Acute Care Case Management Manager Job at Ardent Health (Tulsa)

RN Case Manager, Brain Tumor Clinic

The outpatient RN Case Manager in the Brain Tumor Clinic at Boston Children’s fu...

Location

United States , Boston

Salary:

93538.00 - 149656.00 USD / Year

Boston Children's Hospital

Expiration Date

Until further notice

Requirements

A Bachelor’s degree in nursing
A minimum of 5 years nursing experience required
Current Massachusetts license as a Registered Nurse (RN)

Job Responsibility

Assessing, planning, organizing and overseeing daily clinical operations of care coordination and transitions to address the comprehensive and complex health needs of the patient and family
Possessing knowledge of community health services, payer systems and post-acute care needs for inpatient patients and families
Collaborative work with inpatient nursing teams and inpatient case managers
Demonstrating the ability to integrate regulatory requirements, length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services
Actively participating, as required, in hospital, departmental and multidisciplinary programs, committees and special projects
Working 40 hours per week, Monday through Friday, 8:00pm – 4:30 pm

What we offer

flexible schedules
affordable health, vision and dental insurance
child care and student loan subsidies
generous levels of time off
403(b) Retirement Savings plan
Pension
Tuition and certain License and Certification Reimbursement
cell phone plan discounts
discounted rates on T-passes

Fulltime

Care Management Specialist II, D-SNP Team

The Care Management Specialist II utilizes clinical skills and training to perfo...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing for Registered Nurses OR Master's Degree in Social Work for Licensed Clinical Social Workers
Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
Experience providing care management with complex/catastrophic conditions
Current knowledge of clinical standards of care and disease processes
Critical thinking skill
Excellent customer service skills
Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
Ability to triage immediate member health and safety risks
Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping
Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders

Job Responsibility

Utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines
Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases
Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner
Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit
Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team
Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines
Uses claims processing and care management software to look up member information, document contacts, and track member progress
Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs
Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
reviewing member claims histories and identifies intervention opportunities through the professional standards of practice

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Vice President Care Management, Post-Acute Care Transition

The VP role supports the System Chief Nurse Executive (CNE) in providing executi...

Location

United States , Buffalo

Salary:

Not provided

Kirby Bates Associates

Expiration Date

Until further notice

Requirements

Bachelor’s degree in nursing required
10 years of care management/utilization management experience in a hospital or ambulatory setting
7 years of progressive leadership experience
Case Management Certification (ACM, CCM, HCQM, CMAC) preferred
Leadership experience within a union environment preferred
Master’s degree in Health or Business preferred

Job Responsibility

Provide executive leadership for Care Management (CM), Discharge Planning, and Post Acute Care Transitions across the continuum
Support the System Chief Nurse Executive (CNE) in providing executive leadership and guidance for critical areas of Care Management (CM), Discharge Planning and Post-Acute Care Transitions
Integration of Acute Care Managers, Skilled Nursing Facility screeners, Care Coordination, Discharge Planners, Outpatient Adult Care Management, and Outpatient Pediatric Care Management
Partner with Utilization Review, Revenue Cycle, and Clinical leadership to create patient/family centric processes and interdisciplinary relationships that result in seamless patient care
Responsible for implementation of successful solutions that are evidenced-informed and measurable
Responsible for the system’s financial performance related to care progression, denial prevention, and efficient patient throughput
Providing consultative, leadership, educational development, and support services to the acute care facilities and affiliated networks in areas of CM, discharge planning, clinical management, and improved operational efficiencies

Case Manager TMC Rincon

Works with physicians and multidisciplinary team members to develop a plan of ca...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Bachelor's degree in nursing or associate degree in nursing
Two (2) years of nursing or case management experience
For NICU – Three (3) years of NICU nursing experience
Current RN licensure permitting work in state of Arizona
Basic life support (BLS) required
Some departments may also require current CPR instructor certification, Neonatal Resuscitation Provider (NRP) certification
Knowledge of direct patient care and critical care procedures and techniques, tools, and responses required to ensure optimal patient care
Skill in evaluating cases and determining appropriate care and status
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations
Ability to write reports, business correspondence and collaborate with case management leadership

Job Responsibility

Works with physicians and multidisciplinary team members to develop a plan of care for each assigned patient from admission through discharge
Ensures patient is progressing toward desired outcomes by continuously monitoring patient care through assessment and/or evaluation
Assesses and responds to patient/family/care giver needs by coordinating efforts of other treatment team members
Identifies and resolves barriers that hinder effective patient care
Improves quality and completeness of documentation
Collaborates and communicates with multidisciplinary teams in all phases of discharge planning process
Assesses, creates, implements evaluates, and modifies timely discharge plans
Assesses, intervenes, and acts as a resource in medical-legal situations for patients and families
Enters nursing orders for their assigned patient caseload related to discharge planning and transitional care needs
Assists patients and families in making difficult decisions, while honoring their preferences and values

RN Care Manager

Inpatient Care Managers are Registered Nurses who independently assure patients ...

Location

United States , Salem

Salary:

52.52 - 80.11 USD / Year

Kaiser Permanente

Expiration Date

Until further notice

Requirements

Minimum of two years combine RN experience in the following areas: Med/Surg (hospital acute care)
ICU (hospital acute care)
Emergency Department
Home Health
Skilled Nursing Facilities
Hospice
Long Term Acute Care
Inpatient Rehab
Utilization Management
Successful completion of an RN program by date of hire

Job Responsibility

Independently assure patients are admitted to the correct level of care for accurate billing and reimbursement
Provide quality, cost effective clinical coordination/care management in acute care and emergency care settings
Manage patients with routine and complex transition planning needs by: independently assessing needs, developing and implementing plans of care for transitions across care settings
Serve as expert consultants and educators for physicians and other health care team members for discharge and transitional care, coordination of internal and community resources
Support the evaluation and improvement of systems of care to support the optimal utilization of health care resources, while maintaining quality of patient care
Assume primary accountability for anticipating, assessing, developing, implementing, documenting, advising, and communicating a safe transition plan of care for patients with complex care needs
Coordinates post-discharge patient care needs to assure the timely and effective discharge of routine and complex patients from the hospital setting
Independently and proactively completes and documents patient assessments which are thorough, timely, age appropriate, and reflect psychosocial support systems, care needs, health plan benefits, level of care determinations for hospitalized patients
Coordinates and communicates with patients, families, and the health care team to develop mutually agreeable plans of care that optimize the use of resources to support the particular needs of individual patients
Facilitates resolution of issues which present barriers to safe transfers through the use of patient/team care conferences to assure the efficient transition to a lower level of care and to assure the patient/family receives the right care at the right time so that quality and utilization of resources are simultaneously enhanced

What we offer

Medical, Vision & Dental
Retirement Plans
Tuition Reimbursement
Supportive Teams & Resources
Career Growth & Development

Parttime

RN Care Manager

The challenges of affordable healthcare continue to create new opportunities. El...

Location

United States , New York

Salary:

90000.00 - 110000.00 USD / Year

MJHS

Expiration Date

Until further notice

Requirements

Associate’s Degree in Nursing for experienced candidates
BSN for new graduates
NYS RN license required
CCM preferred
1 year of RN experience in managed care, home care, acute care or nursing home preferred

Job Responsibility

Reporting to the Supervisor of Care Management this position will provide case management to our members including medical, social, psychological, physical, and spiritual needs by developing, implementing, and monitoring the care plan in conjunction with the PCP, caregivers, and other team members to help meet the member's needs.

What we offer

Sign-on Bonuses OR Student Loan Assistance for clinical staff
FREE Online RN to BSN and MSN degree programs
Tuition Reimbursement for all full and part-time staff
Dependent Tuition Reimbursement for clinical staff
Generous paid time off, including your birthday
Affordable and comprehensive medical, dental and vision coverage for employee and family members
Two retirement plans: 403(b) AND Employer Paid Pension
Flexible spending
MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Fulltime

RN Case Manager

Rady Children’s nurses serve as local and global leaders in shaping how care is ...

Location

United States , San Diego

Salary:

58.87 - 101.33 USD / Hour

Rady Children's Hospital-San Diego

Expiration Date

Until further notice

Requirements

BLS for Health Providers (American Heart Association)
California RN License
Bachelor's Degree in Nursing
4 years nursing in an acute hospital or 2 years Case Management, Utilization Review, or Discharge Planning experience in an acute hospital

Job Responsibility

Function as liaisons between patients, their families, payors, and healthcare personnel to ensure appropriate movement along the continuum of care
Coordinate discharge needs, quality of care, and implement the utilization management process for acute inpatients
Perform concurrent review and denials management based on acute care guidelines with a focus on authorization and reimbursement, appropriateness of admission, length of stay, and avoidable delays in discharge
Collaborate with the family, the care team, third party payors, and outside providers to coordinate discharge needs including home health, durable medical equipment, and safe transitions of care

What we offer

Medical, Dental, Vision
403(b) Retirement Plan with 100% employer match up to 3% of your salary
Tuition Reimbursement up to $2,000 per year, paid time off for seminars
Life and Disability Insurance
Infertility Reimbursement
Annual merit increases, longevity increases, success sharing, paid leave cash-out program
Annual Team Rady event, milestone awards, CARES recognition

New

Post Acute Clinical Program Manager

The Post Acute Clinical Program Manager provides clinical operational oversight,...

Location

United States , Charlotte

Salary:

41.10 - 61.65 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Bachelor’s degree or equivalent in Nursing or related field and/or Masters in Social Work
Registered Nurse license issued by the state in which the team member practices, Or Licensed Clinical Social Worker (LCSW) or LCSW-A working towards full licensure with certification in Certified Case Management (CCM)
Typically requires 5 years of experience in in healthcare industry and 1 year of case management and quality improvement experience.

Job Responsibility

Serves as the liaison between the hospital and the post-acute network (PAN) skilled nursing facilities
Monitors, collects and analyzes data to evaluate the effectiveness, safety and quality of patient care in the post-acute care network programs
Addresses questions and concerns by providers, patients and families regarding post-acute programs in coordination with other care teams
Ensures accurate placement of patients into the Post Acute Network program based on established criteria
Interacts with hospital administrative teams and leaders., Director of Case Management, Home Care Directors, Hospice Directors, Care Managers, Social Workers, Medical Directors, Physicians, APN's and Nurses
Monitors which post-acute program is appropriate for patients, problem solving for unique situations, best methods of data collection and transfer of information across sites
Addresses issues of non-compliance with staff and MDs regarding referring patients to appropriate programs
Responsible for the relationships within their assigned territory and responsible for their assigned hospital, clinics and skilled nursing facilities within their territory
Provides support to the clinical team assigned to the facility, removing operational barriers that will allow the clinical team to function at the top of their license and focus on the medical management of their panel
Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Acute Care Case Management Manager

Ardent Health

Location:
United States , Tulsa

Category:
Nursing

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 31, 2026

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Acute Care Case Management Manager

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Location:United States , Tulsa

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Contract Type:Not provided

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Job Description:

Job Responsibility:

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Nice to have:

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Job Posted:January 31, 2026

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