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Registered nurse case manager jobs in Spring, TX

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  • Travel Med Surg RN

    Titan Medical Group 4.0company rating

    Registered nurse case manager job in Conroe, TX

    “WHEN YOU WORK FOR US, WE WORK FOR YOU.”Travel Med Surg RN Weekly Gross Pay: $1416.00 - $1616.00 Assignment length: 13 Weeks Minimum years of relevant experience in healthcare: 2 years Job type: Traveler Shift: Night (3x12) Certifications: BCLS/BLS Position Highlights 13-week travel contract Competitive weekly pay package Work with an experienced clinical and recruiting team Quick start options available (inquire for details) Titan Medical is looking for travelers to fill a Travel Med Surg position for a 13 week assignment in Conroe, TX! Call Titan for additional details. ************** Benefits Day-one medical, dental & vision insurance Loyalty bonus after 2,080 hours Life and short-term disability 401(k) with employer match Referral bonus up to $1,500 24/7 recruiter support Licensure and CEU reimbursement Experienced clinical team available to support you throughout your assignment Titan Medical App available on the Apple Store & Google Play Why Travel with Titan Medical Titan Medical provides access to thousands of travel nursing and allied health jobs nationwide. Your dedicated recruiter will help you: Build a strong traveler profile by improving your résumé and showcasing your skills Increase your chances of landing the assignment you want Travel with a top healthcare staffing company in the industry Ready to apply or want more information? Call ************** to connect with Titan Medical today!
    $1.4k-1.6k weekly 19h ago
  • Travel Cath Lab RN

    Fusion Medical Staffing 4.3company rating

    Registered nurse case manager job in Pearland, TX

    Company: Fusion Medical Staffing Job Details Fusion Medical Staffing is seeking a skilled Cardiac Cath Lab RN for a 13-week travel assignment in Pearland, Texas. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team. Required Qualifications: One year's recent experience as a Cath Lab RN Valid RN license in compliance with state regulations Current BLS (AHA/ ARC) Certification Current ACLS Certification Preferred Qualifications: PALS or ENPC Certifications RCIS certification Other certifications and licenses may be required for this position Summary: The Travel Cath Lab RN provides specialized care for patients undergoing cardiac catheterization and interventional treatments. The RN prepares patients for procedures, assists during interventions, and monitors immediate post-procedure recovery. Working closely with cardiologists and cath lab teams, this role requires advanced cardiac care skills, cardiac catheterization skills, strong communication, and the ability to adapt quickly while maintaining strict safety and regulatory standards. Essential Work Functions: Conduct assessment of patients prior to procedures, including reviewing medical history and performing physical exams Assist in positioning patients correctly for the procedure and ensure EKG electrodes and cardiac leads are properly placed Assist physicians during procedures, including the placement of catheters, wires, balloons, stents, structural heart devices, and other cardiac interventions Operate and monitor hemodynamic equipment, recognizing and responding to changes in cardiac rhythms and hemodynamic waveforms Assist in arterial and/or venous sheath removal using closure devices, manual pressure, or mechanical compression, and transport patients to the appropriate recovery area Monitor vital signs, ECG, and hemodynamic parameters during cardiac catheterization and interventional procedure Support post-procedure care, including monitoring patient recovery and ensuring a smooth transition to the next phase of care Maintain and troubleshoot cath lab equipment, ensuring everything is functioning properly and fully stocked for procedures Communicate effectively with team members, patients, families, and physicians to provide seamless care Adhere to hospital safety protocols, infection control guidelines, and regulatory standards Perform other duties as assigned within the scope of practice Required Essential Skills: Critical thinking, service excellence, and good interpersonal communication skills The ability to read, write, and communicate in the English language Ability to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skills Physical Abilities - Must be able to remain in a stationary position, move about, move equipment (50-100lbs), push, pull, and bend Interpersonal Skills - Must be able to work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalism Technical/Motor Skills - Must have the ability to grasp, perform fine manipulation, push/pull, and move about when assisting with procedures and/or using department equipment Mental Requirements - Must be able to cope with frequent contact with the general public and customers while meeting deadlines under pressure. Must be able to work under close supervision occasionally, as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detail Sensory - Must possess visual acuity and ability to effectively communicate Benefits Include: Highly competitive pay for travel professionals Comprehensive medical, dental, and vision insurance with first day coverage Paid Time Off (PTO) after 1560 hours Life and Short-term disability offered 401(k) matching Aggressive Refer-a-friend Bonus Program 24/7 recruiter support Reimbursement for licensure and CEUs Why Choose Fusion? At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you - that's why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we're here to guide and celebrate you along your journey. You take care of others; we take care of you. Other Duties Disclaimer: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties, or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice. Start your rewarding career as a Travel Cath Lab RN with Fusion Medical Staffing and join our mission to improve lives. Apply now! *Fusion is an EOE/E-Verify Employer #pb10
    $55k-108k yearly est. 2d ago
  • Nurse-RN

    Angels Care Home Health 3.8company rating

    Registered nurse case manager job in Spring, TX

    Registered Nurse (RN) Angels Care Home Health Why choose Angels Care Home Health? Angels Care Home Health is different. Our nurses are not just another 'employee number' to us. We strive to be an industry leader and a destination for nurses who are looking for a long-term career with a company that supports them and their professional goals. With over 80 locations & growing, we are always looking for quality nurses to join our team. Angels Care Home Health is Nationally Recognized as a 'Great Place to Work'! What we offer: Highly Competitive Salary + Vehicle Allowance Generous Paid Time Off The flexibility of our PTO plan allows you to set your own priorities & use it for any number of events in your life. Extensive Training We encourage you to continue your professional development. Angels Care offers access to CEU portals at zero cost to you. Full Health, Dental, & Vision Benefits (Available 1 st Month) We offer comprehensive & competitive medical and dental benefits. There are multiple options for you to choose from so you can select a plan that works best for you. Company-Matched 401(k) We care about your financial well-being and help contribute & plan for your future retirement goals. Career Advancement Angels Care has an 'Internal Promotion' first mentality. We want you to grow your career with us! About the position: The Registered Nurse (RN) Case Manager coordinates all aspects of the patient's home care. You will interact with other medical disciplines as needed & provide professional care to the patient. You will also perform the admission visit to the patient in the home & determine the patient's eligibility for home care services & develop the plan of care to be followed. Qualifications: Graduate of an accredited diploma, Associate or Baccalaureate School of Nursing. Current state license as a Registered Nurse. Current state Driver's License. One-year experience as a Registered Nurse, two preferred. Proof of current CPR and Hepatitis consent/declination. Reliable transportation with valid and current auto liability insurance. We are 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 veteran status.
    $60k-101k yearly est. 15d ago
  • Homecare Registered Nurse

    Care Options for Kids 4.1company rating

    Registered nurse case manager job in Houston, TX

    About the Role High Acuity 4yr old male pediatric patient with G-tube, Trach, and Vent; Monday- Friday nights, 7p-7a; Case specific pay rate: $40-50(depending on experience) At Care Options for Kids, a pediatric home health care company providing one-on-one care in the home, 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. 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. Benefits for Registered Nurses (RNs) Paid Time Off (PTO) and flexible schedule Medical, dental, and vision coverage 401(k) retirement plan Weekly pay and direct deposit Employee events Numerous Top Workplace awards 24/7 on-call for support Training opportunities Up to $2,500 Sign on bonus for qualified cases* Nurse Referral Bonus Competitive pay Responsibilities for Registered Nurses (RNs) Medication administration per physician orders Physician ordered treatments for: Nutrition via a feeding tube Tracheostomy care Suctioningnasal, oral and/or endotracheal Ventilation care Seizure assessment and treatment Requirements for Registered Nurses (RNs) Current, active Texas RNlicense Current BLS CPR card (obtained in-person, not online) 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. *Bonus for eligible cases only. The eligible employee will receive $500 for every 250 billable hours worked up to $2,500. Eligible employees must complete the pre-onboarding process within 10 days of submission of the initial application. Valid for first-time employees only and on completion of all required documents. Parents and/or Guardians of a Care Options for Kids clients or a potential Care Options for Kids clients are not eligible to receive a bonus. Not to be combined with any other Care Options for Kids offers. Talk with your dedicated recruiter for more information. #APPNUHOU #RDNUHOU Salary: $34.00 - $50.00 / hour
    $40-50 hourly 15h ago
  • RN Shift Supervisor (RN) - PCU

    Resolute Health Hospital

    Registered nurse case manager job in Houston, TX

    Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters! At Resolute Health Hospital, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include: Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match Generous paid time off Career development and continuing education opportunities Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance Note: Eligibility for benefits may vary by location and is determined by employment status ESSENTIAL / PRIMARY DUTIES General Management: Supports established goals and objectives that support overall strategic plans of the facility/Baptist Health System Monitors the annual department operating and capital budgets Supervises daily operations of assigned department/s Supervises performance of staff Demonstrates objectivity in decision making, utilizing facts to support decisions Supports the mission statement, policies and procedures of the Baptist Health System Participates in eliminating boundaries to achieve integrated, efficient and quality service Achieves ongoing compliance with all regulatory agencies Serves as a resource to employees and customers as demonstrated by visibility and knowledge of issues Demonstrates flexibility in response to change Anticipates and responds to problems and risks Communicates effectively with all levels in the organization and with internal and external customers People Management: Assists in selection of personnel for hire and promotion; takes appropriate actions regarding counseling, disciplinary actions, demotion and termination Supervises, supports and coaches direct reports Responds proactively to employee needs and concerns Assists with development of “experts” and “expertise” throughout the department and seeks employee input Facilitates consensus among divergent groups Minimizes staff turnover Conveys employees' strengths and accomplishments Assists in evaluating assigned staff performance and competency, providing direct feedback Supports competency plans Department/Business Unit Management: Coordinates and directs the patient care operations of the unit on a shift basis. Provides clinical supervision of patient care and assures the consistent implementation of quality, patient safety and regulatory standards and requirements. Functions as the unit patient flow coordinator, facilitating discharges, admissions and transfers. This includes assuming a direct patient assignment as needed to prevent patients holding in other departments. Expedites proactive and anticipatory triaging of patients to include active communication with House Officer/Bed Control/Admitting and transferring departments (including assuring timely computer entry of transaction by staff). Assesses staff competencies, workload and skill requirements to make optimal patient care assignments and coordinates staffing for the current and next shift with departmental/hospital leaders. Provides supervisory input into departmental staff evaluations and performance reviews. Promotes positive working relationships within the unit and between departments and with all customers, recognizing that effective interaction with the interdisciplinary team is necessary for optimal patient care. Maintains clear communication with the unit Coordinator/Manager/Director regarding unit needs and or incidents. Initiates service recovery and immediate solutions as needed. Role models professional growth and development through participation in inservices/educational programs and reviews current literature. Participates in ongoing shared governance activities and provides leadership for the implementation of initiatives recommended by the councils, including performance improvement activities. Contributes to planning the unit budget and directs shift activity to assure compliance with budgetary guidelines (cost / unit of service or hours per patient day productivity standards). Role models RN direct care responsibilities, including planning, providing and documenting individual goal directed patient /family focused nursing care using evidence-based practices. Practice autonomously, consistent with practice standards and research-based policies and procedures. Assures department commitment to Performance Improvements and leads by example Serves as a role model for service excellence and commits to Studer Principles and “must haves” Utilizes resources efficiently and effectively Maintains safe environment Addresses patient population-specific needs Participates in Performance Improvement activities This position may qualify for a sign-on bonus Full Time Days Summary This position is part of the departmental leadership team that provides clinical supervision on a shift basis including: coordination and assignment of patient care; functions as a unit patient flow coordinator, facilitating admissions, discharges and transfers; coordinates unit staffing for next shift with the Director/Clinical Manager, Coordinator and/or House Officer; serves as a clinical and leadership resource and role model for the staff; provides supervisory input into department staff evaluations and performance reviews. Completes established competencies for the position within designated introductory period. Other related duties as assigned. Education: MINIMUM EDUCATION: Graduate of accredited school of nursing PREFERRED EDUCATION: Bachelors or Masters Degree in Nursing or advanced degree in a related field Experience: MINIMUM EXPERIENCE: 1 year in an equivalent unit PREFERRED EXPERIENCE: 4 years in an equivalent unit Certifications: REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State License for Registered Nurse PREFERRED CERTIFICATIONS/LICENSURE: National Specialty Certification REQUIRED COURSES/ COMPLETIONS (e.g., CPR):  Must have active healthcare provider Basic Life Support on hire (ARC or AHA); however, must have AHA Healthcare Provider BLS within 60 days of hire.  ACLS/TNCC, PALS, NRP, S.T.A.B.L.E., Fetal Monitoring, and Non-Violent Crisis Intervention are required depending on department hired. *See applicable STAFF RN job description for requirements and grace periods.  ENPC preferred in the Emergency Department. #LI-AP1 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. ********** Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
    $57k-79k yearly est. Auto-Apply 10d ago
  • Registered Nurse II (RN) - NICU

    North Central Baptist Hospitals 4.4company rating

    Registered nurse case manager job in Houston, TX

    Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters! At North Central Baptist Hospitals, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include: Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match Generous paid time off Career development and continuing education opportunities Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance Note: Eligibility for benefits may vary by location and is determined by employment status This position may qualify for a sign-on bonus Position Summary Under minimal supervision, provides nursing care for a group of patients assigned to the nurse based on matching the patients' needs with the nurse' competencies. Completes established competencies for the position within designated introductory period. Other related duties as assigned. MINIMUM EDUCATION: Graduate of accredited school of nursing. PREFERRED EDUCATION: Bachelors Degree MINIMUM EXPERIENCE: None PREFERRED EXPERIENCE: Two years in acute care. Previous clinical nursing experience in med/surg, telemetry or ICU REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State License for Registered Nurse PREFERRED CERTIFICATIONS/LICENSURE: REQUIRED COURSES/COMPLETIONS (e.g., CPR): Must have active healthcare provider Basic Life Support on hire (ARC or AHA); however, must have AHA Healthcare Provider BLS within 60 days of hire. AHA ACLS must be completed within 60 days of hire or transfer into role (ADULT CRITICAL CARE, TELEMETRY, INTERIM CRITICAL CARE UNITS). *Should be completed before the end of the orientation period AHA PALS must be completed within 60 days of hire or transfer into role (PEDI ICU) *Should be completed before the end of the orientation period AHA NRP must be completed within 60 days of hire or transfer into role (NICU). S.T.A.B.L.E. for NICU- Level 2 Nursery-Must provide proof of prior completion or obtain within 6 months of hire or transfer date into unit (Renewal is not required). Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. ********** Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
    $59k-77k yearly est. Auto-Apply 1d ago
  • Registered Nurse (RN) - Long Term Acute Care (LTAC)

    Accountable Healthcare Staffing 4.7company rating

    Registered nurse case manager job in Conroe, TX

    Accountable Healthcare Staffing has an immediate opening for a Long Term Acute Care Nurse in Conroe, TX. This assignment is for per diem shifts, and requires three 12-hour day or night shifts. Applicants should have at least 2 years of LTAC and Tele experience in a Hospital setting, a valid RN license, ACLS and BLS certification. We can help you achieve your career goals by connecting you to our diverse healthcare clients close to home or in desirable locations throughout the United States. Choose to serve patients in major medical centers, community-based hospitals, outpatient clinics, sub-acute care & rehab hospitals, correctional and long-term care facilities, and more. Our team members will match you with the facility that corresponds to your personal and professional goals. Accountable Benefits include Medical, Dental, Voluntary Vision, Life and ADD, Critical Illness, Hospital Indemnity, Flexible Spending, Legal Services, Voluntary Accident Insurance, Pet Insurance, Short Term Disability Insurance and Matching 401K EEO/Minority/Female/Individuals with Disabilities/Sexual Orientation/Gender Identity/Veteran Yep, we're Accountable! Quick Apply in seconds
    $68k-121k yearly est. 1d ago
  • RN Registered Nurse

    Garden Terrace Alzheimer's Center of Excellence (Houston 3.7company rating

    Registered nurse case manager job in Houston, TX

    Come and grow with us! We are affiliated with Life Care Centers of America, which is a privately owned 47-year industry leader in healthcare with more than 200 locations across the U.S. We are currently seeking a qualified Registered Nurse to add to our team of professionals. We believe that every job in our company plays a vital role in our continued growth and commitment to provide quality patient care. We believe in providing our associates with opportunities to help them reach their maximum potential through working with strong multidisciplinary teams. We invites you to come and join our growing team. As an important member of our interdisciplinary team, the RN delivers quality nursing care to patients through interpersonal contact and provides care and services to allow patients to attain or maintain the highest practicable physical, mental, and psychosocial well-being in accordance with all applicable laws, regulations, and Life Care standards. Your role includes evaluating patient needs through ongoing assessment and revise care plans based on changes in the patient's condition. On a daily basis you must be able to provide clinical supervision to C N As and LPNs. Education, Experience, and Licensure Requirements Nursing diploma (associate's or bachelor's degree in nursing) Currently licensed/registered in applicable State. Must maintain an active Registered Nurse (RN) license in good standing throughout employment. One (1) year skilled nursing experience preferred CPR certification upon hire or obtain during orientation. CPR certification must remain current during employment. Specific Job Requirements Implement and interpret the programs, goals, objectives, policies, and procedures of the department Exhibit excellent customer service and a positive attitude towards patients Concentrate and use reasoning skills and good judgment Communicate and function productively on an interdisciplinary team An Equal Opportunity Employer
    $53k-105k yearly est. 8h ago
  • RN Lead

    Christus Health 4.6company rating

    Registered nurse case manager job in Houston, TX

    Description Summary: The Registered Nurse (RN) is responsible for rendering professional nursing care across the wellness-illness continuum for the comfort and well-being of healthy retired Sisters and those Sisters in the acute, chronic, and terminal phases of illness. The RN is expected to utilize knowledge of infection control, safety, body mechanics, effective communication skills, interpersonal skills, and age-related differences when providing or delegating care. Requirements: Associate degree required, bachelor's degree preferred Graduate from an accredited school of nursing Communication skills - both verbal and written Ability to understand medical records, physician orders and nursing care plans Ability to communicate effectively with Sisters, staff and other health care professionals. Minimum of one year previous gerontology experience preferred Previous supervisory experience preferred Knowledge of psychotropic drugs in current use and drugs commonly used in geriatric practice Current RN permits or licensure issued by the Board of Nurse Examiners in the State of Texas to practice nursing. Work Type: Full Time
    $55k-98k yearly est. 5d ago
  • Telephonic Nurse Case Manager II

    Carebridge 3.8company rating

    Registered nurse case manager job in Houston, TX

    Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. 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. Hours: Monday - Friday 9:00am to 5:30pm EST and 1 late evening 11:30am to 8:00pm EST. * This position will service members in different states; therefore, Multi-State Licensure will be required. This position requires an on-line pre-employment skills assessment. The assessment is free of charge and can be taken from any PC with Internet access. Candidates who meet the minimum requirements will be contacted via email with instructions. In order to move forward in the process, you must complete the assessment within 48 hours of receipt and meet the criteria. The Telephonic Nurse Case Manager II is 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. 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 required. * Multi-state licensure is required if this individual is providing services in multiple states. Preferred Capabilities, Skills and Experiences: * Case Management experience. * Certification as a Case Manager. * Minimum 2 years' experience in acute care setting. * Managed Care experience. * Ability to talk and type at the same time. * Demonstrate critical thinking skills when interacting with members. * Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly. * Ability to manage, review and respond to emails/instant messages in a timely fashion. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $76,944 to $126.408. Locations: Colorado; New York; New Jersey 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.
    $76.9k-126.4k yearly Auto-Apply 60d+ ago
  • Telephonic Nurse Case Manager II

    Elevance Health

    Registered nurse case manager job in Houston, TX

    Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. 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. Hours: Monday - Friday 9:00am to 5:30pm EST and 1 late evening 11:30am to 8:00pm EST. * This position will service members in different states; therefore Multi-State Licensure will be required. The Telephonic Nurse Case Manager II is 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. 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. * Multi-state licensure is required if this individual is providing services in multiple states. Preferred Capabilities, Skills and Experiences: * Certification as a Case Manager. * Ability to talk and type at the same time. * Demonstrate critical thinking skills when interacting with members. * Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly. * Ability to manage, review and respond to emails/instant messages in a timely fashion. * Minimum 2 years' experience in acute care setting. * Minimum 2 years "telephonic" Case Management experience with a Managed Care Company. * Managed Care experience. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $76,944 to $126,408. Locations: Colorado; New York; New Jersey 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.
    $76.9k-126.4k yearly 10d ago
  • Acute, Nurse Case Manager

    Chenmed

    Registered nurse case manager job in Houston, TX

    We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing quality of care across the continuum of care. The incumbent in this role will first and foremost serve as an advocate for our patients. He/She works closely with other members of the care team to develop effective plans of care and high levels of care coordination. This care planning and coordination may follow the patient from our centers into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with patients' families and care givers, primary care physicians, specialists, other care providers, social workers, other case managers and nurses, acute and post-acute facilities, home health care companies, and health plans. He/She adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures. CORE JOB DUTIES/RESPONSIBILITIES: * Manages and plans for transitions of care, discharge and post discharge follow-up for patients admitted to key, high-volume/high-priority hospitals. * Establishes a trusting relationship with patients and their caregivers. * Collaborates with clinical staff in the development and execution of the plan of care and achievement of goals. Reports variations to PCP/Transitional Care Physicians (TCP) and implements actions as appropriate. * Builds relationships with preferred acute care providers (hospitalists, specialists, etc.). * Directs referrals to preferred providers. * Coordinates the integration of social services/case management functions in the pre-acute, ER, acute and post-acute setting. Coordinates the patient care, discharge and home planning processes with hospital case management departments, and other healthcare facilities. * In conjunction with the PCP, Hospitalist, Medical Director, insurance case manager and the hospital case manager, coordinates the patient transition to the appropriate/least constrictive level of care using a preferred provider. * Keeps the PCP aware of patient(s) condition via e-mail, DASH, HITS or other appropriate means of communication. * Introduces self to patient/family and explains Nurse Case Manager's role and processes to contact the Nurse Case Manager for questions, guidance and education. * Provides high intensity engagement with patient and family. * Facilitates patient/family conferences to review treatment goals and optimize resource utilization; provides family education and identifies post-hospital needs. * Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient/family's ability to make informed decisions. * Addresses advanced care planning including treatment goals and advance directives. * Refers cases to social worker (Hospital and ChenMed/JenCare/Dedicated) for complex psychosocial and economic needs. * Refers cases where patient and/or family would benefit from counseling required to complete complex discharge plan to social worker. * Reports observed or suspected child or adult abuse pursuant to mandated requirements. * Obtains onsite and EMR access at priority facilities. * Maintains clinical and progress notes for each patient receiving care and provides progress report to PCP and others as appropriate. * Submits required documentation in a timely manner and in appropriate computer system. * Participates in surveys, studies and special projects as assigned. * Conducts concurrent medical record review using specific indicators and criteria as approved by medical staff. Acts as patient advocate: investigates and reports adverse occurrences, and performs staff education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery. * Promotes effective and efficient utilization of clinical resources and mobilizes resources to assist in achieving desired clinical outcomes within specific timeframe. * Conducts review for appropriate utilization of services from admission through discharge. Evaluates patient satisfaction and quality of care provided. * Communicates with physicians at regular intervals throughout hospitalization and develops an effective working relationship. Assists physicians to maintain appropriate cost, case and desired patient outcomes. * Coordinates the provision of social services to patients, families and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from healthcare services. * Completes expanded assessment of patients and family needs at time of admission. Completes psychosocial assessment. * Directs and participates in the development and implementation of patient care policies and protocols to provide advice and guidance in handling unusual cases or patient needs. * Attends meetings as assigned * Performs other duties as assigned and modified at manager's discretion. There are 4 Nurse Case Manager 1 Roles with additional Essential Job Functions: Acute Case Manager (primarily hospital based) Responsibilities include all the above "Core" duties/responsibilities plus the following: * Identify appropriateness of inpatient vs. observation status. * Identify and manage safety risk (complete a social assessment), identify functional status (ADLs and PT needs), discuss medications and self-management, identify and correct knowledge deficits. * Implement the ACM Coaching program with the appropriate patient population. * In markets as appropriate, when patient in SNF, in conjunction with the post-acute physician, coordinate the transition to a lower level of care as soon as appropriate using a preferred provider if further services are needed. * Facilitate discharge to appropriate level of care and preferred providers * Communicate discharge to all stakeholders including PCP, Center Manager and Community Case Manager. * Document the appropriate date that the patient is medically discharged and update as appropriate. * Contact the center manager to arrange for a follow-up PCP appointment prior to discharge and whenever possible, communicate this information to the patient/caregiver. * As appropriate, discuss patients' eligibility for CCM or DM programs and identify patient interest in participation. * Coordinate acute UR physician meetings. Community Case Manager (primarily clinic and community based) Responsibilities include all the above "Core" duties/responsibilities plus the following: * Provides telephonic or outpatient visits to patients at high-risk for readmissions (as identified by CM Plan) to the ER or hospital, to patients with active care planning requirements, to disease management patients per the Disease Management Plan and to others as referred via transitional care team, acute case managers and Transitional Care team. * Visits may include evening and weekend hours with the goal of preventing ER visits or hospital admissions. * Performs clinical functions including disease-oriented assessment and monitoring, medication monitoring, health education and self-care instructions in the outpatient setting. Coordinate the Plan of Care: * Conducts/coordinates initial case management assessment of patients to determine outpatient needs. * Ensures individual plan of care reflects patient needs and services available. * Makes recommendations to the team. * Completes individual plan of care with patients and team members. * Communicates instructions and methodologies as appropriate to ensure that the plan is implemented correctly. * Assesses the environment of care, e.g., safety and security. * Assesses the caregiver capacity and willingness to provide care. * Assesses patient and caregiver educational needs. * Coordinates, reports, documents and follows-up on Super Huddles and HPP/IDT meetings. * Helps patients navigate health care systems, connecting them with community resources; orchestrates multiple facets of health care delivery and assists with administrative and logistical tasks. * Coordinates the delivery of services to effectively address patient needs. * Facilitates and coaches patients in using natural supports and mainstream community resources to address supportive needs. * Maintains ongoing communication with families, community providers and others as needed to promote the health and well-being of patients. * Establishes a supportive and motivational relationship with patients that support patient self-management * Monitors the quality, frequency and appropriateness of HHA visits and other outpatient services. * Assists patient and family with access to community/financial resources and refer cases to social worker as appropriate. Community/Skilled Nursing Facility Case Manager (Community Case Manager Role with additional SNF duties as assigned) Responsibilities include all the above "Core" duties/responsibilities plus the following: * Community Case Manager role as above. * CM telephonic or onsite visits to SNFs, communication with physical therapists (PT), social workers, patient and families as appropriate. * Validates appropriate level of care/LOS. * Validates Discharge plan for safe transition home, utilization of preferred providers or timely transition to long term care. * Reminds patient of need for 4-day PCP post hospital/SNF discharge visit and future visits. * Collaborates with payor onsite SNF CMs. Transitional Case Manager (Blended Acute and Community Case Manager Roles) Responsibilities include all the above "Core" duties/responsibilities plus the following: * Acute and Community Case Manager roles as above. KNOWLEDGE, SKILLS AND ABILITIES: * Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community. * Critical thinking skills required. * Ability to work autonomously is required. * Ability to monitor, assess and record patients' progress and adjust and plan accordingly. * Ability to plan, implement and evaluate individual patient care plans. * Knowledge of nursing and case management theory and practice. * Knowledge of patient care charts and patient histories. * Knowledge of clinical and social services documentation procedures and standards. * Knowledge of community health services and social services support agencies and networks. * Organizing and coordinating skills. * Ability to communicate technical information to non-technical personnel. * Proficient in Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software. * Ability and willingness to travel locally, regionally and nationwide up to 10% of the time. * Spoken and written fluency in English. * Bilingual preferred. PAY RANGE: $35.8 - $51.17 Hourly EMPLOYEE BENEFITS ****************************************************** We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day. Current Employee apply HERE Current Contingent Worker please see job aid HERE to apply #LI-Onsite
    $35.8-51.2 hourly 12d ago
  • Fertility Nurse Case Manager

    Center of Reproductive Medicine, LLP

    Registered nurse case manager job in Spring, TX

    Enjoy what you do while contributing to a company that makes a difference in people's lives. Shady Grove Fertility, one of the premier fertility centers in the United States, continually seeks experienced, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice. The work we do, building families, offers stimulation, challenge, and personal reward. If you're a Registered Nurse looking for a new opportunity to work in a fast-paced, professional environment where your talent contributes to changing people's lives, then we want to talk to you. This position requires collaborating with physicians, other medical providers, and patients by providing nurse case management services for fertility treatments. We are seeking a full-time Fertility Nurse Case Manager to join our office in Spring Woodlands TX, Monday - Friday 7:30-4pm. Sat and Sun rotation every 4-5 weeks and rotating holidays at Clear Lake, TX office. How You'll Contribute: Assisting with the coordination, case management, and treatment of our fertility patients Providing patient/couple counseling Teaching about procedures and how to administer injections Scheduling treatment after initial and follow up visits Coordinating patient treatment plans in conjunction with established clinical protocols Establishing a compassionate environment by providing emotional and psychological support to patients and patients' families Required to work occasional weekends and holidays Skills & Qualifications: IVF/fertility experience and background in women's health a plus; training will be provided Valid RN license Experience working with electronic medical records a must High level of customer service essential and must be a self-starter A minimum of 1 year of experience in a clinical RN position More important than the best skills, however, is the right person. Employees who embrace our mission, vision, and core values are highly successful. What We Offer: We are proud to provide a comprehensive and competitive benefits package tailored to support the needs of our team members across all employment types: Full-Time Employees (30+ hours/week): Medical, dental, and vision insurance 401(k) with company match Tuition assistance Performance-based bonus opportunities Generous paid time off and paid holidays Part-Time Employees: 401(k) with company match Performance-based bonus opportunities Per Diem Employees: 401(k) with company match To learn more about our company and culture, visit here. How To Get Started: To have your resume reviewed by someone on our Talent Acquisition team, click on the “Apply” button. Or if you happen to know of someone who might be interested in this position, please feel free to share the job description by clicking on an option under “Share This Job” at the top of the screen.
    $52k-77k yearly est. 19d ago
  • Conroe (College Station) - RN

    Angels Care Home Health 3.8company rating

    Registered nurse case manager job in Houston, TX

    The RN Case Manager coordinates all aspects of the patient's home care. You will interact with other medical disciplines as needed & provide professional care to the patient. Performs the admission visit to the patient in the home. Determines patient's eligibility for home care services and develops the plan of care to be followed. Completes all paperwork necessary for Agency policies and federal/state laws. Qualifications: Graduate of an accredited diploma, Associate or Baccalaureate School of Nursing. Current state license as a Registered Nurse, Current state Driver's License. One-year experience as a Registered Nurse, two preferred. Proof of current CPR and Hepatitis consent/declination. Reliable transportation with valid and current auto liability insurance. Functions: Case manages and provides clinical directions to the interdisciplinary team, physician, and family. Implement/develop/document the plan of care. Provide care utilizing infection control measures that protect both the staff and the patient (OSHA). Assess home health patients to identify the physical, psycho social and environmental needs as evidenced by documentation, clinical record, case conference, team report and evaluations. Assure continuity of quality patience care delivered with appropriate documentation. Monitor assigned cases to ensure compliance with requirements of third party payer. Promote Agency philosophy and administrative policies. Perform on-call responsibilities and provide on-call service to patients/families as assigned. Supervise and provide direction to the home health aide and LVN/LPN. Demonstrate commitment, professional growth, and competency.
    $60k-101k yearly est. 15d ago
  • RN Registered Nurse (Pediatric)

    Care Options for Kids 4.1company rating

    Registered nurse case manager job in Spring, TX

    About the Role At Care Options for Kids, a pediatric home health care company providing one-on-one care in the home, 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. 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. Benefits for Registered Nurses (RNs) Paid Time Off (PTO) and flexible schedule Medical, dental, and vision coverage 401(k) retirement plan Weekly pay and direct deposit Employee events Numerous Top Workplace awards 24/7 on-call for support Training opportunities Sign on bonus for qualified cases* Nurse Referral Bonus Competitive pay Responsibilities for Registered Nurses (RNs) Medication administration per physician orders Physician ordered treatments for: Nutrition via a feeding tube Tracheostomy care Suctioningnasal, oral and/or endotracheal Ventilation care Seizure assessment and treatment Requirements for Registered Nurses (RNs) Current, active Texas RN or LVN license Current BLS CPR card (obtained in-person, not online) 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. *Bonus for eligible cases only. The eligible employee will receive $500 for every 250 billable hours worked up to $2,500. Eligible employees must complete the pre-onboarding process within 10 days of submission of the initial application. Valid for first-time employees only and on completion of all required documents. Parents and/or Guardians of a Care Options for Kids clients or a potential Care Options for Kids clients are not eligible to receive a bonus. Not to be combined with any other Care Options for Kids offers. Talk with your dedicated recruiter for more information. #APPNUHOU #RDNUHOU Salary: $62400.00 - $76960.00 / year
    $62.4k-77k yearly 15h ago
  • Telephonic Nurse Case Manager II

    Elevance Health

    Registered nurse case manager job in Houston, TX

    Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. 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. Hours: Monday - Friday 9:00am to 5:30pm EST and 1 late evening 11:30am to 8:00pm EST. * This position will service members in different states; therefore, Multi-State Licensure will be required. This position requires an on-line pre-employment skills assessment. The assessment is free of charge and can be taken from any PC with Internet access. Candidates who meet the minimum requirements will be contacted via email with instructions. In order to move forward in the process, you must complete the assessment within 48 hours of receipt and meet the criteria. The Telephonic Nurse Case Manager II is 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. 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 required. * Multi-state licensure is required if this individual is providing services in multiple states. Preferred Capabilities, Skills and Experiences: * Case Management experience. * Certification as a Case Manager. * Minimum 2 years' experience in acute care setting. * Managed Care experience. * Ability to talk and type at the same time. * Demonstrate critical thinking skills when interacting with members. * Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly. * Ability to manage, review and respond to emails/instant messages in a timely fashion. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $76,944 to $126,408. Locations: Colorado; New York; New Jersey 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.
    $76.9k-126.4k yearly 3d ago
  • Acute, Nurse Case Manager

    Chenmed

    Registered nurse case manager job in Houston, TX

    **We're unique. You should be, too.** We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing quality of care across the continuum of care. The incumbent in this role will first and foremost serve as an advocate for our patients. He/She works closely with other members of the care team to develop effective plans of care and high levels of care coordination. This care planning and coordination may follow the patient from our centers into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with patients' families and care givers, primary care physicians, specialists, other care providers, social workers, other case managers and nurses, acute and post-acute facilities, home health care companies, and health plans. He/She adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures. **CORE JOB DUTIES/RESPONSIBILITIES:** + Manages and plans for transitions of care, discharge and post discharge follow-up for patients admitted to key, high-volume/high-priority hospitals. + Establishes a trusting relationship with patients and their caregivers. + Collaborates with clinical staff in the development and execution of the plan of care and achievement of goals. Reports variations to PCP/Transitional Care Physicians (TCP) and implements actions as appropriate. + Builds relationships with preferred acute care providers (hospitalists, specialists, etc.). + Directs referrals to preferred providers. + Coordinates the integration of social services/case management functions in the pre-acute, ER, acute and post-acute setting. Coordinates the patient care, discharge and home planning processes with hospital case management departments, and other healthcare facilities. + In conjunction with the PCP, Hospitalist, Medical Director, insurance case manager and the hospital case manager, coordinates the patient transition to the appropriate/least constrictive level of care using a preferred provider. + Keeps the PCP aware of patient(s) condition via e-mail, DASH, HITS or other appropriate means of communication. + Introduces self to patient/family and explains Nurse Case Manager's role and processes to contact the Nurse Case Manager for questions, guidance and education. + Provides high intensity engagement with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization; provides family education and identifies post-hospital needs. + Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient/family's ability to make informed decisions. + Addresses advanced care planning including treatment goals and advance directives. + Refers cases to social worker (Hospital and ChenMed/JenCare/Dedicated) for complex psychosocial and economic needs. + Refers cases where patient and/or family would benefit from counseling required to complete complex discharge plan to social worker. + Reports observed or suspected child or adult abuse pursuant to mandated requirements. + Obtains onsite and EMR access at priority facilities. + Maintains clinical and progress notes for each patient receiving care and provides progress report to PCP and others as appropriate. + Submits required documentation in a timely manner and in appropriate computer system. + Participates in surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators and criteria as approved by medical staff. Acts as patient advocate: investigates and reports adverse occurrences, and performs staff education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery. + Promotes effective and efficient utilization of clinical resources and mobilizes resources to assist in achieving desired clinical outcomes within specific timeframe. + Conducts review for appropriate utilization of services from admission through discharge. Evaluates patient satisfaction and quality of care provided. + Communicates with physicians at regular intervals throughout hospitalization and develops an effective working relationship. Assists physicians to maintain appropriate cost, case and desired patient outcomes. + Coordinates the provision of social services to patients, families and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from healthcare services. + Completes expanded assessment of patients and family needs at time of admission. Completes psychosocial assessment. + Directs and participates in the development and implementation of patient care policies and protocols to provide advice and guidance in handling unusual cases or patient needs. + Attends meetings as assigned + Performs other duties as assigned and modified at manager's discretion. **_There are 4 Nurse Case Manager 1 Roles with additional Essential Job Functions_** **_:_** **_Acute Case Manager_** **_(_** **_primarily hospital based_** **_)_** **_Responsibilities include_** **_all_** **_the above "Core" duties/responsibilities plus the following_** **_:_** + Identify appropriateness of inpatient vs. observation status. + Identify and manage safety risk (complete a social assessment), identify functional status (ADLs and PT needs), discuss medications and self-management, identify and correct knowledge deficits. + Implement the ACM Coaching program with the appropriate patient population. + In markets as appropriate, when patient in SNF, in conjunction with the post-acute physician, coordinate the transition to a lower level of care as soon as appropriate using a preferred provider if further services are needed. + Facilitate discharge to appropriate level of care and preferred providers + Communicate discharge to all stakeholders including PCP, Center Manager and Community Case Manager. + Document the appropriate date that the patient is medically discharged and update as appropriate. + Contact the center manager to arrange for a follow-up PCP appointment prior to discharge and whenever possible, communicate this information to the patient/caregiver. + As appropriate, discuss patients' eligibility for CCM or DM programs and identify patient interest in participation. + Coordinate acute UR physician meetings. **Community Case Manager** ( _primarily clinic and community based_ ) Responsibilities include **all** the above "Core" duties/responsibilities plus the following: + Provides telephonic or outpatient visits to patients at high-risk for readmissions (as identified by CM Plan) to the ER or hospital, to patients with active care planning requirements, to disease management patients per the Disease Management Plan and to others as referred via transitional care team, acute case managers and Transitional Care team. + Visits may include evening and weekend hours with the goal of preventing ER visits or hospital admissions. + Performs clinical functions including disease-oriented assessment and monitoring, medication monitoring, health education and self-care instructions in the outpatient setting. _Coordinate the Plan of Care:_ + Conducts/coordinates initial case management assessment of patients to determine outpatient needs. + Ensures individual plan of care reflects patient needs and services available. + Makes recommendations to the team. + Completes individual plan of care with patients and team members. + Communicates instructions and methodologies as appropriate to ensure that the plan is implemented correctly. + Assesses the environment of care, e.g., safety and security. + Assesses the caregiver capacity and willingness to provide care. + Assesses patient and caregiver educational needs. + Coordinates, reports, documents and follows-up on Super Huddles and HPP/IDT meetings. + Helps patients navigate health care systems, connecting them with community resources; orchestrates multiple facets of health care delivery and assists with administrative and logistical tasks. + Coordinates the delivery of services to effectively address patient needs. + Facilitates and coaches patients in using natural supports and mainstream community resources to address supportive needs. + Maintains ongoing communication with families, community providers and others as needed to promote the health and well-being of patients. + Establishes a supportive and motivational relationship with patients that support patient self-management + Monitors the quality, frequency and appropriateness of HHA visits and other outpatient services. + Assists patient and family with access to community/financial resources and refer cases to social worker as appropriate. **Community/Skilled Nursing Facility Case Manager** ( _Community Case Manager Role with additional SNF duties as assigned_ ) Responsibilities include **all** the above "Core" duties/responsibilities plus the following: + Community Case Manager role as above. + CM telephonic or onsite visits to SNFs, communication with physical therapists (PT), social workers, patient and families as appropriate. + Validates appropriate level of care/LOS. + Validates Discharge plan for safe transition home, utilization of preferred providers or timely transition to long term care. + Reminds patient of need for 4-day PCP post hospital/SNF discharge visit and future visits. + Collaborates with payor onsite SNF CMs. **Transitional Case Manager** ( _Blended Acute and Community Case Manager Roles_ ) Responsibilities include **all** the above "Core" duties/responsibilities plus the following: + Acute and Community Case Manager roles as above. **KNOWLEDGE, SKILLS AND ABILITIES:** + Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community. + Critical thinking skills required. + Ability to work autonomously is required. + Ability to monitor, assess and record patients' progress and adjust and plan accordingly. + Ability to plan, implement and evaluate individual patient care plans. + Knowledge of nursing and case management theory and practice. + Knowledge of patient care charts and patient histories. + Knowledge of clinical and social services documentation procedures and standards. + Knowledge of community health services and social services support agencies and networks. + Organizing and coordinating skills. + Ability to communicate technical information to non-technical personnel. + Proficient in Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software. + Ability and willingness to travel locally, regionally and nationwide up to 10% of the time. + Spoken and written fluency in English. + Bilingual preferred. **PAY RANGE:** $35.8 - $51.17 Hourly **EMPLOYEE BENEFITS** ****************************************************** We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day. Current Employee apply HERE (************************************************** Current Contingent Worker please see job aid HERE to apply \#LI-Onsite
    $35.8-51.2 hourly 13d ago
  • Conroe (College Station) - RN

    Angels Care Home Health 3.8company rating

    Registered nurse case manager job in New Waverly, TX

    The RN Case Manager coordinates all aspects of the patient's home care. You will interact with other medical disciplines as needed & provide professional care to the patient. Performs the admission visit to the patient in the home. Determines patient's eligibility for home care services and develops the plan of care to be followed. Completes all paperwork necessary for Agency policies and federal/state laws. Qualifications: Graduate of an accredited diploma, Associate or Baccalaureate School of Nursing. Current state license as a Registered Nurse, Current state Driver's License. One-year experience as a Registered Nurse, two preferred. Proof of current CPR and Hepatitis consent/declination. Reliable transportation with valid and current auto liability insurance. Functions: Case manages and provides clinical directions to the interdisciplinary team, physician, and family. Implement/develop/document the plan of care. Provide care utilizing infection control measures that protect both the staff and the patient (OSHA). Assess home health patients to identify the physical, psycho social and environmental needs as evidenced by documentation, clinical record, case conference, team report and evaluations. Assure continuity of quality patience care delivered with appropriate documentation. Monitor assigned cases to ensure compliance with requirements of third party payer. Promote Agency philosophy and administrative policies. Perform on-call responsibilities and provide on-call service to patients/families as assigned. Supervise and provide direction to the home health aide and LVN/LPN. Demonstrate commitment, professional growth, and competency.
    $60k-101k yearly est. 15d ago
  • RN Registered Nurse (Pediatric)

    Care Options for Kids 4.1company rating

    Registered nurse case manager job in Pearland, TX

    About the Role At Care Options for Kids, a pediatric home health care company providing one-on-one care in the home, 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. 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. Benefits for Registered Nurses (RNs) Paid Time Off (PTO) and flexible schedule Medical, dental, and vision coverage 401(k) retirement plan Weekly pay and direct deposit Employee events Numerous Top Workplace awards 24/7 on-call for support Training opportunities Sign on bonus for qualified cases* Nurse Referral Bonus Competitive pay Responsibilities for Registered Nurses (RNs) Medication administration per physician orders Physician ordered treatments for: Nutrition via a feeding tube Tracheostomy care Suctioningnasal, oral and/or endotracheal Ventilation care Seizure assessment and treatment Requirements for Registered Nurses (RNs) Current, active Texas RN or LVN license Current BLS CPR card (obtained in-person, not online) 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. *Bonus for eligible cases only. The eligible employee will receive $500 for every 250 billable hours worked up to $2,500. Eligible employees must complete the pre-onboarding process within 10 days of submission of the initial application. Valid for first-time employees only and on completion of all required documents. Parents and/or Guardians of a Care Options for Kids clients or a potential Care Options for Kids clients are not eligible to receive a bonus. Not to be combined with any other Care Options for Kids offers. Talk with your dedicated recruiter for more information. #APPNUHOU #RDNUHOU Salary: $28.00 - $35.00 / hour
    $28-35 hourly 15h ago
  • Nurse Case Mgr I (US)

    Elevance Health

    Registered nurse case manager job in Houston, TX

    **Nurse Case Manager I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. 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 I** is 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 and Capabilities:** + Certification as a Case Manager and a BS in a health or human services related field preferred. 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.
    $52k-78k yearly est. 4d ago

Learn more about registered nurse case manager jobs

How much does a registered nurse case manager earn in Spring, TX?

The average registered nurse case manager in Spring, TX earns between $41,000 and $117,000 annually. This compares to the national average registered nurse case manager range of $46,000 to $112,000.

Average registered nurse case manager salary in Spring, TX

$70,000

What are the biggest employers of Registered Nurse Case Managers in Spring, TX?

The biggest employers of Registered Nurse Case Managers in Spring, TX are:
  1. NESC Staffing
  2. Nexus Health Systems
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