UNKNOWN

FEED

Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/or life situation.

Baptist Memorial Health Care

RN-Acute Care Case Manager

Jobvite Talemetry Organic Easy Apply

Manages the care for a specific group of patients; facilitates the safe movement of patients through the continuum of care, ensures optimal utilization of resources, service delivery and compliance with external review agencies, local, state, and federal requirements. Build on the discharge planning assessment in developing, coordinating, implementing and revising a care plan to ensure good transition management and continuity of care (LOS, discharge delays), cost reduction and patient self-management (patient activation).

Social Worker LMSW

In coordination with nursing, ancillary departments, social work, and the physician, monitor and ensure the treatment plan and steps to prepare for transition or discharge are completed as planned, gaps in care are avoided as well as duplicative or unnecessary services. Case Managers will apply systems, science, incentives, and information to improve healthcare practice and assist patients and their support systems to become engaged in a collaborative process designed to manage medical/social/mental health conditions more effectively.

RN-Case Manager- Medical Alt - Memphis

Works in partnership with system and entity leaders, physician constituents, clinical leaders, and interdisciplinary care teams, and other key stakeholders to create and sustain a culture of quality and safety, performance transparency, teamwork, measurement, and accountability in order to implement clinical quality transformation throughout Baptist and within all care settings. ·Utilizes advanced methodologies to analyze clinical data, identify trends, and implement evidence-based interventions to drive improved patient outcomes and healthcare delivery efficiency in acute care, outpatient, ambulatory, and post-acute care settings.

System Director-Quality

RN-Case Manager

RN-Acute Care Case Manager PRN Weekends

RN-Acute Case Manager

Assures that assigned department(s) are appropriately using and safeguarding all organizational resources to include proper use of materials, supplies, equipment, and furnishings, human and financial resources. Interacts with direct patient care staff to ensure appropriate feedback is received before product decisions are made (e.g., physicians, nurses, radiology technologists, medical technologists, and other ancillary staff).

Manager-Value Analysis & Spending

Develops and maintains an ongoing consultative relationship with the customer through regular engagement with key stakeholders to review satisfaction and utilization of products/solutions, share best practices, determine progress to organizational goals, and identify ongoing customer needs. Applies to Revenue Cycle, abaqis, and Competency Success Managers: For Revenue Cycle Success Manager only: KNOWLEDGE/EDUCATION AND EXPERIENCE REQUIRED: Minimum 3 years in a customer service/sales or related role.

HealthStream, Inc.

Success Manager, Clinical

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Success Manager

PART_TIME

In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.

YEAR

CorVel Healthcare Corporation

Field Case Manager I

Field Case Manager II

OTHER

Clinical professional is responsible for facilitating admissions, clinical intake assessments, and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resource utilization. ​ Master's degree in a social services field (psychology, counseling, social work, sociology, health administration, nursing) or RN preferred.

Delta Specialty Hospital

Admissions Counselor

[AW]-iCims

You will conduct face-to-face visits with members in area hospitals, collaborate with hospital care teams on discharge planning, and coordinate services that promote a smooth and informed transition from acute care settings to home and community-based care. You'll partner closely with members, hospital staff, physicians, specialists, and internal care teams to identify needs, remove barriers to care, and connect members with the resources necessary to achieve better health outcomes.

BlueCross BlueShield of Tennessee

Care Transition Case Manager- Memphis, TN

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You will conduct face-to-face visits with members in area hospitals, collaborate with hospital care teams on discharge planning, and coordinate services that promote a smooth and informed transition from acute care settings to home and community-based care. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR).

Care Transition Case Manager- Nashville, TN

About Us We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time. Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role.

Pharmacy Careers

Remote Clinical Review Pharmacist

Ascension St. Thomas Behavioral Health Hospital

Admissions Counselor PRN

Admissions Counselor Full Time

FULL_TIME

Ensures clinicians are assigned and scheduled in most efficient geography, maximizing clinician efficiency, utilizing the lowest possible discipline, matching skill with required care, and optimizing clinician capacity. Qualifications: Required- Current, unencumbered license to practice as a Licensed Practical Nurse/Licensed Vocational Nurse or Registered Nurse specific to that state the employee is assigned to work by the company.

Amedisys, Inc.

Patient Services Coordinator - Clinical

The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Requires an RN and minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background.

Utilization Management Nurse Jobs in Tennessee

RN-Acute Care Case Manager Baptist Memorial Health Care

Social Worker LMSW Baptist Memorial Health Care

RN-Case Manager- Medical Alt - Memphis Baptist Memorial Health Care

System Director-Quality Baptist Memorial Health Care

RN-Case Manager Baptist Memorial Health Care

RN-Acute Care Case Manager PRN Weekends Baptist Memorial Health Care

RN-Acute Case Manager Baptist Memorial Health Care

Manager-Value Analysis & Spending Baptist Memorial Health Care

Success Manager, Clinical HealthStream, Inc.

Success Manager HealthStream, Inc.

Field Case Manager I CorVel Healthcare Corporation

Field Case Manager II CorVel Healthcare Corporation

Admissions Counselor Delta Specialty Hospital

Care Transition Case Manager- Memphis, TN BlueCross BlueShield of Tennessee

Care Transition Case Manager- Nashville, TN BlueCross BlueShield of Tennessee

Remote Clinical Review Pharmacist Pharmacy Careers

Admissions Counselor PRN Ascension St. Thomas Behavioral Health Hospital

Admissions Counselor Full Time Ascension St. Thomas Behavioral Health Hospital

Patient Services Coordinator - Clinical Amedisys, Inc.

LTSS Service Coordinator-RN Clinician Elevance Health

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