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  • Benefits Case Manager

    The HR Source 4.1company rating

    Nurse case manager job in Washington, DC

    The SNAP Quality Management (QM) Case Manager is a critical technical role focused on ensuring the integrity and accuracy of the state's SNAP program. This individual will specifically support the Payment Error Rate Program by performing deep-dive reviews of case files to identify and correct eligibility and benefit determination errors before they impact the state's federal error rate. Required Experience and Skills Deep SNAP Expertise: Minimum of 3-5 years of direct experience in SNAP eligibility determination or Quality Control (QC). Technical Audit Skills: Demonstrated ability to perform complex income calculations, verify household composition. Proven ability to spot minute discrepancies in case documentation that could lead to federal error rate flags. Core Capabilities PERP Case Auditing: Conduct comprehensive technical reviews of a representative sample of active and negative SNAP cases to verify the accuracy of eligibility and benefit allotments. Root Cause Analysis: Identify the underlying causes of payment errors, whether state-caused or client-caused, and categorize them for corrective action reporting. Policy Interpretation: Apply complex federal regulations and state-specific policy manuals to ensure all case actions meet rigorous compliance standards. Regulatory Reporting: Prepare detailed performance reports and documentation for evaluation reviews.
    $48k-64k yearly est. 3d ago
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  • LICSW Case Manager - 239190

    Medix™ 4.5company rating

    Nurse case manager job in Washington, DC

    Standard LICSW will have a caseload of level 1, 2 and 3 acuity patients which will have a total of 75 patients. LICSW's that have a more advanced understanding of Case Management will be tasked as specialty Case Managers and will take a caseload of 60 individuals total, that have very complex needs at level 3 acuity. Medicaid patients with Socio-economic struggles as well Will work with enrollees and families to break down barriers Have a standard of 3 care plans or assessments done per week (Which means 3 field visit days a week - in office 2 days to wrap up documentation.) - Sounds like, for now, field visits count for in office days but will update if changes from DC Medicaid. Will get list of enrollees well child visits and it is encouraged for the CM to attend (Help to support and update care plan) Must Have Skills/Qualifications LICSW 2 years of experience Pediatric, health plan or behavioral health background
    $46k-60k yearly est. 16h ago
  • Case Manager

    Us Tech Solutions 4.4company rating

    Remote nurse case manager job

    Contract Duration: 03 Months Location: Miami-Dade County (Hialeah: 33010, 33012, 33013, 33014, 33015, 33016, 33018, 33142, 33147). We are seeking a Bilingual Case Management Coordinator (Spanish/English) to support Medicaid Long Term Care/Comprehensive Program members in Miami-Dade County, FL. This is a work-from-home position that requires significant field travel (50-75%) for face-to-face member visits in homes, Assisted Living Facilities, and Skilled Nursing Facilities. The Case Management Coordinator is responsible for assessing, planning, implementing, and coordinating care management activities for members with supportive and medically complex needs. The role focuses on improving short- and long-term health outcomes through care coordination, education, and integration of community resources. Key Job Duties Coordinate case management activities for Medicaid Long Term Care/Comprehensive Program members Conduct telephonic and face-to-face comprehensive member assessments Develop, implement, and monitor individualized care plans Coordinate care with Primary Care Providers, skilled providers, and interdisciplinary teams Facilitate services including prior authorizations, condition management support, medication reviews, and community resources Conduct multidisciplinary reviews to achieve optimal healthcare outcomes Utilize motivational interviewing and influencing skills to promote member engagement and behavior change Educate and empower members to make informed healthcare and lifestyle decisions Experience & Qualifications Required Qualifications Bilingual (Spanish/English) - fluent in speaking, reading, and writing 1+ year of experience in behavioral health, long-term care, or case management Preferred Qualifications Managed care experience Case management and discharge planning experience Long-term care experience Education Bachelor's degree required, preferably in Social Work or a related field About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************ US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Recruter Details: Name: Umar Farooq Email: ********************************** Internal Id #26-00632
    $37k-48k yearly est. 2d ago
  • Remote Travel NP/PA Clinical Educator in Physiatry

    Iconic Care Support Services

    Remote nurse case manager job

    A healthcare provider group is seeking a Clinical Educator NP/PA & Travel Nurse to enhance patient outcomes through education and clinical coverage. This role requires a strong background in Physiatry, a passion for teaching, and the ability to travel nationwide. The competitive compensation includes a salary of $155,000-$185,000, full benefits, and comprehensive travel support. Located remotely with necessary metropolitan area constraints, candidates must be residing in specified locales. #J-18808-Ljbffr
    $155k-185k yearly 4d ago
  • Home-Based Pediatric Care Nurse (MONROE)

    Care Options for Kids 4.1company rating

    Remote nurse case manager job

    About the Role Check out the role overview below If you are confident you have got the right skills and experience, apply today. At Care Options for Kids, we provide 1:1 care in the home, and we do things a little differently. There's no revolving door of patients or hospital setting chaos blinking call lights, scurrying doctors, and wards bursting at the seams. Instead, you work with self-sufficient autonomy, empowered to make a real difference in your clients' lives. We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for. Of course, if you need anything, your Director of Nursing is only a phone call away we offer 24-hour, 365-day support and on-demand clinical resources. Benefits for Licensed Practical Nurses (LPNs) Paid Time Off (PTO) and flexible schedule Medical, Dental and Vision Coverage 401k Weekly pay and direct deposit 24/7 On Call for support Career advancement Nurse Referral bonus Training opportunities Respiratory therapists on staff to provide training and mentorship Responsibilities of Licensed Practical Nurses (LPNs) Providing one-to-one nursing care in a home environment Taking direction from clinical team and being overseen by a registered nurse Following the plan of care Following all clinical and office policies Requirements for Licensed Practical Nurses (LPNs) Valid New Jersey LPN License or Multistate License Physical from within three years TB Skin Test (PPD) or TB Blood Test (QF) Valid BLS CPR card (obtained in person not online) Valid driver's license G-tube, trach, vent experience or willing to train About Care Options for Kids Care Options for Kids is the leading provider of pediatric nursing services. Our mission is to provide high-quality pediatric services that help children and families live their best lives. Achieving that mission can only be accomplished with talented and caring nurses like you. With locations in Colorado, Texas, Arizona, Nevada, Florida, Oregon, Washington, California, Wyoming, New Jersey, Delaware, and Pennsylvania, the Care Options for Kids Community offers a wide range of pediatric health services, including pediatric nursing and therapies, ABA therapy, nursing, Family Caregiver Services, and school-based services. We value the health and well-being of our nurses and understand the vital role you play in caring for our clients. PPE is provided in each home including masks, gloves, and hand sanitizer. xevrcyc We follow CDC guidelines to ensure you, your client, and your family stays healthy. #APPNUNEP #RDNUNEP Salary: $66560.00 - $70720.00 / year
    $66.6k-70.7k yearly 1d ago
  • Medical Case Management Manager

    Allied Benefit Systems 4.2company rating

    Remote nurse case manager job

    The Medical Case Management Manager (Manager, Enhanced Case Management (ECM)) leads the development, delivery, and continuous improvement of the ECM program, ensuring high quality care coordination and advocacy for member with complex health needs. This role provides direct leadership and mentorship to the ECM team, evaluates and enhances departmental workflows, and fosters strong internal and external partnerships through exceptional communication and relationship building skills. The Manager maintains expertise in self funded benefits administration and government programs such as Medicare and Medicaid to guide members in understanding and optimizing their available coverage options. In addition to managing a limited caseload, the position addresses client inquiries, resolves member escalations, and collaborates with organizational leadership to strengthen program strategy, performance, and impact. ESSENTIAL FUNCTIONS Develops and directly manages Enhanced Case Management Advocates and Supervisors, while providing indirect oversight to the Case Managers through supervisory staff. Monitors department dashboards and conducts case audits to ensure teams consistently meet or exceed quality standards and KPIs. Fosters a collaborative, continuous improvement environment and supports staff in resolving challenges and enhancing performance through constructive, supportive feedback. Engage with the Client Management and Value Team to offer insight related to high-dollar claimants and provide a clear explanation of ECM strategies, efforts, and impact. Identify members from our ASO Self-Funded and Co-Sourcing Partially Self-Funded Clients based on current medical condition(s), future claim costs, and current financial assessment for Enhanced Case Management evaluation and identify strategic solutions. Maintain continuous knowledge of Medicare, Medicaid, and other government programs, including application processes, eligibility criteria, dual eligibility, and coordination of benefits (COB). Identify trends and opportunities to collaborate with Medical Management leadership to enhance processes and strategies to improve quality, efficiency, and outcomes. Manage a case load of high-complexity members to support their needs, evaluate coverages and offer resources. Promotes an environment of continuous improvement and collaboration and assists in troubleshooting and resolving escalated challenges quickly by utilizing an empathetic approach. Coordinate with Client Management and other internal departments to answer questions and resolve client challenges. Assist in selecting and building the right teams to meet long-term talent planning needs and achieve business goals. Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent. Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed. Actively engage, coach, counsel and provide timely, and constructive performance feedback. Performs other related duties as assigned. EDUCATION Bachelor's degree or equivalent work experience required. EXPERIENCE AND SKILLS At least 5 years of Case Management experience, preferably from a third-party administrator, carrier, or within the healthcare industry required. At least 3 years at a supervisor level and successfully demonstrated leadership competencies required. Demonstrated expertise in Medicaid, Medicare, eligibility processes, and coordination of benefits. Experience managing teams of employees with a variety of backgrounds and tenure. Ability to monitor and prioritize multiple deadlines and projects simultaneously. Experience reading, analyzing, and reviewing organizational metrics and data, preferred. Comfortable managing competing priorities and guiding others in a fast-paced environment. Excellent written and verbal communication skills with the ability to influence cross-functionally and present to clients/leadership Proven experience building training programs, conducting audits, and providing structured feedback. POSITION COMPETENCIES Accountability Communication Action Oriented Timely Decision Making Building Relationships/Shaping Culture Customer Focus PHYSICAL DEMAND This is a standard desk role long periods of sitting and working on a computer are required. WORK ENVIRONMENT Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role. Protect Yourself from Hiring Scams Important Notice About Our Hiring Process To keep your experience safe and transparent, please note: All interviews are conducted via video. No job offer will ever be made without a video interview with Human Resources and/or the Hiring Manager. If someone contacts you claiming to represent us and offers a position without a video interview, it is not legitimate. We never ask for payment or personal financial information during the hiring process. For your security, please verify all job opportunities through our official careers page: Current Career Opportunities at Allied Benefit Systems Your security matters to us-thank you for helping us maintain a fair and trustworthy process!
    $42k-61k yearly est. 10d ago
  • Nurse Case Mgr II (US)

    Elevance Health

    Nurse case manager job in Washington, DC

    Nurse Case Manager II Location: Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Nurse Case Manager II will be responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning. How you will make an impact: Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. Coordinates internal and external resources to meet identified needs. Monitors and evaluates effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. Assists with development of utilization/care management policies and procedures. Minimum Requirements: Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required (Washington, DC). Multi-state licensure is required if this individual is providing services in multiple states. Preferred Skills, Capabilities and Experiences: Certification as a Case Manager is preferred. For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $84,272- $126,408 Locations: District of Columbia (Washington, DC) In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws . * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $84.3k-126.4k yearly Auto-Apply 39d ago
  • Assistant Director Case Management

    VHC Health 4.4company rating

    Nurse case manager job in Arlington, VA

    Title Assistant Director Case Management Job Description Purpose & Scope: The Assistant Director of Case Management (ADCM) is responsible for assisting the Case Management Director (CMD) in managing the Case Management Program in order to ensure that identified and referred patients have a coordinated plan of care in accordance with Joint Commission and hospital guidelines. The ADCM will coordinate case management activities with ancillary departments and hospital liaisons and is accountable to the CMD. Skills should include: the ability to communicate with medical staff and hospital personnel at all organizational levels; excellent interpersonal skills and experience in or knowledge of issues related to patients of all ages. Education: Graduation from an accredited school of social work, nursing, or of health-related services is required. Experience: Two years of experience in case management in a hospital setting is preferred. Certification/Licensure: None
    $81k-123k yearly est. Auto-Apply 56d ago
  • Case Manager

    Brain Injury Services, Inc. 3.9company rating

    Nurse case manager job in Woodbridge, VA

    Brain Injury Services (BIS) seeks a full-time Brain Injury Case Manager to serve our clients. We are seeking case managers with a strong background in case management and at least 2 years of experience. Preferences will be given to candidates who have experience navigating Medicaid referrals, submitting service authorizations, monitoring billing, and collaborating with Managed Care Organizations (MCOs) in the Targeted Case Management (TCM) services for BIS clients. Position Service area: Prince William County and surrounding areas BIS is also looking for Case Managers in the wider areas of Loudoun County and Fairfax County! Definition: Under the supervision of the Senior Manager of Case Management Services, the Case Manager provides community-based case management to adults and children with acquired brain injury and their families in the Northern Virginia region. The adult brain injury program includes long-term case management services and public awareness. These services are provided using a community-based case management model. Distinguishing Characteristics: This position requires a professional level of intervention with complex cases. The Case Manager position assumes the ability to work independently and exercise autonomy. The Department Manager may designate other duties. This position is guided by the mission of this organization to support individuals with brain injuries and their families in reaching their maximal level of functioning within their communities using a person-centered approach. Essential Job Functions and Responsibilities: Adhere to professional standards, federal and local requirements, and MCO regulations to serve and protect the agency. Obtain information and make referrals for appropriate services, including TCM-related referrals and general referrals to community services. Do a comprehensive intake evaluation, including completing all documentation designated in the Policy and Procedure Manual, and obtaining all necessary medical records from outside sources to ensure a thorough review and service eligibility. Complete all required paperwork for Medicaid TCM services, including service authorizations, assessments, evaluation, review, billing, and reporting. Complete a thorough client assessment, which includes the clients strengths and weaknesses, family and community support systems, a Needs assessment that covers all areas described in the Adult Brain Injury Case Management Policy and Procedure Manual, and the assessment of existing resources presently utilized by the client and gaps in services requiring intervention within 45 days of opening a case. Obtains appropriate releases, understands the laws regarding confidentiality, and upholds these laws. Provide education and awareness to the public on prevention, identifying children and adolescents with brain injury, and the support needed to transition students back to school successfully, and children back into their home community. Travel and provide services in clients' homes and communities. This includes participating in the discharge planning teams, when possible, at childrens facilities and rehabilitation centers nearby (e.g., Cumberland Hospital in New Kent, Kluge Childrens Rehab Center in Charlottesville, NRHs Pediatric Program in Washington, Kennedy-Krieger Institute in Baltimore). Determine when the maximal level of functioning has been achieved and outside services, such as life skills training/tutoring, need to fade. Completes all paperwork as described in the Policy and Procedure Manual and always maintains charts orderly. Establish a solid therapeutic relationship with clients, their families, and their community providers. Supports clients in developing their own goals and plans based on the needs assessment and utilizing various planning tools. Completes an Individualized Service Plan and provides a written copy to the client. Review the ISP every 90 and adhere to the MCOs rules and regulations about service review. Clients signatures are required to ensure the clients consent and participation in services. Identify, coordinate, and monitor goal-directed community services to meet the clients needs and desired activities as outlined in their plans. Maintain in-person and/or virtual contact with active clients and/or families at least monthly and quarterly contact with follow-along clients. Contact is made to offer support, and guidance, and assist them in maximizing the clients participation in the goal-attainment process. Effectively negotiate for services for clients in their communities professionally. Travel and provide services in clients homes and communities Maintain a confidential home environment equipped with a reliable internet connection to facilitate remote workdays; otherwise, working from the office will always be required. Full-time staff should maintain a caseload of up to 30 active clients and no more than 15 follow-along clients. Full-time staff with reduced working hours (30, 32, 35 hrs/week) will carry a caseload of up to 26 active clients. Part-time staff (20 hrs or less) will have a caseload of up to 20 clients. Understand the Vendor Contract budget and prioritize service payments based on need, financial eligibility, and resource availability. Understand the Vendor Contract for the various MCOs and the different requirements of each Provide education to clients, their families, and the community regarding brain injury and community resources. Demonstrate a commitment to person-centered services and the opportunity for clients to choose their services and providers as documented in the individualized service plan and case notes. Spend at least 50% of their time in direct contact with clients and their families, providing supportive counseling, coordination of services, resource determination, monitoring of services, and team meetings. This will be monitored through case documentation and Outlook calendar entries. Professionally present themselves in dress, language, questions, and comments. Maintain a routine schedule, which reflects a 40-hour week but is flexible to include evening meetings. This is also monitored through the Outlook Calendar entries Participate in professional training, particularly in the brain injury field, and additional training as directed by the supervisor. Attend and participate in all Case Management Department meetings, Staff Professional Trainings, staff meetings, and regular one-on-one supervision with the department manager Other duties as directed by the Department Manager of Case Management Services. Requirements: Knowledge, Skills, and Abilities: · Integrity, discretion, and respect for confidentiality and privacy · Good knowledge of Brain injury and its effects on individuals and families · Self-directed, able to work independently with a high level of autonomy and strong problem-solving skills · Knowledge of ADA and IDEA as well as special education · knowledge of Long-Term Case Management · Knowledge of the Veterans Affairs system · Knowledge of the Medicaid system and MCOs · Knowledge of supportive counseling techniques · Knowledge of basic medical terminology · Knowledge of community agencies/resources. · Excellent oral and written communication skills and the ability to de-escalate misunderstanding errors in a professional manner · Strong technology and computer skills, e.g., typing, computing, data entry, virtual video platforms (e.g., Zoom), DocuSign, and other technical skills as the job requires · Strong assessment and analytical skills · Ability to prioritize work under pressure · Strong time management skills · Strong organizational skills · Strong attention to detail · Strong spelling, math, and financial skills · Strong documentation skills on time Essential Job Requirements: · Valid drivers license and reliable personal transportation to travel throughout Fairfax, Arlington, City of Alexandria, Loudoun, and Prince William areas. Local travel is required · Act as the point of contact for TCM referrals · Physical mobility · Ability to perform math calculations · Ability to perform complex problem-solving and reasoning. · Ability to secure a telework environment at home that maintains confidentiality and professionalism · Access to secure and reliable internet services at home for the remote work option · Ability to shift between in-person and virtual service delivery models. · Must be able to read, write, and proofread professionally. Educational Requirements: · Master's Degree in the human service field, e.g., Social Work, Rehab Counseling, Psychology, Occupational Therapy, etc. · Brain Injury Fundamental Training and Qualified Brain Injury Specialist training are required upon hiring. · Certified Brain Injury Specialist training is optional after 1 year of hiring. Preferred: Bilingual in any of the following languages: Spanish, Arabic, Korean, and Vietnamese Compensation details: 65000-68000 Yearly Salary PIc8cf7818d049-31181-39383914
    $37k-49k yearly est. 7d ago
  • Nurse Case Mgr I (US)

    Carebridge 3.8company rating

    Nurse case manager job in Washington, DC

    Nurse Case Manager I Location: Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Schedule: Monday-Friday 8:00AM-5:00PM or 8:30AM-5:30PM EST The Nurse Case Manager I will be responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning. How you will make an impact: * Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. * Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. * Coordinates internal and external resources to meet identified needs. * Monitors and evaluates effectiveness of the care management plan and modifies as necessary. * Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. * Negotiates rates of reimbursement, as applicable. * Assists in problem solving with providers, claims or service issues. Minimum Requirements: * Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * Current, unrestricted RN license in applicable state(s) required. * Multi-state licensure is required if this individual is providing services in multiple states. Preferred Skills, Capabilities & Experiences: * Certification as a Case Manager and a BS in a health or human services related field preferred. For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $75,440 - $113,160 Locations: District of Columbia (Washington, DC) In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $75.4k-113.2k yearly Auto-Apply 60d+ ago
  • Travel Nurse RN - Case Manager - $2,361 per week in Washington, DC

    Travelnursesource

    Nurse case manager job in Washington, DC

    Registered Nurse (RN) | Case Manager Location: Washington, DC Agency: Coast Medical Service Pay: $2,361 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 2/9/2026 TravelNurseSource is working with Coast Medical Service to find a qualified Case Manager RN in Washington, Washington DC, 20007! Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Please note that pay rate may differ for locally based candidates. Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. We look forward to speaking with you! About Coast Medical Service Coast Medical Service is a Joint Commission certified healthcare staffing agency focused on per diem and travel nursing opportunities nationwide. Established in 1979, we are guided by our commitment to providing quality service to make it easier for healthcare providers to focus on patients. Our team works feverishly to foster a work environment where each individual is deeply valued, highly respected and given every opportunity for personal, professional and financial growth. At Coast Medical Service, we are fanatical about improving the quality of healthcare and connecting like-minded nurses with top-class facilities. We really listen and treat all our staff like family because, well, they are! As a result, Coast has grown 20x in the last 6 years and was included on the Inc. 5000 list of fastest growing private companies in America, as well as the Los Angeles Business Journal Top 100 fastest growing companies in LA. Requirements Required for Onboarding Case Manager Skills Checklist RN/LPN Case Manager 28848683EXPPLAT
    $2.4k weekly 1d ago
  • Utilization Review Nurse - Remote

    Martin's Point Health Care 3.8company rating

    Remote nurse case manager job

    Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse is responsible for ensuring the receipt of high quality, cost efficient medical outcomes for those enrollees with a need for inpatient/ outpatient authorizations. This position receives and reviews prior authorization requests for specific inpatient and outpatient medical services, notification of emergent hospital admissions, completes inpatient concurrent review, establishes discharge plans, coordinates transitions of care to lower/higher levels of care, makes referrals for care management programs, and performs medical necessity reviews for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies as well as specified clinical guidelines/criteria to guide medical necessity reviews and will use effective relationship management, coordination of services, resource management, education, patient advocacy and related interventions to ensure members receive the appropriate level of care, prevent or reduce hospital admissions where appropriate. Job Description PRIMARY DUTIES AND RESPONSIBILITIES Employees are expected to work consistently to demonstrate the mission, vision, and core values of the organization. Key Outcomes: * Review prior authorization requests (prior authorization, concurrent review, and retrospective review) for medical necessity referring to Medical Director as needed for additional expertise and review. * Utilize evidenced-based criteria, governmental policies, and internal guidelines for medical necessity reviews. * Manage the review of medical claims disputes, records, and authorizations for billing, coding, and other compliance or reimbursement related issues * Collaborates with other members of the team, the MPHC Medical Directors, healthcare providers, and members to promote effective utilization of resources. This collaboration includes timely communications with in and out of network hospitals, post-acute care facilities, other providers, and internal departments to authorize services, establish discharge plans, assist to coordinate effective, efficient transitions of care. * Coordinates referrals to Care Management, as appropriate. * Manages health care within the benefits structures per line of business and performs functions within compliance, contractual and accreditation regulations, e.g. Department of Defense, Centers for Medicaid and Medicare, NCQA, Employer contracts and state insurance regulations, as applicable. Maintains knowledge of applicable regulatory guidelines. * Completes all documentation of reviews and decisions, in appropriate systems, according to process/ compliance requirements and within timeliness standards. * Participates as a member of an interdisciplinary team in the Health Management Department * May be responsible for maintaining a caseload for concurrent cases/ assisting in caseload coverage for the team * Establishes and maintains strong professional relationships with community providers. * Acts as a liaison to ensure the member is receiving the appropriate level of care at the appropriate place and time * Mentors new staff as assigned. * Meets or exceeds department quality audit scores. * Meets or exceeds department productivity standards. * Assists in creation and updating of department policies and procedures. * Participates in quality initiatives, committees, work groups, projects, and process improvements that reinforce best practice medical management programming and offerings. * Participates in the review and analysis of population data and metrics to inform development of programs and improved health outcomes. * Demonstrates flexibility and agility in working in a fast-paced, team-oriented environment, able to multi-task from one case type to another. * Assumes extra duties as assigned based on business needs * Responsible for weekend coverage on a rotating basis. POSITION QUALIFICATION Education/Experience There are additional competencies linked to individual contributor, provider, and leadership roles. Please consult with your leader to discuss additional competencies that are relevant to your position. Education * Associate's degree in nursing * Bachelor's degree in nursing preferred Licensure/certification * Compact RN license Experience * 3+ years of clinical nursing experience as an RN, preferably in a hospital setting * 2+ years Utilization Management experience in a health plan UM department * Certification in managed care nursing or care management (CMCN or CCM) preferred * Coding/CPC preferred Knowledge * Demonstrates an understanding of and alignment with Martin's Point Values. * Maintains current licensure and practices within scope of license for current state of residence. * Maintains knowledge of Scope of Nursing Practice in states where licensed. * Thorough understanding of healthcare policies, insurance guidelines, and regulatory standards (e.g., Medicare, NCQA, TRICARE) * Familiarity with coding systems like ICD-10 and CPT preferred Skills * Proficiency in conducting prospective, concurrent, and retrospective reviews using standardized criteria and guidelines like MCG * Ability to review and interpret medical records, treatment plans, and clinical documentation, with a keen eye for detail and compliance with healthcare standards * Technically savvy and can navigate multiple systems and screens while working cases * Excellent interpersonal, verbal, and written communication skills. * Critical thinking: can identify root causes and understands coordination of medical and clinical information. * Computer proficiency in Microsoft Office products including Word, Excel, and Outlook. Abilities * Ability to analyze data metrics, outcomes, and trends. * Ability to prioritize time and tasks efficiently and effectively. * Ability to manage multiple demands. * Ability to function independently. This position is not eligible for immigration sponsorship. We are an equal opportunity/affirmative action employer. Martin's Point complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact ***************************** Do you have a question about careers at Martin's Point Health Care? Contact us at: *****************************
    $57k-67k yearly est. Auto-Apply 5d ago
  • Remote Triage Nurse (Full-Time)

    Diana Health

    Remote nurse case manager job

    Diana Health is a network of modern women's health practices working in partnership with hospitals to reimagine the maternity and women's healthcare experience. We are restructuring the traditional approach to care to create an experience that is good for patients and good for providers. We do that by combining a tech-enabled, wellness-focused care program that women love with a clinical system that helps us drive continuous quality improvement and ensure work-life balance for our care team. We work with clients across all life stages to empower and support them to live happier, healthier, more fulfilling lives. With strong collaborative care teams; passionate administrators and a significant investment in operational support, Diana Health providers are well-supported to bring their very best to the work they love. We are an interdisciplinary team joined together by our shared commitment to transform women's health. Come join us! Description We are looking for a full-time LPN passionate about all aspects of women's health to provide direct patient care as part of an interdisciplinary care team and to serve as the first line of communication with patients in our clinical phone and messaging triage during office hours. The ideal candidate thrives in a busy practice, loves women's health and building relationships with patients, is an excellent problem-solver and communicator, and is able to multi-task easily. Bilingual skills preferred with a preference for Spanish language, open to other languages. What you'll do Patient Care Act as the first line of call in clinical communications for patients, within guidelines/protocols Administer injections and medications Provide direct clinical care as needed for minor check in visits or lab draws Provide supporting paperwork and education for patients Support clinic visits as appropriate and per training when needed Administrative Support the everyday flow of clinic acting as back up support for MA Maintaining logs Cleaning of rooms as needed and sterilization of instruments Obtaining and transcribing patient medical records Additional workflow items as the need arises Qualifications Current certification as a Tennessee Licensed Practical Nurse 2+ years of experience in an outpatient preferred Excellent communication, interpersonal, and organizational skills Strong computer skills and familiarity with EMRs Lactation certification (IBCLC, CLC, CLE) preferred, but not required Bilingual, Spanish skills preferred Benefits Competitive compensation Health; dental & vision, with an HSA/FSA option 401(k) with employer match Paid time off Paid parental leave Diana Health Culture Having a growth mindset and striving for continuous learning and improvement Positive, can do / how can I help attitude Empathy for our team and our clients Taking ownership and driving to results Being scrappy and resourceful
    $52k-79k yearly est. Auto-Apply 34d ago
  • Formulary Strategy & Utilization Review Pharmacist

    Pharmacy Careers 4.3company rating

    Nurse case manager job in Washington, DC

    Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective DUR and prepare stakeholder reports. Qualifications: PharmD with managed care, DUR, or pharmacy benefit experience. Strong Excel/data analytics background preferred. Understanding of clinical guidelines and P&T processes. Why Join Us? Join a top-tier managed care team Hybrid flexibility Strategic and data-driven focus
    $72k-86k yearly est. 60d+ ago
  • Travel Transplant Nurse Coordinator - $2,208 per week

    Prime Staffing 4.4company rating

    Nurse case manager job in Washington, DC

    Prime Staffing is seeking a travel nurse RN Transplant for a travel nursing job in Washington, District of Columbia. Job Description & Requirements Specialty: Transplant Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours Employment Type: Travel About the Position Specialty: RN - Transplant Experience: 1-2 years of experience in transplant, surgical, or med/surg nursing preferred License: Active State or Compact RN License Certifications: BLS - AHA; ACLS preferred Must-Have: Knowledge of organ transplant procedures and post-op care; ability to educate and support transplant patients and their families Description: The Transplant RN provides specialized care to patients undergoing organ transplant procedures. Responsibilities include coordinating pre- and post-transplant care, monitoring for signs of rejection or infection, administering immunosuppressive medications, and collaborating with the transplant team for optimal outcomes. Requirements Required for Onboarding: Active RN License BLS ACLS(preferred) Prime Staffing Job ID #35445667. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Transplant,08:00:00-16:00:00 About Prime Staffing At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success. We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.
    $84k-102k yearly est. 3d ago
  • Bilingual Triage Nurse

    Firsthand Part Time Nurse Practitioner

    Remote nurse case manager job

    firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job-it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is primarily a day-shift role (8 hours/day, 8:30-4:30 PST or 8:30-4:30 PST), with occasional potential for nights or weekends. When not managing acute issues, Triage Nurses focus on care coordination, training, and related administrative tasks. Responsibilities of a Triage Nurse include: Triage and Escalation: Manage inbound clinical issues from firsthand staff and patients via phone; triage appropriately and escalate emergencies immediately. Collaboration: Work closely with peer mental health workers, social workers, and APPs to address acute issues comprehensively. Coordination: Coordinate care with patients' other providers to ensure seamless health management. Training: Develop and deliver training on basic medical topics for peer mental health workers and social workers Triage Nurses should have: Strong triage and prioritization skills, with the ability to rapidly assess and determine the appropriate level of care. Problem-solving expertise with a creative, patient-centered approach. Ability to provide condition-specific patient education and self-management guidance. Adaptability to varying team cultures and processes. Empathy, compassion, and approachability in patient and team interactions. Required experience includes: Active RN license through a Nurse Licensure Compact (NLC) state and willingness to obtain licensure in non-compact states. Bachelor of Science in Nursing (BSN). At least 3 (three) years of clinical care experience in an Emergency Department. Experience working with populations facing challenges such as behavioral health and/or substance use disorders. Care management and coordination experience. Bilingual in Spanish Bonus Points for: Certification in Psychiatric-Mental Health Nursing (PMH-BC) Washington state RN license Base salary range:$75,000-$75,000 USD We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you. Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture. Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time.
    $75k-75k yearly Auto-Apply 15d ago
  • Triage Nurse

    Tomorrow Hire

    Nurse case manager job in Rockville, MD

    Job Description Schedule: Monday-Friday, 8:00 AM - 4:30 PM Department: OB/GYN Practice Employment Type: Full-Time Salary: $45 to $50 per hour (based on experience and specialty background) Position Summary We are seeking an experienced and compassionate Triage Nurse to join our OB/GYN office in Rockville. This role is essential in supporting providers and patients by managing clinical phone triage, medication refills, and preparing new obstetric (OB) patient information prior to their first appointment. The ideal candidate is organized, detail-oriented, and comfortable working in a fast-paced women's health environment. Key Responsibilities Triage all incoming patient phone calls, assess symptoms, and provide appropriate clinical guidance within scope of practice Communicate patient concerns clearly and accurately to providers and clinical staff Process prescription refill requests in accordance with provider protocols and office policies Review first OB (new obstetric) patient records and intake forms Upload and organize new OB patient information into the electronic medical record (EMR) prior to the patient's first appointment Ensure all required documentation is complete and available for providers ahead of scheduled visits Provide patient education and follow-up instructions as directed by providers Maintain patient confidentiality and comply with HIPAA regulations Collaborate with physicians, midwives, medical assistants, and front office staff to ensure smooth clinic operations Requirements Minimum Qualifications Two years of relevant experience Active RN or LPN license in the state of Maryland Strong clinical assessment and critical-thinking skills Proficiency with electronic medical records (EMR) systems Excellent communication, organizational, and multitasking abilities Professional, compassionate demeanor with a patient-centered approach Commute: Ability to reliably commute to Rockville, MD Eligibility: Must be legally authorized to work in the United States without employer sponsorship, now or in the future. Preferred Qualifications Previous experience in OB/GYN, women's health, or clinical triage Bilingual (English/Spanish preferred). Benefits Salary Range $45 to $50 per hour (based on experience and specialty background) Benefits Competitive salary Health, dental, and vision insurance 401(k) with employer match Paid time off and paid sick leave Life and disability insurance Employee assistance program Continuing education and professional development opportunities $1,500 Continuing Medical Education (CME) allowance every two years Schedule Full-time, 8-hour shift Day shift, Monday - Friday (No nights, weekends, or major holidays) 8:00 AM - 4:30 PM Work Location In person at Rockville, MD 20850.
    $45-50 hourly 11d ago
  • Travel RN Long Term Care Manager - $2,663 per week

    Care Career 4.3company rating

    Nurse case manager job in Lanham, MD

    Care Career is seeking a travel nurse RN Long Term Care (LTC) Long Term Care for a travel nursing job in Lanham, Maryland. Job Description & Requirements Specialty: Long Term Care Discipline: RN 40 hours per week Shift: 8 hours, days Employment Type: Travel Long term care nurses specialize in the coordination of care of patients, performing nursing tasks particular to the elderly population, respond to changes in patient statues, and also provide mental and physical support to families and patients. Care Career Job ID #35499835. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN LTC About Care Career Care Career brings together a portfolio of leading healthcare staffing organizations, each delivering specialized talent solutions across the industry. Wherever you want to go, We Make It Happen. With travel nursing jobs across the country, you can discover the possibilities that create the lifestyle and financial position that you have dreamed of. Care Career is a modern, transparent staffing firm creating the ultimate community of US. Benefits Referral bonus Weekly pay Medical benefits Continuing Education Dental benefits Vision benefits
    $69k-90k yearly est. 3d ago
  • Travel Transplant Nurse Coordinator - $2,470 per week

    Lancesoft 4.5company rating

    Nurse case manager job in Washington, DC

    LanceSoft is seeking a travel nurse RN Transplant for a travel nursing job in Washington, District of Columbia. Job Description & Requirements Specialty: Transplant Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel SMALL BOWEL TRANSPLANT RN Shift: M-F 5 x 8 Days 0830-1700 Requirements: - DC RN Licensure *must have IN HAND at time of submittal* pending licensure will not be accepted - BLS - 2 years of experience: outpatient, clinic experience required; adult IV start; transplant experience highly preferred About LanceSoft Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Benefits Weekly pay Medical benefits
    $92k-117k yearly est. 3d ago
  • Remote Triage Nurse

    Medcor 4.7company rating

    Remote nurse case manager job

    Medcor is looking to hire a full-time Registered Nurse for our remote 24/7 Occupational Health triage call center! The hours for this position include 8-hour or 10-hour shifts between the hours of 12pm and 2am CST. Job Type: Full-time - 40 hours per week Salary: $28 per hour with additional shift differential pay available for evenings, nights & weekends. By joining our nursing team, you will be helping thousands of employers better manage their workplace injuries and improve the quality of healthcare for their employees. Nurses who are successful in this position must be able to talk on the phone for long periods while typing and navigating through various software applications simultaneously. Our nurses must be able to visualize an injury while on the phone and clarify details about the injury while following our propriety algorithms to guide the triage of the injured worker. Training: Training for this role will last 5-6 weeks, with 2.5 weeks of classroom instruction and 2.5 weeks of precepting. These first 5-6 weeks of training are held Monday through Friday, from 8a-4p CST. The training schedule is non-negotiable, and all training must be successfully completed within the 6-week time frame. Following training, you will transition to your permanent schedule between the hours of 12p and 2a CST with an every-other-weekend requirement and holiday rotation. Changes to the permanent schedule are not allowed within the first 12 months of employment. A typical day in the life of a Medcor Triage RN: Manage a rapid flow of incoming telephone calls from Medcor customers in a call center environment Document each call efficiently and accurately Monitor and track individual as well as call center goals, productivity metrics, and statistics Reflect all shift activities using the phone system and be responsible for personal schedule adherence Provide superior customer service to Medcor s clients and employees Complete accurate assessment of symptoms and/or concerns utilizing Medcor s Triage Algorithms Follow HIPAA Compliance Policies You Must Be bilingual, fluent in both the English and Spanish language Have a valid RN license and current BLS (CPR) certification Be able to handle a high volume of consecutive calls Have strong technological skills as well as a typing speed of at least 30 WPM Work a major U.S. holiday rotation Work every other weekend Have effective written, verbal, and interpersonal communication skills. Ability to read, analyze, and interpret triage tools and information along with care instructions to injured employees and their managers. Be able to talk and/or hear. You are required to sit and use your hands. Specific vision abilities required by this job include close vision for computers and written work with the ability to adjust focus Be able to work on a computer for long periods Have a private space in your home with 4 walls and a door for patient privacy Have access to high-speed internet (no satellite) within your primary residence Be able to receive and apply feedback It's a Plus If You have call center experience You have occupational health experience At Medcor, we re passionate about caring for our advocates as much as you are passionate about caring for your patients! Join our team and receive the support you need to be successful in your practice and to focus on your patients. In addition to a collaborative work environment, we offer great pay and benefits and emphasize your wellness. Here s why people love working for Medcor: Stability! We ve been around since 1984. Potential for retention and performance incentives Opportunities galore! Medcor has a lot more to offer than just this job. There are opportunities to move vertically, horizontally, and geographically. Annually, 20% of our openings are filled by internal employees. The fact is, opportunity exists here! Training! We believe in it and we ll train and support you to be the best you can be. We feel we offer more training than most other companies. We have an open-door policy. Do you have something to say? Speak your mind! We encourage it and we look forward to how you can help our organization. Benefits We don t just advocate for our clients and our patients; we also advocate for ourselves. Our benefits include paid time off, health and dental insurance, 401K with match, education reimbursement, and more. To learn more about Medcor s Culture click here . Medcor Philosophy Medcor embraces a set of simple, interconnected practices that everyone can tailor to their own life and work. To preserve our pioneering, entrepreneurial spirit, we impart our values through the ongoing Better@Medcor campaign: encouraging our advocates to make a conscious choice to practice our values, to celebrate and recognize each other via our peer recognition program, and to support one another during tough times. Medcor is a tobacco-free and smoke-free workplace! EOE/M/F/Vet/Disability We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
    $28 hourly 40d ago

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