registered nurse case manager

St. David's HealthCare

<div><h3 class="jobSectionHeader">*This role is eligible for a $10,000 Sign-On Bonus!*</h3>
Introduction
St. David's South Austin Medical Center is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for Registered Nurse Case Manager position and spend more time at the bedside with the patient.<h5 class="jobSectionHeader">
Benefits</h5>
St. David's South Austin Medical Center, 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 let us contribute to yours! Whether you choose to focus on bedside care, a leadership or C-suite role, shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at St. David's South Austin Medical Center!<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
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 Rehab Program Director, 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>
<h6 class="jobSectionHeader">What qualifications you will need:</h6> 
<ul><li>
(RN) Registered Nurse must be obtained within 60 days of employment start date</li><li>
Registered Nurse Diploma</li></ul>
St. David's South Austin Medical Center, which is part of St. David's HealthCare. We are a 368-bed acute care facility offering a range of complex specialties and sub-specialties. Our services include a nationally accredited oncology program with the area's only adult Transplant and Cellular Therapy Program; advanced trauma care with a Level II trauma center; comprehensive cardiac, stroke and orthopedic programs; full-service maternity and newborn care; and two full-service emergency centers in the communities of Bee Cave and Bastrop. St. David's South Austin Medical Center is affiliated with the Texas Institute for Robotic Surgery. We offer advanced robotic services for orthopedics, open heart and lung surgery, complex GI surgery, surgical oncology, general surgery, colorectal surgery, and urology. It was one of the first hospitals in Central Texas to combine the use of CT imaging and robotics to detect early stage lung cancer.
HCA Healthcare has been recognized as one of the World'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. 

Join a family that cares about every stage in your career! We are interviewing candidates for our Registered Nurse 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 Case Manager

Ohio Valley Home Health

<div>Overview:
<div>
Department: Ohio Valley Home Health 
Shift: Per Diem, Days</div><div></div><div> 
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Ohio Valley Home Health is affiliated with East Liverpool City Hospital, one of the nation&rsquo;s &ldquo;100 Top Hospitals&rdquo; and &ldquo;A&rdquo; rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.</div>
Responsibilities:
<div>
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.</div>
Qualifications:
<div>
Education and Work Experience</div><ul><li>
Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.</li><li>
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.</li><li>
Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.</li><li>
Current BCLS (AHA) certificate upon hire and maintain current.</li><li>
Knowledge of Milliman Criteria and InterQual Criteria preferred.</li><li>
Experience and knowledge in basic to intermediate computer skills.</li><li>
Behavioral Violence Prevention Training within 3 months of hires and maintain current.</li></ul><div>
#LI-CD4</div>
Employment Status: Per Diem Shift: Variable Equal Employment Opportunity:
<div><div><div><div>
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</div></div></div></div></div><div></div>

Reston Hospital Center - Reston

<div>Do you have the PRN career opportunities as a Registered Nurse Case Manager PRN you want with your current employer? We have an exciting opportunity for you to join Reston Hospital Center which is part of the nation's leading provider of healthcare services, HCA Healthcare.
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 Rehab Program Director, 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>
<h6 class="jobSectionHeader">What qualifications you will need:</h6> 
<ul><li>
(RN) Registered Nurse</li><li>
Associate Degree</li></ul><h5 class="jobSectionHeader">
Benefits</h5>
Reston Hospital Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include some or all of the following:<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 and position.
Reston Hospital Center has provided quality healthcare services since 1986. We give patient's access to trained physicians and advanced technology. Our 230+ bed hospital is one of the region's leading acute care facilities in Reston and the growing Northern Virginia region. We offer a full range of medical services, including 24-hour emergency care. Our hospital specializes in maternal/child health, surgical services on both an inpatient and extensive outpatient basis. We offer urological services including lithotripsy. Our cancer care offers state-of-the-art radiation therapy, rehabilitation therapy programs and a wide array of diagnostic imaging capabilities. Reston Hospital Center is a certified Stroke Center, certified Total Joint Center and the only accredited Chest Pain Center in Northern Virginia. We are the only Hospital in Northern Virginia to receive Joint Commission designation as a Top Performer on Key Quality measures for multiple consecutive years.
At Reston Hospital Center, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.
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;Bricks and mortar do not make a hospital. People do.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
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 Case Manager PRN

<div>As the nation&rsquo;s largest private employer of Registered Nurses, we&rsquo;re honored by the trust of over 100,000 nurses and committed to supporting safe, high-quality care for which they can practice. That&rsquo;s why more than 80% of our hospitals earn an A or B Leapfrog safety grade, rank in the top 5% nationally for patient outcomes through Health Grades, or are recognized as Magnet or Pathway to Excellence facilities. Join us!
It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can be to reach your personal and professional goals. Help to advance the practice of nursing and improve positive outcomes for your patients as a (an) Registered Nurse Case Manager Observation. We want your knowledge and expertise!<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5><h5 class="jobSectionHeader">
The Observation RN CM is responsible for progressing the care for Observation patient and ensures progression of care by reviewing the case promptly and applying IP IQ criteria. The Observation RN CM adheres to HCA standards regarding observation management. In addition, the Observation RN CM will be responsible for adhering to the 2 Midnight Process. The Observation RN CM works closely with the physician by monitoring the case and keeping the physician abreast of findings so appropriate and timely decisions can be made to admit or discharge the patient. When the observation CM identifies barriers that prevent progression, the Observation RN CM will directly intervene to remove the barrier. If the Observation RN CM cannot remove the barrier, the Observation RN CM will escalate the situation to the facility Director of Case Management who will advise on next steps (e.g., contact CMO, CNO, PA). The Observation RN CM is responsible for identification of observation patients with discharge planning needs that could lead to poor outcomes or a return to the hospital. If the Observation RN CM encounters such a patient, the Observation RN CM assumes responsibility for referring to the inpatient RN CM/Social Worker, who will complete a discharge planning evaluation and/or a psychosocial assessment and assume the transition of care. The Observation RN CM coordinates 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>
Provides case management services for both inpatient and observation patients as assigned.</li><li>
Identifies patients who are at risk for adverse outcomes during the transition from one level of care/setting to another.</li><li>
Performs 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>
Reassesses the patient&rsquo;s clinical condition as indicated. Considers 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>
Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and with the patient's physician to facilitate a successful care transition.</li><li>
Partners with Social Services to ensure the post-acute medical needs and level of care are appropriate.</li><li>
Assumes responsibility for timely referral to Social Services when risk factors for psychosocial determinants of health are identified.</li><li>
Involves patient and family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals.</li><li>
Evaluates progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established chain of command.</li><li>
Makes appropriate referrals to third party payer and disease and case management programs for recurring patients and patients with chronic disease states.</li><li>
Facilitates patient throughput with an ongoing focus on an effective care transition, quality, and efficiency.</li><li>
Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all members of the health care team.</li><li>
Aligns patient needs with available resources to ensure a safe discharge/transition.</li><li>
Acts as a liaison through effective and professional communications between and with physicians, patient/family, hospital staff, and outside agencies.</li><li>
Seeks ways to control costs without compromising patient safety, quality of care, or the services delivered.</li><li>
Directs activities to identify and provide for the needs of the under-resourced patient population, including patient education activities, patient assistance programs, and community-based resources,</li><li>
Participates in performance improvement activities, including identifying, documenting, and intervening when avoidable days occur.</li><li>
Adheres to established policy and procedure and standards of care; escalates issues promptly through the established chain of command.</li><li>
Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives. Serves as an advocate for patient's rights, needs, and values; ensures that patients&rsquo; ethnic, cultural, or religious values, beliefs, preferences, and needs are considered and aligned.</li><li>
Performs other duties as assigned.</li><li>
Practices and adheres to the &ldquo;Code of Conduct&rdquo; and &ldquo;Mission and Value Statement.&rdquo;</li></ul></h5><h6 class="jobSectionHeader">
What qualifications you will need:</h6><h5 class="jobSectionHeader">
Education &amp; Experience:<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>
InterQual experience Preferred Or equivalent combination of education and/or experience</li></ul>
Licensure, Certifications, Training: Credential*:<ul><li>
Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation Required</li><li>
Certification in Case Management Preferred</li></ul>
Benefits</h5>
St. David's Healthcare, 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.
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
St. David&rsquo;s HealthCare, which is oneof the largest healthcare systems in Texas and the third-largest employer in the Austin area. St.David&rsquo;s HealthCare was formed through a unique partnership between HCA Healthcare and twolocal non-profits &mdash; St. David&rsquo;s Foundation and Georgetown Health Foundation.
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 thedelivery of charitable care, uninsured discounts, and other uncompensated expenses.
Be a part of an organization that leverages our size to make a real impact in our industry! Our Talent Acquisition team is reviewing applications for our Registered Nurse Case Manager Observation opening. Submit your application today and help advance the practice of nursing.
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 Case Manager Observation

<div>Strong staffing Support when it matters most. Technology and tools that streamline patient monitoring and communication to help you work more efficiently. Robust supply chains to keep you fully equipped. Ongoing clinical education to improve your skills. As a Registered Nurse at St. David's Healthcare, you&rsquo;ll have all the staffing support, technology and resources you need to deliver safe, high-quality care&mdash;so you can focus on what you do best.
<h5 class="jobSectionHeader">Job Summary and Qualifications</h5>
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 Rehab Program Director, 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>
<h6 class="jobSectionHeader">What qualifications you will need:</h6> 
 
<ul><li>(RN) Registered Nurse</li><li>
Bachelors Degree</li></ul>
Benefits
St. David's Healthcare, 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
St. David&rsquo;s HealthCare, which is oneof the largest healthcare systems in Texas and the third-largest employer in the Austin area. St.David&rsquo;s HealthCare was formed through a unique partnership between HCA Healthcare and twolocal non-profits &mdash; St. David&rsquo;s Foundation and Georgetown Health Foundation.
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 thedelivery of charitable care, uninsured discounts, and other uncompensated expenses.
&quot;Nurses play a pivotal role and are the backbone of healthcare delivery. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing.&quot;
Sammie Mosier, DHA, MA, BSN, NE-BC
Senior Vice President and Chief Nursing Executive, HCA Healthcare
If growth and continued learning is important to you, we encourage you to apply for our Registered Nurse Case Manager Float Pool opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities apply today!
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 Case Manager Float Pool

Oak Street Health, part of 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.
Company: Oak Street Health
Title: RN, Case Manager
Location(s):
South Philly Clinic
2310 S Christopher Columbus Blvd., Philadelphia, PA 19148
University City
37 S. 40th St, Philadelphia, PA 19104<ul><li>Subject to adjustment based on clinic needs</li></ul><ul><li>Eligible candidates may receive a sign‑on bonus as part of the offer package.</li></ul>
Role Description: 
In partnership with the primary care provider, (PCP), the RN, Case Manager is the lead for care management activities, drives care coordination and collaborates with interdisciplinary teams to ensure care continuity for complex patients. This role focuses on preventing avoidable admissions, driving efficient resource utilization, and ensuring effective team-based care. It is a field-based, in-person/on-site role, requiring strong relationships between patients, providers and care team members.
Core Responsibilities:<ul><li>
Manages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization.</li><li>
Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics.
</li><li>Owns overall care coordination for assigned patients, functioning as the primary point of contact and ensuring alignment, accountability, and follow-through across the care team.</li><li>
Manage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or via collaboration with other team members.</li><li>
Collaborates patient&rsquo;s PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individual's needs, goals, and plan of action and ensure care plan progression.
</li><li>Ensure timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings.</li><li>
Lead in-person interdisciplinary care planning meetings to ensure effective care coordination and management between providers visits.
</li><li>Perform timely nursing assessments and provide patient education for chronic condition management and transitions of care.</li><li>
Educate patients and families, empowering them in their care, and advocating for their needs.</li><li>
Document visits in electronic health record according to internal standards</li><li>
Other duties as assigned.</li></ul> 
What are we looking for?<ul><li>
Current RN license in assigned state is required; Bachelor degree in nursing preferred.</li><li>
Minimum of 6-8 years nursing experience.</li><li>
Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience</li><li>
2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred.</li><li>
Demonstrated skill in motivational interviewing, patient activation, time management, and navigating community and social resources.</li><li>
A flexible and positive attitude</li><li>
Comfort with ambiguity and change</li><li>
High emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution.</li><li>
Access to reliable transportation and ability to travel throughout the communities OSH serves</li><li>
US work authorization</li><li>
Someone who embodies being Oaky</li></ul>
What does being Oaky look like?<ul><li>
Radiating positive energy</li><li>
Assuming good intentions</li><li>
Creating an unmatched patient experience</li><li>
Driving clinical excellence</li><li>
Taking ownership and delivering results</li><li>
Being relentlessly determined</li></ul>
Why Oak Street Health?
Oak Street Health is on a mission to rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient communities, and focused on the quality of care over volume of services. We are an organization on the move! With over 200+ locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oaky values and passion for our mission.
Oak Street Health Benefits:<ul><li>
Mission-focused career impacting change and measurably improving health outcomes for Medicare patients</li><li>
Paid vacation, sick time, and investment/retirement 401K match options</li><li>
Health insurance, vision, and dental benefits</li><li>
Opportunities for leadership development and continuing education stipends</li><li>
New centers and flexible work environments</li><li>
Opportunities for high levels of responsibility and rapid advancement</li></ul> 
Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply. 
Learn more at www.oakstreethealth.com/diversity-equity-and-inclusion-at-oak-street-health
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: 06/30/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Registered Nurse - Case Manager - South Philadelphia

Williamson Health

<div>ABOUT WILLIAMSON HEALTH | Williamson Health is a regional healthcare system based in Williamson County, Tennessee, with more than 2,300 employees across more than 30 locations and more than 860 physicians and advanced care practitioners offering exceptional healthcare across 60-plus specialties and subspecialties close to home. The flagship facility, Williamson Medical Center, which recently opened its new Boyer-Bryan West Tower, offers extensive women&rsquo;s services, state-of-the-art cardiology services, advanced surgical technologies, an award-winning obstetrics and NICU, leading-edge orthopaedics, outpatient imaging services, and distinct comprehensive emergency and inpatient services for both adult and pediatric patients. Other Williamson Health service providers include the Bone and Joint Institute of Tennessee, The Turner-Dugas Breast Health Center, Monroe Carell Jr. Children&rsquo;s Hospital Vanderbilt at Williamson Medical Center, Williamson Health physician practices that are strategically located throughout the community, countywide Emergency Medical Services that include 18 rapid response units, Williamson Health Foundation, and multiple joint venture Vanderbilt Health and Williamson Medical Center Walk-In Clinics in Williamson County. Learn more about our many specialized services at WilliamsonHealth.org.
Williamson Health is a system where your talents will be valued and your skillset expanded. We are rooted in our promise to world-class, compassionate care for the residents of Williamson County and surrounding communities, taking exceptional pride in serving our community. We&rsquo;re committed to empowering our employees to work in innovative ways and reserve time and space for curiosity, laughter and creativity. We value and support the diversity and cultural differences among one another and are committed to upholding an inclusive environment that appreciates the uniqueness of all individuals. Our values are at the heart of everything we do: respect for every individual, the health and total well-being of all people, human compassion and integrity. These shape who we are as an organization and are essential for delivering the highest level of culturally competent care and treatment of every patient, family member, visitor, physician and employee.
Williamson Health is pleased to offer a comprehensive benefits program, that offers you choice and flexibility, so you can take charge of your physical, financial, and emotional well-being. 
o Medical, Dental, Vision 
o PTO 
o Retirement Matching 
o Tuition reimbursement 
o Discount programs 
o FSA (Flexible Spending Accounts) 
o Identity Theft Protection 
o Legal Aid
Williamson Health is an equal-opportunity employer and a drug-free workplace. 

POSITION SUMMARY
To perform the activities of Case Management and Utilization Management to facilitate the collaborative management for an entire episode of care for all patients with the multidisciplinary health care team, focusing on resource management and discharge planning. Performs timely review and delivery of necessary clinical information according to governmental regulations and insurance guidelines for approval of hospital care and correct admission status optimizing appropriate reimbursement for services, while supporting the mission of Williamson Health.
POSITION REQUIREMENTS
Formal Education / Training:
<div><ul><li>Must be currently licensed by the State of Tennessee as a Registered Nurse.</li></ul>
<ul><li>Emergency Room and or Critical Care preferred</li></ul>
<ul><li>Case Management Certification preferred/required within 3 years of employment</li></ul>
<ul><li>Earned a nursing diploma or degree from a college or university</li></ul>
</div>
Workplace Experience: 
Recent minimum 5 years related experience in hospital or managed care setting. 
Prior utilization/case management experience is preferred.
Equipment and Skills Training: 
Demonstrated clinical knowledge base in medical/surgical nursing and or critical care. 
Demonstrated organization, time management, problem-solving and critical thinking skills. 
Able to perform independently and in team situations under the supervision of a Director/Manager. 
Demonstrated effective verbal and written communication skills. 
Efficient review and interpretation of the medical record. 
Familiar with Meditech, Allscripts Care Management, Fax, Copier, basic computer skills preferred. 
General knowledge of Governmental and Insurance guidelines related to case management compliance, reimbursement, DRG system and Interqual Criteria preferred. 
Positive attitude with a willingness to learn new processes and adjusts well to change. 
Required Weekend Rotation
Physical Environment: 
Office and Clinical environment. 
Possible exposure to airborne pathogens.
Physical Effort: 
Telephone and computer use for extended periods of time. 
Able to walk/stand, up to 2 hours/day. 
Clear legible handwriting 
Clear understandable voice. 
 
PERFORMANCE STANDARDS 

<div><ul><li>Consistently sets priorities and exhibits efficient time management skills with assigned workload within the confinements of scheduled shift.</li></ul>
<ul><li>Timely reviews patients within 24 hours or next business day after admission and at a minimum of every 2 days thereafter for continued stay, applying appropriate criteria (Interqual&reg;) and facilitating reimbursement for services with third payer parties, obtaining and entering authorization number/approval status and notes in Meditech.</li></ul>
<ul><li>Completes assessments and initial status revision within 24 hours or next business day, documenting in Meditech/Allscripts.</li></ul>
<ul><li>Maintains precise, timely, and appropriate documentation in Allscripts and Meditech. Maintains legible, pertinent documentation on the patient&rsquo;s hard copy face sheet</li></ul>
<ul><li>Maintains knowledge of assigned patient&rsquo;s clinical condition, plan of care, discharge plan and payer source information as demonstrated in group and individual discussions</li></ul>
<ul><li>Timely delivery of the Initial and Follow-up Important Message Notification according to departmental policy for 75% of assigned and appropriate patients.</li></ul>
<ul><li>Assists in patient conversations and delivery of information related to discharge choices/discharge appeals and actively facilitates in the Discharge Appeals process.</li></ul>
<ul><li>Initiates peer to peer and initial appeal process as shown by consistent, clear communication to the physician and denials/appeals coordinator within 24 hours or next business day of notification of denial and documentation in Meditech/Allscripts &amp;/or BAR.
</li></ul><ul><li>Accurate and timely completion of all steps of the code 44 process after referral to E HR for those patients not meeting admission criteria. Complete documentation which includes hard copy forms, ensuring the status order is entered and correct in the Medical Record followed by documentation in Meditech, BAR and condition code is entered.
</li></ul><ul><li>Timely notification to Physician, social worker, and patient of NOTA status with delivery of ABN, HINN-1 or HINN-10 when appropriate</li></ul>
<ul><li>Collects and enters avoidable days, saved days and denied days in Allscripts, reporting trends to Director/Manager
</li></ul></div> 
Location: Williamson Medical Center &middot; WMC CASE MANAGEMENT 
Schedule: Full Time, Days, 8-4:30</div>

Registered Nurse - Case Manager Full Time Days

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