https://careers.mentalhealthamerica.net Latest MHA Career Center Jobs Fri, 24 Apr 2026 04:32:17 Z https://careers.mentalhealthamerica.net/jobs/rss/22157458/manager-care-management-case-management-full-time https://careers.mentalhealthamerica.net/jobs/rss/22157458/manager-care-management-case-management-full-time Longview, Texas, Description Summary: The Manager Care Management oversees the daily management of the Care Management Department. The Job is responsible for providing expertise and leadership to the Care Management team to insure the effective utilization of resources for patient care delivery and administrative staff. This Job will also enhance the continuity of care and cost effectively by integrating the functions of case management, utilization management and discharge planning. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Performs and/or is able to perform all the functional responsibilities of the Care Management team. Supervises the human resource functions for the selection, orientation, continued follow-up, support and performance appraisals of staff to ensure that all related actions are managed in accordance with established hospital and departmental policies. Monitors outcomes of associates on monthly basis by report card and meetings. Assist in the development and implementation of a systematic approach to monitor the effectiveness of the Care Management Program including resolution strategies. Maintain current policies and procedure. Provides education on P&P to associates. Coordinates the delivery of patient care within Care Management purview and ensures compliance with established hospital and regulating standards. Facilitates discharge planning processed in conjunction with other disciplines. Monitor Payer Initiatives: Provides information to the medical and hospital staff regarding current reimbursement, review regulations and guidelines, and processing of denials. Maintains a working relationship with community agencies and external reviewing and paying agencies including the professional review organization (PRO), Medicaid, CMS, private review organizations and third party payers. Monitor compliance of Avoidable Days of the CM associates and prepare report. Issue any letters needed to be given to physicians, departments, etc. Monitor compliance of Readmits of the CM associates and prepare report. Notify Quality Management of any issues dealing with readmits. Monitor schedules, PTO, and Time and Attendance policy to Associates in the Care Management Department. Ensures appropriate and comprehensive coverage of all hospital areas by maintaining department schedule and assignments. Adheres to formal Performance Review requirements for staff and provides real time coaching and mentoring for associates to enhance and improve case management performance. Monitor Care Management Associate education requirements and compliance for the Hospital?s annual requirement. Management of Denial Process; collaborate with Care Management Team to decrease the number of denials. Provide education and mentoring to team on denial issues. Will report to the denial meeting and perform any duties that may overturn denials. Bring knowledge to the denial meeting base on clinical experience. Guest Relations/Communications; Demonstrates positive role modeling of customer relations (customer include patient, physicians, other health care team members, and payers, etc.) Use AIDET and KWKT appropriately. Translates strategies into action steps; clearly assigns responsibility for decisions and tasks; sets clear objectives; monitors progress and achieves results. Demonstrates the confidence, drive and ability to face and overcome challenges and obstacles to achieve organizational goals. Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, age-specific and other developmental needs of each patient served. Actively participates in Multidisciplinary/Patient Care Progression Rounds. Escalates cases as appropriate and per policy to Physician Advisors and/or CM Director. Documents in the medical record per regulatory and department guidelines. May be asked to assist with special projects. May serve a preceptor or orienter to new associates. Assumes responsibility for professional growth and development. Ability to move around the hospital to all areas for the majority of the workday while in office the rest of the day; general office and hospital environment. Performs other duties as assigned. Job Requirements: Education/Skills Associate Degree in Nursing or Master?s Degree in Social Work required. Bachelor?s Degree in Nursing preferred. Experience 5 or more years of experience in Case Management, Social Work, or Utilization Review required. Licenses, Registrations, or Certifications RN, LCSW, or LMSW required in the state of employment. Certification in Case Management preferred.   Work Schedule: 9AM - 6PM Work Type: Full Time Fri, 24 Apr 2026 01:10:43 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22195043/manager-case-management-full-time-days https://careers.mentalhealthamerica.net/jobs/rss/22195043/manager-case-management-full-time-days Miami,, Description Job Summary Responsible for providing leadership and management of clinical care coordination, utilization management, and discharge planning.  Assists the Director with patient-centered systems, processes, and outcomes of clinical care teams and programs designed to address clinical, psychosocial, and financial needs of patients and families. Responsible for training, supervision, and evaluation of team members, and participation in goal setting, program planning, workflow process monitoring, regulatory compliance, staff productivity, and assessment of good customer service, quality of work, outcome evaluation, and continuous quality improvement.  Participates in and/or conducts LEAN and other quality improvement efforts.  Job Specific Duties Ensures compliance with Utilization Review Annual Plan, JC/DNV-GL, CMS/Federal and State requirements, and professional standards for case management, utilization review/utilization management, discharge planning/care coordination, and transitions of care through policy and procedure development, implementation, and monitoring of standard work. Ensures documentation compliance of the care management department and assists and develops action plans to address variances.  Communicates as a role model for the organization's Service Standards in performance of duties and interaction with patients, families, staff, and all disciplines. Assists Director in designing, implementing, and maintaining efficient systems and processes which promote departmental efficiency, productivity, and assure compliance with regulatory standards.  Controls work operations by establishing and implementing objectives, practices, and methods; and develop corporate care management strategies.  Supports the daily operations of the care management department (Inpatient/Outpatient/Emergency Dept) and assesses and regulates staff compliance with the Hospital's high standards for exemplary customer service and communication.  Promptly investigates problems/complaints and resolves when possible.  Acts as an administrative liaison with third party insurers as appropriate to facilitate resolution of medical necessity determinations and fiscal denials.  Monitors reports, unusual incidents, patterns, and processes within the department, and recommends changes and improvements. Advocates and escalates plan of care delays. Fosters an exceptional teamwork environment with nursing teams and interdisciplinary colleagues; coaches staff in building strong team dynamics. Promotes professional growth and development of employees.  Maintain annual education, participation and involvement with qualified Care Management, and other education platform that support acute care, academic, and ambulatory care environment.  Contribute to elevate quality of care and improve outcomes with evidence-based healthcare solutions.  Meets regularly with Director and staff to share plans and ideas, and performance improvement strategies per departmental plan. Meets regularly with staff to ensure employee engagement across the department and that staff receive consistently clear information, direction, and assistance.  Participates in development and implementation of appropriate patient/family education material pertinent to population served.   Participates in development of quality indicators and analysis of such indicators per departmental quality & performance improvement plan.   Identifies and implements strategies to support Hospital and departmental missions and priorities, contributes or co-leads quality improvement committees, and initiatives using evidence-based practice to initiate change and to drive improvement strategies. Assists team members to establish effective collaborative relationships with representatives of third-party payors and external health care agencies in ways that contribute to these providers' development of an enhanced image of our hospital and health systems. Establishes stewardship of financial, material, and human resources that assist the Director in managing resources to meet budgetary goals while responding effectively to necessary program changes and altered staffing levels.  Maintain and/or provide input for schedules and utilizes staff with flexibility so that the workloads are equitably distributed and productivity goals are met.  Provides positive communication skills in establishing and fostering professional working relationships and uses consistent positive communication skills when offering assistance or making suggestions.  Monitors, controls, and evaluates the quality and quantity of the staff effectiveness and work products.  Recruits, orients, coaches, develop, supervise, and evaluates direct reports that contributes to staff retention within the department.  Assists all employees enhance and maximize skills necessary for great performance. Qualifications Minimum Job Requirements Bachelor's Degree BSN from an accredited RN program RN - Registered Nurse RN Licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) - maintain active and in good standing throughout employment 3-5 years Clinical experience 4-7 years Case management or utilization management with some discharge planning experience 4-7 years Supervisory or management experience in related setting and program function Knowledge, Skills, and Abilities Master's of Science in Nursing preferred. Case Management Certification or equivalent in Case Management, American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) or Certified Professional Healthcare Quality (CPHQ) preferred. Membership in case management and/or related specialty professional organization preferred. Transitions of care experience preferred. Knowledge and understanding of laws, rules, regulations, and reimbursement regarding managed care and commercial insurance and federal and state government programs such as Medicaid and Medicare. Demonstrated leadership and organizational abilities. Demonstration of consistency, independence, flexibility, initiative, creativity, resourcefulness, effective written and verbal communications, diplomacy, organizational, and analytic skills. Self-directed, assertive, and creative in problem solving, systems planning, and patient care management. Skill in analyzing information, data, and problems. Ability to design and/or implement data collection tools. Strong analytical skills. Competent to expert use of Microsoft Office. Demonstrated proficiency in managing software such as Cerner Millennium, Meditech, EHR/EMR, EPIC, Allscripts, and other related software. Job: Nursing - Management Department: CASE MANAGEMENT-2100-866001 Job Status: Full Time Fri, 24 Apr 2026 00:43:46 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22157388/care-manager-ii-case-management-full-time https://careers.mentalhealthamerica.net/jobs/rss/22157388/care-manager-ii-case-management-full-time Longview, Texas, Description Summary: The Care Manager (CM) II works in collaboration with the patient/family, physicians and multidisciplinary team members to ensure patient progression through the continuum of care and to develop a plan of care for each assigned patient from admission through discharge. The CM is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Care Coordination and Discharge Planning are both responsibilities of this role. The CM assesses and responds to patient/family needs by coordinating efforts of other team members and identifies and resolves barriers that hinder effective patient care. The CM adheres to departmental and organizational goals, objectives, standards of performance, policies and procedures, and continually assures regulatory compliance. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Coordinates the integration of case management functions into the patient care and discharge planning processes in collaboration with other hospital departments, external service organizations, agencies, and healthcare facilities. Coordinates/facilitates patient care progression throughout the continuum of care in an efficient and cost-effective manner. Serves as resource, provides support, and advocates on behalf of the patient related to treatment decisions and end of life issues. Closely monitor patient length of stay in regard to the geometric mean length of stay and communicate/collaborate with appropriate interdisciplinary team members to remove barriers and expedite discharge. Implements and monitors the patient?s plan of care to ensure effectiveness and appropriateness of services. Identifies and escalates local and system barriers that are impeding diagnostic or treatment progress and issues related to quality and risk as appropriate in a timely manner. Proactively identifies and resolves delays and obstacles to discharge. Uses advanced conflict resolution skills as necessary to ensure timely resolution of issues. Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Interviews patients/families to obtain information about social, emotional, and financial factors which impact health status to develop comprehensive discharge planning assessment and care plan. Assesses needs for discharge planning and continuing care/resource support following discharge; independently makes recommendations to patients and families regarding post-acute level of care needs and options including: Acute Rehabilitation Placement Nursing Home or Skilled Nursing placement Psychiatric or Substance Abuse placement New Dialysis Child/Adult/Domestic Abuse Home Health/Hospice Referrals Legal issues (adoptions, guardianship) Assistance with Advance Directives Community Resource needs Financial Issues/Funding options DME Referrals and Coordination Social Determinants of Health Initiates discharge planning at the time of admission and makes post-hospital service referrals based upon information gathered during assessment and interactions with physicians, multidisciplinary care team, and payors as indicated. Acts as patient advocate by negotiating for, and coordinating, resources with payors, agencies, and vendors. Ensures that all elements critical to the plan of care have been communicated to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care. Provide appropriate interventions which demonstrate knowledge of and sensitivity toward cultural diversity and the religious, developmental, health literacy, and educational backgrounds of the patient population. Assesses the patient?s formal and informal support system as well as available benefits and/or community resources. Meets directly with patient/family to assess needs and develop and individualized care plan in collaboration with the physician. Ensures and maintains plan consensus from patient/family, physician and payor. Provides education, information, direction, and support related to patient?s goals of care. Acts as patient advocate to develop treatment plan and coordinate patient care and to transition patient to the appropriate next level of care. Demonstrates and promotes respect for the dignity and rights of every patient while adhering to the safety standards and practices of the organization and the nursing profession. Collaborates with the physician and other health care professionals to promote appropriate use of medical center resources. Provides information and support to patients and families, helping them access needed resources within the medical center and community. Actively participates in clinical performance improvement activities involving length of stay, resource utilization, avoidable days, cost per case, and readmissions. Measures effectiveness of interventions through direct communication with post-acute care providers, patients, and caregivers. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency. Actively participates in Multidisciplinary/Patient Care Progression Rounds. Escalates cases as appropriate and per policy to Physician Advisors and/or CM Director. Documents in the medical record per regulatory and department guidelines. May be asked to assist with special projects. May serve a preceptor or orienter to new associates. Assumes responsibility for professional growth and development. Must have excellent verbal and written communication and ability to interact with diverse populations. Must have critical and analytical thinking skills. Must have demonstrated clinical competency. Must have the ability to Multitask and to function in a stressful and fast paced environment. Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. Must have understanding of pre-acute and post-acute levels of care and community resources. Must have ability to work independently and exercise sound judgment in interactions with physicians, payors, patients and their families. Must be understanding of internal and external resources and knowledge of available community resources. Must have the ability to move around the hospital to all areas for the majority of the workday while in office the rest of the day; general office and hospital environment. Job Requirements: Education/Skills Graduate of an accredited school of nursing (BSN preferred) or Masters Degree in Social Work (MSW) required or demonstrated success in CHRISTUS Care Manager I Position for at least 5 years on top of the required experience in lieu of education required. Experience Two or more years clinical experience with one year in the acute care setting preferred. Licenses, Registrations, or Certifications RN or LMSW in the state of employment is required for new hires. LBSW accepted for associates with 5+ years of demonstrated success and experience in CHRISTUS Care Manager I role. Certification in Case Management preferred. BLS preferred.   Work Schedule: 5 Days - 8 Hours Work Type: Full Time Fri, 24 Apr 2026 01:10:43 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22191131/care-manager-iii-case-management-full-time https://careers.mentalhealthamerica.net/jobs/rss/22191131/care-manager-iii-case-management-full-time Beaumont, Texas, Description Hiring bonus incentive of $10,000 for a 2-year commitment. Summary: The Care Manager (CM) III works in collaboration with the patient/family, physicians, and multidisciplinary team members to ensure patient progression through the continuum of care and to develop a plan of care for each assigned patient from admission through discharge. The CM is responsible for identifying, initiating, and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Care Coordination and Discharge Planning are both responsibilities of this role. The CM assesses and responds to patient/family needs by coordinating the efforts of other team members and identifies and resolves barriers that hinder effective patient care. The CM adheres to departmental and organizational goals, objectives, standards of performance, policies, and procedures, and continually assures regulatory compliance. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Coordinates the integration of case management functions into the patient care and discharge planning processes in collaboration with other hospital departments, external service organizations, agencies, and healthcare facilities. Coordinates/facilitates patient care progression throughout the continuum of care in an efficient and cost-effective manner. Serves as a resource and provides support related to treatment decisions and end-of-life issues. Closely monitor the patient's length of stay in regard to the geometric mean length of stay and communicate/collaborate with appropriate interdisciplinary team members to remove barriers and expedite discharge. Implements and monitors the patient?s plan of care to ensure effectiveness and appropriateness of services. Identifies and escalates local and system barriers that are impeding diagnostic or treatment progress and issues related to quality and risk as appropriate in a timely manner. Proactively identifies and resolves delays and obstacles to discharge. Uses advanced conflict resolution skills as necessary to ensure timely resolution of issues. Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Interview patients/families to obtain information about social, emotional, and financial factors that impact health status to develop a comprehensive discharge planning assessment and care plan. Assesses needs for discharge planning and continuing care/resource support following discharge; independently makes recommendations to patients and families regarding the post-acute level of care needs and options including: Acute Rehabilitation Placement Nursing Home or Skilled Nursing placement Psychiatric or Substance Abuse placement New Dialysis Child/Adult/Domestic Abuse Home Health/Hospice Referrals Legal issues (adoptions, guardianship) Assistance with Advance Directives Community Resource needs Financial Issues/Funding options DME Referrals and Coordination Social Determinants of Health Initiates discharge planning at the time of admission and makes post-hospital service referrals based upon information gathered during assessment and interactions with physicians, multidisciplinary care team, and payors as indicated. Acts as patient advocate by negotiating for, and coordinating, resources with payors, agencies, and vendors. Ensures that all elements critical to the plan of care have been communicated to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care. Provide appropriate interventions which demonstrate knowledge of and sensitivity toward cultural diversity and the religious, developmental, health literacy, and educational backgrounds of the patient population. Assesses the patient?s formal and informal support system as well as available benefits and/or community resources. Meets directly with patient/family to assess needs and develop and individualized care plan in collaboration with the physician. Ensures and maintains plan consensus from patient/family, physician and payor. Provide education, information, direction, and support related to patient?s goals of care. Acts as patient advocate to develop treatment plan and coordinate patient care and to transition patient to the appropriate next level of care. Demonstrates and promotes respect for the dignity and rights of every patient while adhering to the safety standards and practices of the organization and the nursing profession. Collaborates with the physician and other health care professionals to promote appropriate use of medical center resources. Provides information and support to patients and families, helping them access needed resources within the medical center and community. Actively participates in clinical performance improvement activities involving length of stay, resource utilization, avoidable days, cost per case, and readmissions. Measures effectiveness of interventions through direct communication with post-acute care providers, patients, and caregivers. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency. Actively participates in Multidisciplinary/Patient Care Progression Rounds. Escalates cases as appropriate and per policy to Physician Advisors and/or CM Director. Documents in the medical record per regulatory and department guidelines. May be asked to assist with special projects. May serve as a preceptor or orienter to new associates. Assumes responsibility for professional growth and development. Must have knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. Must have an understanding of pre-acute and post-acute levels of care and community resources. Must have the ability to work independently and exercise sound judgment in interactions with physicians, payors, patients, and their families. Must have an understanding of internal and external resources and knowledge of available community resources. Must be able to move around the hospital to all areas for the majority of the workday while in the office the rest of the day; general office and hospital environment. Job Requirements: Education/Skills BSN or Masters Degree in Social Work (MSW) required or demonstrated success in CHRISTUS Care Manager II position for at least 5 years on top of the required experience (in lieu of education requirement) which includes: Demonstrated leadership skills ? formal or informal. Demonstrated willingness to mentor team members including onboarding and orienting new associates. Demonstrated problem-solving skills. Demonstrated a positive approach in difficult and challenging situations. Demonstrated agent for change and change management. Experience 5 years of experience in the clinical setting with at least 3 years in the acute care setting required. Licenses, Registrations, or Certifications RN or LCSW in the state of employment is required for new hires. LMSW is accepted for associates with 5+ years of demonstrated success and experience in a CM II role within CHRISTUS Health. CM Certification preferred. BLS preferred. Work Schedule: TBD Work Type: Full Time EEO is the law - click below for more information:  https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925. Fri, 24 Apr 2026 01:10:43 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22172318/inpatient-registered-nurse-case-manager-care-coordination-full-time https://careers.mentalhealthamerica.net/jobs/rss/22172318/inpatient-registered-nurse-case-manager-care-coordination-full-time Great Falls, Montana, Benefis is one of Montana's largest and premier health systems, and we are committed to providing excellent care for all, healing body, mind, and spirit. At Benefis, we work hard to support our employees in every aspect of their careers by offering outstanding benefits and compensation, state-of-the-art facilities, and multiple growth opportunities. The only thing missing is you! Responsible for the coordination and implementation of case management activities. Encompasses all care needs of patient during the time frame the patient requires care within the hospital setting. Remains point of contact for patient/family/legal representative until patient transitions to another service line OP case manager or patient navigator. Works with all members of the healthcare and multidisciplinary team to assure a collaborative approach is maintained in care and treatment of the patient. Reviews care and treatment for appropriateness against screening and reimbursement criteria for appropriate referral management. Plans and coordinates all necessary care services and needs for the patient. Provides patient/family/legal representative with community and/or care need resources. Organizes and leads necessary care conferences or multidisciplinary care team discussions. Sends any ordered or necessary referrals to the appropriate service line Patient Navigators, OP Case Manager, or community resource contact for review of appropriateness of services or resources requested. Attends daily care rounds if applicable, communicates any changes in the patient's clinical condition that may impact their transitional care plan to the multi-disciplinary care team and remains point of contact for the patient/family/legal representative during hospitalization. Communicates and collaborates with multidisciplinary care team members, Patient Navigators, OP Case Manager, patients/families/legal representatives. Continual monitoring and assessment of patients care plan goals and needs and modifies referrals and resource requests as necessary. Provides indirect and/or direct patient care as they identify, assess, plan, and evaluate the needs of patients for discharge and transitions of care. Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations. Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict. Will perform all job duties or job tasks as assigned. Will follow and adhere to all requirements, regulations and procedures of any licensing board or agency. Must comply with all Benefis Health System's organization policies and procedures. Education/License/Experience Requirements: Graduate of an accredited school of nursing, BSN Preferred Current state registered nurse license required. Current BLS certification. Must have thorough knowledge of clinical nursing skills. Fri, 24 Apr 2026 00:35:53 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22181001/inpatient-registered-nurse-case-manager-care-coordination-full-time https://careers.mentalhealthamerica.net/jobs/rss/22181001/inpatient-registered-nurse-case-manager-care-coordination-full-time Great Falls, Montana, Benefis is one of Montana's largest and premier health systems, and we are committed to providing excellent care for all, healing body, mind, and spirit. At Benefis, we work hard to support our employees in every aspect of their careers by offering outstanding benefits and compensation, state-of-the-art facilities, and multiple growth opportunities. The only thing missing is you! Flexible Scheduling! Option to work through the weekend or weekdays. Sample Workdays: Monday - Friday or Thursday - Sunday or Saturday - Tuesday, etc. Weekend shift differential! Responsible for the coordination and implementation of case management activities. Encompasses all care needs of patient during the time frame the patient requires care within the hospital setting. Remains point of contact for patient/family/legal representative until patient transitions to another service line OP case manager or patient navigator. Works with all members of the healthcare and multidisciplinary team to assure a collaborative approach is maintained in care and treatment of the patient. Reviews care and treatment for appropriateness against screening and reimbursement criteria for appropriate referral management. Plans and coordinates all necessary care services and needs for the patient. Provides patient/family/legal representative with community and/or care need resources. Organizes and leads necessary care conferences or multidisciplinary care team discussions. Sends any ordered or necessary referrals to the appropriate service line Patient Navigators, OP Case Manager, or community resource contact for review of appropriateness of services or resources requested. Attends daily care rounds if applicable, communicates any changes in the patient's clinical condition that may impact their transitional care plan to the multi-disciplinary care team and remains point of contact for the patient/family/legal representative during hospitalization. Communicates and collaborates with multidisciplinary care team members, Patient Navigators, OP Case Manager, patients/families/legal representatives. Continual monitoring and assessment of patients care plan goals and needs and modifies referrals and resource requests as necessary. Provides indirect and/or direct patient care as they identify, assess, plan, and evaluate the needs of patients for discharge and transitions of care. Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations. Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict. Will perform all job duties or job tasks as assigned. Will follow and adhere to all requirements, regulations and procedures of any licensing board or agency. Must comply with all Benefis Health System's organization policies and procedures. Education/License/Experience Requirements: Graduate of an accredited school of nursing, BSN Preferred Current state registered nurse license required. Current BLS certification. Must have thorough knowledge of clinical nursing skills. Fri, 24 Apr 2026 00:35:53 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22208858/community-care-social-worker-case-manager-full-time https://careers.mentalhealthamerica.net/jobs/rss/22208858/community-care-social-worker-case-manager-full-time Billings, Montana, Benefis is one of Montana's largest and premier health systems, and we are committed to providing excellent care for all, healing body, mind, and spirit. At Benefis, we work hard to support our employees in every aspect of their careers by offering outstanding benefits and compensation, state-of-the-art facilities, and multiple growth opportunities. The only thing missing is you! Works in a multi-disciplinary approach to plan, coordinate, monitor, and supervise the provision of services to the consumers enrolled in the Home and Community Based Services Program. Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations. Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict. Will perform all job duties or job tasks as assigned. Will follow and adhere to all requirements, regulations and procedures of any licensing board or agency. Must comply with all Benefis Health System's organization policies and procedures. Education/License/Experience Requirements: Bachelor's degree in social work or psychology, sociology, or other field related to social work Three (3) years of social work experience in a health care setting preferred Knowledge of case management methods, practice, and procedure. Knowledge of the application of diagnostic and crisis intervention skills. Knowledge of issues and needs of long-term care consumers. Prior knowledge of managing a budget. Knowledge of human behavior, disabilities, and the aging process. Fri, 24 Apr 2026 00:35:53 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22152930/community-care-social-worker-case-manager-full-time https://careers.mentalhealthamerica.net/jobs/rss/22152930/community-care-social-worker-case-manager-full-time Kalispell, Montana, Benefis is one of Montana's largest and premier health systems, and we are committed to providing excellent care for all, healing body, mind, and spirit. At Benefis, we work hard to support our employees in every aspect of their careers by offering outstanding benefits and compensation, state-of-the-art facilities, and multiple growth opportunities. The only thing missing is you! Works in a multi-disciplinary approach to plan, coordinate, monitor, and supervise the provision of services to the consumers enrolled in the Home and Community Based Services Program. Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations. Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict. Will perform all job duties or job tasks as assigned. Will follow and adhere to all requirements, regulations and procedures of any licensing board or agency. Must comply with all Benefis Health System's organization policies and procedures. Education/License/Experience Requirements: Bachelor's degree in social work or psychology, sociology, or other field related to social work Three (3) years of social work experience in a health care setting preferred Knowledge of case management methods, practice, and procedure. Knowledge of the application of diagnostic and crisis intervention skills. Knowledge of issues and needs of long-term care consumers. Prior knowledge of managing a budget. Knowledge of human behavior, disabilities, and the aging process. Fri, 24 Apr 2026 00:35:53 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22149328/community-care-social-worker-case-manager-full-time https://careers.mentalhealthamerica.net/jobs/rss/22149328/community-care-social-worker-case-manager-full-time Helena, Montana, Benefis is one of Montana's largest and premier health systems, and we are committed to providing excellent care for all, healing body, mind, and spirit. At Benefis, we work hard to support our employees in every aspect of their careers by offering outstanding benefits and compensation, state-of-the-art facilities, and multiple growth opportunities. The only thing missing is you! **Monday through Friday - Hybrid/Remote option. Must live in or near Lewis and Clark County. No call or weekends Health Plan benefits and retirement options with employer match! Works in a multi-disciplinary approach to plan, coordinate, monitor, and supervise the provision of services to the consumers enrolled in the Home and Community Based Services Program. Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations. Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict. Will perform all job duties or job tasks as assigned. Will follow and adhere to all requirements, regulations and procedures of any licensing board or agency. Must comply with all Benefis Health System's organization policies and procedures. Education/License/Experience Requirements: Bachelor's degree in social work or psychology, sociology, or other field related to social work Three (3) years of social work experience in a health care setting preferred Knowledge of case management methods, practice, and procedure. Knowledge of the application of diagnostic and crisis intervention skills. Knowledge of issues and needs of long-term care consumers. Prior knowledge of managing a budget. Knowledge of human behavior, disabilities, and the aging process. Fri, 24 Apr 2026 00:35:53 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22157412/utilization-management-nurse-ii-case-management-full-time https://careers.mentalhealthamerica.net/jobs/rss/22157412/utilization-management-nurse-ii-case-management-full-time Beaumont, Texas, Description Summary: The Utilization Management Nurse II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services "CMS" Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and Joint Commission regulations and guidelines related to UM. This Nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services. The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Applies demonstrated clinical competency and judgment in order to perform comprehensive assessments of clinical information and treatment plans and apply medical necessity criteria in order to determine the appropriate level of care. Resource/Utilization Management appropriateness: Assess assigned patient population for medical necessity, level of care, and appropriateness of setting and services. Utilizes MCG/InterQual Care Guidelines and/or health system-approved tools to track impact and variance. Uses appropriate criteria sets for admission reviews, continued stay reviews, outlier reviews, and clinical appropriateness recommendations. Coordinate and facilitate correct identification of patient status. Analyze the quality and comprehensiveness of documentation and collaborate with the physician and treatment team to obtain documentation needed to support the level of care. Facilitates joint decision-making with the interdisciplinary team regarding any changes in the patient status and/or negative outcomes in patient responses. Demonstrates, maintains, and applies current knowledge of regulatory requirements relative to the work process in order to ensure compliance, i.e. IMM, Code 44. Demonstrate adherence to the CORE values of CHRISTUS. Utilize independent scope of practice to identify, evaluate and provide utilization review services for patients and analyze information supplied by physicians (or other clinical staff) to make timely review determinations, based on appropriate criteria and standards. Take appropriate follow-up action when established criteria for utilization of services are not met. Proactively refer cases to the physician advisor for medical necessity reviews, peer-to-peer reviews, and denial avoidance. Effectively collaborate with the Interdisciplinary team including the Physician Advisor for secondary reviews. Proactively review patients at the point of entry, prior to admission, to determine the medical necessity of a requested hospitalization and the appropriate level of care or placement for the patient. Review surgery schedule to ensure planned surgeries are ordered in the appropriate status and that necessary authorization has been obtained as required by the payor or regulatory guidance (i.e., CMS Inpatient Only List, Payor Prior Authorization matrix, etc.) Regularly review patients who are in the hospital in Observation status to determine if the patient is appropriate for discharge or if conversion to inpatient status is appropriate. Proactively identify and resolve issues regarding clinical appropriateness recommendations, coverage, and potential or actual payor denials. Maintain consistent communication and exchange of information with payors as per payor or regulatory requirements to coordinate certification of hospital services. Coordinate and facilitate patient care progression throughout the continuum and communicate and document to support medical necessity at each level of care. Evaluate care administered by the interdisciplinary health care team and advocate for standards of practice. Analyze assessment data to identify potential problems and formulate goals/outcomes. Follows the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability ACT (HIPPA) designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI). Attend scheduled department staff meetings and/or interdepartmental meetings as appropriate. Possesses and demonstrates technology literacy and the ability to work in multiple technology systems. Act as a catalyst for change in the organization; respond to change with flexibility and adaptability; demonstrate the ability to work together for change. Translate strategies into action steps; monitor progress and achieve results. Demonstrate the confidence, drive, and ability to face and overcome challenges and obstacles to achieve organizational goals. Demonstrate competence to perform assigned responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department. Possess negotiating skills that support the ability to interact with physicians, nursing staff, administrative staff, discharge planners, and payers. Excellent verbal and written communication skills, knowledge of clinical protocol, normative data, and health benefit plans, particularly coverage and limitation clauses. Must adjust to frequently changing workloads and frequent interruptions. May be asked to work overtime or take calls. May be asked to travel to other facilities to assist as needed. Actively participates in Multidisciplinary/Patient Care Progression Rounds. Escalates cases as appropriate and per policy to Physician Advisors and/or CM Director. Documents in the medical record per regulatory and department guidelines. May be asked to assist with special projects. May serve as a preceptor or orienter to new associates. Assumes responsibility for professional growth and development. Familiarity with criteria sets including InterQual and MCG preferred. Must have excellent verbal and written communication and ability to interact with diverse populations. Must have critical and analytical thinking skills. Must have demonstrated clinical competency. Must have the ability to Multitask and to function in a stressful and fast-paced environment. Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. Must have an understanding of pre-acute and post-acute levels of care and community resources. Must have the ability to work independently and exercise sound judgment in interactions with physicians, payors, patients, and their families. Must have an understanding of internal and external resources and knowledge of available community resources. Other duties as assigned. Job Requirements: Education/Skills Graduate of an accredited School of Nursing OR demonstrated success in the Utilization Management Nurse I role for at least five years at CHRISTUS Health on top of required experience in lieu of education required. Experience Two or more years of clinical experience with at least one year in the acute care setting OR demonstrated success as Utilization Management Nurse I role at CHRISTUS Health required. Licenses, Registrations, or Certifications RN License in state of employment or compact required. LPN or LVN license accepted for associates with 5+ years of demonstrated success and experience in the Utilization Management Nurse I role at CHRISTUS Health. Certification in Case Management preferred. BLS preferred.   Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time Fri, 24 Apr 2026 01:10:43 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22222599/case-manager https://careers.mentalhealthamerica.net/jobs/rss/22222599/case-manager Raleigh, North Carolina, At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.   About Duke Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of the four Duke Health hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care. Duke Nursing Highlights:   Duke University Health System is designated as a Magnet organization Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification. Duke University Health System has 6000 + registered nurses Quality of Life: Living in the Triangle! Relocation Assistance (based on eligibility)   The Case Manager is responsible for managing an assigned caseload to ensure timely assessment, planning, implementation, and evaluation of discharge plans and care transitions across the continuum of care. This role supports optimal patient outcomes, effective resource utilization, and compliance with CMS and other regulatory agencies. The Case Manager collaborates closely with interdisciplinary teams, patients, families, and community partners to coordinate safe, efficient care transitions. Key Responsibilities Care Coordination & Discharge Planning Assess all assigned patients for case management needs, including discharge planning, care transitions, advocacy, consultations, and patient/family education. Develop, implement, and evaluate individualized discharge plans ensuring timely and appropriate transitions of care. Coordinate services such as Home Health, Durable Medical Equipment (DME), transportation, Substance Abuse Treatment, outpatient follow-up, Skilled Nursing Facility (SNF) placement, and Acute Rehab referrals. Monitor daily census to ensure all patients are evaluated for case management needs. Collaboration & Communication Maintain effective communication with the healthcare team regarding assessment findings, discharge needs, and provider orders. Provide education to patients, families, and care teams regarding benefits, reimbursement guidelines, and regulatory requirements. Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote appropriate resource use. Documentation & Compliance Maintain timely, accurate documentation of assessments, interventions, discharge arrangements, and all actions taken. Ensure compliance with federal, state, and local regulations, as well as organizational policies. Prepare reports and maintain records as required. Quality & Professional Development Participate in Quality Assurance/Performance Improvement (QAPI) activities. Represent the department with professionalism while fostering positive working relationships across Duke Health and external partners. Provide weekend, holiday, or after-hours coverage as assigned based on entity needs. Knowledge, Skills & Abilities Ability to work independently in a self-directed role. Strong problem-solving skills and ability to manage complex situations. Excellent written and verbal communication skills. Basic computer proficiency. Minimum Qualifications Education BSN or MSW required Experience Minimum of 3 years of relevant experience License and Certification Case Management Certification (ACM, CCM, or ANCC) required within 3 years of hire For BSN-prepared candidates:  Must hold a current RN license (or compact license) in the state of North Carolina. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department. Fri, 24 Apr 2026 00:58:08 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22169400/case-management-rn-case-manager https://careers.mentalhealthamerica.net/jobs/rss/22169400/case-management-rn-case-manager Lewes, Delaware, Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community.  Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.   In addition to competitive compensation and wellness benefits (medical, dental, vision, and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,000 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Pers via WorkAdvantage Employee Assistance Program Pet Insurance Overview The Registered Nurse (RN) Complex Case Manager (CCM) is responsible for providing case management services for the medically complex inpatients The patient population covered will include significantly complex medical conditions, and/or social-economic and mental health co-morbidities. The goal of the position will be to assist these patients to achieve optimal health and/or independence in managing their care. To achieve this goal the manager will demonstrate and apply knowledge of the philosophy/principles of comprehensive case management, patient-centered, culturally sensitive care coordination and management of complex patients. The case manager will be responsible to develop plans for patient and family self-care competence, including motivational assessment, assessing for desired level of involvement and coaching for adherence to care plan. CCM will provide nursing assessment, create and monitor patient/family care plans, including end of life planning.  Responsibilities 1. Assess the physical, functional, social, psychological, environmental, learning and financial needs of patients. 2. Identify problems, goals and interventions designed to meet patient's needs, including prioritized goals that consider the patient/caregivers goals, preferences and desired level of involvement in the case management plan. 3. Assist with creation of IP care plan including objectives, goals and actions designed to meet patient's needs.  4. Provide appropriate interventions which demonstrate knowledge of and sensitivity toward cultural diversity and religious, developmental, health literacy, and educational backgrounds of the population served. Utilize interpreter services per policy.  5. Assess the patient's formal and informal support systems, including caregiver resources and involvement as well as available benefits and/or community resources.  6. Implement and monitor the IP care plan to ensure the effectiveness and appropriateness of services. Maintain ongoing communication with UR Nurse regarding same.  7. Evaluate patient's progress toward goal achievement, including identification and evaluation of barriers to meeting or complying with case management plan of care, and systematically reassess for changes in goals and/or health status. 8. Research alternative treatment options and selecting and locating appropriate providers which can include facilitation of referrals.  9. Communicates with attending and primary care physician and members of the comprehensive care team regarding status of patient.  10. Utilize motivational interviewing skills to build patient engagement in case management plan of care.  11. Provide education, information, direction and support related to care goals of patients.  12. Act as a patient advocate and assist with problem solving and addressing any barriers to care or compliance with care plan.  13. Coordinate care and develop treatment plans.  14. Provide referrals to appropriate community resources; facilitate access and communication when multiple services are involved. coordinate discharge services to avoid duplication.  15. Maintain accurate patient records and patient confidentiality.  16. Measure outcomes and effectiveness of case management including clinical, financial, quality of life and patient/family satisfaction.  17. Engage in professional development activities to keep abreast of case management practices and patient engagement strategies.  18. Facilitate disease prevention and health promotion with patients and families  19. Determine psychosocial needs & complex medical needs of all patients 20. Troubleshoots problems regarding operational and clinical procedures that may affect patient outcomes.  21. Attend mandatory training sessions and staff meetings as assigned. 22. Participate in prospective, concurrent, and retrospective case reviews involving targeted patients. 23. Identify risk factors and teach patients clear pathway of response to identified triggers 24. Promote patient and family responsibility and self-management  25. Document all relevant information following department policy guidelines.  26. Maintain knowledge of operational procedures and case management program components. 27. Promote chronic disease management concepts, health screening and preventive health initiatives for targeted patients 28. Participate and promote appropriate performance improvement projects Program Development: 29.Assist with the collection, analysis, and benchmarking of utilization data. 30. Collaborate in the development of protocols and guidelines for patient care management. 31. Adhere and uphold Beebe Healthcare's Mission, Vision and Values and Performance Standards 32. Other tasks as assigned  Qualifications Bachelors degree in nursing or related field OR  ADN with 5 years of case management experience with BSN completion within 5 years of hire required. Entry USD $74,568.00/Yr. Max USD $115,585.60/Yr. Sat, 04 Apr 2026 00:41:06 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22206553/rn-case-manager-case-management-part-time-day-shift-marina-del-rey-hospital https://careers.mentalhealthamerica.net/jobs/rss/22206553/rn-case-manager-case-management-part-time-day-shift-marina-del-rey-hospital Marina del Rey, California, Job Description Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation?s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company?s Workplace of the Year. This award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. Join us, and discover why U.S. News & World Report has named us one of America?s Best Hospitals! **Eligible for a $5,000 Employee Referral Bonus  What You Will Do in This Role: A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization through discharge. Works with all members of the health care team to ensure a collaborative approach is maintained in care and treatment of the patient. Reviews care and treatment for appropriateness against screening criteria and for infection control, quality services for continued stay and through discharge. Plans and coordinates home care services and needs. Coordinates the discharge planning function in conjunction with the social worker. Participates in education on and implementation of clinical guidelines and protocols. Provides or arranges patient teaching as appropriate. Works closely with social workers to integrate psychosocial management of patient/family needs. Primary Duties and Responsibilities: Performs evaluation and or assessment within the established/communicated timeframe Documents appropriate reviews for assigned patients using utilization review tool. Provides telephonic review for identified contracted/private patients collaborates with on-site and/or outside reviewers. Keeps patients informed of progress and provides information related to disease progression. Collaborates with discharge planner to make orders and arranges for home care equipment, healthcare needs, and works with third-party payers to validate orders. Educates patients and families on all aspects of patients? hospitalization and continuing care. Assumes responsibility for timely completion of required case management reports for regulatory bodies, health plans, and insurance carriers. Interacts professionally with patient/family/caregivers and involves them in the formation of the plan of care and discharge needs. Coordinates with multidisciplinary team to ensure the identification of a safe and appropriate discharge plan for each assigned patient. Documentation meets current standards and policies. Maintains department cleanliness and safety. Shift: 8:00AM - 4:30PM, Monday - Friday, ONSITE Qualifications Education: Associate's degree in Nursing (required). Bachelor's degree in Nursing (preferred). Certifications/Licenses: Current and valid California RN License (required). Certified Case Manager (CCM) or Accredited Case Manager (ACM) (preferred). Experience: Minimum of 2 years of nursing experience in an acute care setting (required). Minimum of 1year of Case Management experience (preferred). Fri, 24 Apr 2026 00:48:14 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22147899/care-manager-case-management https://careers.mentalhealthamerica.net/jobs/rss/22147899/care-manager-case-management New Braunfels, Texas, Description CHRISTUS Santa Rosa Hospital - New Braunfels (CSRH-NB), nestled in the heart of downtown New Braunfels, is a full-service, 94-private bed facility that continues to expand to meet the needs of New Braunfels? strong population growth. Innovative equipment and procedures are utilized, including an Outpatient Imaging Center, orthopedic and surgical services, rehabilitation, a renovated birthing center, including 24/7 neonatal coverage, emergency care, wound care/hyperbaric center, 3D mammography, and comprehensive heart care, from diagnostics to open-heart surgery.  Summary: The Care Manager (CM) PRN works in collaboration with the patient/family, physicians, and multidisciplinary team members to ensure patient progression through the continuum of care and to develop a plan of care for each assigned patient from admission through discharge. The CM is responsible for identifying, initiating, and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Care Coordination and Discharge Planning are both responsibilities of this role. The CM assesses and responds to patient/family needs by coordinating the efforts of other team members and identifies and resolves barriers that hinder effective patient care. The CM adheres to departmental and organizational goals, objectives, standards of performance, policies, and procedures, and continually assures regulatory compliance. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Interviews patients/families to obtain information about social, emotional, and financial factors which may impact health status both prior to, and after, discharge and assess the patient?s current formal and informal support system as well as available benefits and resources. Works with the CMII or CMIII to develop and monitor the patient?s plan of care to ensure effectiveness and appropriateness of services. Coordinates/facilitates patient care progression throughout the continuum of care in an efficient and cost-effective manner. Serves as resource, provides support, and acts as an advocate on behalf of the patient related to treatment decisions and end of life issues. Closely monitors patient length of stay and communicates/collaborates with appropriate interdisciplinary team members to remove barriers and expedite discharge. Identifies and escalates local and system barriers that are impeding diagnostic or treatment progress and issues related to quality and risk as appropriate in a timely manner. Works to resolve identified delays to discharge. Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Assesses needs for discharge planning and continuing care/resource support following discharge; independently makes recommendations to patients and families regarding post-acute level of care needs and options including: Acute Rehabilitation Placement Nursing Home or Skilled Nursing placement Psychiatric or Substance Abuse placement New Dialysis Child/Adult/Domestic Abuse Home Health/Hospice Referrals Legal issues (adoptions, guardianship) Assistance with Advance Directives Community Resource needs Financial Issues/Funding options DME Referrals and Coordination Social Determinants of Health Ensures appropriate communication and updates are provided to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care. Provide appropriate interventions which demonstrate knowledge of and sensitivity toward cultural diversity and the religious, developmental, health literacy, and educational backgrounds of the patient population. Provides information and support to patients and families, helping them access needed resources within the medical center and community. Ensures and maintains plan consensus from patient/family, physician, and payor. Collaborates with the physician and other health care professionals to promote appropriate use of medical center resources. Actively participates in Multidisciplinary/Patient Care Progression Rounds. Escalates cases as appropriate and per policy to Physician Advisors and/or CM Director. Documents in the medical record per regulatory and department guidelines. Assumes responsibility for professional growth and development. Must have excellent verbal and written communication and ability to interact with diverse populations. Must have critical and analytical thinking skills. Must have demonstrated clinical competency. Must have ability to Multitask and to function in a stressful and fast paced environment. Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. Must have understanding of pre-acute and post-acute levels of care and community resources. Must have ability to work independently and exercise sound judgment in interactions with physicians, payors, patients and their families. Must have understanding of internal and external resources and knowledge of available community resources. Must have the ability to move around the hospital to all areas for the majority of the workday while in office the rest of the day; general office and hospital environment. Job Requirements: Education/Skills One of the following education is required: Certificate, Associate, or bachelor?s degree in nursing Bachelor?s or Master?s degree in Social Work Experience Experience in the clinical or acute care setting preferred. Licenses, Registrations, or Certifications LVN/LPN, RN, LBSW, LMSW, or LCSW in the state of employment is required. BLS preferred.   Work Schedule: MULTIPLE SHIFTS AVAILABLE Work Type: Per Diem As Needed Fri, 24 Apr 2026 01:10:43 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22204586/care-manager-case-management https://careers.mentalhealthamerica.net/jobs/rss/22204586/care-manager-case-management Santa Fe, New Mexico, Description Summary: The Care Manager (CM) PRN works in collaboration with the patient/family, physicians, and multidisciplinary team members to ensure patient progression through the continuum of care and to develop a plan of care for each assigned patient from admission through discharge. The CM is responsible for identifying, initiating, and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Care Coordination and Discharge Planning are both responsibilities of this role. The CM assesses and responds to patient/family needs by coordinating the efforts of other team members and identifies and resolves barriers that hinder effective patient care. The CM adheres to departmental and organizational goals, objectives, standards of performance, policies, and procedures, and continually assures regulatory compliance. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Interviews patients/families to obtain information about social, emotional, and financial factors which may impact health status both prior to, and after, discharge and assess the patient?s current formal and informal support system as well as available benefits and resources. Works with the CMII or CMIII to develop and monitor the patient?s plan of care to ensure effectiveness and appropriateness of services. Coordinates/facilitates patient care progression throughout the continuum of care in an efficient and cost-effective manner. Serves as resource, provides support, and acts as an advocate on behalf of the patient related to treatment decisions and end of life issues. Closely monitors patient length of stay and communicates/collaborates with appropriate interdisciplinary team members to remove barriers and expedite discharge. Identifies and escalates local and system barriers that are impeding diagnostic or treatment progress and issues related to quality and risk as appropriate in a timely manner. Works to resolve identified delays to discharge. Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Assesses needs for discharge planning and continuing care/resource support following discharge; independently makes recommendations to patients and families regarding post-acute level of care needs and options including: Acute Rehabilitation Placement Nursing Home or Skilled Nursing placement Psychiatric or Substance Abuse placement New Dialysis Child/Adult/Domestic Abuse Home Health/Hospice Referrals Legal issues (adoptions, guardianship) Assistance with Advance Directives Community Resource needs Financial Issues/Funding options DME Referrals and Coordination Social Determinants of Health Ensures appropriate communication and updates are provided to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care. Provide appropriate interventions which demonstrate knowledge of and sensitivity toward cultural diversity and the religious, developmental, health literacy, and educational backgrounds of the patient population. Provides information and support to patients and families, helping them access needed resources within the medical center and community. Ensures and maintains plan consensus from patient/family, physician, and payor. Collaborates with the physician and other health care professionals to promote appropriate use of medical center resources. Actively participates in Multidisciplinary/Patient Care Progression Rounds. Escalates cases as appropriate and per policy to Physician Advisors and/or CM Director. Documents in the medical record per regulatory and department guidelines. Assumes responsibility for professional growth and development. Must have excellent verbal and written communication and ability to interact with diverse populations. Must have critical and analytical thinking skills. Must have demonstrated clinical competency. Must have ability to Multitask and to function in a stressful and fast paced environment. Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. Must have understanding of pre-acute and post-acute levels of care and community resources. Must have ability to work independently and exercise sound judgment in interactions with physicians, payors, patients and their families. Must have understanding of internal and external resources and knowledge of available community resources. Must have the ability to move around the hospital to all areas for the majority of the workday while in office the rest of the day; general office and hospital environment. Job Requirements: Education/Skills One of the following education is required: Certificate, Associate, or bachelor?s degree in nursing Bachelor?s or Master?s degree in Social Work Experience Experience in the clinical or acute care setting preferred. Licenses, Registrations, or Certifications LVN/LPN, RN, LBSW, LMSW, or LCSW in the state of employment is required. BLS preferred.   Work Schedule: PRN Work Type: Per Diem As Needed Fri, 24 Apr 2026 01:10:43 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22195731/care-manager-case-management https://careers.mentalhealthamerica.net/jobs/rss/22195731/care-manager-case-management Santa Fe, New Mexico, Description Summary: The Care Manager (CM) PRN works in collaboration with the patient/family, physicians, and multidisciplinary team members to ensure patient progression through the continuum of care and to develop a plan of care for each assigned patient from admission through discharge. The CM is responsible for identifying, initiating, and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Care Coordination and Discharge Planning are both responsibilities of this role. The CM assesses and responds to patient/family needs by coordinating the efforts of other team members and identifies and resolves barriers that hinder effective patient care. The CM adheres to departmental and organizational goals, objectives, standards of performance, policies, and procedures, and continually assures regulatory compliance. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Interviews patients/families to obtain information about social, emotional, and financial factors which may impact health status both prior to, and after, discharge and assess the patient?s current formal and informal support system as well as available benefits and resources. Works with the CMII or CMIII to develop and monitor the patient?s plan of care to ensure effectiveness and appropriateness of services. Coordinates/facilitates patient care progression throughout the continuum of care in an efficient and cost-effective manner. Serves as resource, provides support, and acts as an advocate on behalf of the patient related to treatment decisions and end of life issues. Closely monitors patient length of stay and communicates/collaborates with appropriate interdisciplinary team members to remove barriers and expedite discharge. Identifies and escalates local and system barriers that are impeding diagnostic or treatment progress and issues related to quality and risk as appropriate in a timely manner. Works to resolve identified delays to discharge. Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Assesses needs for discharge planning and continuing care/resource support following discharge; independently makes recommendations to patients and families regarding post-acute level of care needs and options including: Acute Rehabilitation Placement Nursing Home or Skilled Nursing placement Psychiatric or Substance Abuse placement New Dialysis Child/Adult/Domestic Abuse Home Health/Hospice Referrals Legal issues (adoptions, guardianship) Assistance with Advance Directives Community Resource needs Financial Issues/Funding options DME Referrals and Coordination Social Determinants of Health Ensures appropriate communication and updates are provided to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care. Provide appropriate interventions which demonstrate knowledge of and sensitivity toward cultural diversity and the religious, developmental, health literacy, and educational backgrounds of the patient population. Provides information and support to patients and families, helping them access needed resources within the medical center and community. Ensures and maintains plan consensus from patient/family, physician, and payor. Collaborates with the physician and other health care professionals to promote appropriate use of medical center resources. Actively participates in Multidisciplinary/Patient Care Progression Rounds. Escalates cases as appropriate and per policy to Physician Advisors and/or CM Director. Documents in the medical record per regulatory and department guidelines. Assumes responsibility for professional growth and development. Must have excellent verbal and written communication and ability to interact with diverse populations. Must have critical and analytical thinking skills. Must have demonstrated clinical competency. Must have ability to Multitask and to function in a stressful and fast paced environment. Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. Must have understanding of pre-acute and post-acute levels of care and community resources. Must have ability to work independently and exercise sound judgment in interactions with physicians, payors, patients and their families. Must have understanding of internal and external resources and knowledge of available community resources. Must have the ability to move around the hospital to all areas for the majority of the workday while in office the rest of the day; general office and hospital environment. Job Requirements: Education/Skills One of the following education is required: Certificate, Associate, or bachelor?s degree in nursing Bachelor?s or Master?s degree in Social Work Experience Experience in the clinical or acute care setting preferred. Licenses, Registrations, or Certifications LVN/LPN, RN, LBSW, LMSW, or LCSW in the state of employment is required. BLS preferred.   Work Schedule: MULTIPLE SHIFTS AVAILABLE Work Type: Per Diem As Needed Fri, 24 Apr 2026 01:10:43 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22201363/rn-case-manager https://careers.mentalhealthamerica.net/jobs/rss/22201363/rn-case-manager Muncie, Indiana, Overview Join Indiana's Leading Healthcare System: Exciting Career Opportunities at IU Health! IU Health is seeking a compassionate and dedicated Registered Nurse to join our Case Management Team at Ball Memorial Hospital as a full-time RN Case Manager position. If you're a registered nurse looking to advance your career in a dynamic and supportive environment, we encourage you to apply today! Why Join IU Health? As Indiana's largest and most comprehensive healthcare system, and the number 1 ranked healthcare system in Indiana, we offer: 401(K) retirement savings with employer match Tuition reimbursement Student loan forgiveness - Government program that may allow qualifying participants to have the remainder of their student loan balance forgiven (after a set amount of time and specific qualifications have been met). Employee Assistance Program - Counseling at no cost to you Healthy Results - Participation in our team member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck! The more you participate, the more you earn! If you'd like to learn more about our benefits, please view our benefits website: careers.iuhealth.org/pages/benefits-designed-for-you Position Overview: As a Case Manager, you will coordinate and oversee patient care from pre-admission through post-discharge in collaboration with a multidisciplinary team. Your primary responsibilities will include: Assessing patient needs to determine appropriate levels of care and services Facilitating seamless transitions to post-discharge care settings Developing and executing effective discharge plans Collaborating with insurance providers to secure appropriate coverage Providing education and preventive care to patients Schedule: 40 hours per week; flexible 5-8 hour days or 4-10 hour days. Must be onsite until at least 8:30pm. Qualifications: Associate's Degree in Nursing required. BSN preferred. Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license. Certification in Case Management preferred. Knowledge of InterQual Acute Level of Care Criteria and Federal guidelines outlining coverage of inpatient and outpatient hospital services, including observation is preferred. Knowledge of Medicare/Medicaid, insurance and regulatory guidelines is preferred. Ability to comprehend third party contractual arrangements is preferred. Understanding of the third party denial and appeal process is preferred. Requires knowledge of various software applications including Windows; Cerner; MCCM; and SMS. 3-5 years of experience required. Requires strong clinical background in acute care. Fri, 24 Apr 2026 00:59:32 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22211577/foster-care-case-manager https://careers.mentalhealthamerica.net/jobs/rss/22211577/foster-care-case-manager Kansas City, Missouri, Job Description Crittenton Children's Center is seeking a full time Foster Care Case Manager. Monday through Friday. with flexibility needed Responsible for providing case management services to children and families in the foster care system. A variety of tasks are involved including placements support crisis intervention educational advocacy authorization of services liaison work provision of permanency testimony in family court maintenance of client record permanency planning up to and including adoption planning and recruitment of potential adoptive resources Placements support crisis intervention Educational advocacy authorization of services Liaison work Provision of permanency testimony in family court Maintenance of client record permanency Planning up to and including adoption planning Recruitment of potential adoptive resources Must have a bachelor's degree in a related field and at least one year of experience in social work. Must have clean driving record and applicable vehicle insurance. Job Requirements Applicable Experience: 1 year Bachelor's Degree Job Details Full Time Day (United States of America) The best place to get care. The best place to give care . Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter. J oin the Kansas City region's premiere provider of health services. Equal Opportunity Employer. Fri, 24 Apr 2026 00:42:13 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22186522/clinical-nurse-case-manager https://careers.mentalhealthamerica.net/jobs/rss/22186522/clinical-nurse-case-manager Texas, Job Number: 179300, Job Title: Clinical Nurse Case Manager, Salary: $98,529.60 - $120,224.00 Telecommute, TX, US --> Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health's robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet(r) nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston. JOB SUMMARY: The Clinical Nurse Case Manager (CNCM) facilitates the collaborative interdisciplinary process of case management encompassing assessment, planning, facilitation, care coordination, evaluation appropriate to the scope of licensure. The CNCM advocates for options and services to meet the patients' and family's comprehensive health needs through communication and available resources to promote quality cost-effective outcomes for the identified patient population. The CNCM participates in quality improvement activities, exemplifies professionalism, and promotes a customer-friendly environment by utilizing ServiceFIRST behaviors in interactions with patients, families, and staff members. MINIMUM QUALIFICATIONS: Education/Licensure/Specialized Training: Education: Graduation from an accredited school of Nursing with a Bachelors degree in Nursing preferred. Licensure/Certification: i. Licensed to practice nursing in the State of Texas. ii. Related specialty certification required within two years of employment. iii. Basic Life Support from a hospital-based American Heart Association (AHA) approved program. iv.Other certificates as required by unit/service. Work Experience: i. Two (2) years experience as RN in appropriate to area assigned; ii. One (1) year experience in Case Management, Quality Management, Coding or Discharge Planning preferred. Management/Experience: One (1) year leadership experience preferred. Equipment Operated: PC and typical medical equipment related to job duties. SPECIAL REQUIREMENTS: 1. Communication Skills: Above Average Verbal (Heavy Public Contact) Exceptional Verbal (e.g., Public Speaking) Bilingual Skills Required: No Language(s): Spanish preferred Writing /Composing: (Correspondence/ Reports) 2. Other Skills: Analytical, Medical Terms, Mathematics, PC, Word Proc. 3. Work Schedule: Weekends, Holidays, Flexible, Travel, On Call Fri, 24 Apr 2026 00:40:36 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22218891/bh-case-manager https://careers.mentalhealthamerica.net/jobs/rss/22218891/bh-case-manager Houston, Texas, Job Number: 179216, Job Title: BH Case Manager, Salary: $67,200.00 - $85,000.00 CHC Loop Central - Remote, Houston, TX, 77081, US --> Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: ' Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women ' Children's Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR ' Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions. ' Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more. Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve. Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers. JOB SUMMARY: Perform duties related to the day-to-day operations of the Behavioral Health Team. Case Management works with high risk Members to help identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health issues. Assessed Members current functional level and, in collaboration with the Member, develops and monitors the Case Management Care Plan, quality of care; assisting with discharge planning, participating in special clinical projects and communicate with departmental and plan administrative staff to facilitate daily operations of the Behavioral Health Case Management functions. Collaborate with both medical and behavioral providers, often onsite at hospitals or in the community, to ensure optimal care for Members. Work telephonically with patients and their Legal Authorized Representative identified as high risk, for both behavioral and physical health issues, and their providers to identify needs, set goals and implement action steps towards achieving goals. Understand and comply with NCQA/ URAC guidelines and HEDIS measures. MINIMUM QUALIFICATIONS: 1.Education/Specialized Training/Licensure:Master's Degree in Social Work or Counseling Current unrestricted license in the state of Texas: LCSW, LMSW, LMFT or LPC 2.Work Experience (Years and Area):2 years experience in managed care or hospital setting and 2 years in behavioral health case management preferred 3.Management Experience (Years and Area):N/A 4.Equipment Operated:Advanced PC knowledge, MS Word, MS Excel, MS Outlook, and excellent telephone skills. SPECIAL REQUIREMENTS: (Check Applicable Areas) 1.Communication Skills: Above Average Verbal (Heavy Public Contact) Exceptional Verbal (e.g., Public Speaking) Writing /Composing Yes (Correspondence / Reports) 2.Other Skills: Medical Terminology Typing PC MS Word MS Excel 3.Advanced Education: Advanced TrainingSpecialty:LMSW, LCSW, LPC Master's DegreeMajor:Social Work or Counseling 4.Work Schedule Flexible Travel 5.Other Requirements: Excellent organization, coordination, and multi-tasking skills and abilities. Ability to organize and prioritize tasks and work independently. Strong attention to detail and deadlines. Will travel locally to hospitals as requested by manager or medical director when high risk or high utilizing member is inpatient. RESPONSIBLE TO: Supervisor/Manager EMPLOYEE SUPERVISED: None Fri, 24 Apr 2026 00:40:36 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22219372/respiratory-therapist-case-manager https://careers.mentalhealthamerica.net/jobs/rss/22219372/respiratory-therapist-case-manager Denver, Colorado, We are recruiting for a mission-driven Respiratory Therapist Case Manager to join our team! We're with you for life’s journey. At Denver Health, purpose isn’t just something we believe in-it’s something we live every day, for life’s journey. Our Values Respect | Belonging | Accountability | Transparency Department Respiratory Therapy The Respiratory Therapy department provides protocolized therapist driven care in our Level I Trauma Center, Severe Acuity Medical Cardiac ICU, Level 3B Neonatal ICU, Level II Pediatric Trauma Center, Emergency Rooms and tertiary centers of Denver Health. Patients come from throughout the region to be cared for in our hospital. The RT department is equipped with all the necessities, technology, and emergency equipment for providing the full spectrum of care to the most critically ill and injured patients. Our patient population consists of the critically ill of all ages. The ECLS/ECMO program is staffed only by trained RTs. Our RT to patient ratios consistently allow for comprehensive are averaging 1:6 RT to ventilator. Job Summary The Respiratory Therapist Case Manager ("Case Manager") under general supervision, performs Obstructive Sleep Apnea (OSA) case management, which includes the evaluation of patients requiring prescriptions for Respiratory Durable Medical Equipment (DME) such as home oxygen, CPAP and Bipap, monitors, and compressors. Provides for the setup of Respiratory DME by contacting providers and making appropriate arrangements. Conducts follow-up evaluations of DME patients to document medical necessity. Acts as a liaison between the Denver Health Managed Care Department, physicians, the patient, and the DME provider(s) to troubleshoot and resolve DME issues. Provides respiratory therapy to in-patients during periods of acute staffing shortages in the respiratory therapy department. Essential Functions : Evaluation Evaluate patients requiring Respiratory Durable Medical Equipment (DME) for OSA in accordance with AARC Clinical Practice Guidelines. Collaborate with advanced respiratory pathophysiology with physicians to implement changes to treatment plans based on patient condition. (20%) Documentation and Reporting Document Respiratory Care procedures, report observed adverse changes in a patient’s condition and/or treatment plan to a member of the medical or nursing staff. Document medications delivered on Medication Administration Record (MAR). Assures that Cpap, Bipap, and oxygen prescription forms include documentation of all required information including patient information, ICD codes, laboratory data, and attending physician signatures. (20%) Clinical Assessment Assessment of clinical indications for Sleep studies, proper Cpap or Bipap settings, addition Oxygen requirements, proper circuitry and equipment for testing and home therapy. (20%) Program Management Develop and maintain data, capturing essential information related to OSA program. Analyzes and tracks project deliverables and schedules. Ensures that improvements are made in operational practice to improve the quality and cost of assigned program.Manage the CICP CPAP Programs educating the patient on the equipment for studies and treatment. Ensure proper mask fitting and settings. Coordinate referrals, clinics, patient evaluations and follow up care of OSA. Maintains data collection and weekly review of program participation. Works directly with Managed Care and referring physicians to ensure proper utilization and referral rate to program. (20%) Education Educates patients and families regarding the use of Respiratory DME and home therapy regimen to include oxygen delivery devices, Cpap and Bipap, Chest physiotherapy, and all other DME equipment. (10%) Equipment Management Recommend DME/prescription in accordance with all state and federal regulatory requirements. Assists with DME related issues to patients, physicians and providers in the pulmonary clinic. Outpatient clinic O2 re-evaluation of need for all managed care patients. Collaboreates with the DME providers on equipment needs. (10%) Education : Bachelor's Degree Graduation from an AMA approved School for Registration in Respiratory Care required and Post High School Diploma or Certificate Program Passing score on the NBRC examination for Certified Respiratory Therapist (CRT) at the time of application required Work Experience : 1-3 years experience as a respiratory therapist, including one year of working in Respiratory Home Care r equired Licenses : ACLS-Advanced Cardiac Life Support - AHA - American Heart Association required Knowledge, Skills and Abilities : Knowledge of Respiratory Care standards and guidelines Excellent working knowledge of Respiratory Care instruments and equipment Understand and institute advanced modes of ventilation as ordered by physician. Skilled to properly use ventilators, monitoring equipment, oxygen respiratory equipment and other clinic tools. Ability to deliver medical gases, set up and maintain the device and ensure appropriate humidification levels. Proficient in MS Office. Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.   Consultation and Advice to Others - Providing guidance and expert advice to management or other groups on technical, systems-, or process-related topics.   Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.   Temperament - Ability to remain calm in emergency situations   Shift Days (United States of America) Work Type Regular Salary $33.18 - $49.77 / hr Benefits At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future - with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development - while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you’re joining a mission-driven organization that invests in you. Here is a small list of our benefit programs: Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays 100% paid parental leave up to 6 weeks Immediate eligibility for retirement plans with employer contribution up to 9.5% Generous medical, dental, vision plans in addition to employer paid disability and life insurance. Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center Free RTD EcoPass (public transportation) Childcare discount programs & exclusive perks on large brands, travel, and more Tuition reimbursement & assistance Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways Professional clinical advancement program & shared governance Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer About Denver Health Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation. As Colorado’s primary, and essential, safety-net health care system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year. Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer. Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled. Fri, 24 Apr 2026 00:51:56 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22207031/case-manager-adult-transplant https://careers.mentalhealthamerica.net/jobs/rss/22207031/case-manager-adult-transplant Durham, North Carolina, At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.   About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke Nursing Highlights:   Duke University Health System is designated as a Magnet organization Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification. Duke University Health System has 6000 + registered nurses Quality of Life: Living in the Triangle! Relocation Assistance (based on eligibility)   Full NC LCSW License Highly Preferred  External candidates eligible for a $7500.00 Commitment Bonus paid over 1 year The Case Manager is responsible for managing an assigned caseload to ensure timely assessment, planning, implementation, and evaluation of discharge plans and care transitions across the continuum of care. This role supports optimal patient outcomes, effective resource utilization, and compliance with CMS and other regulatory agencies. The Case Manager collaborates closely with interdisciplinary teams, patients, families, and community partners to coordinate safe, efficient care transitions. Key Responsibilities Care Coordination & Discharge Planning Assess all assigned patients for case management needs, including discharge planning, care transitions, advocacy, consultations, and patient/family education. Develop, implement, and evaluate individualized discharge plans ensuring timely and appropriate transitions of care. Coordinate services such as Home Health, Durable Medical Equipment (DME), transportation, Substance Abuse Treatment, outpatient follow-up, Skilled Nursing Facility (SNF) placement, and Acute Rehab referrals. Monitor daily census to ensure all patients are evaluated for case management needs. Collaboration & Communication Maintain effective communication with the healthcare team regarding assessment findings, discharge needs, and provider orders. Provide education to patients, families, and care teams regarding benefits, reimbursement guidelines, and regulatory requirements. Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote appropriate resource use. Documentation & Compliance Maintain timely, accurate documentation of assessments, interventions, discharge arrangements, and all actions taken. Ensure compliance with federal, state, and local regulations, as well as organizational policies. Prepare reports and maintain records as required. Quality & Professional Development Participate in Quality Assurance/Performance Improvement (QAPI) activities. Represent the department with professionalism while fostering positive working relationships across Duke Health and external partners. Provide weekend, holiday, or after-hours coverage as assigned based on entity needs. Knowledge, Skills & Abilities Ability to work independently in a self-directed role. Strong problem-solving skills and ability to manage complex situations. Excellent written and verbal communication skills. Basic computer proficiency. Minimum Qualifications Education BSN or MSW required Experience Minimum of 3 years of relevant experience License and Certification Case Management Certification (ACM, CCM, or ANCC) required within 3 years of hire For BSN-prepared candidates:  Must hold a current RN license (or compact license) in the state of North Carolina. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department. Fri, 24 Apr 2026 00:58:08 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22195397/rn-case-manager-prn https://careers.mentalhealthamerica.net/jobs/rss/22195397/rn-case-manager-prn Monticello, Indiana, Overview PRN/Supplemental RN Case Manager - IU White Memorial & IU Frankfort Hospitals The PRN/Supplemental RN Case Manager supports IU White Memorial and IU Frankfort hospitals by providing flexible, as-needed case management services to ensure seamless patient care coordination across the care continuum. This role involves working collaboratively with the multidisciplinary team to plan, coordinate, and facilitate patient care from pre-admission through post-discharge, ensuring optimal patient outcomes and appropriate utilization of resources. Key Responsibilities: Support the care coordination process by assessing patient needs and developing individualized care plans. Ensure patients are assigned the appropriate level of care, receive necessary services, and transition smoothly to post-discharge care settings. Perform accurate, timely, and effective discharge planning in collaboration with clinical teams. Communicate with third-party payers to verify coverage and authorization requirements. Educate patients and families regarding care plans, medications, and health management. Administer education and prevention programs to promote health and wellness. Support hospital compliance with regulatory and payer guidelines, including Medicare, Medicaid, and commercial insurance. Assist with documentation and software systems such as Cerner, MCCM, SMS, and Windows applications. Qualifications: Associate's Degree in Nursing required. BSN preferred. Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license. Certification in Case Management preferred. Knowledge of InterQual Acute Level of Care Criteria and Federal guidelines outlining coverage of inpatient and outpatient hospital services, including observation is preferred. Knowledge of Medicare/Medicaid, insurance and regulatory guidelines is preferred. Ability to comprehend third party contractual arrangements is preferred. Understanding of the third party denial and appeal process is preferred. Requires knowledge of various software applications including Windows; Cerner; MCCM; and SMS. 3-5 years of experience required. Requires strong clinical background in acute care. This position offers flexibility and an opportunity to support our team as needed, contributing to high-quality patient care and operational efficiency across our hospital sites. Apply today, we would love to hear from you! Fri, 24 Apr 2026 00:59:32 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22212629/rn-case-manager-hendersonville https://careers.mentalhealthamerica.net/jobs/rss/22212629/rn-case-manager-hendersonville Hendersonville, North Carolina, Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 100 HOSPITAL DR City: HENDERSONVILLE State: North Carolina Postal Code: 28792 Job Description: Creates plan for care across the continuum, integrating patient/family preferences and values. Monitors patient care through assessments, evaluations and/or patient records. Advocates for resources and removal of barriers. Maintains ongoing dialog with supervisor and other health providers to ensure effective implementation of health plan. Acts as a resource for adequate medical record documentation, appropriateness of services as they relate to diagnoses, and treatment options for post-discharge care.' Knowledge, Skills, and Abilities: • N/A Education: • Associate's of Nursing [Required] • Bachelor's of Nursing [Preferred] Field of Study: • N/A Work Experience: • Behavioral Health Experience is Preferred Additional Information: • N/A Licenses and Certifications: • Registered Nurse (RN) [Required] • Basic Life Support - CPR Cert (BLS) [Preferred] Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/2vvwrzem Pay Range: $32.13 - $55.14 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Fri, 24 Apr 2026 01:16:34 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22168073/rn-case-manager-polk https://careers.mentalhealthamerica.net/jobs/rss/22168073/rn-case-manager-polk Columbus, North Carolina, Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 101 HOSPITAL DR City: COLUMBUS State: North Carolina Postal Code: 28722 Job Description: Creates plan for care across the continuum, integrating patient/family preferences and values. Monitors patient care through assessments, evaluations and/or patient records. Advocates for resources and removal of barriers. Maintains ongoing dialog with supervisor and other health providers to ensure effective implementation of health plan. Acts as a resource for adequate medical record documentation, appropriateness of services as they relate to diagnoses, and treatment options for post-discharge care.' Knowledge, Skills, and Abilities: • N/A Education: • Associate's of Nursing [Required] • Bachelor's of Nursing [Preferred] Field of Study: • N/A Work Experience: • N/A Additional Information: • N/A Licenses and Certifications: • Registered Nurse (RN) [Required] • Basic Life Support - CPR Cert (BLS) [Preferred] Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/2vvwrzem Pay Range: $32.13 - $55.14 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Fri, 24 Apr 2026 01:16:34 -0400