skilled nursing case manager

Community Health Network

<div><div><div><div>Category</div>
<div>Nursing</div>
</div><div><div>Job Family</div>
<div>Case Manager</div>
</div><div><div>Department</div>
<div>Case Management</div>
</div><div><div>Schedule</div>
<div>Per Diem</div>
</div><div><div>Facility</div>
<div>Community Hospital South</div>
<div><div><div>1402 E County Line Rd</div><br>
<div>Indianapolis</div>, <div>IN</div> <div>46227</div><br>
<div>United States</div></div></div>
</div><div><div>Shift</div>
<div>PRN (as needed)</div>
</div><div><div>Hours</div>
<div>Variable</div><br>
</div></div><div><div><div><br>
<br>
<b>Join Community</b><br>
Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, &ldquo;community&rdquo; is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered &mdash; and we couldn&rsquo;t do it without you.<br>
<br>
<b>Make a Difference</b><br>
The Case Manager is responsible for the assessment, planning, implementation, coordination, monitoring, and evaluation of services across the continuum of care to ensure quality patient outcomes and appropriate utilization of health care services. The Case Manager is responsible for supporting the healthcare team towards a smooth transition from one level of care to another in support of the patient/family.<br>
<br>
<b>Exceptional Skills and Qualifications</b><br>
Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a positive attitude toward problem-solving.<br>
<br>
<ul><li>LCSW or LSW in the State of Indiana required.</li><li>Master&rsquo;s Degree in Social Work required.</li><li>2 + years of inpatient, outpatient, or home-base social work experience required.</li><li>Experience with quality improvement methodology preferred.</li><li>Demonstrates support of the hospital vision/mission statement.</li><li>Confers with nursing staff and other ancillary patient care departments regularly regarding ongoing discharge plans and barriers or delays.</li><li>Participates in developing and implementing the goal-directed plan of care, which is prioritized and based on intermediate goals and specific outcome criteria.</li><li>Coordinates and facilitates care in a knowledgeable, skillful, and consistent manner.</li><li>Performs documentation and patient records in a timely, accurate, clear, and concise manner in the transition to quality software.</li><li>Records pertinent date in required areas for other team members to provide care/services in an efficient, continuous manner.</li><li>Demonstrates awareness and sensitivity to the rights of patients/significant others, as identified within the institutional values.</li><li>Demonstrates sound knowledge base and actions in the care and decision making for designated patient populations and seeks guidance appropriately.</li><li>Demonstrates responsibility and accountability for own professional practice.</li><li>Participates actively in staff development activities for service line care management team, and nursing department personnel.</li><li>Collaborates with nurse case manager regarding discharge planning and use of the clinical pathways.</li><li>Demonstrates self-directed learning and participates in continuing education to meet own professional development.</li><li>Demonstrates awareness of legal issues in all aspects of patient care and unit function.</li><li>Participates in management of situations in a manner that reduces risk.</li><li>Participates in development and evaluation of the care management team functions.</li><li>Participates in meetings, reports, and other activities that support the care management team functions.</li><li>Demonstrates effective communication methods and skills, using lines of authority appropriately.</li><li>Conducts discharge planning assessments on identified patients that are consistent and provide for continuity of care for the patient.</li><li>Establishes the discharge plan with the patient, physician, and care management team for identified patients.</li><li>Implements the discharge plans for patients to include referrals to home health agencies return to ECF&rsquo;s transportation and any unmet needs to provide safe and appropriate transition to next level of care.</li><li>Demonstrates effective problem-solving techniques to communicate openly with members of the care management team and other staff.</li><li>Demonstrates skills as a resource and consultant to unit staff, care team members, and other staff.</li><li>Demonstrates skills as a resource and consultant to patients, families, and physicians.</li><li>Conducts effective problem-solving as a method of sound decision making.</li><li>Performs comprehensive assessment of patient/family goals as well as assessment of biophysical, psychosocial, environmental, financial, and discharge planning needs.</li><li>Procures services and serves as advocate on behalf of patients and families.</li><li>Acts as a liaison to post-hospital care providers and community health resources.</li><li>Demonstrates knowledge and understanding of Medicare, Medicaid, and third party payer guidelines.</li><li>Completes all necessary paperwork for final disposition.</li><li>Conducts personal interviews with patient, facilitates family conference and multidisciplinary conferences to formulate discharge plans.</li></ul></div></div>
<p><b>Why Community?
</b></p><p>At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community.</p></div></div><p></p>

Case Manager- Licensed MSW- South- PRN

Sentara

<div><div><p>Sentara Princess Anne Hospital is hiring a full time RN Case Manager for our inpatient units house-wide.</p>
<p></p><p>Generous Sign on Bonus available for qualified candidate!</p>
<p></p><p><b>Position Overview
</b></p><ul><li><p>Case Manager RN</p>
</li><li><p>Full-time; 40 hr/week</p>
</li><li><p>A minimum of 12 months of nursing experience is required</p>
</li></ul><p></p><p><b>This position could be a good fit IF YOU ENJOY:
</b></p><ul><li><p>Providing care to the patient and family over the entire inpatient stay</p>
</li><li><p>Developing a relationship</p>
</li><li><p>Acting as a clinical leader of the healthcare team</p>
</li><li><p>Driving decisions to assure the safest, most effective transition plan for patients and families</p>
</li><li><p>Working in a team of nurses and social workers, using each other's expertise</p>
</li><li><p>Helping to drive hospital and organizational strategic initiatives in always improving patient care</p>
</li><li><p>Utilizing complex critical thinking skills</p>
</li></ul><p></p><p>Responsible and accountable for the provision and facilitation of comprehensive care management, services and quality outcomes for patients across the healthcare continuum, primary focus on patient transition to the appropriate level of care while facilitating clinical appropriateness and LOS. Directly support those in hospital patients identified in need of comprehensive case management. Promotes effective utilization and monitoring of health services, collaborates and communicates with the healthcare team and patient/caregiver to manage care and transitions. Develops and/or implements a comprehensive care plan based on assessment and evaluation to include physical, mental and psychosocial needs of the inpatient/caregiver. Functions in one of the following practice settings: Hospitals Only</p>
<p></p><p>Talroo-Nursing, Discharge Planning, Case Management, Registered Nurse</p></div></div><p></p>

Inpatient Case Manager - Registered Nurse

WellVisor

<p>Job Title: Case Manager</p><p>Job Summary:<br/>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.</p><p>Duties:<br/>- Conduct comprehensive assessments of patients' needs and develop individualized care plans</p><p>- Provide Utilization Management including prior authorization approvals<br/>- Collaborate with healthcare professionals to ensure the delivery of high-quality patient care<br/>- Coordinate and monitor patient progress throughout their healthcare journey<br/>- Advocate for patients' rights and ensure they receive appropriate medical treatment<br/>- Provide education and support to patients and their families regarding their medical conditions and treatment options<br/>- Assist in discharge planning and facilitate transitions of care<br/>- Maintain accurate and up-to-date documentation of patient interactions and interventions</p><p>Qualifications:<br/>- Bachelor's degree in nursing<br/>- Current license as a registered nurse (RN)<br/>- Minimum of 3-5 years of experience in case management</p><p>- Certified Case Manager preferred<br/>- Strong knowledge of medical terminology, disease processes, and treatment modalities<br/>- Excellent communication, interpersonal, and problem-solving skills<br/>- Ability to work independently and collaboratively within a multidisciplinary team<br/>- Proficient computer skills, including electronic medical record systems</p><p>Benefits:<br/>- Competitive salary based on experience<br/>- Professional development opportunities</p><p>If 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.</p><p>Job Types: Contract, Part-time</p><p>Pay: $40.00 - $50.00 per hour</p><p>Schedule:</p><ul><li>Monday to Friday</li></ul><p>Experience:</p><ul><li>Nursing: 3 years (Preferred)</li><li>Case management: 3 years (Preferred)</li></ul><p>License/Certification:</p><ul><li>RN (Required)</li></ul><p>Willingness to travel:</p><ul><li>25% (Preferred)</li></ul><p>Work Location: Remote</p>

Nurse Case Manager

Seniority Healthcare

<p>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.</p><p><b>About Seniority Healthcare</b></p><p>Seniority 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.</p><p><b>Responsibilities:</b></p><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><p><b>Qualifications:</b></p><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><p>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.</p><p><b>License/Certification:</b></p><ul><li>LPN or RN (Required)</li></ul><p><b>Ability to Commute:</b><br/>Planview, NY and Rockville Centre, NY</p><p><b>Work Location</b>: Visiting patients in their homes or Senior Living setting</p><p>Job Type: Full-time</p><p>Pay: $70,000.00 - $80,000.00 per year</p><p>Benefits:</p><ul><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Schedule:</p><ul><li>Day shift</li><li>Monday to Friday</li><li>No weekends</li></ul><p>Work Location: On the road</p>

Provider Partners Health Plan

<div><div>Job Summary:<br>
The Institutional Special Needs Plan (ISNP) Nurse Practitioner is<br>
responsible for coordinated and comprehensive care of Provider Partner Health Plan (PPHP)<br>
members at designated skilled nursing facilities.<br>
The Nurse Practitioner works in collaboration with the member&rsquo;s primary care physician to<br>
deliver exception health care. The nurse practitioner is the medical liaison to the<br>
interdisciplinary staff and allied health providers and communicates effectively to assure<br>
seamless delivery of services.<br>
As a key member of the clinical team in the skilled nursing facility, the Nurse Practitioner<br>
provides preventive care, diagnoses both acute and chronic illnesses, orders and interprets<br>
diagnostic tests, prescribes medications, refers to specialists as appropriate, establishes a plan<br>
of care with short-term and long-term goals, and is a resource to members, families, and staff.<br>
ESSENTIAL RESPONSIBILITIES<br>
<ul><li>Demonstrates both autonomy and proficiency in performance of comprehensive health</li></ul>
assessments.<br>
<ul><li>Collaborates with member&rsquo;s primary care physician to create a care plan focused on</li></ul>
prevention, early detection and timely intervention.<br>
<ul><li>Adheres to Provider Partners Health Plan standards of documentation and</li></ul>
communication as directed by the PPHP Model of Care.<br>
<ul><li>Observes the scope of practice in the state in which he or she is licensed and working in.</li><li>Communicates with physicians and family members during transitions of care.</li><li>Effectively communicates with all members of the care team and facilitates a medically</li></ul>
appropriate and effective plan of care to avoid unnecessary duplication of testing, and<br>
fragmentation of care.<br>
.<br>
REQUIRED PROFICIENCIES<br>
<ul><li>Clinical competence and understanding of evidenced-based practice.</li><li>Proficient in computer skills- confidence in learning and using unfamiliar computer</li></ul>
programs and electronic devices. Ability to export data, create reports and relay results.<br>
<ul><li>Strong commitment to the care of the elderly and the needs of their families</li><li>Solid interpersonal and communication skills</li><li>Good organizational skills</li><li>Admirable teaching skills</li><li>Strong customer service orientation</li><li>Minimum of 3 years clinical care experience.</li><li>Skilled Nursing Facility/Long Term Care experience preferred.</li><li>Case management experience preferred</li><li>Knowledge of current standard medical practices and experience with</li></ul>
Medicare/Medicaid.<br>
<ul><li>Detailed knowledge of I-SNP MOC and I-SNP population.</li><li>Proficiency in nursing/medical databases and Microsoft programs.</li><li>Positive and enthusiastic attitude.</li><li>This role requires independent thinking, autonomy and ability to problem solve and</li></ul>
make decisions.<br>
LICENSURE, CREDENTIALING AND CERTIFICATION<br>
<ul><li>Currently licensed as an Acute, Adult/Gerontological or Family Nurse Practitioner in the</li></ul>
state of practice.<br>
<ul><li>Meets the Provider Partner Health Plan credentialing requirements.</li><li>Holds or is eligible for DEA licensure and CDS licensure (if required in the state of</li></ul>
practice)<br>
<ul><li>Basic Cardiac Life Support certification.</li><li>Current unrestricted RN license for the state in which the Nurse Practitioner is practicing.</li><li>Valid driver&rsquo;s license and car insurance with reliable transportation</li></ul></div></div>

Nurse Practitioner-Full Time LTC/SNF -

Auto-Owners Insurance

<div><p>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.</p><p></p><p><b>
Job Description</b></p><p></p><p><b>
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.
</b><br>
<br>
<b>Please note that we are not currently hiring fully remote positions. All candidates must have the ability to work in office.
</b></p><p></p><p>Auto-Owners Insurance, a top-rated insurance carrier, is seeking motivated nursing professional to join our team. The position requires the person to:</p><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><p>
.</p><p><b>
Desired Skills &amp; Experience</b></p><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><p></p><p><b>
Benefits</b></p><p>
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!</p><p></p><ul><li><b>Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.</b></li></ul><p></p><p>
#LI-AT1 #LI-Onsite</p></div>

AmeriHealth Caritas

<div><p><i>For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.</i></p><p>
Your career starts now. We are looking for the next generation of health care leaders.</p><p>
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you.</p><p>
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.</p><p>
Discover more about us at www.amerihealthcaritas.com.</p><p><b>
Responsibilities:</b></p><p>
The Clinical Case Manager assists members who are eligible for LTSS in obtaining the services they need as required by DSHP Plus LTSS in New Castle county. He or she contributes to the LTSS case management process by performing telephonic and/or face-to-face assessments for the identification, evaluation, coordination and management of member&rsquo;s needs, including physical health, behavioral health, social services and long term services and supports. This position is also responsible for completing Level of Care Redeterminations for home and community based members annually. This requires clinical review when evaluating the need for a member to remain in the program. The Clinical Case Manager will also provide clinical support to his/her non-licensed counterparts and may act as a secondary case manager when a member is experiencing an acute episode.</p><ul><li><b>
Coordination of care for medically complex LTSS Members receiving private duty nursing (PDN)</b></li><li>
Performs follow-up on outstanding items of need and maintains a calendar or PDN Coverage.</li><li>
Establish communication method to effectively communicate with multiplePDN agencies and member/member representative.</li><li>
Coordinates and collaborates with prior authorization team to make sure all necessary precertifications for required services are submitted for review. Assists in obtaining the Letter of Medical Necessity (LOMN) as needed</li><li>
Coordinate with provider network team in the utilization of non-contracted providers or facilities as necessary following the single case agreement (SCA) process</li><li>
Conducts reevaluation of level of care annually or more frequently as needed in accordance with DSHP Plan Plus LTSS requirements.</li><li>
Provides clinical support to non-licensed case managers as needed.</li><li>
Conduct condition specific assessments with members with chronic conditions. Provide education and routine follow-up with member.</li><li>
Perform initial clinical assessment of new members, develop care plan, and initiate services.</li><li>
Facilitate person-centered planning team meetings to coordinate care and services. Identify, coordinate, and assist participants in gaining access to needed LTSS and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports.</li><li>
Provides information to participants and conducts monitoring of authorized services and supports for Participants.</li><li>
Informs participants about available LTSS required needs assessments, the care plan process, service alternatives and service delivery options.</li><li>
Informs participants of their rights and responsibilities as well as assists with the complaint, grievance, and DHS Fair Hearing process.</li><li>
Collects additional necessary information, including participant preferences, strengths, and goals to inform the development of the Plan of Care.</li><li>
Conducts comprehensive needs assessments annually or more frequently as needed in accordance with requirements.</li><li>
Review and acting upon worklists in Jiva, including monitoring of new members</li><li>
Authorize urgent services when needed</li><li>
Monitoring critical incident reporting/documentation, recommending/taking action w/ other corporate entities as required</li><li>
Liaison activities with Physical health Care Coordination program</li><li><p>
Working with LTSS and DSNP members to complete comprehensive assessments, care plans, medication reconciliation, monitoring follow-up and progress, and assisting with discharge planning/transitions of care.</p></li></ul><p></p><p><b>
Education/Experience:</b></p><ul><li>
Delaware licensed RN required.</li><li><b>
Ability to travel throughout entire state of DE.</b></li><li>
Valid driver&rsquo;s license required</li><li>
Knowledge of the home and community-based service system and how to access and arrange for services</li><li>
Experience conducting LTSS needs assessments and monitoring LTSS delivery</li><li>
Ability to provide informed advocacy</li><li>
Ability to interact with members face to face</li><li>
Ability to interact with health care professionals in a professional manner</li><li><p>
Ability to travel up to 75%</p></li><li><p>
Duties may include case management responsibilities based on business needs. This role is also a part of the contingency plan, where a caseload may be assigned in the event of a staffing need</p></li></ul><p><b>
Our Comprehensive Benefits Package</b></p><p>
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.</p></div>

Clinical Case Manager DE Long Term Services & Support-Private Duty Nursing

Search 10000+ Skilled nursing case manager jobs near you this May. New roles added regularly across leading industries. Apply today.

10000 skilled nursing case manager jobs Near Me

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