nurse case manager

Michigan Auto Case Management

We are seeking an experienced and compassionate Nurse Case Manager to join our dynamic medical case management team, specializing in the care and recovery of auto injury victims. As a Nurse Case Manager, you will play a crucial role in coordinating, managing, and advocating for the medical care and recovery of injured clients. You will work closely with patients, physicians, legal teams, insurance companies, and rehabilitation providers to ensure optimal outcomes for injured individuals, while also supporting the patient and their family through the recovery process.The starting pay is $38 per hour and may increase based on experienceWhy You&rsquo;ll Love Working for Us:<ul><li>Paid Training</li><li>Competitive salary</li><li>Mileage reimbursement</li><li>Ability to create your own schedule</li></ul>What You'll Do:<ul><li>Manage a caseload of auto-injury patients, developing personalized care plans to address the medical, emotional, and financial needs related to the injury.</li><li>Monitor and assess patient progress throughout the treatment process, ensuring that patients receive timely and effective medical care in line with their treatment plan and legal requirements.</li><li>Collaborate with multidisciplinary teams, including physicians, physical therapists, occupational therapists, psychologists, and legal representatives, to coordinate care and services.</li><li>Assist in scheduling and coordinating medical appointments, diagnostic tests, therapy sessions, and follow-up visits.</li><li>Facilitate communication between healthcare providers, ensuring that patients receive necessary medical tests, treatments, and interventions.</li><li>Collaborate with insurance companies, legal teams, and third-party vendors to ensure smooth coordination of services and support for claims.</li><li>Assist in the review of medical records, ensuring proper documentation for insurance claims and reimbursement.</li><li>Provide detailed reports on patient progress, treatment adherence, and case outcomes to stakeholders, including insurance adjusters and legal representatives.</li><li>Monitor for any barriers to recovery, such as financial hardship or lack of transportation, and work to address these barriers to ensure timely recovery.</li><li>Regularly assess the effectiveness of the care plan and make adjustments as necessary.</li></ul>What We Need from You:<ul><li>Valid driver&rsquo;s license required</li><li>Active Registered Nurse (RN) license in Michigan required</li><li>Bachelor of Science in Nursing (BSN) preferred but not required.</li><li>Certification in Case Management (CCM) or Medical Case Management preferred but not required.</li><li>Minimum of 3 years of clinical nursing experience, with at least 1-2 years in case management. Ideally in the auto injury, workers&rsquo; compensation, or personal injury sector.</li><li>Experience in coordinating care across multiple healthcare disciplines and managing complex medical cases.</li><li>Knowledge of auto-injury treatment protocols and the legal/insurance claims process is a plus.</li></ul>Additional Skills and Competencies:<ul><li>Excellent communication and interpersonal skills, with the ability to effectively interact with patients, families, medical providers, insurance representatives, and attorneys.</li><li>Detail-oriented with strong organizational and time-management skills.</li><li>Ability to work independently as well as part of a collaborative team.</li><li>Proficient in using electronic medical records (EMR) systems and case management software.</li><li>Proficient in Microsoft Office Suites (Word, Excel, Outlook, Teams)</li></ul>Work Environment and Schedule:<ul><li>Hybrid work environment (combination of office, field visits, telehealth/remote work).</li><li>Must have or be able to set up a home office workspace free from noise or distractions</li><li>Occasional travel required to visit patients at medical facilities, rehabilitation centers, or home settings.</li><li>Conduct home and facility visits (if applicable) to assess the patient&rsquo;s environment</li><li>Flexibility in hours may be required based on patient needs and case complexity.</li><li>This is a Contract (1099) employment opportunity</li></ul>We are an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status, or any other characteristic protected by law.Job Type: ContractPay: $38.00 per hourBenefits:<ul><li>Flexible schedule</li><li>Mileage reimbursement</li></ul>Work Location: Hybrid remote in Ypsilanti, MI 48197

Nurse Case Manager

WellVisor

Job Title: Case ManagerJob Summary: We are seeking a dedicated and compassionate Case Manager to join our team. The Case Manager will be responsible for coordinating and managing the care of patients in a remote setting. The ideal candidate will have strong organizational and communication skills, as well as a deep understanding of patient care.Duties: - Conduct comprehensive assessments of patients' needs and develop individualized care plans- Provide Utilization Management including prior authorization approvals - Collaborate with healthcare professionals to ensure the delivery of high-quality patient care - Coordinate and monitor patient progress throughout their healthcare journey - Advocate for patients' rights and ensure they receive appropriate medical treatment - Provide education and support to patients and their families regarding their medical conditions and treatment options - Assist in discharge planning and facilitate transitions of care - Maintain accurate and up-to-date documentation of patient interactions and interventionsQualifications: - Bachelor's degree in nursing - Current license as a registered nurse (RN) - Minimum of 3-5 years of experience in case management- Certified Case Manager preferred - Strong knowledge of medical terminology, disease processes, and treatment modalities - Excellent communication, interpersonal, and problem-solving skills - Ability to work independently and collaboratively within a multidisciplinary team - Proficient computer skills, including electronic medical record systemsBenefits: - Competitive salary based on experience - Professional development opportunitiesIf you are passionate about providing exceptional patient care and making a difference in people's lives, we encourage you to apply for the position of Case Manager. Please submit your resume and cover letter detailing your relevant experience and qualifications to cfran@wellvisor.com. We look forward to reviewing your application.Job Types: Contract, Part-timePay: $40.00 - $50.00 per hourSchedule:<ul><li>Monday to Friday</li></ul>Experience:<ul><li>Nursing: 3 years (Preferred)</li><li>Case management: 3 years (Preferred)</li></ul>License/Certification:<ul><li>RN (Required)</li></ul>Willingness to travel:<ul><li>25% (Preferred)</li></ul>Work Location: Remote

HiredFirst

<div><h2 class="jobSectionHeader">Nurse Case Manager</h2>
Location: Montana (Poplar or Wolf Point &ndash; final site TBD) 
Position Type: Full-Time | Contract 
Duration: 1 Year 
Start Date: As soon as security cleared
A long-term contract opportunity is available for a Nurse Case Manager to support patient care coordination services in Montana.
Position Highlights<ul><li>
Coordination of patient care and services</li><li>
Management of referrals and external services</li><li>
Collaboration with providers and community resources</li><li>
Stable, long-term contract role</li></ul>
Qualifications<ul><li>
Active, unrestricted RN license</li><li>
Purchased/Referred Care (PRC) experience required</li><li>
Prior case management experience preferred</li><li>
Ability to obtain required security clearance</li></ul>
#Workwolf</div>

Auto-Owners Insurance

<div>A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Job Description
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team.
 
 
Please note that we are not currently hiring fully remote positions. All candidates must have the ability to work in office.
Auto-Owners Insurance, a top-rated insurance carrier, is seeking motivated nursing professional to join our team. The position requires the person to:<ul><li>
Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the claimant&rsquo;s health across the care continuum.</li><li>
Coordinate care delivery and support among claimant support systems, including providers, community-based agencies, and family.</li><li>
Collaborate with claims associates to provide medical expertise in the investigation, evaluation, and appropriate resolution of injury claims including workers&rsquo; compensation, personal injury protection (no fault), and liability.</li><li>
Evaluate medical records for relatedness to the injury and appropriate utilization of medical treatment and services.</li><li>
Prepare and deliver trainings to claims staff via a variety of modalities including written materials, live presentations, WebEx and/or telephonic presentations.</li><li>
Identify opportunities, develop, and implement new clinical programs as well as improve existing programs and procedures.</li><li>
Assist in developing and maintaining vendor and consultant expectations and relationships.</li><li>
Negotiate rates with local healthcare providers including nursing homes, sub-acute facilities, and attendant care agencies.</li><li>
Assist with other duties in the clinical team department, or elsewhere, on request.</li></ul>
.
Desired Skills &amp; Experience<ul><li>
Active RN license in good standing required, BSN highly preferred.</li><li>
Certification in Case Management (CCM) required or to be obtained within 18 months of hire.</li><li>
Insurance Rehabilitation Specialist (CIRS), Disability Management Specialist (CDMS), Rehabilitation Nurse (CRRN), or Occupational Health Nurse (COHN) a plus.</li><li>
Minimum of three to five years clinical experience required. Strong clinical background in orthopedics, neurology, rehabilitation or trauma care is preferred. Insurance experience a plus.</li><li>
Minimum of three years experience as a case manager.</li><li>
Ability to communicate effectively in oral and written forms, read and interpret documents, and write routine reports and correspondence. Proficient computer skills including Microsoft Office products. Teaching or training experience a plus.</li><li>
Excellent problem resolution skills. This person should be able analyze details, make decisions, demonstrate innovativeness and continually seek more efficient ways to process and handle work for the benefit of the team.</li><li>
Excellent organizational skills with the ability to manage multiple priorities.</li></ul>
Benefits
Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!<ul><li>Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.</li></ul>
#LI-AT1 #LI-Onsite</div>

Seniority Healthcare

Are you a compassionate healthcare professional with a heart for serving seniors? If so, Seniority Healthcare invites you to join our team as a COMPASS Nurse. COMPASS is an acronym for Collaborative Outpatient Management for Palliative and Aging Support Services. This unique role provides in-home nursing and case management services to our patients, offering you the opportunity to make a significant impact in the lives of our geriatric patients. This full-time role is Monday through Friday, 8-4, with no weekend or on-call responsibilities.About Seniority HealthcareSeniority Healthcare is a forward-thinking organization dedicated to enhancing the quality of life for seniors through innovative, compassionate healthcare solutions. We connect aging adults with a comprehensive network of care providers and state-of-the-art services designed to support independent living and overall wellness. Our mission is to empower seniors and their families by ensuring access to high-quality, personalized care&mdash;whether in-home, through telehealth, or within community settings. At Seniority Healthcare, we pride ourselves on fostering an inclusive culture that values integrity, respect, and continuous improvement, making us a trusted partner in the evolving landscape of senior care.Responsibilities:<ul><li>Communicate effectively with patients, families, providers, and community staff regarding all aspects of patient care. Provide updates on treatment plans, address concerns or changes in the patient's condition, and ensure that everyone involved in the patient's care is informed and involved in the decision-making process.</li><li>Manage and coordinate care for patients, including documenting and assisting with orders for testing, medications, and referrals.</li><li>Upload and document all health information into the patient's chart accurately and timely. Maintain accurate and up-to-date records of all patient interactions, treatments, and outcomes.</li><li>Obtain vital signs and assist providers as needed during patient visits. Provide hands-on care to patients, including assisting with examinations and providing support and comfort to patients and their families.</li><li>Conduct medication reconciliation and maintain a professional relationship with the PCP. Work closely with the patient's primary care provider to ensure that medications are managed safely and effectively and that any changes in medication are communicated promptly.</li><li>Coordinate referrals, therapy orders, and telemedicine appointments. Ensure that patients receive the services they need in a timely manner.</li><li>Alert providers of acute issues. Monitor the patient's condition closely and alert providers to any changes or concerns that may arise.</li><li>Check for patient updates and communicate with case management departments. Stay informed about the patient's status and treatment plan, and communicate with other healthcare providers to ensure continuity of care.</li><li>Maintain HIPAA compliance and communicate effectively with other members of the care team.</li></ul>Qualifications:<ul><li>Minimum of 2 years of experience in a similar role, working with geriatric populations.</li><li>LPN or RN license.</li><li>Proficiency in EHR systems.</li><li>Strong communication skills and ability to work effectively in a team environment and remotely.</li><li>In-depth knowledge of health care services and medical terminology preferred.</li></ul>If you are passionate about providing compassionate care to seniors facing serious illness and are ready to make a difference in their lives, we encourage you to apply for the COMPASS Nursing Case Manager position at Seniority Healthcare. Join us in our mission to improve healthcare for everyone.License/Certification:<ul><li>LPN or RN (Required)</li></ul>Ability to Commute: Planview, NY and Rockville Centre, NYWork Location: Visiting patients in their homes or Senior Living settingJob Type: Full-timePay: $70,000.00 - $80,000.00 per yearBenefits:<ul><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Schedule:<ul><li>Day shift</li><li>Monday to Friday</li><li>No weekends</li></ul>Work Location: On the road

Elevance Health

<div>Nurse Case Manager I
Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.
Hours: Monday&ndash;Friday, 9:00 AM&ndash;5:30 PM with two evening shifts each week from 11:30 AM&ndash;8:00 PM (in your time zone).<ul><li>This position will service members in different states; therefore, Multi-State Licensure will be required.</li></ul>
The Nurse Case Manager is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
How you will make an Impact:
<ul><li>Ensures member access to services appropriate to their health needs.</li><li>
Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.</li><li>
Implement care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.</li><li>
Coordinates internal and external resources to meet identified needs.</li><li>
Monitors and evaluates effectiveness of the care management plan and modifies as necessary.</li><li>
Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.</li><li>
Negotiate rates of reimbursement, as applicable.</li><li>
Assists in problem solving with providers, claims or service issues.</li></ul>
Minimum Requirements:
<ul><li>Requires BA/BS in a health-related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.</li><li>
Current, unrestricted RN license in applicable state(s) required.</li><li>
Multi-state licensure is required if this individual is providing services in multiple states.</li></ul>
Preferred Experience, Skills, and Capabilities:
<ul><li>Experience with the Microsoft Office suite and/or the ability to learn new computer programs/systems/software quickly, preferred.</li><li>
Ability to talk and type at the same time, preferred.</li><li>
Background in an acute care setting (e.g., hospital/ED/ICU/med-surg), preferred.</li><li>
Telephonic and/or virtual nursing experience, preferred.</li><li>
Managed Care experience, preferred.</li><li>
Certification as a Case Manager, preferred.</li></ul> 

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities &ndash; and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.</div>

Nurse Case Manager I

Pivot Home Health

RN Case Manager | Home Health | Adult &amp; PediatricsRegion: North Denver, Westminster, Broomfield, Thornton, ErieWork Environment: Work from home or our office in Wheat Ridge. Expected travel time is 2-7 home visits per week for SOC assessments, recertification visits, etc. within the region aboveEmployment Type: Full-Time; M-FCompensation: $75,000 - $90,000Job DescriptionWe are seeking a compassionate, organized, and experienced RN Case Manager to join our Home Health team. The RN Case Manager is responsible for the delivery and oversight of skilled nursing care and case management services to patients in their homes. This role involves comprehensive assessment, individualized care planning, direct nursing interventions, coordination of services, and evaluation of patient outcomes to ensure the highest level of care, safety, and patient satisfaction.<ul><li>Perform initial and ongoing assessments of patients&rsquo; clinical status and home health care needs.</li><li>Develop, implement, and revise individualized patient care plans in collaboration with the patient, family, physician, and interdisciplinary team.</li><li>Provide skilled nursing care including wound care, medication management, IV therapy, disease management education, and more.</li><li>Serve as the primary point of contact and advocate for the patient throughout their home health care episode.</li><li>Coordinate all aspects of patient care, including referrals to other disciplines (PT, OT, ST, MSW, HHA).</li><li>Monitor and document patients&rsquo; progress and response to interventions; update care plans accordingly.</li><li>Ensure compliance with federal, state, and local regulations, as well as agency policies and procedures.</li><li>Communicate effectively with physicians, patients, families, and other members of the healthcare team.</li><li>Supervise and provide clinical support to Licensed Practical Nurses (LPNs) and Home Health Aides (HHAs) as needed.</li><li>Participate in on-call rotation and respond to urgent patient needs as required.</li></ul>Requirements<ul><li>Current Registered Nurse (RN) license in the state of Colorado.</li><li>Minimum of 2 years of clinical nursing experience, with at least 1 year in home health or a similar setting preferred.</li><li>Strong knowledge of OASIS documentation and Medicare/Medicaid regulations.</li><li>Proficient in electronic medical records (EMR); experience with KanTime a plus.</li><li>Current CPR certification.</li><li>Valid driver&rsquo;s license and reliable transportation.</li><li>Excellent critical thinking, organizational, and communication skills.</li><li>Ability to work independently and manage multiple priorities in a fast-paced environment.</li></ul>Join Pivot, Where Clinicians Come FirstAt Pivot Home Health, we believe that when clinicians are supported, patients thrive. Our clinician-first approach removes unnecessary barriers, allowing you to focus on what truly matters, helping children grow, play, and build independence in their everyday lives.We&rsquo;re hiring across Colorado to provide nursing care and therapy in home-based and community settings. Join a compassionate, growing team that values autonomy, flexibility, and purpose-driven care.Why Join Pivot?Flexibility &amp; Autonomy<ul><li>Choose your own caseload with no minimum visit requirement</li><li>Set your schedule to fit your lifestyle and financial goals</li><li>Provide therapy in homes for natural, meaningful progress</li><li>iPad provided for seamless electronic documentation</li></ul>Support You Can Count On<ul><li>Clinical leadership that backs your clinical decisions</li><li>24/7 on-call support for guidance and emergencies</li><li>Ongoing mentorship, training, and professional development</li></ul>Top-Tier Benefits<ul><li>Comprehensive health, dental, and vision insurance with employer contributions</li><li>Short- and long-term disability, life insurance, and accident coverage</li><li>Professional liability insurance included</li><li>Unlimited PTO with no annual cap, earned from day one, and increasing with tenure</li><li>Paid sick leave and holiday incentive pay</li><li>Gas stipend</li></ul>Apply TodayIf you&rsquo;re ready to join a team that puts clinicians first, empowers autonomy, and supports both your personal and professional growth, we&rsquo;d love to meet you.Apply today to join Pivot Home Health, Where Therapy Meets Purpose.Pivot is an equal-opportunity employer. We celebrate diversity and are committed to building an inclusive environment for all clinicians.Pay: $75,000.00 - $90,000.00 per yearBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Flexible schedule</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>People with a criminal record are encouraged to applyWork Location: Hybrid remote in Wheat Ridge, CO 80033

Registered Nurse Case Manager

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Nurse Case Manager I

Registered Nurse Case Manager