clinical case manager

Deaconess Health System

<div>Incentives:

Eligible for evening/night, weekend shift incentive based on company policies and applicable job codes. Additional details will be provided during the interview process. 


Bonus:

Potential for a performance-based bonus, subject to eligibility criteria and achievement of defined metrics. Details regarding bonus eligibility and performance goals will be provided during the interview process or upon hire. 


Benefits:

We pride ourselves in retaining our top talent by offering work environments that support professional development and personal success. In addition to our robust healthcare and retirement plans, we offer:
<ul>
<li>Tuition reimbursement</li>
<li>Payactiv-earned wage benefit-work today, get paid tomorrow</li>
<li>Free access to fitness centers</li>
<li>Career advancement opportunities</li></ul> 


Explore All Benefits:

https://www.deaconess.com/For-You/Employees/Employee-Benefit-Resources/Documents 


Job Overview:

The RN Case Manager is a member of the case management team and has the responsibility for oversight of the following functions in the hospital: Social Services, Discharge Planning, Utilization Review, Infection Control, Improving Organizational Performance, and Risk Management. The RN Case Manager assists the department directors and the Medical Staff in assuring compliance with HCFA, JCAHO and state regulations. 

Required: Certifications/Licenses/Experience:
<ul>
<li>Active Registered Nurse (RN) in Kentucky or other compact licensure state</li>
<li>Minimum three (3) years of related clinical experience</li>
<li>Strong communication with physicians and leadership</li></ul> 


Preferred Certification/License/Experience:
<ul>
<li>BSN</li>
<li>Previous quality assessment and/or quality improvement experience</li>
<li>Previous Case Management experience</li></ul> 


Other Key Words: Registered Nurse // Process Improvement // Quality // Metrics //
Department: Performance Improvement

Campus: Union County, Kentucky

Shift: Days

Hours: Full-time, 40 hours/week
Equal Opportunity Employer 
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.</div>

Data Quality Case Manager (RN)

Amana Healthcare

<div>
 
 
 Position Summary
 
 
 
 The ICU Nurse with Case Management experience is responsible for delivering high-quality critical care nursing while coordinating multidisciplinary care plans to support optimal patient outcomes and safe transitions of care. This dual-role position combines bedside ICU clinical expertise with case management responsibilities to ensure continuity of care, patient advocacy, and collaboration with families and clinical teams.
 
 
 
 
 
 
 Key Responsibilities
 
 
 
 
 Clinical Responsibilities (ICU Nursing)
 
 
 <ul>
 <li>
 Provide evidence-based critical care nursing to patients requiring advanced life support, ventilator management, and continuous monitoring.
 </li>
 <li>
 Perform comprehensive patient assessments and implement individualized nursing care plans.
 </li>
 <li>
 Administer medications, infusions, and therapies safely and accurately.
 </li>
 <li>
 Monitor and respond to changes in patient condition promptly using critical thinking and ICU protocols.
 </li>
 <li>
 Assist physicians during procedures and implement medical treatment plans.
 </li>
 <li>
 Maintain accurate clinical documentation in accordance with facility and regulatory standards.
 </li>
 <li>
 Comply with infection control protocols and patient safety standards at all times.
 </li>
 </ul>
 
 
 Case Management Responsibilities
 
 
 <ul>
 <li>
 Coordinate holistic patient care plans in collaboration with physicians, therapists, social workers, and family members.
 </li>
 <li>
 Support discharge planning and safe care transitions from ICU to step-down, long-term care, rehabilitation, or home care settings.
 </li>
 <li>
 Conduct family meetings to provide updates on clinical progression, discharge planning, and care goals.
 </li>
 <li>
 Advocate for patient needs and continuity of care throughout the care journey.
 </li>
 <li>
 Support utilization review and ensure appropriate documentation for insurance/authorization requirements.
 </li>
 <li>
 Identify barriers to discharge and proactively work to resolve them.
 </li>
 </ul>
 
 
 Collaboration &amp; Communication
 
 
 <ul>
 <li>
 Lead multidisciplinary discussions and care coordination huddles.
 </li>
 <li>
 Educate patients and families on disease conditions, treatment plans, and post-discharge care.
 </li>
 <li>
 Maintain professional and empathetic communication to support family expectations and clinical realities.
 </li>
 </ul>
 
 
 Qualifications
 
 
 <ul>
 <li>
 Bachelor of Science in Nursing (BSN) or equivalent.
 </li>
 <li>
 Valid NHRA nursing license.
 </li>
 <li>
 Minimum
 
 3&ndash;5 years of ICU/critical care nursing experience
 
 .
 </li>
 <li>
 
 Case management, discharge planning or care coordination experience required
 
 .
 </li>
 <li>
 Certification in Critical Care (CCRN) or Case Management (CCM) is an advantage.
 </li>
 <li>
 BLS and ACLS certifications are mandatory.
 </li>
 </ul>
 
 
</div>

Intensive Care Nurse - Case Manager

Encompass Health

<div>Recognized for your abilities as a Case Manager 
Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes. 
A Glimpse into Our World 
At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the &quot;World's Most Admired Companies&quot; and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing. 
Starting Perks and Benefits 
At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to: 
<ul><li>
Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.</li><li>
Generous paid time off that accrues over time.</li><li>
Opportunities for tuition reimbursement and continuous education.</li><li>
Company-matching 401(k) and employee stock purchase plans.</li><li>
Flexible spending and health savings accounts.</li><li>
A vibrant community of individuals passionate about the work they do!</li></ul> 
Become the Case Manager you always wanted to be 
<ul><li>
Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences.</li><li>
Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans</li><li>
Participate in planning for and the execution of patient discharge experience.</li><li>
Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations.</li><li>
Facilitate team conferences weekly and coordinate all treatment plan modifications.</li><li>
Complete case management addendums and all required documentation.</li><li>
Maintain knowledge of regulations/standards, company policies/procedures, and department operations.</li><li>
Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions.</li><li>
Understand commercial contract levels, exclusions, payor requirements, and recertification needs.</li><li>
Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs.</li><li>
Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs. of admission.</li><li>
Perform assessment of goals and complete case management addendum within 48 hours of admission.</li><li>
Educate patient/family on rehabilitation and Case Manager role; establish communication plan.</li><li>
Schedule and facilitate family conferences as needed.</li><li>
Assist patient with timely procuring/planning of resources to avoid discharge delays or issues.</li><li>
Monitor compliance with regulations for orthotics and prosthetics ordering and payment.</li><li>
Make appropriate/timely referrals, including documentation to post discharge providers/physicians.</li><li>
Ensure accuracy of discharge and payor-related information in the patient record.</li><li>
Participate in utilization review process: data collection, trend review, and resolution actions.</li><li>
Participate in case management on-call schedule as needed.</li></ul> 
Qualifications<ul><li> 
License or Certification:</li></ul> 
<ul><li>
Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).</li><li>
If licensure is required for one's discipline within the state, individual must hold an active license.</li><li>
Must meet eligibility requirements for CCM or ACM certification upon entry into this position OR within two years of entry into the position.</li><li>
CCM or ACM certification required OR must be obtained within two years of being placed in the Case Manager II position.</li></ul><ul><li> 
Minimum Qualifications:</li></ul> 
<ul><li>
For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an associate degree.</li><li>
For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor's degree and graduate degree is preferred.</li><li>
2 years of rehabilitation experience preferred.</li></ul> 
The Encompass Health Way 
We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing! 
At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification. 
We're eagerly looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!</div>

Case Manager

Ironside Human Resources

A well-established healthcare network near Needham, MA is seeking an RN, Case Manager to join their team! Signing Bonus! Comprehensive Benefits Starting Day 1!Pay: $29-$47/hr (based on experience)RN, Case Manager Opportunity:<ul><li>Full-time Permanent hire</li><li>$5,000 Signing Bonus</li><li>Schedule: Monday-Friday 8a-5p</li><li>Comprehensive Benefits starting Day 1, including tuition reimbursement and loan repayment assistance</li></ul>RN, Case Manager Qualifications:<ul><li>Must have unrestricted RN license</li><li>At least 2 years of experience in an inpatient rehab/hospital setting required</li><li>Previous case management experience preferred</li></ul>About the Community:<ul><li>Convenient Location: Ideally situated between Boston and Worcester, offering easy access to both cities via the Mass Pike (I-90) and commuter rail service</li><li>Diverse Community: It's one of the most diverse cities in Massachusetts, with a rich mix of cultures, restaurants, and community events</li><li>Strong Schools & Parks: The town offers reputable public schools and numerous parks and recreational areas, including Callahan State Park</li><li>Growing Economy & Amenities: Strong local economy, with major employers, shopping centers like Natick Mall nearby, and a variety of dining and entertainment options</li></ul><img src="https://www.jobg8.com/Tracking.aspx?JcUnJWzbvuoNGb5TBSxGKxoUfveWlBWHx" width="0" height="0" />

Case Manager - $5,000 Signing Bonus

CVS Health

<div>At CVS Health, we&rsquo;re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation&rsquo;s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues &ndash; caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Location Requirement: Mid-Cities, NE Forth Worth to NW Dallas
Keller, Grapevine, Euless, Coppell, N. Irving.
Position Summary
This position is work from home and will require travel for members for home, Long term Care Facilities and/or Group Home Visits.
Roles and Responsibilities:<ul><li>
Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member&rsquo;s overall wellness.</li><li>
Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member&rsquo;s overall wellness through integration.</li><li>
Services strategies policies and programs are comprised of network management and clinical coverage policies.</li><li>
Coordinates and implements assigned care plan activities and monitors care plan progress.</li><li>
Conducts multidisciplinary review in order to achieve optimal outcomes - Identifies and escalates quality of care issues through established channels.</li><li>
Utilizes negotiation skills to secure appropriate options and services necessary to meet the member&rsquo;s benefits and/or healthcare needs.</li><li>
Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.</li><li>
Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.</li><li>
Helps member actively and knowledgeably participate with their provider in healthcare decision-making.</li><li>
Monitoring, Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.</li></ul>
Required Qualifications<ul><li>
Resident of Texas Mid-Cities area: NE of Forth Worth to NW of Dallas</li><li>
Registered Nurse &ndash; Texas or Compact</li><li>
3+ years clinical practice experience in Pediatrics</li><li>
1+ year Case Management experience</li><li>
Must possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy</li></ul> 
Preferred Qualifications<ul><li>
MCO experience</li><li>
Star Kids experience</li><li>
Bilingual preferred in Spanish</li></ul> 
Education<ul><li>
Associates Degree Required</li><li>
BSN Preferred</li></ul>
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$60,522.00 - $129,615.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul><li>
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li><li>
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li><li>
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li></ul>
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 11/08/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Case Manager Registered Nurse - Field in Mid-Cites (Forth Worth - Dallas) Texas

A well-established healthcare network near Needham, MA is seeking an RN, Case Manager to join their team! Signing Bonus! Comprehensive Benefits Starting Day 1!Pay: $29-$47/hr (based on experience)RN, Case Manager Opportunity:<ul><li>Full-time Permanent hire </li><li>Schedule: Monday-Friday 8a-5p</li><li>$5,000 Signing Bonus</li><li>Comprehensive Benefits starting Day 1, including tuition reimbursement and loan repayment assistance</li></ul>RN, Case Manager Qualifications:<ul><li>Must have unrestricted RN license</li><li>At least 2 years of experience in an inpatient rehab/hospital setting required</li><li>Previous case management experience preferred</li></ul>About the Community:<ul><li>Convenient Location: Ideally situated between Boston and Worcester, offering easy access to both cities via the Mass Pike (I-90) and commuter rail service</li><li>Diverse Community: It's one of the most diverse cities in Massachusetts, with a rich mix of cultures, restaurants, and community events</li><li>Strong Schools & Parks: The town offers reputable public schools and numerous parks and recreational areas, including Callahan State Park</li><li>Growing Economy & Amenities: Strong local economy, with major employers, shopping centers like Natick Mall nearby, and a variety of dining and entertainment options</li></ul><img src="https://www.jobg8.com/Tracking.aspx?Vn6Bumh0S6lW9qTCKUIYKTRX47JGDitRu" width="0" height="0" />

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10000 clinical case manager jobs NEAR_ME

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Case Manager Registered Nurse - Field in Mid-Cites (Forth Worth - Dallas) Texas

Case Manager - $5,000 Signing Bonus