nurse care manager

Christus Health

<strong>Description</strong><br><p><u>Summary:</u></p><p>The RN Care Manager (CM) II works with physicians and multidisciplinary team members to develop a plan of care for each assigned patient from admission through discharge. The CM ensures that the patient is progressing toward desired outcomes by continuously monitoring patient care through assessments and/or evaluations. Assesses and responds to patient/family needs by coordinating efforts of other team members. Identifies and resolves barriers that hinder effective patient care. The CM plans effectively to meet patient need, manage length of stay and promote efficient utilization of resources to include the facilitation of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement and resolves barriers that hinder effective patient care.</p><p><u>Responsibilities:</u><br></p><ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.</li><li>Coordinates/facilitates patient care progression throughout the continuum.</li><li>Implements and monitors the patient's plan of care to ensure effectiveness and appropriateness of services.</li><li>Identifies and escalates system barriers that are impeding diagnostic or treatment progress.</li><li>Proactively identifies and resolves delays and obstacles to discharge.</li><li>Uses advances conflict resolution skills as necessary to ensure timely resolution of issues.</li><li>Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting.</li><li>Ensures that all elements critical to the plan of care have been communicated to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care.</li><li>Manages all aspects of discharge planning for assigned patients.</li><li>Provide appropriate interventions which demonstrate knowledge of and sensitivity toward cultural diversity and the religious, developmental, health literacy, and educational backgrounds of the patient population.</li><li>Assesses the patient's formal and informal support system as well as available benefits and/or community resources.</li><li>Meets directly with patient/family to assess needs and develop and individualized care plan in collaboration with the physician.</li><li>Ensures and maintains plan consensus from patient/family, physician and payor.</li><li>Provide education, information, direction, and support related to patient's goals of care.</li><li>Acts as patient advocate to develop treatment plan and coordinate patient care and to transition patient to the appropriate next level of care.</li><li>Demonstrates and promotes respect for the dignity and rights of every patient while adhering to the safety standards and practices of the organization and the nursing profession.</li><li>Collaborates with the physician and other health care professionals to promote appropriate use of medical center resources.</li><li>Provides information and support to patients and families, helping them access needed resources within the medical center and community.</li><li>Actively participates in clinical performance improvement activities involving length of stay, resource utilization, avoidable days, cost per case, and readmissions.</li><li>Measures effectiveness of interventions through direct communication with post-acute care providers, patients, and caregivers.</li><li>Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency.</li></ul><p><u>Job Requirements:</u><br></p><p><strong>Education/Skills</strong></p><ul><li>BSN Degree from an accredited nursing program or demonstrated success in CHRISTUS RN Care Manager I position required.</li><li>Master's degree in nursing preferred.</li><li>Program management experience, including management of multiple projects at one time preferred.</li><li>Excellent verbal and written communication.</li><li>Critical and analytical thinking skills.</li><li>Demonstrated clinical competency.</li><li>Working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement.</li><li>Understanding of pre-acute and post-acute levels of care and community resources.</li><li>Ability to work independently and exercise sound judgment in interactions with physicians, payors, patients, and their families.</li></ul><p><strong>Experience</strong></p><ul><li>Three or more years clinical experience in clinical practice or demonstrated success in CHRISTUS RN Care Manager I position.</li><li>Case management and Utilization Review experience preferred.</li></ul><p><strong>Licenses, Registrations, or Certifications</strong></p><ul><li>RN License in state of employment or compact required.</li><li>Certification in Case Management or demonstrated success in CHRISTUS RN Care Manager I Position preferred.</li></ul><p><u>Work Type:</u><br></p><p>Full Time</p><img src="https://www.jobg8.com/Tracking.aspx?O1Bm1gLIPIbAcA6%2fk%2bmDX5%2beSbE1t2ofr" width="0" height="0" />

Registered Nurse Care Manager-Health Plan Admin

AccentCare

<div>Overview:
<div><b>Patient Care Manager</b></div><div><b>
Location: Orange Park</b></div><div><b>
Position:</b> Patient Care Manager</div><div><b>
Position Type: </b>Full-Time</div><div><b>
Remote/Virtual Position: </b>No</div><div></div><div><b><br>
Find Your Passion and Purpose as a Patient Care Manager</b></div><div><b>
Salary: $85,000-$95,000</b><br>
<b>Schedule: M-F 8AM-5PM in Office</b></div><div></div><div><i><br>
Offer Based on Years of Experience</i></div>
What You Need to Know:
<div><b>Reimagine Your Career in Home Health</b></div><div>
Caring for others is more than what you do &mdash; it&rsquo;s who you are. At AccentCare, you&rsquo;ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You&rsquo;ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We&rsquo;re proud to be named one of <i>America&rsquo;s Greatest Workplaces 2025</i> by Newsweek &mdash; a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we&rsquo;re building together.</div><div></div><div><b><br>
Be the Best Patient Care Manager You Can Be</b></div><div>
If you meet these qualifications, we want to meet you!</div><ul><li>
Graduated from an approved school of professional nursing</li></ul><div><b>
Required Certifications and Licensures:</b></div><ul><li>
Registered nurse with current licensure to practice nursing in the practicing state.</li><li>
Previous experience in home care setting with two years management or supervisory experience, preferred.</li><li>
Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory requirements</li></ul><div><b>
Our Investment in You</b></div><p>
Caring for others starts with caring for you. We&rsquo;re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include:</p><ul><li>
Medical, dental, and vision coverage</li><li>
Paid time off and paid holidays</li><li>
Professional development opportunities</li><li>
Company-matching 401(k)</li><li>
Flexible spending and health savings accounts</li><li>
Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app</li><li>
Programs to celebrate achievements, milestones and fellow employees</li><li>
Company store credit for your first AccentCare-branded scrubs for patient-facing employees</li><li>
And more!</li></ul>
Qualifications:<div></div><div><br>
</div><div><b>Come As You Are</b></div><div>
At AccentCare, you&rsquo;re part of a community that cares &mdash; for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.</div>
Posted Salary Range: USD $85,000.00 - USD $95,000.00 /Yr.</div>

Registered Nurse / Patient Care Manager, Home Health

Heart to Heart Hospice

<div><b>Patient Care Manager - Registered Nurse</b><b>:</b><br>
<br>
<br>
<b>What You Must Have:</b><b>:</b>
<ul><li>Current State Registered Nurse License</li>
<li>Current State Driver&rsquo;s License, reliable transportation, and provide ongoing valid and current auto liability insurance</li>
<li>Two years of experience as a Hospice Registered Nurse in a clinical care setting, or home health</li>
<li>Must be highly motivated, self-directed, flexible, and able to work well and participate in a multidisciplinary group setting</li>
<li>Possess good organization, people and problem solving skills and the ability to multi-task many projects and strategies simultaneously</li>
<li>Strong critical thinking, organizational, interpersonal, and communication skills</li>
</ul>
<br>
<b>Full Time Employee Benefits</b><b>:</b>
<ul><li>Competitive Pay</li>
<li>Medical, Dental &amp; Vision insurance</li>
<li>Paid Time Off</li>
<li>Paid holidays</li>
<li>401k with up to 4% employer matching
</li><li>Tuition reimbursement</li>
<li>Company car for qualifying individuals</li>
<li>Mileage reimbursement</li>
</ul>
<br>
<b>What You Will Do</b><b>:</b>
<ul><li>Direct and coordinate clinical departments and sites; assumes responsibility for continuity, quality, and safety of services delivered in compliance with State and federal regulations (Conditions of Participation).</li>
</ul><ul><li>Supervise and provide direction to nursing staff and team members, in an effort to ensure quality, compliance with Plan of Care, assessment and reassessment of patient's needs and continuity of services by appropriate health care personnel.</li>
<li>Supports employee and patient education to enhance knowledge, skills and achieve quality experiences. Continuously trains nursing staff to retain employees with the highest quality of patient care.</li>
</ul><ul><li>Provide coaching, development, feedback and annual evaluations to team members in a professional and timely manner.</li>
<li>Performance of other duties as required</li>
<li>Ensure overall compliance with local, state and federal laws, Medicare regulations, and established personnel policies and procedures</li></ul><br>
<p><br>
<b>Working with Heart to Heart Hospice</b><b>:</b><br>
<br>
We are looking for a compassionate, talented and experienced Patient Care Manager that is experienced in customer service and eager to join an exciting organization.<br>
<br>
<b>You can </b><b><i>Make A Difference </i></b><b>in the lives of others!:</b><br>
<br>
At Heart to Heart Hospice, our employees enhance the lives of patients with life-limiting illnesses and their loved ones during a time when compassionate care is needed most. We are dedicated to making a difference in the lives of our patients and their families, and we offer individuals the opportunity to be associated with a caring staff and organization, while creating positive contributions in their community.<br>
<br>
It is this Agency's policy to provide equal employment opportunities without regard to age, race, color, religion, military status, gender preference, sex, marital status, national origin or disability.</p></div>

Patient Care Manager RN

CVS Health

<div><p>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.</p><p></p><p>
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.</p><p></p><p><b>
Location Requirement:</b> <b>Mid-Cities, NE Forth Worth to NW Dallas</b></p><p><b>
Keller, Grapevine, Euless, Coppell, N. Irving.
</b></p><p></p><p><b>Position Summary</b></p><p>
This position is work from home and will require travel for members for home, Long term Care Facilities and/or Group Home Visits.
</p><p></p><p><b>Roles and Responsibilities:</b></p><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><p></p><p><b>
Required Qualifications</b></p><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><p><b><br>
Preferred Qualifications</b></p><ul><li>
MCO experience</li><li>
Star Kids experience</li><li>
Bilingual preferred in Spanish</li></ul><p><b><br>
Education</b></p><ul><li>
Associates Degree Required</li><li>
BSN Preferred</li></ul><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$60,522.00 - $129,615.00<p></p><p>
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.</p><p><br>
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.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
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:</p><ul><li><p><b>
Affordable medical plan options,</b> a <b>401(k) plan </b>(including matching company contributions), and an <b>employee stock purchase plan</b>.</p></li><li><p><b>
No-cost programs for all colleagues </b>including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p></li><li><p><b>
Benefit solutions that address the different needs and preferences of our colleagues</b> 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.</p></li></ul><p></p><p>
For more information, visit https://jobs.cvshealth.com/us/en/benefits</p><p></p>
We anticipate the application window for this opening will close on: 11/08/2025<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

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

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Registered Nurse Care Manager-Health Plan Admin

Registered Nurse / Patient Care Manager, Home Health

Patient Care Manager RN

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

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

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

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