Registered Nurse Case Manager Emergency Room Job at Baptist Health (Boynton Beach)

New

Case Manager Nurse-RN

As a Case Manager RN, you will provide telephonic case management between provid...

Location

United States

Salary:

36.00 - 38.00 USD / Hour

Personify Health

Expiration Date

Until further notice

Requirements

Graduation from an accredited Registered Nursing (RN) program
Possession of a current California RN license
a multi-state license will also be required
Minimum of five (5) years medical/surgical or acute care experience, including two years’ experience in case management, or an equivalent combination of education and experience
Prior case management experience, emergency room, critical care background or other relevant clinical care experience pertinent to case management
Knowledge of medical claims and ICD-10, CPT, HCPCS coding
Ability to critically evaluate claims data and determine treatment plan, discharge planning experience
Ability to work independently making decisions and problem solving
Knowledge of community resources and alternate funding programs
Computer proficiency or working knowledge of Microsoft Office Suite

Job Responsibility

Contact patient and complete a thorough assessment, including physical, psychosocial, emotional, spiritual, environmental, and financial needs
Use claims processing tools to review and research paid claim data to develop a clinical picture of a member’s health and identify for participation in appropriate programs
Develop treatment plan for standard and catastrophic cases in collaboration with the patient, caregivers or family, community resources and multi-disciplinary healthcare providers that include obtainable short- and long-term goals
Monitor interventions and evaluate the effectiveness of the treatment plan in a timely manner
report measurable outcomes that record effectiveness of interventions
Initiate and maintain contact with the patient/family, provider, employer, and multidisciplinary team as needed throughout the continuum of care
Advocate for the patient by facilitating the delivery of quality patient care, and by assisting in reducing overall costs
provide patient/family with emotional support and guidance
Be able to meet productivity, quality and turnaround time requirements on a daily, weekly and monthly basis
Negotiate and implement cost management strategies to affect quality outcomes and reflect this data in monthly case management reviews and cost avoidance reports

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions
Paid Time Off
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Fulltime

Registered Nurse Case Manager

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Burton

Salary:

60522.00 - 129615.00 USD / Year

CVS Health

Expiration Date

June 30, 2026

Requirements

Current RN license in assigned state is required
Bachelor degree in nursing preferred
Minimum of 6-8 years nursing experience
Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience
2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred
Demonstrated skill in motivational interviewing, patient activation, time management, and navigating community and social resources
A flexible and positive attitude
Comfort with ambiguity and change
High emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution
Access to reliable transportation and ability to travel throughout the communities OSH serves

Job Responsibility

Manages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization
Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics
Owns overall care coordination for assigned patients, functioning as the primary point of contact and ensuring alignment, accountability, and follow-through across the care team
Manage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or via collaboration with other team members
Collaborates patient’s PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individual's needs, goals, and plan of action and ensure care plan progression
Ensure timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings
Lead in-person interdisciplinary care planning meetings to ensure effective care coordination and management between providers visits
Perform timely nursing assessments and provide patient education for chronic condition management and transitions of care
Educate patients and families, empowering them in their care, and advocating for their needs
Document visits in electronic health record according to internal standards

What we offer

Mission-focused career impacting change and measurably improving health outcomes for Medicare patients
Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high levels of responsibility and rapid advancement
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Fulltime

Registered Nurse - Case Manager

In partnership with the primary care provider, (PCP), the RN, Case Manager is th...

Location

United States , Indianapolis

Salary:

60522.00 - 129615.00 USD / Year

CVS Health

Expiration Date

June 30, 2026

Requirements

Current RN license in assigned state is required
Bachelor degree in nursing preferred
Minimum of 6-8 years nursing experience
Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience
2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred
Demonstrated skill in motivational interviewing, patient activation, time management, and navigating community and social resources
A flexible and positive attitude
Comfort with ambiguity and change
High emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution
Access to reliable transportation and ability to travel throughout the communities OSH serves

Job Responsibility

Manages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization
Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics
Owns overall care coordination for assigned patients, functioning as the primary point of contact and ensuring alignment, accountability, and follow-through across the care team
Manage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or via collaboration with other team members
Collaborates patient’s PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individual's needs, goals, and plan of action and ensure care plan progression
Ensure timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings
Lead in-person interdisciplinary care planning meetings to ensure effective care coordination and management between providers visits
Perform timely nursing assessments and provide patient education for chronic condition management and transitions of care
Educate patients and families, empowering them in their care, and advocating for their needs
Document visits in electronic health record according to internal standards

What we offer

Eligible candidates may receive a sign‑on bonus as part of the offer package
Mission-focused career impacting change and measurably improving health outcomes for Medicare patients
Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high levels of responsibility and rapid advancement
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Fulltime

Registered Nurse - Case Manager

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Fort Wayne

Salary:

54095.00 - 116760.00 USD / Year

CVS Health

Expiration Date

June 30, 2026

Requirements

Current RN license in assigned state is required
Bachelor degree in nursing preferred
Minimum of 6-8 years nursing experience
Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience
2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred
Demonstrated skill in motivational interviewing, patient activation, time management, and navigating community and social resources
A flexible and positive attitude
Comfort with ambiguity and change
High emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution
Access to reliable transportation and ability to travel throughout the communities OSH serves

Job Responsibility

Manages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization
Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics
Owns overall care coordination for assigned patients, functioning as the primary point of contact and ensuring alignment, accountability, and follow-through across the care team
Manage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or via collaboration with other team members
Collaborates patient’s PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individual's needs, goals, and plan of action and ensure care plan progression
Ensure timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings
Lead in-person interdisciplinary care planning meetings to ensure effective care coordination and management between providers visits
Perform timely nursing assessments and provide patient education for chronic condition management and transitions of care
Educate patients and families, empowering them in their care, and advocating for their needs
Document visits in electronic health record according to internal standards

What we offer

Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high levels of responsibility and rapid advancement
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Fulltime

Registered Nurse - Case Manager

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Indianapolis

Salary:

60522.00 - 129615.00 USD / Year

CVS Health

Expiration Date

June 30, 2026

Requirements

Current RN license in assigned state is required
Bachelor degree in nursing preferred
Minimum of 6-8 years nursing experience
Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience
2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred
Demonstrated skill in motivational interviewing, patient activation, time management, and navigating community and social resources
A flexible and positive attitude
Comfort with ambiguity and change
High emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution
Access to reliable transportation and ability to travel throughout the communities OSH serves

Job Responsibility

Manages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization
Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics
Owns overall care coordination for assigned patients, functioning as the primary point of contact and ensuring alignment, accountability, and follow-through across the care team
Manage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or via collaboration with other team members
Collaborates patient’s PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individual's needs, goals, and plan of action and ensure care plan progression
Ensure timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings
Lead in-person interdisciplinary care planning meetings to ensure effective care coordination and management between providers visits
Perform timely nursing assessments and provide patient education for chronic condition management and transitions of care
Educate patients and families, empowering them in their care, and advocating for their needs
Document visits in electronic health record according to internal standards

What we offer

Mission-focused career impacting change and measurably improving health outcomes for Medicare patients
Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high levels of responsibility and rapid advancement
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility
Eligible candidates may receive a sign‑on bonus as part of the offer package

Fulltime

Registered Nurse - Case Manager

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Gary

Salary:

60522.00 - 129615.00 USD / Year

CVS Health

Expiration Date

June 30, 2026

Requirements

Current RN license in assigned state is required
Bachelor degree in nursing preferred
Minimum of 6-8 years nursing experience
Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience
2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred
Demonstrated skill in motivational interviewing, patient activation, time management, and navigating community and social resources
A flexible and positive attitude
Comfort with ambiguity and change
High emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution
Access to reliable transportation and ability to travel throughout the communities OSH serves

Job Responsibility

Manages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization
Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics
Owns overall care coordination for assigned patients, functioning as the primary point of contact and ensuring alignment, accountability, and follow-through across the care team
Manage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or via collaboration with other team members
Collaborates patient’s PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individual's needs, goals, and plan of action and ensure care plan progression
Ensure timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings
Lead in-person interdisciplinary care planning meetings to ensure effective care coordination and management between providers visits
Perform timely nursing assessments and provide patient education for chronic condition management and transitions of care
Educate patients and families, empowering them in their care, and advocating for their needs
Document visits in electronic health record according to internal standards

What we offer

Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high levels of responsibility and rapid advancement
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Fulltime

Registered Nurse - Case Manager

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Fayetteville

Salary:

54095.00 - 116760.00 USD / Year

CVS Health

Expiration Date

June 30, 2026

Requirements

Current RN license in assigned state is required
Bachelor degree in nursing preferred
Minimum of 6-8 years nursing experience
Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience
2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred
Demonstrated skill in motivational interviewing, patient activation, time management, and navigating community and social resources
A flexible and positive attitude
Comfort with ambiguity and change
High emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution
Access to reliable transportation and ability to travel throughout the communities OSH serves

Job Responsibility

Manages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization
Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics
Owns overall care coordination for assigned patients, functioning as the primary point of contact and ensuring alignment, accountability, and follow-through across the care team
Manage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or via collaboration with other team members
Collaborates patient’s PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individual's needs, goals, and plan of action and ensure care plan progression
Ensure timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings
Lead in-person interdisciplinary care planning meetings to ensure effective care coordination and management between providers visits
Perform timely nursing assessments and provide patient education for chronic condition management and transitions of care
Educate patients and families, empowering them in their care, and advocating for their needs
Document visits in electronic health record according to internal standards

What we offer

Mission-focused career impacting change and measurably improving health outcomes for Medicare patients
Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high levels of responsibility and rapid advancement
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Fulltime

Registered Nurse - Case Manager

In partnership with the primary care provider, (PCP), the RN, Case Manager is th...

Location

United States , Cleveland

Salary:

60522.00 - 129615.00 USD / Year

CVS Health

Expiration Date

June 30, 2026

Requirements

Current RN license in assigned state is required
Bachelor degree in nursing preferred
Minimum of 6-8 years nursing experience
Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience
2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred
Demonstrated skill in motivational interviewing, patient activation, time management, and navigating community and social resources
A flexible and positive attitude
Comfort with ambiguity and change
High emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution
Access to reliable transportation and ability to travel throughout the communities OSH serves

Job Responsibility

Manages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization
Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics
Owns overall care coordination for assigned patients, functioning as the primary point of contact and ensuring alignment, accountability, and follow-through across the care team
Manage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or via collaboration with other team members
Collaborates patient’s PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individual's needs, goals, and plan of action and ensure care plan progression
Ensure timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings
Lead in-person interdisciplinary care planning meetings to ensure effective care coordination and management between providers visits
Perform timely nursing assessments and provide patient education for chronic condition management and transitions of care
Educate patients and families, empowering them in their care, and advocating for their needs
Document visits in electronic health record according to internal standards

What we offer

Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high levels of responsibility and rapid advancement
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Fulltime

Registered Nurse Case Manager Emergency Room

Baptist Health

Location:
United States , Boynton Beach

Category:
Nursing

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
April 01, 2026

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