Utilize clinical expertise and critical thinking skills to develop and implement a plan of care for residents, coordinating with families, providers, insurers, and community resources to deliver high-quality, cost-effective care.
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Responsibilities
Communicate regularly with residents and their families about Plans of Care, PT, OT and other treatment protocols.
Attend and participate in morning meetings/stand up to facilitate communications with the team.
Answer residents’ questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care.
Monitor and adjust residents’ statuses based on changing needs and conditions.
Organize and prioritize daily work by assessing new, current and discharging residents' needs in the area(s) of responsibility.
The Assessment Nurse Case Manager completes face-to-face home visits for new enrollees within 30 days of enrollment to onboard and completes regulatory assessments.
Compensation
In accordance with the Massachusetts Wage Transparency Act, the pay range for this position is $95,000 - $100,000 per year, which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role’s responsibilities.
Responsibilities
Conducts home visits for onboarding and regulatory assessments
Completes HRAs and PCA assessments
Submits MDS assessments
Provides education on NaviCare case management program
Conducts telephonic assessments when appropriate
Requirements
Graduate from an accredited school of nursing mandatory
Bachelor's (or advanced) degree in nursing or a health care related field preferred
Lead and manage the Case Management department, partnering with the Care Coordination Director to shape future strategies and improve patient outcomes.
Compensation
$133,247.00 - $199,871.00 per year
Responsibilities
Partner with Care Coordination Director to shape future of Case Management department
Lead a dedicated team to provide hope, care, and cures for every child
Demonstrate performance improvement leadership
Provide day-to-day leadership/management to assigned group of employees in a clinical setting
Apply improvement principles and concepts in a healthcare setting
Requirements
Bachelor's degree in Nursing (BSN)
Master's degree in Nursing
Masters in Social Work
Nice to have: Master’s degree in Nursing or equivalent
Nice to have: Master’s degree in Business Administration or Healthcare Administration
The Case Manager is responsible for contributing to the development of a goal-directed, age-appropriate plan of care through an interdisciplinary team process that is prioritized and based on determined medical diagnosis, patient needs, and expected patient outcomes.
Compensation
$34.00 - $48.87
Responsibilities
Negotiating services and resources when deemed needed while using creative problem solving for complex discharge planning.
Active participation in discharge planning rounds and process improvement projects.
Communicating patient needs and updates to appropriate professionals and post-acute providers.
Collaborating with the multidisciplinary team to ensure continued acute hospitalization is appropriate.
Maintaining a supportive and dynamic relationship with all members of the multidisciplinary team as well as post-acute providers.
Requirements
Bachelor's degree in Nursing (BSN) is required.
Master's degree in Nursing (MSN) is preferred.
Graduate of an accredited school of nursing is required.
Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the claimant’s health across the care continuum.
Compensation
Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs
Responsibilities
Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the claimant’s health across the care continuum.
Coordinate care delivery and support among claimant support systems, including providers, community-based agencies, and family
Collaborate with claims associates to provide medical expertise in the investigation, evaluation, and appropriate resolution of injury claims including workers’ compensation, personal injury protection (no fault), and liability.
Evaluate medical records for relatedness to the injury and appropriate utilization of medical treatment and services.
Prepare and deliver trainings to claims staff via a variety of modalities including written materials, live presentations, WebEx and/or telephonic presentations.
Requirements
Bachelor of Science in Nursing (BSN)
Nice to have: Certification in Case Management (CCM) within 18 months of hire
Nice to have: Insurance Rehabilitation Specialist (CIRS)
Nice to have: Disability Management Specialist (CDMS)
Acute Care Registered Nurse (RN) Case Manager responsible for assessing and coordinating patient care across the continuum, managing benefits and determining medical necessity of services.
Responsibilities
Assess and coordinate patient care across the continuum
Utilize accepted criteria and guidelines to manage benefits
Determine medical necessity of services
Manage care and resources to reduce unnecessary utilization
Case Manager RN is a professional member of the health care team responsible for coordinating, monitoring, and managing patient care resources to promote efficient delivery of services.
Responsibilities
Assess complex patient care needs and acuity levels
Coordinate patient care through episodic/continuous course of care
Complete electronic documentation for case management activities
Articulate information at team meetings and presentations
Follow and perform unit specific policies and procedures
Case Manager RN is a professional member of the health care team who has 24/7 accountability for the coordination, monitoring and management of patient care resources to promote the most efficient delivery of patient care services at the appropriate level of care while maintaining a single high standard of care delivery to all patients.
Responsibilities
Assess complex patient care needs/situation/acuity levels obtaining significant data from assessments
Coordinates patient care through out an episodic / continuous course of care for a specific DRG/diagnosis/procedure/population using InterQual, Millikan or other specific criteria and evidence based guidelines
Completes electronic documentation for case management activities such as discharge planning, patient throughput, appropriate level of care, communication with physician, nursing and patient / family member
Articulates information pertinent to clinical condition, LOS, discharge delays, outcomes, resource utilization, discharge planning, etc. at team meetings / presentations, patient care rounds, interdisciplinary rounds and to administration, medical director and physician advisors
Follows and performs all related unit specific policies and procedures, as detailed on the unit specific competency check-list
Sentara Virginia Beach General Hospital is hiring an Inpatient Case Manager/ Registered Nurse (RN).
Compensation
The base pay range for full-time employment is $89,544.00 - $136,468.80 annually. Additional compensation may be available for this role, such as shift differentials, on-call pay, shift premiums, extra-shift incentives, or bonus opportunities.
Responsibilities
The Inpatient Case Manager RN is 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.
Requirements
Bachelor's Degree in Nursing
Nice to have: Acute nursing experience
Nice to have: Case management experience
Skills
Case Manager RN
Medical University of South Carolina · Posted Nov 5, 2026
Coordinates interdisciplinary care plans for patients, acts as liaison between patients, families, healthcare personnel, and insurers, and facilitates utilization reviews.
Responsibilities
Coordinate overall interdisciplinary plan of care
Monitor care and act as liaison
Evaluate patient needs and recommend resources
Develop discharge plans
Identify patient care issues and suggest revisions
Requirements
Bachelor of Nursing degree preferred
RN staff hired on or after July 1, 2013 with an Associate or Diploma degree in nursing required
Nice to have: Prior leadership experience
Nice to have: One year of case management and/or utilization review work experience
Case Manager / RN Acute CareArdent Health Services · Athens, US
Case Manager RNJackson Health · Miami, US