaluating the medical necessity and appropriateness of patient care.Key ResponsibilitiesPerform admission and concurrent...
-
Home Health RN Case Manager
2 weeks ago
Owings Mills, Maryland, United States Enhabit Home Health & Hospice Full timeAbout the RoleWe are seeking a highly skilled Registered Nurse to join our team as a Home Health RN Case Manager. As a key member of our care team, you will be responsible for providing high-quality patient care and coordinating with healthcare professionals to ensure seamless transitions.ResponsibilitiesPerform home visits and coordinate client care to...
