558 telephonic nurse case manager jobs found

Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN. PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer. Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination. Responsibilities Uses clinical/nursing skills to determine whether all aspects of a patient’s care, at every level, are medically necessary and appropriately delivered. Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines. Sends letters as needed to...

Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN. PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer. Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination. Responsibilities Uses clinical/nursing skills to determine whether all aspects of a patient’s care, at every level, are medically necessary and appropriately delivered. Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines. Sends letters as needed to...

Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN. PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer. Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination. Responsibilities Uses clinical/nursing skills to determine whether all aspects of a patient’s care, at every level, are medically necessary and appropriately delivered. Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines. Sends letters as needed to...

If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws. Job Title Registered Nurse (RN) - Hospice Exemption Status Non-Exempt Department HCP-Hospice Manager Title Hospice Clinical Supervisor Direct Reports n/a Requisition # 23903 Pay and Benefits Estimated hiring range $96,950 - $117,315 / year, 5% bonus target, limited benefits. To learn more about our benefits, please visit Posting Notes RN Admissions/Float- This role will serve the Portland Metro area and work 4 10-hour shifts. Housecall Providers Housecall Providers is a Portland area nonprofit organization and one of the largest providers of medical care exclusively in the home in the Western United States. We are proving every day that in home medical services for homebound and...

If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws. Job Title Nurse Practitioner (NP) – Primary Care Exemption Status Exempt Department HCP Providers Manager Title Medical Director Direct Reports n/a Requisition # 23719 Pay and Benefits Estimated hiring range $120,000 - $145,200 / year, 5% bonus target, full benefits. To learn more about our benefits, please visit CareOregon - Employee benefits. Sign-on bonus and relocation assistance offered. Posting Notes We are hiring three positions to cover the following two territories: 1. West: Full-time position providing regular care in West Portland and Tigard/King City. 2. East: Full-time position providing regular care in Southeast Portland, East of I-205, and North Clackamas. Candidates have...

JOB SUMMARY FOR CASE MANAGER: Seeking an RN Case Manager with 3+ years of experience in an Acute Care setting, and ideally some experience in a behavioral health setting as well. RESPONSIBILITIES FOR CASE MANAGER: Lead the coordination of a regionally aligned, multidisciplinary team to provide holistic care to meet member needs telephonic and/or digitally. The multidisciplinary team is inclusive of Medical and Behavioral Health Social Workers, Registered Dietitians, Pharmacists, Clinical Support Staff and Medical Directors. Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the members’ health across the care continuum. Assess the member's health, psychosocial needs, cultural preferences, and support systems. Engage the member and/or caregiver to develop an individualized plan of care, address barriers, identify gaps in care, and promotes improved overall health outcomes. Arrange...

Mon-Fri 11:00am - 7:00pm (may need flexibility for coverage) w/every other Saturday Average Rate of Pay: $32-$38/hr Occupational health nursing is the specialty practice that delivers health and safety programs and services to workers and worker populations. The practice focuses on promotion and restoration of health, prevention of illness and injury, and protection from work-related and environmental hazards. This position will conduct medical history and physical assessments; adhere to the highest standard of confidentiality; and assist with team member education related to communicable diseases. This position may involve additional occupational health nurse duties as assigned by manager. In addition, this position will be responsible for working with team members at or away from work in relationship to communicable disease. This includes performing enhanced symptom screenings, COVID testing established by Tyson’s testing strategy, routine telephonic health checks with...

DAYS/HOURS WILL BE: WEEKLY ROTATION OF DAYS - 4 -10 HOUR SHIFTS 3:00PM - 2:00AM AVG RANGE OF PAY WILL BE $32-$38 Occupational health nursing is the specialty practice that delivers health and safety programs and services to workers and worker populations. The practice focuses on promotion and restoration of health, prevention of illness and injury, and protection from work-related and environmental hazards. This position will conduct medical history and physical assessments; adhere to the highest standard of confidentiality; and assist with team member education related to communicable diseases. This position may involve additional occupational health nurse duties as assigned by manager. In addition, this position will be responsible for working with team members at or away from work in relationship to communicable disease. This includes performing enhanced symptom screenings, COVID testing established by Tyson’s testing strategy, routine telephonic health checks with...

Company Description University of Maryland Upper Chesapeake Health (UM UCH) offers the residents of northeastern Maryland an unparalleled combination of clinical expertise, leading-edge technology, and an exceptional patient experience. A community-based, integrated, non-profit health system, our vision is to become the preferred, integrated health system creating the healthiest community in Maryland. We are dedicated to maintaining and improving the health of the people in our community through an integrated health delivery system that provides high quality care to all. Our commitment to service excellence is evident through a broad range of health care services, technologies and facilities. We work collaboratively with our community and other health organizations to serve as a resource for health promotion and education. Today, UM UCH is the leading health care system and second largest private employer in Harford County. Our 3,500 team members and over 650 medical staff...

Duration: Long Term Contract Job Description: · Shift-M-F, 8 am to 4:30 pm or 8:30am-5pm M-F. twice per month hours are 12-8pm. · Phone interview. · Long Term Contract. Responsibilities: · Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health management program interventions. · Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to assess, plan, implement, coordinate, monitor, and evaluate medical necessity, options, and services required to support members in managing their health, chronic illness, or acute illness. · Utilizes available resources to promote quality, cost effective outcomes. · Provides active case management, assesses service needs, develops and coordinates action plans in cooperation with members, monitors services...

We are offering a $1,000 sign on bonus***** Family Service Association is looking for a caring Registered Nurse – Care Coordinator for our LTSS Community Partners (LTSS CP) program! This a 35 hour work week, day time schedule. Potential travel in the Greater Brockton region and occasional travel to Fall River. The LTSS CP Registered Nurse-Case Manager; Provides both telephonic and in-person consultation for acute changes of status in members Review members’ medical history, medical needs, medications and functional status, including needs for assistance with any activities of daily living (ADLs) and instrumental activities of daily living (IADLs) as set forth in the comprehensive assessment Assist with development of care plan goals to improve health outcomes Conduct medication reviews and document such reviews in the member’s electronic health record (EHR) Maintain all documentation required for the delivery of services including other data entry into the EHR, as...

We are offering a $1,000 sign on bonus***** Family Service Association is looking for a caring Registered Nurse – Care Coordinator for our LTSS Community Partners (LTSS CP) program! This a 35 hour work week, day time schedule. Potential travel in the Greater Brockton region and occasional travel to Fall River. The LTSS CP Registered Nurse-Case Manager; Provides both telephonic and in-person consultation for acute changes of status in members Review members’ medical history, medical needs, medications and functional status, including needs for assistance with any activities of daily living (ADLs) and instrumental activities of daily living (IADLs) as set forth in the comprehensive assessment Assist with development of care plan goals to improve health outcomes Conduct medication reviews and document such reviews in the member’s electronic health record (EHR) Maintain all documentation required for the delivery of services including other data entry into the EHR, as...

Duration: Long Term Contract Job Description: Shift-M-F, 8 am to 4:30 pm or 8:30am-5pm M-F. twice per month hours are 12-8pm. Phone interview. Long Term Contract. Responsibilities: Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to assess, plan, implement, coordinate, monitor, and evaluate medical necessity, options, and services required to support members in managing their health, chronic illness, or acute illness. Utilizes available resources to promote quality, cost effective outcomes. Provides active case management, assesses service needs, develops and coordinates action plans in cooperation with members, monitors services and...

Licensed Practical Nurse (LPN/LVN) - Referral Management job in Tacoma, Washington. Any U.S. state license Monday-Friday days only Civilian position supporting military healthcare Benefits/Compensation: $23.50 - 26.00 per hour Health and Welfare Fringe Benefits: $4.57 per hour Paid Time Off - 10 8-hour days Paid Holidays - 11 days Paid Sick Time - 2.154 hours for every 80 hours worked accrual rate Company-funded match and safe harbor 401(k) Medical, Dental and vision plans available Life insurance and accidental death plans available Short-term and long-term disability plans available TRICARE Supplemental available Supplemental Benefit plans available Employee Assistance Program Pet Insurance Plans available Will Preparation Services available Licensed Practical Nurse (LPN/LVN) - Referral Management Job Overview: Civilian and military healthcare providers work together to provide a full range of services to the military community. The Referral Management Center (RMC) serves as...

Description: Indiana Health Centers, Inc. is a Federally Qualified Health Center (FQHC) serving the medically underserved and uninsured populations of Indiana. We provide quality medical, dental, and behavioral health care to those who might not otherwise be able to afford it. For more information about who we are and what we do, please visit IHC Kokomo seeks a full-time Clinic Nurse (LpN). The Clinic Nurse contributes to IHC’s mission and goals of client satisfaction, quality of care, cost competitiveness, and productivity by maintaining proper inventories of medications and properly dispensing them to clients. The Clinic Nurse works with the Nurse Manager/Clinic Nurse Supervisor and clinic providers to reinforce patient education during the process of medication distribution. Job duties include, but are not limited to:* Orders, inventories and is responsible for medication room supplies. Responsible for proper dispensing of medications to clients. Functions as support team...

Guthrie Cortland Medical Center (GCMC) is searching for a compassionate & skilled *Registered Nurse (RN)* to provide exceptional care in our *Emergency Department *at our beautiful hospital in *Cortland, NY*. The position is full time on Night Shift working three 12 hour shifts 7:00 PM - 730 AM with an every other weekend rotation. Our ED department has been described by our staff as having a caring & comforting environment with an incredible team that feels like family. Our ED is fast-paced but has a strong focus on teaching and learning. Perks of Being an RN @ Guthrie: * _$25,000 Sign-On Bonus_ * _Newly Increased RN Rates!_ * _Relocation Assistance - Up to $12,000 based on distance_ * _Tuition Reimbursement – Starting after 90 days_ * _Large Shift Differentials for Evening & Night Shift_ * _Housing Allowance (living over 75 miles from GCMC)_ * _Medical and Dental Insurance (effective the 1st of month following date of hire)_ * _Generous PTO Package starting from...

POSITION TITLE: Mobile Assessment Registered Nurse REPORTS TO (TITLE): Director of Assessment and Referral DESCRIPTION OF POSITION: Responsible for providing clinical behavioral health assessment and evaluation services in the community to determine levels of service needed of prospective patients to ensure referral to the service or resource that best addresses the patient’s needs. KEY RESPONSIBILITIES: Responsible for providing clinical assessment and evaluation services to patients in the community to determine levels of service needed, as well as coordination of referrals to a community resource or behavioral healthcare placement if necessary. Consults with Intake department manager, CNO, and CEO about the acceptability of admissions. Represents and distributes information about Santa Rosa Behavioral Healthcare Hospital services to community healthcare entities in a positive educational manner. Current on referral sources and interacts effectively with patients, peers and...

*Care For the Homeless is seeking Registered Nurses for all 5 boroughs! - Sign On Bonus* *This employee will work as part of the PCMH team with the following essential duties and responsibilities:* The RN is part of CFH multi-disciplinary team that provides clinical support to medical and behavioral health practitioners, in accordance with Article 28 and Patient-Centered Medical Home (PCMH). The clinical support provided is based on patient care needs and scope of the practice and follows the principles of Trauma-Informed Care. Provision of care is carried out utilizing nursing processes within the nursing scope as established by the New York State Board of Nursing, American Nursing Association scope and standards of practice, and other regulatory standards, in addition to CFH Policy and Procedures. The RN will fulfill patient care responsibilities as assigned which may include and are not limited to: reviewing patient resource schedules and organizing patient flow; accompanying...

Urgent Care Nelson Road Job Title: Nurse Practitioner (NP) or Physician Assistant (PA) This position is: PRN or Part-Time Position Location: Lake Charles, LA (alternate shifts available at Moss Bluff location) JOB DESCRIPTION GENNERAL SUMMARY OF DUTIES: Responsible for providing primary care services, including assessing and managing patients following established standards and practices. ESSENTIAL FUNCTIONS: Performs complete physical exam, obtains complete medical history and records findings. Orders appropriate laboratory and diagnostic procedures. Interprets and integrates data to determine preliminary diagnosis and therapeutic plan. Administers medications and injections in compliance with state law and clinic guidelines. Sutures minor lacerations. Instructs patient/family regarding medications and treatments. Educates patients regarding health and illness prevention. Recommends community resources to meet patient and family needs. Collaborates with physician visits....

Reports to: Director of Nursing Department: Nursing Description of Position: The primary purpose of your job is to provide direct nursing care to the residents including medication management and skin care treatments, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with current federal, state, and local standards, guidelines, and facility policies and procedures and as may be required by the Station Manager, RN Nurse Supervisor to ensure that the highest degree of quality care is maintained at all times. Delegation of Authority As the Charge Nurse, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Job Functions Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific...