14 case management supervisor rn jobs found

The Case Management Supervisor is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management. This is a hybrid position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for directing a designated group of employees in their day-to-day operations Responsible for quality of service provided Responsible for human resources matters directly related to department supervised May be required to travel overnight and attend meetings May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses May be responsible for limited marketing and sales activities May be required to oversee case management clinical activities (dependent on whether or not unit manager is an RN) For Supervisors who are not RN’s, the clinical oversight and direction will be performed by a designated RN with a nationally...

The Case Management Supervisor is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management. This is a remote role.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for directing a designated group of employees in their day-to-day operations Responsible for quality of service provided Responsible for human resources matters directly related to department supervised May be required to travel overnight and attend meetings May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses May be responsible for limited marketing and sales activities May be required to oversee case management clinical activities (dependent on whether or not unit manager is an RN) For Supervisors who are not RN’s, the clinical oversight and direction will be performed by a designated RN with a nationally...

The Case Management Supervisor is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for directing a designated group of employees in their day-to-day operations Responsible for quality of service provided Responsible for human resources matters directly related to department supervised May be required to travel overnight and attend meetings May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses May be responsible for limited marketing and sales activities May be required to oversee case management clinical activities (dependent on whether or not unit manager is an RN) For Supervisors who are not RN’s, the clinical oversight and direction will be performed by a designated RN with a nationally recognized...

The Case Management Supervisor is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management. This is a remote position. ESSENTIAL FUNCTIONS &RESPONSIBILITIES: Responsible for directing a designated group of employees in their day-to-day operations Responsible for quality of service provided Responsible for human resources matters directly related to department supervised Requires regular and consistent attendance Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP) May be required to travel overnight and attend meetings May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses May be responsible for limited marketing and sales activities May be required to oversee case management clinical activities...

The Advocacy 24/7 Triage Nurse provides telephonic first aid to injured workers on a case-by-case basis using nationally recognized standards of care to facilitate treatment goals.  The position is responsible for fulfilling essential role expected to fulfill job duties when scheduled to work. This is a remote role reporting to our Glen Allen, VA office. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides telephonic assessment and makes treatment recommendation of injured workers using national telephonic triage protocols. Recommends appropriate provider based on state law and employer’s preferred provider network requirements. Educates caller on self-care instructions based on national telephonic triage protocols. Communicates plan of care to customer contacts and/or supervisor. Evaluates injured worker’s response to first aid recommendations within a specified timeframe. Documents clinical assessments in organized, concise format and submits written reports...

Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.   PRIMARY PURPOSE:  To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer.  Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim.  These responsibilities may include utilization review, pharmacy oversight and care coordination. Responsibilities Uses clinical/nursing skills to determine whether all aspects of a patient’s care, at every level, are medically necessary and appropriately delivered. Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate...

The Hospital Bill Audit Nurse conducts hospital bill charge audits by reviewing medical records to verify that services were provided and charges are appropriate based on medical documentation and industry guidelines.  The types of audits performed could include, but are not limited to inpatient, outpatient, NICU, and hospice.  Charge audits identify overcharges, undercharges, and unbundled items per payor contract and industry standards.  This candidate will be responsible for independent scheduling requiring flexibility and travel to provider location.    This is a remote role but candidate must be willing/able to travel within multiple states.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Onsite scheduling and travel – acknowledge work that is assigned, maintain timely communication with Audit Coordinator, schedule and complete audits in an efficient and timely manner Travel onsite as needed to perform audits Review medical records to verify services were...

The Advocacy 24/7 Triage Nurse provides telephonic first aid to injured workers on a case-by-case basis using nationally recognized standards of care to facilitate treatment goals.  The position is responsible for fulfilling essential role expected to fulfill job duties when scheduled to work. This is a remote role reporting to our Glen Allen, VA office. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides telephonic assessment and makes treatment recommendation of injured workers using national telephonic triage protocols. Recommends appropriate provider based on state law and employer’s preferred provider network requirements. Educates caller on self-care instructions based on national telephonic triage protocols. Communicates plan of care to customer contacts and/or supervisor. Evaluates injured worker’s response to first aid recommendations within a specified timeframe. Documents clinical assessments in organized, concise format and submits written reports...

Providing quality service and accurate results supports Ascential Care Partner’s primary mission as a trusted adviser to our clients. As a Manager of Case Management services, you will be working in a fast-growing company and work environment. This role focuses on ensuring quality care delivery, tracking team performance, and supporting operational aspects of managing complex cases, particularly those involving work-related injuries. As a leader on our team, you will continue to reinforce Ascential's mission of being a market leader and collaborative partner to current and prospective customers and partners.   Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.   Job Description: The Manager–CM Services is responsible for overseeing and managing a team of case managers and CM Vendor Partners in a field or telephonic role. This role...

The Manager of Case Management is responsible for the total operation of their designated departments and/or offices, which may include the following functions:  operations, financial performance (profit and loss), customer service, sales management, and human resources.  This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for financial operations, including but not limited to: productivity, profitability, expenses, budgeting, billing, collections and day-to-day operations Responsible for new business development, including marketing and sales activities Responsible for quality of service provided Responsible for human resources matters May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses Payment of bills may be delegated to a clerical person, with final approval by manager May be required to oversee case management clinical activities (dependent on whether or not unit manager...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance RN Utilization Review Join us in a hybrid capacity, combining remote work with two in-office days each week at our Blue Ash, OH office. PRIMARY PURPOSE : To provide timely, evidence-based utilization review services to maximize quality care and cost-effective outcomes. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. ESSENTIAL FUNCTIONS and...

Description Are you looking for an opportunity to join a claims team with a fast growing company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available for a Workers Compensation Claims Technician. Claims Technicians obtain essential information in order to process routine workers' compensation claims with on-going medical management for medical pension claims. Provides injured workers and customers with accurate, timely information and quality service. Claims Technicians also identify potential problems and make claim referral decisions.  GRS North America Claims is excited to announce our go forward strategy to provide employees with the flexibility to include an option to work from home full-time. Candidates who are selected for this position will be trained remotely. You will be required to go into the office twice a month if you reside within 50 miles of one a...

The Manager of Case Management is responsible for the total operation of their designated departments and/or offices, which may include the following functions:  operations, financial performance (profit and loss), customer service, sales management, and human resources. This is a remote position ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for financial operations, including but not limited to: productivity, profitability, expenses, budgeting, billing, collections and day-to-day operations Responsible for new business development, including marketing and sales activities Responsible for quality of service provided Responsible for human resources matters May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses Payment of bills may be delegated to a clerical person, with final approval by manager May be required to oversee case management clinical activities (dependent on whether or not unit...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Clinical Team Lead This position will be a hybrid role--3 days in office, 2 days work from home and rotates each week: the following week 2 days in office and 3 days work from home. PRIMARY PURPOSE : To ensure efficient, cost effective, and high quality delivery of case management services to clients for a single business line by supervising and training a staff of assigned colleagues; and to ensure customer satisfaction through the provision of these services and...