https://careers.mentalhealthamerica.net Latest MHA Career Center Jobs Fri, 24 Apr 2026 07:51:41 Z https://careers.mentalhealthamerica.net/jobs/rss/22217358/rn-registered-nurse-hospital-case-manager-care-without-delay https://careers.mentalhealthamerica.net/jobs/rss/22217358/rn-registered-nurse-hospital-case-manager-care-without-delay Danville, Pennsylvania, Job Summary Join Geisinger’s Care Coordination team as an RN Hospital Case Manager and take the next step in your nursing career.We’re committed to supporting your success as you’ll play a vital role in ensuring patients receive the right care, at the right time, in the right place. Apply today and become part of a team that’s making a meaningful impact every day.This is an in-person RN position based at Geisinger Medical Center (GMC), providing on-site support to inpatient care teams. Job Duties We’re excited to share a salary increase for our Hospital Case Managers - and are dedicated to elevating your nursing career.   Our culture empowers you to act with purpose and urgency - providing today’s care now and enhancing the patient experience by delivering timely, compassionate care.     Join a team where innovation, collaboration, and responsiveness are at the heart of everything we do. A typical workweek is Monday through Friday, from 8:00 AM to 4:30 PM. You’ll occasionally cover weekends as part of a shared rotation-approximately every fourth weekend. At least two (2) years of prior RN experience is required.  The ideal candidate will have prior RN experience in a hospital setting.  Case Management experience is preferred and not required. The successful candidate must be available to work on-site at Geisinger Medical Center (GMC). This role is Exempt, salaried. Benefits of working in Case Management Strong team culture Consistent scheduling Meaningful mission-driven work Benefits of working at Geisinger:  Full benefits (health, dental and vision) starting on day one  Three medical plan choices, including an expanded network for out-of-area employees and dependents   Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA)   Company-paid life insurance, short-term disability, and long-term disability coverage   401(k) plan that includes automatic Geisinger contributions   Generous paid time off (PTO) plan that allows you to accrue time quickly   Up to $5,000 in tuition reimbursement per calendar year   MyHealth Rewards wellness program to improve your health while earning a financial incentive   Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones   Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care. Access free legal guidance, mental health visits, work-life support, digital self-help tools and more.   Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance   Position Details The RN Case Manager assesses, plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery of care model to maximize clinical, quality, and fiscal outcomes. Integrates evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of treatment plans that are patient-centric, promoting quality and efficiency in the delivery of healthcare for the identified population. Develops systems of care that monitor progress and promote early intervention in acute care situations. Assists with the design, implementation, and evaluation of the advanced patient centered care model. Assesses the healthcare, educational and psychosocial needs of patients or members. Designs an individualized plan of care and fosters a team approach by working collaboratively with the patient or member, family, primary care provider, and other members of the health care team to ensure coordination of services. Continuously evaluates laboratory results, diagnostic tests, utilization patterns and other metrics to monitor quality and efficiency results for assigned population. Works to appropriately apply benefits and utilization management serving as a resource to the patient or member and healthcare team. Maintains required documentation for all case management activities. Collects required data and utilizes this data to adjust the treatment plan when indicated. Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position. Education Graduate from Specialty Training Program-Nursing (Required) Experience Minimum of 2 years-Nursing (Required) Certification(s) and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status. Fri, 24 Apr 2026 01:12:27 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22159152/rn-registered-nurse-hospital-case-manager-care-without-delay https://careers.mentalhealthamerica.net/jobs/rss/22159152/rn-registered-nurse-hospital-case-manager-care-without-delay Danville, Pennsylvania, Job Summary Geisinger is proud to announce a salary increase for RN Hospital Case Managers - making this the perfect time to join us! We’re committed to supporting your success as you’ll play a vital role in ensuring patients receive the right care, at the right time, in the right place. Apply today and become part of a team that’s making a meaningful impact every day.This is an in-person RN position based at Geisinger Medical Center (GMC), providing on-site support to inpatient care teams. Job Duties We’re excited to share the recent salary increase for our Hospital Case Managers - and are dedicated to elevating your nursing career.  Our culture empowers you to act with purpose and urgency - providing today’s care now and enhancing the patient experience by delivering timely, compassionate care.   Join a team where innovation, collaboration, and responsiveness are at the heart of everything we do. A typical workweek is Monday through Friday, from 8:00 AM to 4:30 PM. You’ll occasionally cover weekends as part of a shared rotation-approximately every fourth weekend. At least two (2) years of prior RN experience is required.  The ideal candidate will have prior RN experience in a hospital setting.  Case Management experience is preferred and not required. The successful candidate must be available to work on-site at Geisinger Medical Center (GMC). Benefits of working in Case Management Strong team culture Consistent scheduling Meaningful mission-driven work Benefits of working at Geisinger:  Full benefits (health, dental and vision) starting on day one  Three medical plan choices, including an expanded network for out-of-area employees and dependents   Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA)   Company-paid life insurance, short-term disability, and long-term disability coverage   401(k) plan that includes automatic Geisinger contributions   Generous paid time off (PTO) plan that allows you to accrue time quickly   Up to $5,000 in tuition reimbursement per calendar year   MyHealth Rewards wellness program to improve your health while earning a financial incentive   Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones   Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care. Access free legal guidance, mental health visits, work-life support, digital self-help tools and more.   Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance   Position Details Assesses, plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery of care model to maximize clinical, quality, and fiscal outcomes. Integrates evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of treatment plans that are patient-centric, promoting quality and efficiency in the delivery of healthcare for the identified population. Develops systems of care that monitor progress and promote early intervention in acute care situations. Assists with the design, implementation, and evaluation of the advanced patient centered care model. Assesses the healthcare, educational and psychosocial needs of patients or members. Designs an individualized plan of care and fosters a team approach by working collaboratively with the patient or member, family, primary care provider, and other members of the health care team to ensure coordination of services. Continuously evaluates laboratory results, diagnostic tests, utilization patterns and other metrics to monitor quality and efficiency results for assigned population. Works to appropriately apply benefits and utilization management serving as a resource to the patient or member and healthcare team. Maintains required documentation for all case management activities. Collects required data and utilizes this data to adjust the treatment plan when indicated. Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position. Education Graduate from Specialty Training Program-Nursing (Required), Bachelor's Degree-Nursing (Preferred) Experience Minimum of 3 years-Related work experience (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status. Fri, 24 Apr 2026 01:12:27 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22213071/registered-nurse-rn-case-manager-home-health https://careers.mentalhealthamerica.net/jobs/rss/22213071/registered-nurse-rn-case-manager-home-health Tavares, Florida, 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: 1000 WATERMAN WAY City: TAVARES State: Florida Postal Code: 32778 Job Description: Schedule:  Full Time Shift : Monday – Friday, 8am – 5pm, flexible, rotating weekends, some call Location:  We have need for nurses to perform home visits in one or more of the following our teams in the Lake County area.   Evaluates the home environment for safety, infection control, and community resource needs. Reviews patient history, physical diagnostics, and laboratory data, and reports abnormal results to the physician. Implements care plans through direct patient care, coordination, delegation, and supervision of healthcare team activities. Provides skilled nursing care, preventative rehabilitative procedures, and prescribed treatments in various home situations. Uses motivational interviewing and health coaching techniques to engage stakeholders in care management. Informs the physician, clinical manager, and healthcare team of changes in the patient’s condition and needs. Maintains updated clinical records, meeting documentation deadlines for certification, re-certification, and care plan updates. Knowledge, Skills, and Abilities: • Functions with a high degree of independence [Required] • Ability to delegate tasks to appropriate personnel as indicated by skill level and professional standing [Required] • Strong computer and technology skills [Required] • A working knowledge of community resources and an ability to refers patients and families appropriately [Preferred] • Home Care Regulations and Third-Party Reimbursement as it impacts care delivery [Preferred] Education: • Associate's of Nursing [Required] • Bachelor's of Nursing [Preferred] Field of Study: • N/A Work Experience: • 1+ relevant clinical nursing experience [Required] • Recent, relevant experience in a Medicare-certified home health agency as a case-manager [Preferred] Additional Information: • N/A Licenses and Certifications: • Registered Nurse (RN) [Required] • Driver's License (DL) [Required] • Basic Life Support - CPR Cert (BLS) [Required] • Certified for Oasis Specialist-Clinical (COSC) [Preferred Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/yde4bfwx Pay Range: $31.53 - $52.24 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/22191869/registered-nurse-rn-case-manager-home-health https://careers.mentalhealthamerica.net/jobs/rss/22191869/registered-nurse-rn-case-manager-home-health Tavares, Florida, 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: 1000 WATERMAN WAY City: TAVARES State: Florida Postal Code: 32778 Job Description: Evaluates the home environment for safety, infection control, and community resource needs.  Reviews patient history, physical diagnostics, and laboratory data, and reports abnormal results to the physician. Implements care plans through direct patient care, coordination, delegation, and supervision of healthcare team activities. Provides skilled nursing care, preventative rehabilitative procedures, and prescribed treatments in various home situations. Uses motivational interviewing and health coaching techniques to engage stakeholders in care management. Schedule:  Full Time Shift : Monday – Friday, 8:30am – 5pm, flexible, rotating weekends, some call Location:  We have need for nurses to perform home visits covering Clermont, Minneola and/or Groveland. Knowledge, Skills, and Abilities: • Functions with a high degree of independence [Required] • Ability to delegate tasks to appropriate personnel as indicated by skill level and professional standing [Required] • Strong computer and technology skills [Required] • A working knowledge of community resources and an ability to refers patients and families appropriately [Preferred] • Home Care Regulations and Third-Party Reimbursement as it impacts care delivery [Preferred] • Current IV Therapy skills [Preferred] Education: • Associate's of Nursing [Required] • Bachelor's of Nursing [Preferred] Field of Study: • N/A Work Experience: • 1+ relevant clinical nursing experience [Required] • Recent, relevant experience in a Medicare-certified home health agency as a case-manager [Preferred] Additional Information: • N/A Licenses and Certifications: • Registered Nurse (RN) [Required] • Driver's License (DL) [Required] • Basic Life Support - CPR Cert (BLS) [Required] • Certified for Oasis Specialist-Clinical (COSC) [Preferred] Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/yde4bfwx Pay Range: $31.53 - $52.24 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/22150125/rn-registered-nurse-home-health-case-manager https://careers.mentalhealthamerica.net/jobs/rss/22150125/rn-registered-nurse-home-health-case-manager Glen Carbon, Illinois, Additional Information About the Role BJC Home Care is looking for you! The home health registered nurse provides 1:1 patient care supporting an under-served community. All while attaining work-life balance and setting up your own schedule.   As a registered nurse at BJC Home Care, you'll have the chance to build meaningful relationships with patients while providing them with the care they need in a supportive team environment. Don't miss out on this chance to join our team and make a difference in the lives of those in our community.    Learn more here: https://www.bjchomecare.org/Careers    Schedule 8:00 - 4:30 pm  Weekend rotation: generally every 4th 4 to 6 on-call nights per month Holiday requirements: 2 per year   Location Glen Carbon, IL and roughly an hour south   Perks Cell phone and lap top Mileage Reimbursement at IRS rate .70/mile Up to $15,000 bonus for eligible candidates     *BJC Career Ladder Progression available:  The BJC RN Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area.  This is a tool to empower nurses to work at the top of their license and own their career progression. The BJC RN Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best - caring for patients - while having the opportunity to advance to the next step in their career. Moves to higher ladder levels will result in a percentage increase of current pay that aligns with the new job description.   *must be willing to provide coverage in all St. Louis regions during on-call *Position requires registration with the Family Care Safety Registry   #LI-TP1 Overview BJC Home Care offers patients and their families a complete range of home care services, including skilled nursing services, adult and pediatric hospice and supportive care, rehabilitation therapy, home infusion therapy, infusion treatment rooms, home medical equipment and high-tech respiratory care. Specialty home care programs also are available, including adult and pediatric asthma, cardiac, diabetes, orthopedic and wound care programs. BJC Home Care provides care to thousands of patients in both Missouri and Illinois. Serving more than 25 counties, it has become the largest home care network in the region and one of the largest in the country.     The Alton Intermittent Home Care Department of BJC Home Care Services provides home visits to patients in Alton, Illinois and several nearby counties, with 24 hour on-call home care nursing supervision. Our JCAHO accredited, multi-disciplinary approach combines leading edge technology with a firm belief in the powerful recuperative advantages of receiving home care. Preferred Qualifications Role Purpose Evaluates the client and furnishes services requiring substantial and specialized skill, appropriate preventive and rehabilitative nursing procedures, and instructions to assist the client in learning appropriate self-care techniques. When assigned as case manager, the staff nurse is responsible for coordinating all aspects of care related to that patient.   Responsibilities Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs. Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care. Proactively plans and ensures communication of the plan of care across the continuum of care. Promotes respect, equity and empathy in interactions with diverse and vulnerable populations through care delivery (e.g. support for emotional, spiritual, and cultural preferences of patient, family and/or caregivers). Practices collaborative problem solving, service recovery and advocacy for patient family centered continuity of care. Implements care by integrating data from the interprofessional team and critical thinking in a safe and timely manner. Evaluates changes in patient's condition, informs and collaborates with family and/or caregivers, and communicates with interprofessional team as changes occur in plan of care, updates plan of care in EMR. Evaluates current nursing care to ensure evidence-based practice and quality patient outcomes. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education Nursing Diploma/Associate's - Nursing Experience Supervisor Experience No Experience Licenses & Certifications Valid Driver's License RN Preferred Requirements Education Bachelor's Degree - Nursing/Home Health Experience 2-5 years Benefits and Legal Statement BJC Total Rewards At BJC we?re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary . *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer Sat, 04 Apr 2026 01:04:42 -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/22173343/rn-case-manager-home-health https://careers.mentalhealthamerica.net/jobs/rss/22173343/rn-case-manager-home-health Saint Louis, Missouri, Additional Information About the Role BJC Home Care is looking for you! The home health registered nurse provides 1:1 patient care supporting an under-served community. All while attaining work-life balance and setting up your own schedule.   As a registered nurse at BJC Home Care, you'll have the chance to build meaningful relationships with patients while providing them with the care they need in a supportive team environment. Don't miss out on this chance to join our team and make a difference in the lives of those in our community.    Learn more here: https://www.bjchomecare.org/Careers    Schedule 8:00 - 4:30 pm  Weekend rotation: generally every 4th 4 to 6 on-call nights per month Holiday requirements: 2 per year   Location St. Louis areas surrounding Barnes Jewish Hospital   Perks Cell phone and lap top Mileage Reimbursement at IRS rate .70/mile Up to $15,000 bonus for eligible candidates Relocation available for eligible candidates     *BJC Career Ladder Progression available:  The BJC RN Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area.  This is a tool to empower nurses to work at the top of their license and own their career progression. The BJC RN Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best - caring for patients - while having the opportunity to advance to the next step in their career. Moves to higher ladder levels will result in a percentage increase of current pay that aligns with the new job description.   *must be willing to provide coverage in all St. Louis regions during on-call *Position requires registration with the Family Care Safety Registry   #LI-TP1 Overview BJC Home Care offers patients and their families a complete range of home care services, including skilled nursing services, adult and pediatric hospice and supportive care, rehabilitation therapy, home infusion therapy, infusion treatment rooms, home medical equipment and high-tech respiratory care. Specialty home care programs also are available, including adult and pediatric asthma, cardiac, diabetes, orthopedic and wound care programs. BJC Home Care provides care to thousands of patients in both Missouri and Illinois. Serving more than 25 counties, it has become the largest home care network in the region and one of the largest in the country.     The Metro St. Louis Intermittent Home Care Department of BJC Home Care Services provides home visits to patients in the metropolitan St. Louis area and several nearby counties, with 24 hour on-call home care nursing supervision. Our JCAHO accredited, multi-disciplinary approach combines leading edge technology with a firm belief in the powerful recuperative advantages of receiving home care. Preferred Qualifications Role Purpose Evaluates the client and furnishes services requiring substantial and specialized skill, appropriate preventive and rehabilitative nursing procedures, and instructions to assist the client in learning appropriate self-care techniques. When assigned as case manager, the staff nurse is responsible for coordinating all aspects of care related to that patient.   Responsibilities Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs. Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care. Proactively plans and ensures communication of the plan of care across the continuum of care. Promotes respect, equity and empathy in interactions with diverse and vulnerable populations through care delivery (e.g. support for emotional, spiritual, and cultural preferences of patient, family and/or caregivers). Practices collaborative problem solving, service recovery and advocacy for patient family centered continuity of care. Implements care by integrating data from the interprofessional team and critical thinking in a safe and timely manner. Evaluates changes in patient's condition, informs and collaborates with family and/or caregivers, and communicates with interprofessional team as changes occur in plan of care, updates plan of care in EMR. Evaluates current nursing care to ensure evidence-based practice and quality patient outcomes. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education Nursing Diploma/Associate's - Nursing Experience Supervisor Experience No Experience Licenses & Certifications Valid Driver's License RN Preferred Requirements Education Bachelor's Degree - Nursing/Home Health Experience 2-5 years Benefits and Legal Statement BJC Total Rewards At BJC we?re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary . *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer Sat, 04 Apr 2026 01:04:42 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22167567/case-manager-rn-home-health https://careers.mentalhealthamerica.net/jobs/rss/22167567/case-manager-rn-home-health 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 HomeCare & Hospice   Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. 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 Qualityof Life: Living in the Triangle! Relocation Assistance (based on eligibility)   At Duke Home Health, you are able to meet patients where they are! By working as a home health nurse, you are able to help keep patients out of the hospital and in their homes where they are most comfortable. Duke HomeCare and Hospice provides innovative and thoughtful care by using an interdisciplinary team approach to achieve the best possible outcomes for patients, families and the communities for which they serve. In this role, you would have the opportunity to connect the patient with the right level of care at the right time.   Duke HomeCare and Hospice differs from other home health companies in many amazing ways. Please see a list of some of those reasons below: No call or weekend requirements Manageable territories Commitment to safety for both patients and employees Mileage reimbursement rate equal to the current federal rate Extensive orientation of 20 weeks based on individual needs   Shifts: Monday-Friday- 8 hour days JOB SUMMARY:   Performs professional nursing care for patients in a primary care setting (the home or alternate site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.     MAJOR JOB RESPONSIBILITIES:   Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures.  Uses professional nursing judgment to individualize the plan of care based on assessment of the patient?s baseline needs and response to care. Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care. Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care. Develop and implement an effective discharge plan for patients to begin at the initiation of services. Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching. Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills. Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient. Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance. Assesse the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate. Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards. Complete documentation accurately, timely, concisely. Medication reconciliation and education to prevent adverse events and readmission to hospital Observe patient?s reactions to medications and reports significant incidents to the physicians. Communicate regularly with team members, caregivers, and physicians. Follow infection control standard precautions and uses personal protective equipment as required. Delegate and supervise care given by NCA?s/LPN?s. Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient?s care needs. Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness. Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Implement agency policy, procedures and objectives. Work closely and collaboratively with agency billing staff to ensure accuracy of billing. Maintain confidentiality of employee and patient information. Exhibit an attitude which promotes harmony and goodwill in the workplace. Display a clean, neat, professional appearance. Participate in Performance Improvement Program. Promote quality, comprehensive services through a team approach. Perform other duties as assigned.   Home Health Case manage interdisciplinary team of clinicians caring for patients in the home. Complete required OASIS Comprehensive assessments at admission, recertification, Resumption of care and discharge.  This assessment determines patient reimbursement for Medicare and other episodic payors and also results in publicly reported patient outcomes and additional payment impacts related to value based purchasing Work with interdisciplinary team and patient providers to prevent re-hospitalization of the patient. Be aware of patient insurance requirements and assures authorization for all services have been obtained. Appropriate utilization of resources for patient including visit and supply utilization.   WORK ENVIRONMENT AND REQUIREMENTS:   Perform Patient care primarily in the patient?s residence or skilled nursing facility (>50%) Travel to and from patient residence   PREFERRED QUALIFICATIONS   Education and Formal Training Associate Degree or Diploma, Nursing required Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service of their start date. Licensures, Certifications Must have a current RN license in NC or compact RN licensure from participating state.  Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only) May renew during orientation Valid driver's license and current automobile insurance coverage.   Professional Work Experience  1-2 years of med-surgical, critical care or home health/hospice/infusion preferred Valid driver?s license and current automobile insurance coverage Prior experience in Home Health, Hospice or Infusion preferred Prior OASIS and PDGM experience preferred for home health   Knowledge, Skills & Abilities Working knowledge of Medicare and Medicaid regulations, including JCAHO and DFS standards, ICD-9 Coding. Knowledge of scope of the registered nurse, licensed practical nurse and NCA Knowledge of and appropriate application of the nursing process Ability to assess nursing needs of acute and chronically ill patients and their families Ability to independently seek out resources and work collaboratively Ability to establish and maintain effective working relationships Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others Ability to teach patients and families in accordance with the nursing plan of care Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up Ability to use fine motor skills Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status Ability to use computer and learn new software programs and technology Able to document and communicate pertinent information using computer and/or paper documentation tools Knowledge in wound identification and treatments, infusion and other advanced nursing skills Critical thinking skills and organization skills Working knowledge of infection control procedures and safety precautions Strong computer skills including MS Outlook, Word, Excel, preferred Excellent rapport, understanding, and communication with the patients and their family members Ability to work autonomously and independently in varying environments. Able to withstand driving long distances, stooping, bending, lifting 20 plus pounds, and climb stairs 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/22213175/registered-nurse-rn-case-manager https://careers.mentalhealthamerica.net/jobs/rss/22213175/registered-nurse-rn-case-manager La Grange, Illinois, Our promise to you: Joining UChicago Medicine 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. UChicago Medicine 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. Schedule: PRN Shift: Day (United States of America) Address: 5101 WILLOW SPRINGS RD City: LA GRANGE State: Illinois Postal Code: 60525 Job Description: Schedule: 6 days per 6-week schedule with at least 2 being weekend days Actively participates in multi-disciplinary rounds to review changes in patient status, progression and level of care, and discharge plans for all assigned patients to identify resources necessary at discharge and ensure a timely transition, escalating care delays to leadership as appropriate. Communicates with and educates patients and families regarding emotional, social, and financial impacts of illness and mobilizes family/community resources to meet identified needs while advocating for patient and family empowerment in making health care decisions and accessing needed services. Assesses readmitted patients for the patient’s and family’s perceived reasons for the readmission. Organizes and facilitates patient and family care conferences with the multidisciplinary team. Documents discharge planning evaluation, ongoing assessment, discharge plans, MDRs, barriers to progression of care, avoidable days, and patient and family needs according to standard work. Communicates with Payors patient’s needs for authorization for post-acute care as needed. Knowledge, Skills, and Abilities: • Leadership skills [Required] • Process and Outcome data analysis skills [Required] • Critical thinking and problem-solving skills [Required] • Ability to manage multiple tasks and prioritize levels of importance [Required] • Customer service skills [Required] Education: • Associate's of Nursing [Required] • Bachelor's of Nursing [Preferred] Field of Study: • Nursing Work Experience: • 2+ medical/hospital nursing experience [Required] • Prior Care Management/Utilization Management experience [Preferred] Additional Information: • N/A Licenses and Certifications: • Registered Nurse (RN) [Required] • Certified Case Manager (CCM) [Preferred] • Accredited Case Manager (ACM) [Preferred] Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/2vvwrzem Pay Range: $35.19 - $62.17 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/22226224/rn-registered-nurse-case-manager https://careers.mentalhealthamerica.net/jobs/rss/22226224/rn-registered-nurse-case-manager Hinsdale, Illinois, Our promise to you: Joining UChicago Medicine 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. UChicago Medicine 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: 120 N OAK ST City: HINSDALE State: Illinois Postal Code: 60521 Job Description: Schedule: Monday-Friday: Start time 8a/8:30a/9a, 8-hour shifts; Occasional weekend and rotating holidays Actively participates in multi-disciplinary rounds to review changes in patient status, progression and level of care, and discharge plans for all assigned patients to identify resources necessary at discharge and ensure a timely transition, escalating care delays to leadership as appropriate. Communicates with and educates patients and families regarding emotional, social, and financial impacts of illness and mobilizes family/community resources to meet identified needs while advocating for patient and family empowerment in making health care decisions and accessing needed services. Assesses readmitted patients for the patient’s and family’s perceived reasons for the readmission. Organizes and facilitates patient and family care conferences with the multidisciplinary team. Documents discharge planning evaluation, ongoing assessment, discharge plans, MDRs, barriers to progression of care, avoidable days, and patient and family needs according to standard work. Knowledge, Skills, and Abilities: Leadership skills [Required] Process and Outcome data analysis skills [Required] Critical thinking and problem-solving skills [Required] Ability to manage multiple tasks and prioritize levels of importance [Required] Customer service skills [Required] Education: Associate's of Nursing [Required] Bachelor's of Nursing [Preferred] Field of Study: Nursing Work Experience: Two plus years of medical/hospital nursing experience [Required] Prior Care Management/Utilization Management experience [Preferred] Licenses and Certifications: Registered Nurse (RN) [Required] Certified Case Manager (CCM) [Preferred] Accredited Case Manager (ACM) [Preferred] Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/2vvwrzem Pay Range: $35.19 - $62.17 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/22192893/rn-registered-nurse-care-manager-case-management https://careers.mentalhealthamerica.net/jobs/rss/22192893/rn-registered-nurse-care-manager-case-management Enola, Pennsylvania, Penn State Health - Hampden Medical Center Location: US:PA: Enola Work Type: Full Time FTE: 1.00 Shift: Day Hours: 8 hours Recruiter Contact: Emilee Barwin at ebarwin@pennstatehealth.psu.edu SUMMARY OF POSITION: Responsible to coordinate interdisciplinary professional care of a select patient population as determined by individualized plan of care, clinical pathways, managed care guidelines and contracts. Mobilizes resources and manages the systems to respond to concurrent and respective data analysis, identifying variances. Participates in developing programs to improve clinical quality and fiscal outcomes, maintains knowledge of and responds to clinical system and fiscal data related to specific patient populations. MINIMUM QUALIFICATION(S): Two (2) years nursing experience  Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate RN license through the interstate Nurse Licensure Compact.  AHA BLS prior to end of orientation period WHY PENN STATE HEALTH? Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community. Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below: Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton). Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave. Be Secured with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection. Be Rewarded with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program. Be Supported by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling. WHY PENN STATE HEALTH HAMPDEN MEDICAL CENTER? Penn State Health Hampden Medical Center brings acute inpatient medical services to communities in Cumberland, Perry, and York counties. The facility features 108 private inpatient beds and an attached outpatient medical office building. YOU TAKE CARE OF THEM. WE?LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence ? that?s Penn State Health. But what makes our healthcare award-winning? That?s all you. This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities. Penn State Health is an Equal Opportunity Employer and does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health?s policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination. Fri, 24 Apr 2026 00:54:04 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22224807/registered-nurse-rn-case-manager-every-weekend https://careers.mentalhealthamerica.net/jobs/rss/22224807/registered-nurse-rn-case-manager-every-weekend Braselton, Georgia, Job Category: Nursing - Registered Nurse Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Job Summary Responsible for providing comprehensive assessment, planning, implementation and overall evaluation of individual patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure patient management that efficiently and effectively aligns with patient needs using resources to meet quality, clinical and cost effective outcomes. Coordinates a team approach designed to facilitate the achievement of expected patient outcomes with appropriate transitions to the next level of care; Responsible for length of stay management, regulatory compliance, and attending/participating with interdisciplinary team rounds on assigned unit; Collaborates with community providers to facilitate and coordinate the plan of care for post-hospitalization needs of the patient. This position will come in contact with patients in the neonate, infant, child, adolescent, adult, and geriatric age groups; Employees will perform clinical duties in accordance with population specific guidelines and adhere to National Patient Safety Guidelines. Provides cross coverage for all RNCM as required across all settings in the care continuum, including weekend rotation (as needed). Minimum Job Qualifications Licensure or other certifications: Licensed to practice as an RN in Georgia. Educational Requirements: Associates Degree. Graduate of an accredited school of nursing. Minimum Experience: Three ( 3) to five (5) years of experience in direct patient care and/or case management. Financial and discharge planning experience. Other: Preferred Job Qualifications Preferred Licensure or other certifications: CCM (Case Management Certification) or ACM (American Case Management Certification) preferred. Preferred Educational Requirements: Bachelors Degree Preferred Experience: Other: Job Specific and Unique Knowledge, Skills and Abilities Demonstrates aptitude in critical care, cardiac, medical, and/or surgical nursing Working knowledge of State and Federal regulations required Must demonstrate excellent observation skills, analytical thinking, problem solving abilities, and be self directed Excellent oral and written communication skills Demonstrates interpersonal skills including professionalism, a team player, pleasing personality and positive approach to the position Demonstrates the ability to think outside of the box and consistently create new, and effective solutions to today's problems and opportunities Essential Tasks and Responsibilities Monitor all patients on assigned units to ensure appropriate use of resources and interventions while managing patient's length of stay based on working DRG/admitting diagnosis. Communicates with Physician, patient/family, and other disciplines the expected length of stay, along with patient progress towards discharge. Provides coordination and facilitation oversight of patient care to assure required interventions occur in proper sequence and processes occur in a timely manner without delays. Identifies and acts upon potential delays in services; escalates unresolved delays to management for appropriate intervention. Assess, coordinate and facilitate patient's discharge plan to assure post-acute needs are arranged and secured prior to discharge; Communicate discharge plan with Physician, patient/family, and other members of the healthcare team as appropriate; Reassess discharge plan routinely throughout patient's stay to ensure timely, safe discharge and appropriate transition to the next level of care. Provides patient/family with information regarding their plan of care, discharge and any financial responsibility of inpatient or post-hospitalization services. Maintain knowledge of reimbursement methodologies and general coverage guidelines for all levels of inpatient and outpatient care. Communicate with Physician, patient/family or other team members as needed to ensure services will be covered. Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure patients are in the right status and level of care. Facilitate changes by communicating with Physician, mid-level or nursing staff as needed. Serve as liaison to patients family, Physicians, nursing staff and all other disciplines to achieve optimal outcomes in the development of patient's discharge plan. Serve as a leader on assigned unit in the areas of discharge planning, social service issues, community resources/referrals and financial information related to patient care and outcomes. Empowered to think outside of the box to consistently create new, and effective solutions to complex problems or opportunities. Actively supports a customer service oriented environment to continually enhance customer service; Communicates directly with Physicians, nursing staff, patient/family and other disciplines to ensure collaborative practice. Provide appropriate hand-off communication as patients transition from one unit to another to ensure and achieve optimal outcomes. Maintains positive attitude, and communicates appropriately with patients/families, Physician, management and other staff; responds positively to change and offers suggestions to effectively incorporate change as needed in daily workflow. Maintain detailed knowledge of community resources, governmental regulations, third party payers (PPO/HMO's) to facilitate appropriate outcomes. Adheres to all regulatory and DNV requirements; Knowledgeable of third party/governmental payer regulatory requirements and adheres to appropriate processes. Completes paperwork as required. Consistently demonstrates a 'sense of urgency' in his/her work, while mindful of the pillars and financial stewardship opportunities. Works all scheduled shifts, including weekend rotation, and remote coverage. Physical Demands Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time Weight Carried: Up to 20 lbs, Occasionally 0-30% of time Vision: Moderate, Occasionally 0-30% of time Kneeling/Stooping/Bending: Occasionally 0-30% Standing/Walking: Occasionally 0-30% Pushing/Pulling: Occasionally 0-30% Intensity of Work: Frequently 31-65% Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status. Fri, 24 Apr 2026 00:42:42 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22193199/utilization-review-nurse-health-plans-case-management https://careers.mentalhealthamerica.net/jobs/rss/22193199/utilization-review-nurse-health-plans-case-management Alamogordo, New Mexico, Description Summary: The Utilization Review Nurse 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 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 Review 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. The prior authorization role completes an assessment of a proposed service to determine if the beneficiary has eligible coverage for the service and if it is medically necessary. Promote quality, cost-effective outcomes through prior authorization and concurrent review of requested services for medical necessity based upon evidence-based clinical guidelines. Identify and present cases of possible quality of care deviations, questionable admissions, and prolonged lengths of stay to the Medical Director for further determination. Appropriately refer beneficiaries who have complex or chronic conditions, a need for transition of care, disease management support, or other identifiable needs for coordination of the beneficiary?s member?s health care for behavioral health care management. Follow CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent, or detect unauthorized disclosure of Protected Health Information (PHI). Protect the confidentiality of data and intellectual property; assures compliance with national health information guidelines. Analyze clinical information submitted by medical providers to evaluate the medical necessity, appropriateness, and efficiency of the use of medical services, procedures, and facilities. Perform provider outreach to address post-hospital discharge services, redirection to in-network providers for appropriate steerage, durable equipment usage, and utilization of other medical services and/or procedures and other necessary telephonic follow-up. Utilize the nursing process and critical thinking skills to provide oversight of services and evaluation of service options. Ability to work in a variety of settings with culturally diverse communities with the ability to be culturally sensitive and appropriate.  Must have excellent communication skills (written and verbal), clinical judgment, initiative, critical thinking, and problem-solving abilities. Must be able to take after hour calls to meet business requirements as needed. Job Requirements: Education/Skills Graduate of an accredited school of vocational nursing or equivalent required Associate?s (ADN) or Bachelor?s (BSN) in Nursing preferred Experience 3 ? 5 years of nursing experience preferred Experience in Microsoft software (e.g., Outlook, Teams, Word, and Excel) required General computer knowledge and capability to use computers required Licenses, Registrations, or Certifications LVN license in the state of employment or compact required RN license in state of employment or compact 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/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/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/22215111/rn-registered-nurse-clinical-care-coordinator-case-management https://careers.mentalhealthamerica.net/jobs/rss/22215111/rn-registered-nurse-clinical-care-coordinator-case-management Santa Fe, New Mexico, Description Summary: The Registered Nurse Clinical Care Coordinator is responsible for establishing, coordinating, and maintaining the process to increase patient throughput to the most appropriate level of care while facilitating interdisciplinary care across the continuum for the ED. The RN Clinical Care Coordinator collaborates with the patient and/or family, multidisciplinary team, physicians, community partners, and payers to ensure the patient?s progress and level of care are appropriately determined and evaluates or screens patients entering the CHRISTUS Health System for medical necessity. The RN Clinical Care Coordinator will collaborate with relevant providers and partners to determine the appropriate patient class and level of care of patients entering the CHRISTUS Health system to ensure the appropriate utilization of resources and maximize appropriate reimbursement opportunities. The RN Clinical Care Coordinator will utilize problem-solving and customer service skills to determine the best course of action for the patient, the physician, and the hospital by working closely with facility House Supervisors, referring physicians, ED, and inpatient staff to ensure the effective and efficient admission/placement of every patient. This job requires the full understanding and active participation in fulfilling the Mission of CHRISTUS Health. It is expected that the associate demonstrates behavior consistent with the Core Values. The associate shall support CHRISTUS Health?s strategic plan and the goals and direction of their Performance Improvement Plan (PIP). Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Reviews clinical information for patients upon entry into the health system to determine appropriate placement and patient class to maximize appropriate hospital reimbursement and positively manage length of stay. Coordinates with onsite partner providers (LTACH, Inpt Rehab) to review requests for facility services and ensure appropriate use of outpatient hospital resources for (their patients) including scheduling coordination and appropriate escort by sending provider. Review all ED patients identified by the treating physician as requiring admission to the hospital to ensure appropriate patient class and resource utilization. Educates hospital and ED providers on levels of care, resource utilization, payor practices, and documentation. Escalates to Physician Advisor or CMO when discrepancies are present. Performs the initial clinical medical necessity review utilizing evidence-based criteria and enters into the medical record for the receiving CM team. Utilizes high risk screening criteria to make appropriate community and post-ED referrals. Initiates prior authorization process when indicated for post-ED referrals and services. Escalates to physician advisor when unable to resolve discrepancies with the attending physician. Manages high-use patients and works to find alternatives for care to frequent ED visits. Plans for discharges from the ED for patients who do not require admission to include arranging for Home Health, DME, placement, and community resources as they relate to social determinants of health. Provides patient and family education and counseling about existing health problem related care. Anticipates barriers/variances to the delivery of care and intervenes as necessary. Intervenes with physicians and ancillary departments concerning clinical and utilization issues to ensure optimal patient outcomes. Coordinates and facilitates patient progression throughout the continuum. Collaborates with all members of the interdisciplinary team to facilitate appropriate care coordination and care delivery. Job Requirements: Education/Skills Graduate of an accredited school of nursing required Experience 2 years of experience in Case Management and/or Utilization Management required Licenses, Registrations, or Certifications RN License in the state of employment required BLS required   Work Schedule: MULTIPLE SHIFTS AVAILABLE Work Type: Part Time Fri, 24 Apr 2026 01:10:43 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22183943/rn-registered-nurse-clinical-case-manager-heart-vascular-services https://careers.mentalhealthamerica.net/jobs/rss/22183943/rn-registered-nurse-clinical-case-manager-heart-vascular-services Camp Hill, Pennsylvania, Penn State Health  -  Penn State Health Medical Group LLC Location:  US:PA: Camp Hill Work Type:  Full Time FTE:  1.00 Shift:  Day Hours:  8 hours a day, 40 hours a week, Monday-Friday Recruiter Contact:  Lindsay E. Erdman at  lerdman2@pennstatehealth.psu.edu SUMMARY OF POSITION: Responsible to coordinate interdisciplinary professional care of a select patient population as determined by individualized plan of care, clinical pathways, managed care guidelines and contracts. Mobilizes resources and manages the systems to respond to concurrent and respective data analysis, identifying variances. Participates in developing programs to improve clinical quality and fiscal outcomes, maintains knowledge of and responds to clinical system and fiscal data related to specific patient populations. ESSENTIAL DUTIES - The percentage of time spent performing essential functions is 95%. Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:  Participates in care conferences and attends nursing report, physician rounds, and inter-professional rounds.  Contributes to the formulation, implementation, and evaluation of the treatment plan. Care is individualized by discussing expected progress toward recovery, intervening at key points of care upon identification of significant variances, and evaluating discharge readiness and plans to accomplish discharge.  In consultation with inter-professional team, develops a treatment plan for patients based upon their clinical condition.  Serves as a catalyst to mobilize resources; assists in designing and evaluating systems that respond to patient, family, and provider needs. Participates in data collection that includes patient care outcomes, resource consumption, and family and staff satisfaction. The data is then used to continually refine / improve quality of care, identify appropriate resource utilization, and promote family and staff satisfaction.  Recommends alternative locations of care when appropriate.  Coordinates discharge instructions to families of all patients on service.  Assesses problems and intervenes appropriately in conjunction with nursing staff.  Assures that all critical elements of the plan of care are communicated to the family and PCP and are documented on the inter-professional plan.  Communicates handoff of care plan to outpatient coordinator. Documents case management activity in the medical record to assure placement in the appropriate level of care by utilizing knowledge of insurance regulation, patient's response to therapy, and cost effective care protocols.   Negotiates favorable scheduling sequences with ancillary departments for diagnostic tests and therapeutic treatments to avoid duplicative work and delays in care.  Participates in the inter-professional development of service specific protocols and their application to clinical practice.  Tracks outcomes and variances providing feedback to inter-professional team on clinical pathways. Evaluates practice issues/outcomes for potential research opportunities, supports current research activities, and incorporates research results into pathway revisions.  Adheres to hospital and departmental policies and practices regarding confidentiality and patients? rights. ?Provides peer consultation by assisting other case managers with complex cases. MINIMUM QUALIFICATION(S): Two (2) years nursing experience  Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate RN license through the interstate Nurse Licensure Compact.  AHA BLS prior to end of orientation period PREFERRED QUALIFICATION(S): Experience as a case manager, in discharge planning or insurance issues preferred.  Appropriate certification for specialty area preferred.  Proficiency in Microsoft Office preferred.  Motivational interviewing skills preferred. WHY PENN STATE HEALTH? Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community. Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below: Be Well  with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton). Be Balanced  with Generous Paid Time Off, Personal Time, and Paid Parental Leave. Be Secured  with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection. Be Rewarded  with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program. Be Supported  by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling. WHY PENN STATE HEALTH MEDICAL GROUP? #WeAre committed to providing patient- and family-centered care to all patients ?and skillfully handle needs at every level of complexity utilizing our shared governance model of care. The Medical Group is constructed of both primary care and multi-specialty offices that are striving to make a difference in each patient?s healthcare routine. Working alongside seasoned professionals, you will be spearheading the mission of Penn State Health to provide the highest quality care to all patients within their local community! Working with us means being part of a team that strives to provide excellent patient care every day, but also one that works together to set and achieve goals, build on the Penn State Health legacy and create new possibilities for the future.  YOU TAKE CARE OF THEM. WE?LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence ? that?s Penn State Health. But what makes our healthcare award-winning? That?s all you. This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.  Penn State Health is an Equal Opportunity Employer and does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health?s policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination. Fri, 24 Apr 2026 00:54:04 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22202789/registered-nurse-mental-health-intensive-case-management-mhicm https://careers.mentalhealthamerica.net/jobs/rss/22202789/registered-nurse-mental-health-intensive-case-management-mhicm Leeds, Massachusetts, Summary This Registered Nurse - Mental Health Intensive Case Management (MHICM) position is located in the Nursing Services at the Leeds - MA location. This position is full-time at 40 hours per week. NOTE: The 2-page Resume requirement does not apply to this position. For more information - refer to Required Documents below. Qualifications Basic Requirements: English Language Proficiency In accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE) OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program Upon achievement of a State license - the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program (Reference VA Handbook 5005 - Appendix G6) OR In cases of graduates of foreign schools of professional nursing - possession of a current - full - active - and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD) Current - full - active - and unrestricted registration as a graduate professional nurse in a State - Territory or Commonwealth (i.e. - Puerto Rico) of the United States - or the District of Columbia Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification Grade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12934412 Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning Self-directed in goal setting for managing complex client situations An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2 OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2 OR a Master's degree in nursing (MSN) and no additional professional nursing experience OR a Master's degree in a *related field with a BSN and no additional professional nursing experience Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3 OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3 OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3 OR a Doctoral degree in Nursing with no professional nursing experience OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III *Note: Foreign education programs/degrees are not creditable as related degrees Preferred Experience: Experience with patients diagnosed with Severe Mental Illness (SMI) Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/ Physical Requirements: All applicants must be physically able to satisfactorily perform the duties of the position A pre-placement physical examination shall be completed prior to appointment. Duties Duties Include but are not limited to: Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care Assesses - plans - implements - and evaluates care based on Mental Health (MH) specific components Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the MH continuum of care Follows procedures per established policies and guidelines Influences care outcomes by collaborating with members of the interdisciplinary team Executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex client care Work Schedule: Monday - Friday 08:00 a.m - 04:30 p.m Telework: Not Available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Notifications: This positions is in the Excepted Service Current and former Federal employees must submit copies of their most recent SF-50 (Notice of Personnel Action) This position is covered by a special rate The salary is based on the grade and step approved for the selected candidate Veterans' preference does not apply for internal or other current permanent Federal agency employees The 2-page Resume requirement does not apply to this position For more information - refer to Required Documents below VA offers a comprehensive total rewards package: VA Nurse Total Rewards Fri, 24 Apr 2026 02:49:26 -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/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/22204200/rn-case-manager https://careers.mentalhealthamerica.net/jobs/rss/22204200/rn-case-manager Indianapolis, Indiana, Overview Location: On-site at Methodist Hospital Shift: 1.0 FTE 40 hours weekly; Monday - Friday 8:00a-4:30p Position: RN - Case Manager The RN-Case Manager plans and coordinates care for patients from pre-admission through post-discharge by working collaboratively with the multidisciplinary team. Ensures that patients are assigned the appropriate level of care, receive the necessary services, and transition smoothly to the appropriate post-discharge setting. Performs accurate, timely, and effective discharge planning. Works with third-party payers to ensure coverage and administer education and prevention programs. ________________________________________ Position Overview: The RN-Case Manager plays a critical role in ensuring seamless patient transitions across care settings. This position involves assessment, care coordination, and communication with patients, families, providers, and payers. The nurse develops individualized discharge plans, manages insurance coverage, and facilitates patient education and safety. ________________________________________ Key Responsibilities: * Plan and coordinate patient care from pre-admission through post-discharge, ensuring appropriate levels of care and services. * Perform accurate and timely discharge planning, including documentation and communication. * Collaborate with the multidisciplinary team to develop comprehensive care plans. * Work with third-party payers to verify coverage and facilitate authorization for services. * Educate patients and families on post-discharge care, safety, and prevention strategies. * Assist with third-party denials, appeals, and understanding contractual arrangements. * Ensure compliance with Medicare, Medicaid, insurance, and regulatory guidelines. * Utilize various software applications including Windows, Cerner, MCCM, and SMS for documentation and communication. ________________________________________ Qualifications & Requirements: * Education: - Associate's Degree in Nursing required. - RNs hired after January 1, 2013, must complete their BSN within 5 years of hire. * Licensure: - Active RN license in Indiana or Nurse Licensure Compact (NLC). * Certifications: - Case Management certification preferred. * Experience: - 3-5 years of clinical experience in acute care required. * Knowledge & Skills: - Knowledge of InterQual Acute Level of Care Criteria and federal coverage guidelines is preferred. - Familiarity with Medicare/Medicaid, insurance, and regulatory guidelines is preferred. - Ability to understand third-party contractual arrangements and denial/appeal processes is advantageous. - Proficiency with Windows, Cerner, MCCM, SMS, and other relevant software applications. - Strong clinical background with excellent assessment and communication skills. ________________________________________ Core Competencies: - Connect to Promise: Demonstrates commitment to IU Health's mission, vision, and values by exhibiting behaviors and delivering results aligned with the organization's strategic goals. Focuses on improving the health of all Hoosiers through purpose, excellence, compassion, and teamwork. - Collaboration: Coordinates activities with team members and leaders. Seeks out and shares best practices to improve performance. - Relationship Building & Customer Care: Maintains respectful, courteous, and helpful relationships with internal and external customers. Demonstrates appreciation for customer needs and expectations. Reflects an attitude of responsiveness and service. - Communication: Clearly expresses ideas and opinions both verbally and in writing. Listens attentively, responds appropriately, and follows instructions carefully. Asks relevant questions to clarify needs and information. - Training & Patient Education: Acts as a preceptor, sharing knowledge and fostering learning. Develops individualized education plans for patients and families and evaluates their effectiveness. - Ethical Practice: Upholds high confidentiality standards in handling sensitive information, including medical records and HIPAA compliance. Demonstrates trustworthiness and ethical behavior in all interactions. ________________________________________ Why IU Health? As part of Indiana's largest healthcare system, we offer: * Competitive salary and comprehensive benefits * Opportunities for professional growth and development * A collaborative, innovative environment committed to excellence To learn more about our benefits, visit: ( https://careers.iuhealth.org/pages/benefits-designed-for-you ) Fri, 24 Apr 2026 00:59:32 -0400 https://careers.mentalhealthamerica.net/jobs/rss/22204199/rn-case-manager-prn https://careers.mentalhealthamerica.net/jobs/rss/22204199/rn-case-manager-prn Indianapolis, Indiana, Overview Location: On-site at University Hospital Shift: Monday - Friday 8:00a-4:30p with weekend and holiday rotation Position: RN - Case Manager - PRN The Case Manager plans and coordinates care for patients from pre-admission through post-discharge by working collaboratively with the multidisciplinary team. Ensures that patients are assigned the appropriate level of care, receive the necessary services, and transition smoothly to the appropriate post-discharge setting. Performs accurate, timely, and effective discharge planning. Works with third-party payers to ensure coverage and administer education and prevention programs. ________________________________________ Position Overview: The RN-Case Manager plays a critical role in ensuring seamless patient transitions across care settings. This position involves assessment, care coordination, and communication with patients, families, providers, and payers. The nurse develops individualized discharge plans, manages insurance coverage, and facilitates patient education and safety. ________________________________________ Key Responsibilities: * Plan and coordinate patient care from pre-admission through post-discharge, ensuring appropriate levels of care and services. * Perform accurate and timely discharge planning, including documentation and communication. * Collaborate with the multidisciplinary team to develop comprehensive care plans. * Work with third-party payers to verify coverage and facilitate authorization for services. * Educate patients and families on post-discharge care, safety, and prevention strategies. * Assist with third-party denials, appeals, and understanding contractual arrangements. * Ensure compliance with Medicare, Medicaid, insurance, and regulatory guidelines. * Utilize various software applications including Windows, Cerner, MCCM, and SMS for documentation and communication. ________________________________________ Qualifications & Requirements: * Education: - Associate's Degree in Nursing required. - RNs hired after January 1, 2013, must complete their BSN within 5 years of hire. * Licensure: - Active RN license in Indiana or Nurse Licensure Compact (NLC). * Certifications: - Case Management certification preferred. * Experience: - 3-5 years of clinical experience in acute care required. * Knowledge & Skills: - Knowledge of InterQual Acute Level of Care Criteria and federal coverage guidelines is preferred. - Familiarity with Medicare/Medicaid, insurance, and regulatory guidelines is preferred. - Ability to understand third-party contractual arrangements and denial/appeal processes is advantageous. - Proficiency with Windows, Cerner, MCCM, SMS, and other relevant software applications. - Strong clinical background with excellent assessment and communication skills. ________________________________________ Core Competencies: - Connect to Promise: Demonstrates commitment to IU Health's mission, vision, and values by exhibiting behaviors and delivering results aligned with the organization's strategic goals. Focuses on improving the health of all Hoosiers through purpose, excellence, compassion, and teamwork. - Collaboration: Coordinates activities with team members and leaders. Seeks out and shares best practices to improve performance. - Relationship Building & Customer Care: Maintains respectful, courteous, and helpful relationships with internal and external customers. Demonstrates appreciation for customer needs and expectations. Reflects an attitude of responsiveness and service. - Communication: Clearly expresses ideas and opinions both verbally and in writing. Listens attentively, responds appropriately, and follows instructions carefully. Asks relevant questions to clarify needs and information. - Training & Patient Education: Acts as a preceptor, sharing knowledge and fostering learning. Develops individualized education plans for patients and families and evaluates their effectiveness. - Ethical Practice: Upholds high confidentiality standards in handling sensitive information, including medical records and HIPAA compliance. Demonstrates trustworthiness and ethical behavior in all interactions. ________________________________________ Why IU Health? As part of Indiana's largest healthcare system, we offer: * Competitive salary and comprehensive benefits * Opportunities for professional growth and development * A collaborative, innovative environment committed to excellence To learn more about our benefits, visit: ( https://careers.iuhealth.org/pages/benefits-designed-for-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