disease case manager rn

CVS Health

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.
Position Summary:
This RN Case Manager position is 100% remote and candidates are required to live PST or MST. Preference is for an RN with Compact RN licensure.
Normal Working Hours: Monday through Friday 8am-5pm in time zone of residence with requirement to flex time to meet member/business needs.
The RN 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 overall wellness.
RN Case Manager:
&ndash; Collaboratively 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.
&ndash; Through the use of clinical tools and information/data review (e.g., assessments, claims, etc..) conducts an evaluation of member&rsquo;s needs and available benefits to collaborate and refer to programs offered by the plan sponsor.
&ndash; Applies clinical judgment to reduce risk factors, address complex health issues and social indicators.
&ndash; Utilizes case management processes in compliance with regulatory and company policies and procedures.
&ndash; Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
Please note:<ul><li>This role involves using a computer station with multiple screens, operating multiple programs simultaneously, and sitting for extended periods of time.</li><li>A private designated workspace free of distractions and high-speed internet is needed for this position.</li></ul>
Required Qualifications:<ul><li>Must have an active and unrestricted RN license in state of residence, preferably compact</li><li>RN living in MST, or PST Time Zone</li><li>Willingness and ability to obtain additional state licenses upon hire (paid for by the company)</li><li>3+ years of acute care clinical experience as an RN (general medical, post-surgical, specialty including pediatrics, ICU, case management and discharge planning)</li></ul>
Preferred Qualifications:<ul><li>Compact RN licensure</li><li>1+ years of case management experience</li><li>Certified Case Manager (CCM) certification</li><li>Strong customer service skills including attention to customers, sensitivity to certain issues and proactive identification/resolution of issues.</li><li>Experience with all types of Microsoft Office including PowerPoint, Excel, and Word</li><li>Strong telephonic communication skills</li><li>1+ years of experience utilizing computers and navigating multiple monitors while speaking with someone on the telephone.</li><li>Transgender certification</li></ul>
Education:<ul><li>Associates in nursing</li><li>BSN</li></ul>
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$66,575.00 - $142,576.00
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: 03/28/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Case Manager RN - Work From Home - MST or PST

HCA Florida Blake Hospital

<div><h5 class="jobSectionHeader">Introduction</h5>
Do you want to join an organization that invests in you as a(an) Case Manager RN? At HCA Florida Blake Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.<h5 class="jobSectionHeader">
Benefits</h5>
HCA Florida Blake Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
You contribute to our success. Every role has an impact on our patients&rsquo; lives and you have the opportunity to make a difference. We are looking for a dedicated Case Manager RN like you to be a part of our team.<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
<h6 class="jobSectionHeader">The Registered Nurse (RN) CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.
Your responsibilities will include:
<ul><li>Provide case management services for both inpatient and observation patients as assigned.
</li><li>Identify patients who are at risk for adverse outcomes during the transition from one level of care/setting to another.
</li><li>Perform a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family.
</li><li>Reassess the patient&rsquo;s clinical condition as indicated.
</li><li>Consider patient&rsquo;s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources.
</li><li>Coordinate the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and in particular with the patient's physician to facilitate a successful care transition.
</li><li>Partner with Social Services to ensure the post-acute medical needs and level of care are appropriate.</li></ul>
What qualifications you will need:</h6><ul><li>
Associate Degree in Nursing or Nursing Diploma required.</li><li>
Bachelor&rsquo;s Degree in Nursing preferred.</li><li>
2+ years experience in case management OR 3+ years experience in clinical nursing required.</li><li>
Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation required.</li><li>
InterQual experience preferred</li><li>
Certification in Case Management preferred</li><li>
Ability to establish and maintain collaborative and effective working relationships</li><li>
Ability to communicate effectively in oral, written and electronic formats</li><li>
Demonstrates analytical and critical thinking abilities with proactive decision-making and negotiation skills</li></ul> 
HCA Florida Blake Hospital is a 380+ bed hospital located in Bradenton, FL. We have a thirteen acre campus by the Gulf Coast beaches. We are the only state-designated Level II trauma center in Manatee, Sarasota and DeSoto Counties. We have received verification by the American College of Surgeons. Our services include 24-hour emergency care, open-heart surgery, burn care, cancer care, joint replacement and inpatient rehabilitation. We are a recipient of the American Heart Association&rsquo;s Gold Fit Friendly Designation. We have an onsite day care program, Happy Cubs, a 24 hour employee fitness center and a healthy work environment. We develop our colleagues through cross-training into new units and ongoing skills development. We offer continuing education courses and opportunities for advancement. We also offer great benefits. We hope you&rsquo;ll consider a career at HCA Florida Blake Hospital. 
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. 
&quot;Good people beget good people.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Case Manager RN opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Case Manager RN PRN

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.<div>
Position Summary
This Case Manager RN role is with the Costco Team and is fully remote; however, it is preferred that candidates reside within 45 minutes (reasonable driving distance) from the local office located at 7034 Alamo Downs Pkwy, San Antonio, TX 78238. 
Scheduled - Monday through Friday 8:00am-5:00pm CST with flexibility to rotate to 10:00am-7:00pm CST on occasion when required to meet business needs.<h2 class="jobSectionHeader"> 
No weekends or holidays will be required. 
 
The Case Manager RN 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. 
 
The Case Manager RN 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. 
 
The Case Manager RN job duties include (not an all-encompassing list):</h2><ul><li><h2 class="jobSectionHeader">
Through the use of clinical tools and information/data review, conducts an evaluation of member&rsquo;s needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans.</h2></li><li><h2 class="jobSectionHeader">
Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.</h2></li><li><h2 class="jobSectionHeader">
Assessments consider information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.</h2></li><li><h2 class="jobSectionHeader">
Reviews prior claims to address potential impact on current case management and eligibility.</h2></li><li><h2 class="jobSectionHeader">
Assessments include the member&rsquo;s level of work capacity and related restrictions/limitations.</h2></li><li><h2 class="jobSectionHeader">
Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality.</h2></li><li><h2 class="jobSectionHeader">
Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.</h2></li><li><h2 class="jobSectionHeader">
Utilizes case management processes in compliance with regulatory and company policies and procedures.</h2></li><li><h2 class="jobSectionHeader">
Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.</h2></li></ul>
Required Qualifications<ul><li><h2 class="jobSectionHeader">
Must have active current and unrestricted RN multistate licensure in the state where they reside.</h2></li><li><h2 class="jobSectionHeader">
Willingness to obtain additional state licenses will be required upon hire (expenses will be covered by company).</h2></li><li><h2 class="jobSectionHeader">
3+ years clinical practice experience as an RN required</h2></li><li><h2 class="jobSectionHeader">
1+ year(s) experience utilizing multiple computer systems and applications including Microsoft Word, Excel, Outlook, and web-based applications
</h2></li><li><h2 class="jobSectionHeader">Must be able to work Monday through Friday 8:00am-5:00pm CST with flexibility to rotate to 10:00am-7:00pm CST on occasion when required to meet business needs.</h2></li></ul>
Preferred Qualifications<ul><li><h2 class="jobSectionHeader">
Case Management in an integrated model</h2></li><li><h2 class="jobSectionHeader">
Bilingual in Spanish and English</h2></li><li><h2 class="jobSectionHeader">
Strong computer skills</h2></li><li><h2 class="jobSectionHeader">
Residing within 45 minutes (reasonable driving distance) from the local office located at 7034 Alamo Downs Pkwy, San Antonio, TX 78238.</h2></li><li><h2 class="jobSectionHeader">
Travel to the San Antonio office may be required for quarterly meetings or PRN meetings.</h2></li></ul> 
Education<ul><li><h2 class="jobSectionHeader">
Associates Degree in Nursing required</h2></li><li><h2 class="jobSectionHeader">
BSN preferred</h2></li></ul></div>
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: 04/04/2026
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- San Antonio, TX

<div><h5 class="jobSectionHeader">Introduction</h5>
Do you want to join an organization that invests in you as a(an) Case Manager RN? At HCA Florida Blake Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.<h5 class="jobSectionHeader">
Benefits</h5>
HCA Florida Blake Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
You contribute to our success. Every role has an impact on our patients&rsquo; lives and you have the opportunity to make a difference. We are looking for a dedicated Case Manager RN like you to be a part of our team.<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
The Registered Nurse (RN) CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.<h6 class="jobSectionHeader">
Your responsibilities will include:
<ul><li>Provide case management services for both inpatient and observation patients as assigned.
</li><li>Identify patients who are at risk for adverse outcomes during the transition from one level of care/setting to another.
</li><li>Perform a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family.
</li><li>Reassess the patient&rsquo;s clinical condition as indicated.
</li><li>Consider patient&rsquo;s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources.
</li><li>Coordinate the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and in particular with the patient's physician to facilitate a successful care transition.
</li><li>Partner with Social Services to ensure the post-acute medical needs and level of care are appropriate.</li></ul>
What qualifications you will need:</h6><ul><li>
Associate Degree in Nursing or Nursing Diploma required.</li><li>
Bachelor&rsquo;s Degree in Nursing preferred.</li><li>
2+ years experience in case management OR 3+ years experience in clinical nursing required.</li><li>
Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation required.</li><li>
InterQual experience preferred</li><li>
Certification in Case Management preferred</li><li>
Ability to establish and maintain collaborative and effective working relationships</li><li>
Ability to communicate effectively in oral, written and electronic formats</li><li>
Demonstrates analytical and critical thinking abilities with proactive decision-making and negotiation skills</li></ul>
HCA Florida Blake Hospital is a 380+ bed hospital located in Bradenton, FL. We have a thirteen acre campus by the Gulf Coast beaches. We are the only state-designated Level II trauma center in Manatee, Sarasota and DeSoto Counties. We have received verification by the American College of Surgeons. Our services include 24-hour emergency care, open-heart surgery, burn care, cancer care, joint replacement and inpatient rehabilitation. We are a recipient of the American Heart Association&rsquo;s Gold Fit Friendly Designation. We have an onsite day care program, Happy Cubs, a 24 hour employee fitness center and a healthy work environment. We develop our colleagues through cross-training into new units and ongoing skills development. We offer continuing education courses and opportunities for advancement. We also offer great benefits. We hope you&rsquo;ll consider a career at HCA Florida Blake Hospital. 
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. 
&quot;Good people beget good people.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Case Manager RN opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Case Manager RN

HCA Houston Healthcare

<div>Stroke response times nearly half of the national average. Cutting-edge SPOT Technology that detects sepsis earlier than the human eye. An Enhanced Surgical Recovery program that reduces opioid prescriptions and post-surgical readmissions. As a national learning health system, we're transforming care delivery, advancing clinical outcomes, and empowering our nursing teams in a collaborative effort to give people a healthier tomorrow. Join us!
At HCA Houston Healthcare Clear Lake, our nurses play a vital part. We know that every nurse&rsquo;s path and purpose is unique. Do you want to create your own personal career path in nursing? HCA Healthcare is your career destination! Our scale makes it possible for nurses to create the career path that fits their life &ndash; for life &ndash; and empowers their passion for patient care. Apply today for our Registered Nurse RN Case Manager opportunity.
Job Summary and Qualifications
As a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient&rsquo;s unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care.
Your responsibilities will include:
<ul><li>Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights</li><li>
Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences</li><li>
Developing and implementing individualized treatment plans that reflect the patient&rsquo;s strengths, needs, and personal recovery goals</li><li>
Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team</li><li>
Collaborating closely with the Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care</li><li>
Promoting HCA Healthcare&rsquo;s values of compassion, respect, and excellence through every patient and family interaction</li></ul>
 What qualifications you will need: 
<ul><li>
Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date)</li><li>
Graduate of an accredited school of professional nursing is required</li><li>
BSN preferred</li><li>
3+ years RN experience in an acute care setting
</li><li>Case Manager Cert preferred</li><li>
InterQual experience preferred</li></ul>
Benefits
HCA Houston Healthcare Clear Lake, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
<ul><li>Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
HCA Houston Healthcare Clear Lake is a 530+ bed hospital where sophisticated, world-class medicine meets the comfort, care and convenience of a community hospital. For more than 40 years, we have proudly been providing high quality, cost-effective, comprehensive healthcare to the Houston Bay Area. We opened our doors in 1972 and now employ 2,000+ staff members and 900+ physicians in a wide range of specialties. Our specialists offer more talent and experience than any other hospital in the region. We are a Level II Trauma Center and the only exclusive heart hospital south of Houston. Our accredited center provides nationally-recognized care in the prevention, diagnosis, treatment and recovery of cardiovascular diseases. HCA Houston Healthcare Clear Lake offers a variety of other services, including Woman Services, Pediatric Care, Breast Diagnostic Center, ACR-accredited Imaging Center, Wound Care Treatment Center featuring Hyperbaric Oxygen Therapy, and much more. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
&quot;The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.&quot;- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder
Join a family that cares about every stage in your career! We are interviewing candidates for our Registered Nurse RN Case Manager opening. Apply today and a member of our Talent Acquisition team will reach out.
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Registered Nurse RN Case Manager

United Energy Workers Healthcare

<div>Overview:
<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.</div><div></div><div> 
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.</div><div>
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.</div>
Responsibilities:
<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><li>
Ensure Confidentiality: Maintain confidentiality of all client and office records in accordance with HIPAA guidelines and the Privacy Act PHI.</li><li>
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></ul>
Qualifications:
<ul><li>Current RN License: Valid and active Registered Nurse license in good standing.</li><li>
Experience: At least one year of experience in a home health setting, or related area, with strong assessment skills.</li><li>
Organizational Skills: Excellent organizational and time management skills to handle multiple clients efficiently.</li><li>
Tech Savvy: Proficient in computer and internet-based applications, as well as office equipment.</li><li>
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>
Pay Range: USD $38.00 - USD $42.00 /Hr.</div>

Case Manager ( RN )

Olympia Fields Hospital

Responsibilities: 
Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
 
Qualifications: 
EDUCATION, EXPERIENCE, TRAINING
 
1. Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
 
2. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
 
3. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
 
4. Current BCLS certificate, preferred.
 
5. Knowledge of Milliman Criteria and InterQual Criteria preferred.
 
6. Experience and knowledge in basic to intermediate computer skills.
 
Pay Transparency: 
Olympia Fields Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $XXX,XXX.XX to $XXX,XXX.XX on an annualized basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
 
The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/
 
Employment Status: Full Time Shift: Days Equal Employment Opportunity:
 
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

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