case manager nurse

Your Health

<div>
 Back to Job Openings
 
 
 Nurse Case Manager - Registered Nurse
 
 
 Greenville SC, Lyman SC, Greer SC
 
 
 Apply
 
 
 Share
 
 
 
 We are seeking Registered Nurse to service our patients throughout the Greenville area.
 
 The role of the Nurse Case Manager position is a critical part of the patient&rsquo;s care team. The nurse will visit patients and facilitate with appropriate provider. The Nurse Case Manager will be required to travel to patients&rsquo; homes, long-term care facilities, etc. to evaluate patients and initiate telemedicine visits. Provide quality healthcare in adherence to all applicable laws, regulations, and policies within the scope of practice.
 
 
 
 Nurse Case Manager's perform visits in homes and facilities (ALF and ILF's) in their designated service area
 
 .
 
 You must have reliable transportation as travel is required daily.
 
 This is a full time, salary-based working 8-hr shifts Monday-Friday (8am-5pm)
 
 
 
 The Following Service Area(s) Are Currently Available
 
 
 
 <ul>
 <li>
 Greenville area
 
 
 </li>
 </ul>
 
 About
 
 
 
 We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care.
 
 
 
 Why Choose a Career at Your Health?
 
 
 
 Providing high quality care for our patients is the center of what we do, and we provide the same care for our employees. Here are some of the benefits that are available to our employees.
 
 
 <ul>
 <li>
 Competitive Compensation Package with Bonus Opportunities
 </li>
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 Employer Matched 401K
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 Free Visit &amp; Prescriptive Services with HDHP Insurance Plan
 </li>
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 Employer Matched HSA
 </li>
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 Generous PTO Package
 </li>
 <li>
 Career Development &amp; Growth Opportunities
 </li>
 <li>
 Vehicle allowance
 
 
 </li>
 </ul>
 
 What Are We Looking For?
 
 
 
 Your Health is currently looking for a Registered Nurse to join our growing primary care family. A successful Nurse Case Manager will be able to perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions.
 
 
 The following is a list of essential functions, which may be subject to change at any time and without
 
 
 notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s).
 
 
 
 Area Of Responsibility
 
 
 
 <ul>
 <li>
 Facilitate receiving all medical records from the patient&rsquo;s primary provider and specialists.
 </li>
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 Review medical records.
 </li>
 <li>
 Complete consents with patients.
 </li>
 <li>
 Enroll patients in Care Management, if they meet eligibility criteria.
 </li>
 <li>
 Initiate a Care Management Plan of Care, if the patient is eligible.
 </li>
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 Capture all diagnoses at the highest specificity by creating gaps and ensure they are accepted.
 </li>
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 Complete AWV&rsquo;s to be reviewed by the provider.
 </li>
 <li>
 Complete cognitive impairment screenings.
 </li>
 <li>
 Complete Social Determinants of Health (SDoH) assessments and/or screenings.
 </li>
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 Complete ACP&rsquo;s to be reviewed with the patient by the provider.
 </li>
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 Evaluate for home health, hospice, palliative, or consults with Your Health Specialty Division, etc.
 </li>
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 Evaluate for RPM devices, resources, or tools that may improve the patient&rsquo;s quality of life.
 </li>
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 Communicate and coordinate care.
 </li>
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 Reconcile prescribed and OTC medications, vitamins, supplements, herbal remedies, and other treatments.
 </li>
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 Provide post-discharge education.
 </li>
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 Evaluate for adaptive equipment and DME.
 </li>
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 Evaluate for safe environment.
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 Evaluation of acute condition(s) or follow-up from previous visit.
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 Appropriately and accurately document and log Care Management activities. Work in conjunction with care team to keep the patients Care Management care plans up to date.
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
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 Must be a licensed nurse. Registered nurse preferred. License must be in good standing with appropriate board/issuer.
 </li>
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 A minimum of three (3) years clinical experience preferred.
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 Experience in community settings preferred.
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 Proven ability to effectively communicate and collaborate with interdisciplinary care teams, patients, and caregivers.
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 Strong written and verbal skills.
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 Basic computer knowledge.
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 Ability to manage and demonstrate effective leadership skills.
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 Should demonstrate good interpersonal and communication skills under all conditions and circumstances.
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 Ability to foster a cooperative work environment.
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 Team player with ability to manage multiple responsibilities and demonstrate sound judgment.
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 Must be able to work flexible hours and travel between offices, facilities, etc. Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order
 
 
 </li>
 </ul>
 Apply
</div>

Nurse Case Manager - Registered Nurse

United Energy Workers Healthcare

<div>
 We are a compassionate company driven by a personal commitment to exceptional care. Founded by the grandchildren of a former Department of Energy worker,
 
 we elevate the lives of energy workers with unwavering compassion and whole-person care.
 
 
 
 Our mission is guided by our founders' deep commitment to high-quality care under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA). With over 14 years of experience and operations across 24 states, we strive to make a meaningful difference in the lives of energy workers and their families.
 
 
 We are seeking a skilled
 
 Registered Nurse Case Manager
 
 to join our team. This role is crucial in assessing patient needs, coordinating care, and ensuring effective communication among all parties involved in patient care.
 
 
 <ul>
 <li>
 Manage Nursing Care Oversee the coordination of nursing care, home health aide services, and applicable therapies once approved by the Department of Labor.
 </li>
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 Ensure Confidentiality Maintain confidentiality of all client and office records in accordance with HIPAA guidelines and the Privacy Act PHI.
 </li>
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 Facilitate Communication Ensure effective communication and collaboration among the care team to provide cohesive and comprehensive care.
 </li>
 <li>
 Additional Duties Perform other duties as assigned to support the team and enhance patient care.
 </li>
 <li>
 Current RN License Valid and active Registered Nurse license in good standing.
 </li>
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 Experience At least one year of experience in a home health setting, or related area, with strong assessment skills.
 </li>
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 Organizational Skills Excellent organizational and time management skills to handle multiple clients efficiently.
 </li>
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 Tech Savvy Proficient in computer and internet-based applications, as well as office equipment.
 </li>
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 Equipment Knowledge Competent working knowledge of client-based equipment.
 </li>
 <li>
 Background Check Must pass a criminal background check and sanction screening.
 </li>
 <li>
 Professional Appearance Professional demeanor and appearance are necessary.
 
 
 
 </li>
 </ul>
 USD $38.00 - USD $42.00 /Hr.
</div>

Case Manager ( RN )

Palm Medical Centers

<div>Position Summary: 
The Concurrent Review Nurse is responsible for performing utilization management activities to ensure medical services are delivered effectively, efficiently, and appropriately. This includes reviewing inpatient admissions and ongoing hospital stays to determine medical necessity, appropriateness of care, and length of stay in accordance with clinical guidelines and payer requirements. 
 
Key Responsibilities:<ul><li>
Conduct timely and accurate concurrent reviews of inpatient hospitalizations and other levels of care.</li><li>
Evaluate clinical documentation against evidence-based criteria (e.g., InterQual&reg;, MCG) to determine medical necessity and appropriate level of care.</li><li>
Collaborate with physicians, hospital staff, and insurance companies to coordinate patient care and discharge planning.</li><li>
Communicate utilization review decisions and recommendations to providers and payers.</li><li>
Document all reviews, decisions, and communications in accordance with regulatory and organizational standards.</li><li>
Identify cases requiring escalation or peer review and follow established procedures.</li><li>
Ensure compliance with CMS guidelines, accreditation standards (e.g., NCQA, URAC), and HIPAA.</li><li>
Participate in quality improvement initiatives and departmental meetings</li></ul>
Qualifications: 
 
Education &amp; Licensure:<ul><li>
Registered Nurse (RN) license, active and in good standing, required.</li><li>
Associate or Bachelor&rsquo;s degree in nursing (BSN preferred).</li></ul>
Experience:<ul><li>
Minimum 2 years of clinical experience (e.g., med-surg, critical care).</li><li>
At least 1 year of utilization review, case management, or managed care experience preferred.</li></ul>
Skills &amp; Competencies:<ul><li>
Knowledge of InterQual&reg;, MCG, or other clinical review guidelines.</li><li>
Familiarity with Medicare/Medicaid and commercial insurance regulations.</li><li>
Strong analytical and clinical judgment skills.</li><li>
Effective communication and negotiation skills.</li><li>
Proficient with electronic medical records (EMRs) and utilization review platforms.</li><li>
Detail-oriented with excellent organizational skills.</li></ul>
Work Environment:<ul><li>
Remote</li></ul> 
Palm Primary Care is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. 
 
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm Primary Care makes hiring decisions based solely on qualifications, merit, and business needs at the time.
9cbfR8Lziz</div>

Concurrent Review Nurse

Enlyte

<div>Company Overview:
<div>
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.</div><div></div><div> 
Be part of a team that makes a real difference.</div>
Job Description:
<div>
This is a full-time, hybrid position. The candidate must be located in the Albuquerque, New Mexico area due to regular local travel for in-person patient appointments.</div><div>
Bilingual (English/Spanish) Required.</div><div></div><div> 
Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers&rsquo; compensation case management training.</div><div></div><div> 
Join our compassionate team and help make a positive difference in an injured person&rsquo;s life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will:</div><ul><li>
Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
</li><li>Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.</li><li>
Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.</li><li>
Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.</li><li>
Work with employers and physicians to modify job duties where practical to facilitate early return to work.</li><li>
Evaluate and modify case goals based on injured/disabled person&rsquo;s improvement and treatment effectiveness.</li><li>
Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
</li><li>Complete other duties, such as attend injured worker&rsquo;s appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.</li></ul>
Qualifications:
<ul><li>Education: Associates Degree or Bachelor&rsquo;s Degree in Nursing or related field.</li><li>
Experience: 2+ years clinical practice preferred. Workers&rsquo; compensation-related experience preferred.</li><li>
Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.</li><li>
Certifications, Licenses, Registrations:
<ul><li>Active Registered Nurse (RN) license required. Must be in good standing.</li><li>
URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC) preferred.</li></ul></li><li>
Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.</li><li>
Internet: Must have reliable internet.</li></ul>
Benefits:
<div>
We&rsquo;re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&amp;D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $73,000 - $83,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics.</div><div> 
</div>The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
#LI-AC1<div></div><div> 
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Bilingual Field Case Manager

The Guthrie Clinic

<div></div><div>Unlock a Rewarding Career with up to a $5K Sign-On Bonus: Join Guthrie Home Care NY (Vestal) as a Part-Time RN Case Manager!
Position Details:<ul><li>
Schedule: 32 hours per week with the hours typically 8:00 AM - 4:30 PM, Monday - Friday, with flexibility to create your own daily schedule based on patient load.</li><li>
On-Call Rotation: Typically once a week.</li><li>
Weekend Rotation: Typically one weekend a month.</li></ul> 
Why Join Us:<ul><li>
Up to $5,000 Sign-On Bonus for Experienced RNs: A warm welcome to our team!</li><li>
Comprehensive Medical and Dental Insurance: Effective the 1st of the month following your hire date.</li><li>
Generous PTO Accrual: Start earning experiential paid time off from Day 1.</li><li>
Tuition Reimbursement Program: Up to $7,500 annually, starting after just 90 days.</li><li>
403B Retirement Plan with Company Matching: Secure your future with our robust retirement plan.</li><li>
Consistent Work &amp; Flexible Schedule: Enjoy a great work/life balance.</li><li>
Friendly, Supportive, and Diverse Work Family: Be part of a team that feels like home.</li></ul> 
Recognized for Excellence:<ul><li>
Modern Healthcare&rsquo;s Best Places to Work 2025</li><li>
Becker&rsquo;s Best Places to Work &ndash; 2025</li><li>
Forbes 2025: Best Employers for Women, Best Employers for Healthcare Professionals, and Best-In-State Employers (PA)</li><li>
Newsweek&rsquo;s America&rsquo;s Best-In-State Employers &ndash; 2025</li></ul> 
Who We Are:
At Guthrie Home Care in Vestal, NY, we are dedicated to providing exceptional home health services to support patients recovering from hospitalization, illness, or injury. Our incredible team of Case Managers are not only critical thinkers but also compassionate caregivers who deliver the highest standard of care directly to patients in their homes.
Join us and be part of a team that makes a real difference in the lives of our patients every day. We prefer one year of experience in Med/Surg, ER, or ICU to ensure our patients receive the best care possible.
Description:
Provides direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization.
Education/License:
Diploma from an accredited school/college of nursing. Required professional licensure at time of hire.
Responsibilities:<ul><li>
Implements and monitors patient care plans. Monitors, records and communicates patient condition as appropriate. Performs direct participant care, including acute triage, blood draws, wound care, etc.|</li><li>
Participates in the development, implementation, and evaluation of the Interdisciplinary Team (IDT) plan of care. Serves as a primary coordinator of all disciplines for well-coordinated patient care.|</li><li>
Carries out physician and nursing orders. Attends team meetings and care plan meetings.|</li><li>
Assesses and coordinates patients' discharge planning needs with members of the healthcare team. Participates, develops, and provides education to participants, caregivers, and associates.|</li><li>
Participates in after hours/weekend on-call rotation, as needed. May require travel to participant place of residence, long term care and assisted living facilities.</li></ul> 
Other duties as assigned
The payrate for this position is from $81,120 - $112,569.60 
#LI-JK1
Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you&rsquo;ll find staff members who have committed themselves to serving the community.

The Guthrie Clinic is an Equal Opportunity Employer.

The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine.</div>

Case Manager - Home Health, Part Time

Paradigm

<div>
 
 We&rsquo;re
 
 proud
 
 to be recognized&mdash;again! For the fourth year in a row, we&rsquo;ve been certified by
 
 Great Place to Work
 
 &reg;,
 
 
 and for the third consecutive year, we&rsquo;ve earned a spot on Fortune's Best Workplaces in Health Care&trade; list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.
 
 
 
 
 
 The Surprising Truth About Case Management - Paradigm
 
 
 
 
 
 Watch this short video for a brief introduction to role of a nurse case manager at Paradigm.
 
 
 
 
 
 We are seeking an
 
 experienced Nurse Case Manager
 
 interested in working with injured workers and worker&rsquo;s compensation cases to cover
 
 Los Angeles
 
 and surrounding communities. This
 
 role is a home-based position with travel, up to 2 hours one-way (4 hours round-trip), to doctors&rsquo; offices, hospitals, and various other locations.
 
 
 
 This individual is responsible for the medical case management of work-related injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals. The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers.
 
 
 
 
 
 
 At Paradigm, People Come First
 
 
 
 It's more than a job. It's a passion. Work at Paradigm, and you&rsquo;ll find deep satisfaction knowing you&rsquo;re making a profound difference in people&rsquo;s lives.
 
 <ul>
 <li>
 Meaningful work: better outcomes for all isn&rsquo;t just our tagline. It&rsquo;s what guides us to do our best&mdash;every day. At Paradigm, you&rsquo;ll find an authentic connection between the work you do and your passion for making a difference in the world.
 </li>
 <li>
 Exceptional people: You'll work alongside smart people who share a commitment to excellence and a dedication to service. We're not here just for a "job." We're here to transform lives.
 </li>
 <li>
 Collaborative culture: At Paradigm, a spirit of collaboration and care is evident in everything we do. We promote a culture of inclusivity and value diversity of all kinds including thought, knowledge, and experience. No matter the team, everyone works together toward a common goal to deliver exceptional outcomes.
 </li>
 </ul>
 
 
 
 
 
 Qualifications
 
 
 <ul>
 <li>
 Current, unencumbered registered nurse (RN) license in CA
 </li>
 <li>
 Experience in worker&rsquo;s compensation catastrophic case management is preferred. Experience may include:
 </li>
 <li>
 Critical care experience, catastrophic injury/illness case management, and/or disability management
 </li>
 <li>
 Clinical experience in acquired brain injury, spinal cord injury, multiple trauma (including amputation), and/or burns
 </li>
 <li>
 Recommended certifications (CCM, CRRN, CDMS, CRC). REQUIRED within two years of the date of hire
 </li>
 <li>
 Ability to occasionally work outside of traditional business hours (evenings or weekends) if needed to meet the needs of the claim
 </li>
 <li>
 Skills needed: organization and timeline adherence; PC and technology; communication (written, verbal and interpersonal)
 </li>
 <li>
 Valid driver&rsquo;s license, and good driving history
 </li>
 </ul>
 
 
</div>

Catastrophic / Field Nurse Case Manager

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Nurse Case Manager - Registered Nurse

Case Manager ( RN )

Case Manager ( RN )

Concurrent Review Nurse

Bilingual Field Case Manager

Case Manager - Home Health, Part Time

Catastrophic / Field Nurse Case Manager