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Registered Nurse (RN) - Case Manager at Lifepoint Health
Johnstown, Pennsylvania, United States - Full Time
Skills Needed
Case Management, Care Coordination, Clinical Documentation, Utilization Management, Interqual, Mcg Criteria, Patient Status Determination, Discharge Planning, Regulatory Compliance, Resource Utilization, Clinical Review, Interdisciplinary Collaboration
Specialization
Applicants must be a Registered Nurse with a current state license and an associate or bachelor's degree in nursing. Required qualifications include BLS certification and 3 years of acute care experience or significant hospital case management experience.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - Spinal Cord at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Patient Care, Collaboration, Communication, Leadership, Assessment, Delegation, Evaluation, Teaching, Supervision
Specialization
Graduation from a school of nursing is required, with a BSN preferred. Candidates must be licensed to practice as a Registered Nurse in Michigan and hold an AHA BLS certification.
Licensed Practical Nurse - Part Time at PruittHealthSanta Rosa
Baldwin, Georgia, United States - Full Time
Skills Needed
Patient Care, Compassion, Collaboration, Professionalism, Long Term Care, Nursing
Specialization
Must possess an active, current, and unrestricted Licensed Practical Nurse (LPN) licensure in the state of practice. Commitment to professionalism and patient care is required.
Registered Nurse - Medical Surgical at IU Health
Roanoke, Indiana, United States - Full Time
Skills Needed
Patient Assessment, Nursing Diagnosis, Care Planning, Evidence Based Care, Patient Education, Mentoring, Multidisciplinary Collaboration, Clinical Nursing
Specialization
Requires an Associate of Nursing (ASN) and an active RN license in Indiana or a Compact license. Basic Life Support (BLS) certification through the AHA is mandatory.
Assistant Nurse Manager Ortho Night at UT Southwestern Medical Center
Dallas, Texas, United States - Full Time
Skills Needed
Nursing Management, Patient Care Supervision, Staff Scheduling, Performance Improvement, Clinical Auditing, Mentoring, Conflict Resolution, Resource Management, Patient Advocacy, Budgeting, Regulatory Compliance, Care Coordination
Specialization
Requires a BSN from an accredited nursing program and at least 3 years of experience as a Registered Nurse. Must hold current RN licensure (Texas or Compact) and BLS certification from AHA or ARC.
Experience Required
Minimum 2 year(s)
Registered Nurse Labor and Delivery at Ascension
Cedar Park, Texas, United States - Full Time
Skills Needed
Direct Nursing Care, Patient Care Planning, Patient Monitoring, Care Coordination, Discharge Planning, Bls, Neonatal Resuscitation, S.T.A.B.L.E Program
Specialization
Requires a nursing diploma or professional licensure and a valid Texas Board of Nursing registration. BLS certification is required, while S.T.A.B.L.E and Neonatal Resuscitation certifications are preferred.
Registered Nurse-Quality Improvement at The Floating Hospital
New York, New York, United States - Full Time
Skills Needed
Risk Management, Quality Improvement, Data Analytics, Hedis, Medical Records Compliance, Him Compliance, Incident Reporting, Policy Development, Clinical Screening, Emr Reporting
Specialization
Candidates must be a Registered Nurse with specific experience in Quality Improvement and data analytics. Knowledge of Medical Records and HIM compliance is required.
Experience Required
Minimum 2 year(s)
Acute Dialysis Registered Nurse (RN) at Hema-Tec, Inc.
Oregon, Ohio, United States - Full Time
Skills Needed
Acute Dialysis, Patient Care, Critical Thinking, Equipment Troubleshooting, Case Management, Empathetic Communication, Time Management, Clinical Expertise
Specialization
Requires an active and unrestricted RN license in Ohio and Michigan and current BLS/CPR certification. A minimum of one year of RN experience is required, with a preference for six months in nephrology.
Clinical Nurse B-Inpatient~Med/Surg at Loma Linda
Murrieta, California, United States - Full Time
Skills Needed
Patient Assessment, Care Planning, Nursing Process, Clinical Nursing, Patient Centered Care, Supervision, Delegation, Critical Thinking, Electronic Medical Records, Interpersonal Communication, Patient Safety, Healthcare Regulations
Specialization
Requires a Bachelor of Science in Nursing (BSN), an active California RN license, and BLS certification. A minimum of one year of clinical nursing experience is required.
Experience Required
Minimum 2 year(s)
Home Care Registered Nurse - Nassau at Northwell Career Site
Village of Westbury, New York, United States - Full Time
Skills Needed
Patient Assessment, Care Planning, Medication Administration, Clinical Judgment, Patient Education, Wound Care, Emergency Management, Case Coordination, Documentation, Psychosocial Assessment, Aseptic Technique, Discharge Planning
Specialization
Requires a degree from an accredited School of Nursing and a current New York State Registered Professional Nurse license. A BSN is preferred, and a valid New York State Driver's License may be required.
Experience Required
Minimum 2 year(s)
Registered Nurse - Operating Theatre at Al Futtaim Private Company LLC
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Registered Nurse- E3 - CTU Medicine at Hamilton Health Sciences Corporation
Hamilton, Ontario, Canada - Full Time
Skills Needed
Nursing Care Coordination, Geriatric Care, Acute Medicine, Critical Thinking, Decision Making, Communication, Organizational Skills, Problem Solving, Patient Assessment, Rehabilitative Care, Interdisciplinary Collaboration, Clinical Leadership
Specialization
Candidates must hold a current Certificate of Registration with the College of Nurses of Ontario and a BCLS certification. Previous experience in acute medicine or geriatric care is required, along with strong leadership and clinical assessment skills.
Experience Required
Minimum 2 year(s)
Pediatric Licensed Vocational Nurse at BrightStar Care of Huntington Beach
Amarillo, Texas, United States - Full Time
Skills Needed
Pediatric Nursing, Home Health Care, Patient Care, Clinical Support, Bls/Cpr Certification
Specialization
Requires an active Texas LVN license, current BLS/CPR certification, and a valid driver's license. A minimum of one year of nursing experience is required, with pediatric or home health experience preferred.
Experience Required
Minimum 2 year(s)
Registered Nurse - Operating Theatre at Kings College Hospital London
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Licensed Practical Nurse - Full-Time at UVA Imaging - Charlottesville, VA
Charlottesville, Virginia, United States - Full Time
Skills Needed
Patient Screening, Iv Access, Post Exam Care, Medical Documentation, Emergency Management, Contrast Reaction Management, Multitasking, Clinical Nursing
Specialization
Must be a graduate of an approved LPN program with at least one year of clinical experience. Requires valid state licensure and BLS certification within 60 days of hire.
Licensed Practical Nurse (LPN) Days at Care Initiatives
Bedford, Iowa, United States - Full Time
Skills Needed
Clinical Assessment, Wound Treatment, Iv Therapy, Medication Administration, Nursing Leadership, Resident Care Coordination, Staff Supervision, Infection Prevention, Patient Education, Regulatory Compliance
Specialization
Candidates must hold a valid Iowa LPN license and a current CPR certification. Completion of a State-approved LPN Supervisory Course is required or must be obtained within 90 days of hire.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - Urgent Care at ConvenientMD
Pittsfield, Massachusetts, United States - Full Time
Skills Needed
Patient Triage, Phlebotomy, Iv Placement, Airway Management, Cardiac Management, Medication Administration, Immunization, Patient Communication, Ecg Application, Cpr, Aed Operation, Hipaa Compliance, Microsoft Office Suite, Experity, Clinical Coordination, Patient Follow Up
Specialization
Requires a state RN license, an ADN or BSN degree, and BLS certification from AHA or Red Cross. Candidates must have experience with IVs and the flexibility to work 12-hour shifts, including weekends and holidays.
Experience Required
Minimum 2 year(s)
Registered Nurse RN Birthing Center at OSF HealthCare
Bloomington, Illinois, United States - Full Time
Skills Needed
Patient Assessment, Care Coordination, Psychological Support, Mentoring, Electronic Medical Records, Microsoft Office, Nursing Excellence, Clinical Care
Specialization
Requires a current Registered Nurse license in Illinois or Michigan and BLS certification from the American Heart Association. A BSN and prior experience in a healthcare environment are preferred.
Experience Required
Minimum 2 year(s)
Travel Registered Nurse Med Surg Job at Healthforce
Petoskey, Michigan, United States - Full Time
Skills Needed
Medical Surgical Nursing, Patient Assessment, Medication Administration, Electronic Health Records, Sbar Communication, Interdisciplinary Collaboration, Patient Education, Trauma Care, Clinical Pathways, Patient Advocacy
Specialization
Requires an active Michigan RN license, BLS certification, and at least 2 years of hospital-based Med/Surg experience. Experience in Level I or II trauma centers is mandatory.
Experience Required
Minimum 2 year(s)
Registered Nurse RN Home Health PRN at Elara Caring
Covington, Louisiana, United States - Full Time
Skills Needed
Patient Assessment, Care Planning, Case Management, Hipaa Compliance, Clinical Evaluation, Patient Coordination, Home Health Care, Nursing Care
Specialization
Candidates must hold a current, unrestricted state RN license and have at least one year of clinical nursing experience. A valid driver's license, dependable vehicle, and the ability to lift up to 50 pounds are required.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - Case Manager at Lifepoint Health
Johnstown, Pennsylvania, United States -
Full Time

Start Date

Immediate

Expiry Date

10 Sep, 26

Salary

0.0

Posted On

12 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Case Management, Care Coordination, Clinical Documentation, Utilization Management, Interqual, MCG Criteria, Patient Status Determination, Discharge Planning, Regulatory Compliance, Resource Utilization, Clinical Review, Interdisciplinary Collaboration

Industry

Hospitals and Health Care

Description
Registered Nurse (RN) - Case Manager  Job Type:  PRN| M-Sun 8a-430p   Your experience matters  Conemaugh Memorial Medical Center is part of Lifepoint Health [https://lifepointhealth.net/locations], a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Social Worker joining our team, you’re embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.   More about our team  The Utilization Management RN Case Manager (UM-RNCM) works under the direction of the Case Management Manager and plays a critical role in ensuring accurate clinical documentation and regulatory compliance. The UM-RNCM performs initial clinical reviews of assigned patient records to validate Severity of Illness and Intensity of Service using industry-standard criteria (MCG). Cases that do not meet criteria are escalated to Physician Advisors, with ongoing follow-up to ensure appropriate utilization and compliance. This role is responsible for communicating clinical information to managed care organizations to secure authorization for services and reimbursement. The UM-RNCM also ensures accurate patient status throughout the hospital stay and collaborates closely with physicians to address and resolve any denial determinations.   How you’ll contribute  A Registered Nurse (RN) Case Manager who excels in this role:   * Skilled in Case Management functions and Care Coordination * Utilizes Interqual or the 2MN rule to determine status for all patients assigned an acute care bed.  * Reviews medical records and provides accurate clinical information to payers for authorization. * Collaborate with interdisciplinary team to facilitate progression of care and resource utilization.  * Proactively interacts with patients and families during the admission process to set expectations for the course of stay and length of stay. * Proactively analyzes information from the care team to support inpatient admission. * Assesses, identifies, and intervenes to reduce the risk of barriers that will interfere with the transition of care.  * Facilitates optimal care transition to reduce avoidable readmissions. * Follows the Case Management policy & procedure for utilizing Physician Advisors. * Interacts with attending physicians, physician advisor and department chairs about any identified quality issues and utilization issues. * Leads Interdisciplinary Discharge Planning Rounds (IDTs) to determine appropriate concurrent care planning, resource utilization and appropriate post acute level of care determination.  * Identifies and documents avoidable days and intervenes promptly to remove identified barriers. * Follows CMS & regulatory requirements for Case Management processes.   * Coordinates concurrent denial/appeal- (peer to peer) process for assigned cases. * Assumes on-call and weekend duties as assigned.   *  Assist floor(s) with transportation barriers during working hours.    Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:  * Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. * Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. * Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. * Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). * Professional Development: Ongoing learning and career advancement opportunities. What we’re looking for  Applicants should have a current state RN license and possess an associate or bachelor’s degree from an accredited nursing school. Additional requirements include: * BLS Certification * 3 years experience in acute care as a Professional Nurse or RN experience with significant acute care hospital Case Management experience * Previous case management experience preferred * Case management certification, CP preferred More about Conemaugh Memorial Medical Center  Conemaugh Memorial Medical Center is a 420 Bed, Level 1 Trauma Center, located in Johnstown, PA, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone—your experience matters.   EEOC Statement “Conemaugh Memorial Medical Center is an Equal Opportunity Employer.  Conemaugh Memorial Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.” Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country. We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.
Responsibilities
The UM-RNCM performs clinical reviews to validate severity of illness and intensity of service while ensuring regulatory compliance. They collaborate with physicians and managed care organizations to secure authorizations and facilitate optimal care transitions to reduce readmissions.
Registered Nurse (RN) - Case Manager at Lifepoint Health
Johnstown, Pennsylvania, United States - Full Time
Skills Needed
Case Management, Care Coordination, Clinical Documentation, Utilization Management, Interqual, Mcg Criteria, Patient Status Determination, Discharge Planning, Regulatory Compliance, Resource Utilization, Clinical Review, Interdisciplinary Collaboration
Specialization
Applicants must be a Registered Nurse with a current state license and an associate or bachelor's degree in nursing. Required qualifications include BLS certification and 3 years of acute care experience or significant hospital case management experience.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - Spinal Cord at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Patient Care, Collaboration, Communication, Leadership, Assessment, Delegation, Evaluation, Teaching, Supervision
Specialization
Graduation from a school of nursing is required, with a BSN preferred. Candidates must be licensed to practice as a Registered Nurse in Michigan and hold an AHA BLS certification.
Licensed Practical Nurse - Part Time at PruittHealthSanta Rosa
Baldwin, Georgia, United States - Full Time
Skills Needed
Patient Care, Compassion, Collaboration, Professionalism, Long Term Care, Nursing
Specialization
Must possess an active, current, and unrestricted Licensed Practical Nurse (LPN) licensure in the state of practice. Commitment to professionalism and patient care is required.
Registered Nurse - Medical Surgical at IU Health
Roanoke, Indiana, United States - Full Time
Skills Needed
Patient Assessment, Nursing Diagnosis, Care Planning, Evidence Based Care, Patient Education, Mentoring, Multidisciplinary Collaboration, Clinical Nursing
Specialization
Requires an Associate of Nursing (ASN) and an active RN license in Indiana or a Compact license. Basic Life Support (BLS) certification through the AHA is mandatory.
Assistant Nurse Manager Ortho Night at UT Southwestern Medical Center
Dallas, Texas, United States - Full Time
Skills Needed
Nursing Management, Patient Care Supervision, Staff Scheduling, Performance Improvement, Clinical Auditing, Mentoring, Conflict Resolution, Resource Management, Patient Advocacy, Budgeting, Regulatory Compliance, Care Coordination
Specialization
Requires a BSN from an accredited nursing program and at least 3 years of experience as a Registered Nurse. Must hold current RN licensure (Texas or Compact) and BLS certification from AHA or ARC.
Experience Required
Minimum 2 year(s)
Registered Nurse Labor and Delivery at Ascension
Cedar Park, Texas, United States - Full Time
Skills Needed
Direct Nursing Care, Patient Care Planning, Patient Monitoring, Care Coordination, Discharge Planning, Bls, Neonatal Resuscitation, S.T.A.B.L.E Program
Specialization
Requires a nursing diploma or professional licensure and a valid Texas Board of Nursing registration. BLS certification is required, while S.T.A.B.L.E and Neonatal Resuscitation certifications are preferred.
Registered Nurse-Quality Improvement at The Floating Hospital
New York, New York, United States - Full Time
Skills Needed
Risk Management, Quality Improvement, Data Analytics, Hedis, Medical Records Compliance, Him Compliance, Incident Reporting, Policy Development, Clinical Screening, Emr Reporting
Specialization
Candidates must be a Registered Nurse with specific experience in Quality Improvement and data analytics. Knowledge of Medical Records and HIM compliance is required.
Experience Required
Minimum 2 year(s)
Acute Dialysis Registered Nurse (RN) at Hema-Tec, Inc.
Oregon, Ohio, United States - Full Time
Skills Needed
Acute Dialysis, Patient Care, Critical Thinking, Equipment Troubleshooting, Case Management, Empathetic Communication, Time Management, Clinical Expertise
Specialization
Requires an active and unrestricted RN license in Ohio and Michigan and current BLS/CPR certification. A minimum of one year of RN experience is required, with a preference for six months in nephrology.
Clinical Nurse B-Inpatient~Med/Surg at Loma Linda
Murrieta, California, United States - Full Time
Skills Needed
Patient Assessment, Care Planning, Nursing Process, Clinical Nursing, Patient Centered Care, Supervision, Delegation, Critical Thinking, Electronic Medical Records, Interpersonal Communication, Patient Safety, Healthcare Regulations
Specialization
Requires a Bachelor of Science in Nursing (BSN), an active California RN license, and BLS certification. A minimum of one year of clinical nursing experience is required.
Experience Required
Minimum 2 year(s)
Home Care Registered Nurse - Nassau at Northwell Career Site
Village of Westbury, New York, United States - Full Time
Skills Needed
Patient Assessment, Care Planning, Medication Administration, Clinical Judgment, Patient Education, Wound Care, Emergency Management, Case Coordination, Documentation, Psychosocial Assessment, Aseptic Technique, Discharge Planning
Specialization
Requires a degree from an accredited School of Nursing and a current New York State Registered Professional Nurse license. A BSN is preferred, and a valid New York State Driver's License may be required.
Experience Required
Minimum 2 year(s)
Registered Nurse - Operating Theatre at Al Futtaim Private Company LLC
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Registered Nurse- E3 - CTU Medicine at Hamilton Health Sciences Corporation
Hamilton, Ontario, Canada - Full Time
Skills Needed
Nursing Care Coordination, Geriatric Care, Acute Medicine, Critical Thinking, Decision Making, Communication, Organizational Skills, Problem Solving, Patient Assessment, Rehabilitative Care, Interdisciplinary Collaboration, Clinical Leadership
Specialization
Candidates must hold a current Certificate of Registration with the College of Nurses of Ontario and a BCLS certification. Previous experience in acute medicine or geriatric care is required, along with strong leadership and clinical assessment skills.
Experience Required
Minimum 2 year(s)
Pediatric Licensed Vocational Nurse at BrightStar Care of Huntington Beach
Amarillo, Texas, United States - Full Time
Skills Needed
Pediatric Nursing, Home Health Care, Patient Care, Clinical Support, Bls/Cpr Certification
Specialization
Requires an active Texas LVN license, current BLS/CPR certification, and a valid driver's license. A minimum of one year of nursing experience is required, with pediatric or home health experience preferred.
Experience Required
Minimum 2 year(s)
Registered Nurse - Operating Theatre at Kings College Hospital London
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Licensed Practical Nurse - Full-Time at UVA Imaging - Charlottesville, VA
Charlottesville, Virginia, United States - Full Time
Skills Needed
Patient Screening, Iv Access, Post Exam Care, Medical Documentation, Emergency Management, Contrast Reaction Management, Multitasking, Clinical Nursing
Specialization
Must be a graduate of an approved LPN program with at least one year of clinical experience. Requires valid state licensure and BLS certification within 60 days of hire.
Licensed Practical Nurse (LPN) Days at Care Initiatives
Bedford, Iowa, United States - Full Time
Skills Needed
Clinical Assessment, Wound Treatment, Iv Therapy, Medication Administration, Nursing Leadership, Resident Care Coordination, Staff Supervision, Infection Prevention, Patient Education, Regulatory Compliance
Specialization
Candidates must hold a valid Iowa LPN license and a current CPR certification. Completion of a State-approved LPN Supervisory Course is required or must be obtained within 90 days of hire.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - Urgent Care at ConvenientMD
Pittsfield, Massachusetts, United States - Full Time
Skills Needed
Patient Triage, Phlebotomy, Iv Placement, Airway Management, Cardiac Management, Medication Administration, Immunization, Patient Communication, Ecg Application, Cpr, Aed Operation, Hipaa Compliance, Microsoft Office Suite, Experity, Clinical Coordination, Patient Follow Up
Specialization
Requires a state RN license, an ADN or BSN degree, and BLS certification from AHA or Red Cross. Candidates must have experience with IVs and the flexibility to work 12-hour shifts, including weekends and holidays.
Experience Required
Minimum 2 year(s)
Registered Nurse RN Birthing Center at OSF HealthCare
Bloomington, Illinois, United States - Full Time
Skills Needed
Patient Assessment, Care Coordination, Psychological Support, Mentoring, Electronic Medical Records, Microsoft Office, Nursing Excellence, Clinical Care
Specialization
Requires a current Registered Nurse license in Illinois or Michigan and BLS certification from the American Heart Association. A BSN and prior experience in a healthcare environment are preferred.
Experience Required
Minimum 2 year(s)
Travel Registered Nurse Med Surg Job at Healthforce
Petoskey, Michigan, United States - Full Time
Skills Needed
Medical Surgical Nursing, Patient Assessment, Medication Administration, Electronic Health Records, Sbar Communication, Interdisciplinary Collaboration, Patient Education, Trauma Care, Clinical Pathways, Patient Advocacy
Specialization
Requires an active Michigan RN license, BLS certification, and at least 2 years of hospital-based Med/Surg experience. Experience in Level I or II trauma centers is mandatory.
Experience Required
Minimum 2 year(s)
Registered Nurse RN Home Health PRN at Elara Caring
Covington, Louisiana, United States - Full Time
Skills Needed
Patient Assessment, Care Planning, Case Management, Hipaa Compliance, Clinical Evaluation, Patient Coordination, Home Health Care, Nursing Care
Specialization
Candidates must hold a current, unrestricted state RN license and have at least one year of clinical nursing experience. A valid driver's license, dependable vehicle, and the ability to lift up to 50 pounds are required.
Experience Required
Minimum 2 year(s)