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Job Description: Clinical Pharmacist - Managed Care Clinical Pharmacist - Managed Care Location: Garden City, NY Salary: $100,000-$130,000 Experience: 3.0 year(s) Job Type: Full-Time Job ID: J137048       About the Opportunity A rapidly growing medical services company headquartered in Garden City, NY is actively seeking a driven and organized healthcare professional to join their staff as a Clinical Pharmacist in their Managed Care Department. In his role, the Managed Care Clinical Pharmacist will be responsible for assessment of medications for high-risk members enrolled in case management and patients with recurrent hospital admissions, with an emphasis on managing chronic illnesses as well as disease prevention. Company Description Medical Services Company Job Description The Managed Care Clinical Pharmacist will: Interface with available resources and identify drug interactions and inappropriate medication management Develop pharmacy adherence and HEDIS programs to outreach to members in order to positively affect their health outcomes Perform other tasks as necessary Required Skills Pharmacy Degree Active Registered Pharmacist certification 3+ years of managed care, pharmaceutical, or medical education experience Quality / Care management experience Drug Information knowledge Ability to multitask Strong attention to detail

Job Description: Clinical Nurse Manager (RN) - Eating Disorder Unit Clinical Nurse Manager (RN) - Eating Disorder Unit Location: Tolland County, CT Salary: $90,000-$110,000 Experience: 3. year(s) Job Type: Full-Time Job ID: J136999       About the Opportunity The Behavioral Health Eating Disorder Inpatient Unit of a recognized healthcare facility in Connecticut is currently seeking a licensed Registered Nurse (RN) for a promising position at their staff as a Clinical Nurse Manager. Reporting to the Administrative Director of Behavioral Health Services, the Clinical Nurse Manager (RN) will be responsible for the management of patient care services on the Behavioral Health Eating Disorder Inpatient Unit by allocating available resources to promote efficient, effective and compassionate patient care. Apply today! Company Description Healthcare Facility Job Description The Clinical Nurse Manager (RN) will be responsible for: Participating and facilitating staff participation in nursing and organizational policy formulation and decision making Evaluating the quality and appropriateness of patient care Recruitment, interviewing, selection and retention of patient care staff Participating in planning and monitoring the budget for defined areas, providing variance analysis Participating and involving all staff in evaluative research activities Participating in interdepartmental education regarding the clinical needs of the eating disorder population Assessing patient placement and care needs from a global hospital perspective, allocating resources accordingly, promoting efficient patient throughput incorporating managed care guidelines and knowledge of community based resources Required Skills 3+ years of Nursing experience in an Acute Care setting Bachelor's Degree in Nursing; Graduate from an accredited school of Nursing CT Registered Nurse (RN) license BCLS certification Previous experience in a Management and/or Supervisory role Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Professional Psychiatric Nursing certification

Job Description: Clinical Pharmacist Clinical Pharmacist Location: Farmington, CT Salary:  Experience: 1. year(s) Job Type: Temporary / Consulting Job ID: U1014083       About the Opportunity A healthcare center in Connecticut is actively seeking a licensed Clinical Pharmacist for a promising position with their growing medical staff. In this role, the Clinical Pharmacist will be responsible for administering the Pharmacy Benefit and Programs for the center's members to promote quality and cost effective drug use as well as assisting the Vice President / director with the overall health plan drug management. Apply today! Company Description Healthcare Center Job Description The Clinical Pharmacist will be responsible for: Administration of prior-authorization criteria and member over-rides according to established policies Answering questions from the Physician offices regarding formulary or utilization management criteria Working in coordination with the center's Disease Management staff to improve and maintain members health Monitoring pharmacy drug usage and expense trends and developing / coordinating Physician profiles, mailings and other communications to achieve quality, cost-effective pharmaceutical care Assisting in preparation and presentation of P&T committee materials Drug information resource Performing ad hoc computer analysis on the Desk Top PBM system and working with Informatics for assistance with the analysis of pharmacy data and preparation of special data programs Assisting in the development and execution of clinical interventions and other pharmacy programs Required Skills 1+ year of related work experience Bachelor's Degree in Pharmacy CT Pharmacist license Computer savvy Microsoft Office and an ability to learn new programs quickly. Solid analytical and research skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills 2+ years of previous Pharmacy experience Doctor of Pharmacy Degree

Job Description: Utilization Management Manager (RN) Utilization Management Manager (RN) Location: Brooklyn, NY Salary: $100,000-$110,000 Experience: 3.0 year(s) Job Type: Full-Time Job ID: J137165       About the Opportunity A healthcare organization in New York City is currently seeking an experienced, licensed Registered Nurse (RN), with a strong Utilization Management background, for a promising Manager-level position with their growing medical staff. Assuming a leadership role within the Medical Management Department, the Utilization Management Manager (RN) will be responsible for overseeing the authorization of covered services for eligible members  and insuring high quality, cost-effective patient care and appropriate allocation of member services and resources. Apply today! Company Description Healthcare Organization Job Description The Utilization Management Manager (RN) will be responsible for: Overseeing the provision of utilization management functions, including: pre-certification; concurrent review; discharge planning; etc. Developing departmental process workflows for utilization management functions Hiring, supervising and managing a team of nursing professionals Maintaining staff productivity, effectiveness and efficiency Developing key indicators for staff; auditing staff to achieve key indicators and optimal outcomes Developing and analyzing operational and analytical reports needed to monitor and track operational efficiency Ensuring compliance with the goals of the Medical Management Department and the overall organization Conducting daily, weekly, monthly and quarterly meetings as needed with staff to review process issues Troubleshooting any issues that utilization management staff are experiencing during the authorization process Participating in quality improvement activities Required Skills 3+ years of experience in the Authorization of Services within a Healthcare Management company; 3+ years of Managed Care experience; and, 3+ years of experience in a Management position Associate's Degree in Nursing NYS Registered Nurse (RN) license Utilization Management / Review background Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Bachelor's Degree in Nursing CCM, CPHM and/or CMCN certification

Job Description: Associate Clinical Director - Informatics Associate Clinical Director - Informatics Location: New York, NY Salary: $100,000-$135,000 Experience: 1.0 year(s) Job Type: Full-Time Job ID: J137027       About the Opportunity A rapidly growing healthcare technology company headquartered in New York City is actively seeking a self-motivated and compassionate individual for a promising opportunity on their staff as the Associate Clinical Director of their Informatics team. In this role, the Informatics Associate Clinical Director will be responsible for working with our Research teams to guide creation of meaningful oncology datasets. Apply today! Company Description Healthcare Technology Company Job Description The Informatics Associate Clinical Director will: Support the development of products by providing expertise on organizing oncology information into meaningful datasets Provide day-to-day support for the Research organization by fielding questions about our data, from both internal and external users Work with engineers to develop algorithms for summarizing oncology data (ex: line of therapy rules), assessing how well those algorithms work, and identifying areas for improvements Collaborate with Quantitative Sciences to design and interpret dashboards summarizing patient cohorts Work with the Abstraction team to determine how to collect data points of interest from real world oncology records Be a member of the broader Oncology team, including being a clinical resource for all employees Required Skills Clinical Degree, including nursing and pharmacy with informatics experience Active Nurse Practitioner license Understanding of and familiarity with data management, clinical informatics, and/or data analysis A strong background and recent experience working with oncology data Broad oncology clinical knowledge and an understanding of evolving standards of care, including new cancer therapies and biomarkers Excellent technology skills (includes oncology-specific electronic medical records) Superior communication skills, including the ability to communicate effectively with a diverse team of software engineers, product managers, and other technical staff Exceptional attention to detail Self-motivated and autonomous with a nose for value and ability to prioritize Desired Skills Degree in Informatics Advanced clinical training, such as a nurse practitioner Clinical research/clinical trial experience

Job Description: Case Manager (RN) Case Manager (RN) Location: Worcester, MA Salary:  Experience: 3. year(s) Job Type: Temporary / Consulting Job ID: U1015000       About the Opportunity The Care Coordination Department of a recognized healthcare facility in Massachusetts is actively seeking a licensed Registered Nurse (RN) for a promising Case Manager position with their growing medical staff. In this role, the Case Manager (RN) will be responsible for identifying individual patient needs and developing plans of care as well as engaging and integrating appropriate resources for optimal clinical and financial patient outcomes. Apply today! Company Description Healthcare Facility Job Description The Case Manager (RN) will: Perform assessment of patient's physical, functional, and psycho-social needs through the use of screening tools, direct patient and family communication, medical record review, and discussions with other care givers providing services to the patient Performs admission and concurrent reviews, as assigned Collaboratively facilitates the care of patients throughout the continuum of care Works with patients and families to establish objectives, goals and an action plan to meet the patient's individual needs within the indicated level of care Contact third party payer to clarify benefit eligibility, coverage, and available resources for patients Coordinate, implement, monitor and evaluate outcomes of the discharge plan Continually evaluate the patient's level of care Educate the patient, family and care team regarding resource options, facilitate decision making, initiate plans, and secure resources for the patient on an ongoing basis in complex cases Participates in quality improvement on a system level through identification of opportunities for improvement, collection and analysis of data, and participation in the development and application of revised processes Support departmental and medical center-wide performance improvement programs such as implementation and monitoring of clinical practice guidelines Required Skills 3+ years of Clinical experience in Case Management and/or Discharge Planning Bachelor's Degree in Nursing MA Registered Nurse (RN) license Solid assessment, clinical, and documentation skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Utilization Management and Third Party Payer knowledge

Job Description: Corporate Director - Case Management Corporate Director - Case Management Location: Newton, MA Salary: $125,000-$140,000 Experience: 3.0 year(s) Job Type: Full-Time Job ID: J137490       About the Opportunity An established healthcare provider in Massachusetts is actively seeking a self-motivated and compassionate healthcare professional for a promising opportunity as their new Corporate Director of Case Management. In this role, the Corporate Director of Case Management provides oversight for resident care delivery processes (clinical and rehab) in our Post-Acute (HC/SNF) settings. Apply today! Company Description Healthcare Provider Job Description The Corporate Director of Case Management will: Manage systems related to Medicare A, Managed Care, Medicaid, and ACO processes Evaluate current system workflows Identify gaps and create solution plan Deliver a strategic, proactive approach to an effective staff orientation and training program Engage inter-professional team members at all levels of the organization to participate in system design (practice/competency/documentation) Coordinate relevant clinical policy/procedure revisions Identify and manage key quality outcome data measures and methodology Create/implement a regularly scheduled communication plan   Required Skills Bachelor's Degree Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist license 3-5 years of divisional or corporate experience in post-acute care settings Expert knowledge of current state and federal government post-acute care regulations Expert Leadership skills In-depth knowledge of case management and resource utilization review practices Demonstrate ability to work effectively with all levels of the organization Demonstrate expertise in critical thinking and analytical skills Expert clinical skills and ability to provide educational programs to all levels of the organization Strong expertise in Medicare, Managed Care and ACO development Proficient to expert in the use of software systems conducive to developing and presenting system deliverables including, but not limited to Microsoft Office Suite Desired Skills Master's Degree Vendor management / business partnership experience Electronic Health Record experience Proficiency in  QAPI systems

Job Description: Nurse Manager (RN) Nurse Manager (RN) Location: Miami, FL Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1016262       About the Opportunity A premier healthcare facility in Miami, FL is actively seeking a self-motivated and patient-oriented Registered Nurse (RN) for a promising Nurse Manager role on their staff. In this role, the Nurse Manager maintains clinical competency as demonstrated in providing and directing patient care. Apply today! Company Description Healthcare Facility Job Description The Nurse Manager (RN): Assists and communicates with medical staff concerning patient care issues Assesses and Triages patients Participates in the case management of individual patients to ensure the continuity of care Develops and oversees internal working systems relevant to the medical/nursing operations within a clinic setting Assumes supervisory duties such as performance evaluations, counseling and progressive discipline of the nursing staff Participates in nursing staff orientation and serves as a clinical resource Plans and participates in educational programs for the nursing staff Oversees and controls supplies that directly impact patient care Exercises appropriate judgment and good decision-making skills Required Skills Active Florida State Registered Nurse license Team-oriented Strong attention to detail Excellent communication skills Highly organized Strong interpersonal skills Desired Skills BSN Bilingual, English and Spanish

Job Description: Nurse Manager (RN) Nurse Manager (RN) Location: Fort Lauderdale, FL Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1010123       About the Opportunity A healthcare organization in Florida is currently seeking a licensed Registered Nurse (RN) for a promising Manager-level position with their growing medical staff. This is a great opportunity for a diligent and dedicated Nurse Manager (RN) to gain valuable work experience and further their career at one of the organization's facilities in Fort Lauderdale. Apply today! Company Description Healthcare Organization Job Description The Nurse Manager (RN) will be responsible for: Maintaining clinical competency, as demonstrated in providing and directing patient care Assisting and communicating with medical staff concerning patient care issues Assessing and triaging patients Participating in the case management of individual patients to ensure the continuity of care Developing and overseeing internal working systems relevant to the medical/nursing operations within a clinic setting Assuming supervisory duties, such as performance evaluations, counseling and progressive discipline of the nursing staff Participating in nursing staff orientation and serving as a clinical resource Planning and participating in educational programs for the nursing staff Overseeing and controlling supplies that directly impact patient care Required Skills 2+ years of previous Nursing experience FL Registered Nurse (RN) license Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills BSN Bilingual (English and Spanish)

Job Description: Case Manager (RN) Case Manager (RN) Location: Trenton, NJ Salary: $27-$30 per hour Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1007333       About the Opportunity A premier healthcare facility in Trenton, NJ is actively seeking a patient-oriented and compassionate Registered Nurse (RN) for a promising opportunity on their staff as a Case Manager. In this role, the Case Manager will be responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Additionally, the Case Manager performs duties and types of care management as assigned by management. Company Description Healthcare Facility Job Description The Case Manager (RN): Assesses patient's clinical need against established guidelines and/or standards Evaluates the necessity, appropriateness and efficiency of medical services and procedures provided Coordinates and assists in implementation of plan for members Monitors and coordinates services rendered outside of the network Coordinates with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care Monitors patient's medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided Encourages member participation and compliance in the case/disease management program efforts Documents accurately and comprehensively based on the standards of practice and current organization policies Required Skills Associate’s or Bachelor’s Degree (or higher) in nursing and/or a health related field, or accredited nursing school diploma Active New Jersey State Registered Nurse license 2+ years of clinical experience Proficiency in the use of personal computers and supporting software in a Windows-based environment Excellent communication skills Highly organized Ability to multitask Patient-oriented Compassionate and empathetic Desired Skills Working knowledge of case/care management principles Working knowledge of principles of utilization management Basic knowledge of health care contracts and benefit eligibility requirements Knowledge of hospital structures and payment systems Prior authorization experience

Job Description: Nurse Manager (RN) - Nights Nurse Manager (RN) - Nights Location: Morristown, NJ Salary: $85,000-$110,000 Experience: 5.0 year(s) Job Type: Full-Time Job ID: J137149       About the Opportunity A New Jersey-based rehab facility in seeking a licensed Registered Nurse (RN) for a promising Manager-level position with their growing Night Shift staff. Reporting into the Chief Nursing Officer and working alongside nurses, the Nurse Manager (RN) will be responsible for directing assigned nursing personnel and serving as a resource person and consultant to ensure the plan of care for the patient population. Apply today! Company Description Rehab Facility Job Description The Nurse Manager (RN) will: Provide and overseeing nursing care Oversee the implementation of approved policies and practices by nursing staff, correcting problems and re-educating as the need arises Collaborate with appropriate persons for continuity of care under the guidance of the Chief Nursing Officer Monitor the quality of nursing care delivered by reviewing documentation, meeting with patients and/or families, and investigating all practice concerns. Continually participate in building and maintaining positive working relationships through effective communication, performance improvement and teamwork efforts Act as a leader and contributing to the smooth functioning of the units by de-escalating crisis situations and by providing calm direction and reassurance to staff, other departments and families, as needed Required Skills 3+ years of Nursing experience Bachelor's Degree in Nursing NJ Registered Nurse (RN) license; Certified Rehabilitation Registered Nurse (CRRN) Solid assessment, clinical and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills 1+ year of experience in a Managerial and/or Supervisory capacity Master's Degree in Nursing

Job Description: Case Manager (RN) Case Manager (RN) Location: Melville, NY Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1004635       About the Opportunity A recognized managed care company headquartered in Melville, NY is actively seeking a diligent Registered Nurse (RN) for a promising opportunity on their staff as a Case Manager. In this role, the Case Manager appropriately manages member care, including but not limited to; coordination of benefits (Medicare & Medicaid), coordinating and monitoring all skilled services, durable medical equipment (DME) and community resources. Company Description Managed Care Company Job Description The Case Manager (RN): Ensures high quality community-based member care through appropriate allocation of member services and resources Monitors and evaluates effectiveness of the care plan to ensure member/caregiver satisfaction with services Acts as a resource to staff in the planning and delivery of outstanding member care Maintains oversight and communication with members and providers during inpatient acute, sub-acute and/or long-term admissions Completes documentation in computer database of all member care Intervenes to resolve any grievances and/or concerns re: member care and safety Provides individual and group education and support to members and their families as needed  Maintains a current knowledge base of federal (Medicare) and state (Medicaid) regulations Identifies barrier and develops innovation solutions to ensure quality of member care Required Skills Active New York State Registered Nurse license Patient-oriented Clinical hospital experience Home care experience Excellent communication skills Strong phone assessment skills Exceptional computer skills Geriatric experience Knowledge of Medicare and Medicaid Desired Skills Prior experience in case management

Job Description: Case Manager (RN) Case Manager (RN) Location: Westchester County, NY Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1003087       About the Opportunity A managed care company in Westchester County, NY is currently seeking a licensed Registered Nurse (RN) for a rewarding Case Manager role with their growing staff. This is a fantastic opportunity for a dedicated Case Manager, with previous Home Care experience, to gain valuable work experience and further their career with an established company. Company Description Managed Care Company Job Description The Case Manager (RN) will: Ensure high quality community-based member care through appropriate allocation of member services and resources Monitor and evaluate effectiveness of the care plan to ensure member/caregiver satisfaction with services Act as a resource to staff in the planning and delivery of outstanding member care Maintain oversight and communication with members and providers during inpatient acute, sub-acute and/or long-term admissions Complete documentation in computer database of all member care Intervene to resolve any grievances and/or concerns Provide individual and group education and support to members and their families as needed Maintain a current knowledge base of federal (Medicare) and state (Medicaid) regulations Identify barrier and develop innovation solutions to ensure quality of member care Required Skills 2+ years of Case Management experience NYS Registered Nurse (RN) license Clinical Hospital experience Previous Home Care experience Geriatric experience Knowledge of Medicare and Medicaid Solid phone etiquette Computer savvy Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized $ Desired Skills Case Management experience

Job Description: Trauma Program Manager (RN) Trauma Program Manager (RN) Location: New York, NY Salary: $80,000-$130,000 Experience: 2.0 year(s) Job Type: Full-Time Job ID: J137050       About the Opportunity A medical center in New York City is currently seeking a licensed Registered Nurse (RN) for a promising Manager-level position with their growing Trauma Program. In this role, the Trauma Program Manager (RN) will be responsible for managing clinical services, systems, and performance improvement activities as they elate to a multidisciplinary approach to providing care to injured patients. Apply today! Company Description Medical Center Job Description The Trauma Program Manager (RN) will: Collaborate with the Nurse Executive to establish nursing care standards and evaluates staff compliance Develop unit goals and objectives to support the institutional values and goals with input from staff Provide intramural and extramural education for professional staff as related to the care of trauma patients Monitor indicators of clinical process indicators, system issues, and outcomes related to the quality of care provided to trauma patients Manage the operational, personnel, and financial aspects of the trauma program, as needed Serve as a liaison to hospital administration for the Trauma Program Oversee the collection, coding, storage, use, and validation of data on trauma patient while protecting patient confidentiality Serve as internal resource for staff throughout the hospital and an external resource for pre-hospital providers for issues related to the care of trauma patients Assist in facilitating research and protocol design, data collection, analysis, and publication efforts Participate in the development of trauma care systems at the community, state, and national levels Required Skills 2+ years of previous experience as a Trauma Manager Bachelor's Degree in Nursing NYS Registered Nurse (RN) license Previous experience in an Emergency Room setting Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Care Manager (RN) Care Manager (RN) Location: Newark, NJ Salary:  Experience: 2. year(s) Job Type: Temporary / Consulting Job ID: U1015238       About the Opportunity A healthcare company in New Jersey has a promising Care Manager position awaiting a licensed Registered Nurse (RN) with their growing staff. In this role, the Care Manager (RN) will be responsible for coordinating the care and services of Long Term Care members across the continuum of illness,promoting effective utilization, and monitoring health care resources. Apply today! Company Description Healthcare Company Job Description The Care Manager (RN) will be responsible for: Managing 75 to 100 active cases based on case intensity and acuity Utilization Management and using prescribed criteria to provide timely appropriate and medically necessary service authorizations Assessing the options for care, including use of benefits and community resources in order to update the Person Centered Service Care Plan Acting as a liaison and member advocate between the member / Family Physician and facilities / agencies Maintaining accurate records of care management activities in the EMMA system using clinical guidelines Coordinating community resources with emphasis on medical behavioral and social services Applying care management standards and maintains HIPAA standards and confidentiality of protected health information Reporting critical incidents and information regarding quality of care issues Ensuring compliance with all State and Federal regulations and guidelines in day-to-day activities Participating in monthly chart audits Required Skills 2+ years of experience in a Clinical Acute Care position; 1+ year of experience in Care / Case Management Associate's Degree in Nursing NJ Registered Nurse (RN) license Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Bachelor's Degree in Health Services and/or Nursing Certified Case Manager (CCM) Previous experience in a Home Health, Physician's Office, and/or Public Health setting Bilingual

Job Description: Hemodialysis Nurse Manager (RN) Hemodialysis Nurse Manager (RN) Location: New York, NY Salary:  Experience: 3. year(s) Job Type: Full-Time Job ID: J137518       About the Opportunity A hospital in New York City is actively seeking a licensed Registered Nurse (RN), with a strong Hemodialysis background, for a promising Manager-level position with their growing medical staff. In this role, the Hemodialysis Nurse (RN) will be responsible and accountable for quality of nursing care and unit management on a 24/7 basis. Apply today! Company Description Hospital Job Description Serving as a role model and resource to all staff, the Hemodialysis Nurse (RN) will be responsible for fostering an effective work environment for interdisciplinary teamwork, patient satisfaction, and staff satisfaction. Required Skills 3+ years of Nursing experience; 1+ year of related Clinical experience in the Hemodialysis area Bachelor's Degree in Nursing NYS Registered Nurse (RN) license Previous experience in a Managerial and/or Supervisory role Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Master's Degree in Nursing

Job Description: Care Manager (RN) Care Manager (RN) Location: Newark, NJ Salary: $34-$42 per hour Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1012190       About the Opportunity A healthcare company in New Jersey is actively seeking a licensed Registered Nurse (RN) for a promising Care Manager position with their growing medical staff. In this role, the Care Manager (RN) will be responsible for coordinating the care and services of Long Term Care members across the continuum of illness. Apply today! Company Description Healthcare Company Job Description The Care Manager (RN) will: Assess short-term and long-term needs and establish case management objectives Manage 75 to 100 active cases based on case intensity and acuity Handle Utilization Management and use prescribed criteria to provide timely, appropriate, and medically necessary service authorizations Interact continuously with member, family, Physician(s), IDT members, and other providers to utilize clinical knowledge and expertise to determine medical history and current status Assess the options for care, including use of benefits and community resources Act as liaison and member advocate between the member/family, Physician and facilities / agencies Coordinate community resources with emphasis on medical, behavioral, and social services Required Skills 2+ years of experience in a Clinical Acute Care position; 1+ year of experience in Care / Case Management Associate's Degree in Nursing NYS Registered Nurse (RN) license Microsoft Office/Suite proficient (Excel. Word and Outlook) Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Bachelor's Degree in Nursing Certified Case Manager (CCM) Previous experience in Home Health, Physician's office or Public Health setting

Job Description: Case Manager (RN) Case Manager (RN) Location: Palm Beach Gardens, FL Salary: $38-$42 per hour Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U991220       About the Opportunity A healthcare facility in Palm Beach, FL, has an excellent opportunity for an experienced Case Manager (RN) to join their staff in a full-time role. As a Case Manager, the qualified candidate will be responsible for ensuring that patients are provided optimal healthcare. The Case Manager assumes a leadership role with the interdisciplinary team to achieve optimal clinical outcomes. Company Description Healthcare Facility Job Description The Case Manager will: Coordinate the care of an assigned patient population during the acute care phase of illness from a utilization and discharge planning perspective Promote effective utilization of healthcare resources Participate in clinical information collection and process improvement Required Skills Florida State Registered Nurse license 2-3 years of acute care experience in hospital case management Some clinical review experience $

Job Description: Case Manager (RN) Case Manager (RN) Location: Tampa, FL Salary:  Experience: 3.0 year(s) Job Type: Temporary / Consulting Job ID: U1015091       About the Opportunity A recognized healthcare company in Tampa is seeking a compassionate and patient-oriented Registered Nurse (RN) for a promising opportunity on their staff as a Case Manager. In this role, the Case Manager performs 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 healthcare across the care continuum and ensuring member access to services appropriate to their health needs. Apply today! Company Description Healthcare Company Job Description The Case Manager (RN): 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 Required Skills Bachelor's Degree or higher in a health-related field Active Registered Nurse license or certification as a Case Manager 3 years of clinical experience or any combination of education and experience Knowledge of care management assessment technique, provider community, and community resources Proficiency with computer platforms and applications including word processing, spreadsheet, and database applications Strong verbal and written communication skills Highly organized Proven problem-solving skills Desired Skills 1 year of experience in home health/discharge planning

Job Description: Case Manager (RN) Case Manager (RN) Location: Methuen, Ma Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1013717       About the Opportunity A compassionate and empathetic Registered Nurse is actively being sought out by a premier healthcare facility in Methuen, MA for a promising opportunity on their staff as a Case Manager. As a Case Manager, the qualified candidate provides consultation regarding assessment, planning and implementation of care. Apply today! Company Description Healthcare Facility Job Description The Case Manager (RN): Assumes accountability for own professional practice in achieving patient outcomes Accurately, promptly and thoroughly documents patient care observations, interventions and evaluations Identifies primary diagnosis, reasons for home care, and problems based on assessment Provides therapeutic care and patient education; makes appropriate referrals based on identified patient needs that will maximize independence and patient/family participation Collaborates with the physician and other members of the health care team to ensure care is safe, effective and coordinated Attends and participates in multidisciplinary team meetings to promote quality patient care, as scheduled by clinical supervisor Implements Telehealth to enhance patient care outcomes Meets weekly with Clinical Supervisor to review patient caseloads, assessing the quality of care, coordination of all disciplines involved and appropriate allocation of resources Supervises and orients Home Care Aide to plan of care according to regulatory requirements Required Skills Active Massachusetts State Registered Nurse license Strong medical skills and knowledge Ability to multitask Patient-oriented Excellent communication skills

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Clinical resource managers are responsible for ensuring a facility provides efficient and effective care. In these managerial positions, nurses often work with high-risk patients, patients with complex illnesses and underinsured or uninsured patients. As an advocate for the patient and family, clinical resource managers oversee care, locate community resources and negotiate pay on the patient’s behalf.

These nurses complete a variety of other tasks, such as planning for patient transitions from one facility to another, preparing patients for discharge and helping patients find the proper follow-up care.

To qualify for clinical resource manager jobs, candidates need to be licensed nurses with clinical experience. BSNs are often preferred, but ASNs may be considered. Usually, clinical resource managers have prior experience in case management or utilization review. They should have extensive knowledge about healthcare insurance.

If you’re thinking about applying to clinical resource manager jobs, check out our Career Resource Center. You’ll find all sorts of information regarding clinical resource manager careers, including resume advice, cover letter tips and interview guidelines. And when you’re ready to start applying, browse through ADVANCE Healthcare Jobs to see what’s available in your area!