RN - Patient Care Manager Job at Arcadia Home Care and Staffing

Embedded Transitional Care Manager RN

Oak Street Health takes a team-based approach to providing outstanding patient c...

Location

United States , Rockford

Salary:

66575.00 - 142576.00 USD / Year

CVS Health

Expiration Date

Until further notice

Requirements

An active RN license within the state of practice in good standing
Willingness to obtain cross-state licensure, as needed
Certified Case Manager (CCM) or equivalent case management certification required, or willingness to obtain within 12 months of hire
2+ years’ experience in transitional nursing, discharge planning, nursing case management, or home health
Experience in utilization management preferred
Knowledge of Medicare/Medicaid and NCQA regulatory transitions of care criteria
Exceptional communication skills and customer service orientation
Innovative and independent problem solving skills
Ability to monitor and evaluate opportunities for cost-effective care options with high-quality outcomes
Spanish-speaking preferred but not required

Job Responsibility

Manage patients through transitions of care
Advocate for the patient throughout the care continuum
Identify opportunities for improved program workflows
Maintain real-time and accurate records of patient status
Adhere to CMS, state specific and NCQA compliance criteria
Evaluate patient status post-ED visit or observation stay
Triage to determine appropriate follow up care
Engage directly with inpatient physicians, case managers, medical directors, and hospitalists
Coordinate with the Utilization Management team
Conduct structured clinical assessment to identify post-discharge needs

What we offer

Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Affordable medical plan options
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

Fulltime

Embedded Transitional Care Manager

The Embedded Transitional Care Manager - RN (TCM-RN) plays a critical role in en...

Location

United States , Indianapolis

Salary:

54095.00 - 116760.00 USD / Year

CVS Health

Expiration Date

Until further notice

Requirements

An active RN license within the state of practice in good standing
willingness to obtain cross-state licensure, as needed
Certified Case Manager (CCM) or equivalent case management certification required, or willingness to obtain within 12 months of hire
2+ years’ experience in transitional nursing, discharge planning, nursing case management, or home health
experience in utilization management preferred
knowledge of Medicare/Medicaid and NCQA regulatory transitions of care criteria
exceptional communication skills and customer service orientation
innovative and independent problem-solving skills
ability to monitor and evaluate opportunities for cost-effective care options with high-quality outcomes
Spanish-speaking preferred but not required

Job Responsibility

Manage patients through transitions of care, either face to face in the facility or telephonically
advocate for the patient throughout the care continuum
identify opportunities for workflow improvements and partnerships
maintain real-time records of patient transitions
engage with physicians, case managers, and hospitalists
coordinate follow-up care, medication reconciliation, and discharge planning
collaborate with internal stakeholders and regional leaders on transitions initiatives
participate in training, documentation, tracking, and quality assurance

What we offer

Mission-focused career
paid vacation and sick time
investment/retirement 401K match options
health insurance, vision, and dental benefits
affordable medical plan options
no-cost programs for health and wellness
tuition assistance
flexible schedules
family leave
dependent care resources

Fulltime

Director Patient Care Services - Emergency Department

The TMC Emergency Department is the busiest Emergency Department in Southern Ari...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Master’s degree in Nursing or related field required
Eight (8) years of nursing experience in an acute care setting required
Current RN licensure permitting work in the State of Arizona required
Knowledge of critical care techniques, tools and responses required to ensure optimal patient care
Knowledge of processes and procedures to follow during a rapid response, code, or stroke call
Knowledge of surgery specialties and how to prepare, assess and provide post-operation patient care to ensure best practices are followed
Knowledge of infectious diseases, OSHA and CMS requirements, microbiology and surveillance practices for infection control
Skill in evaluating performance and recommending improvements
Skill in developing and managing budgets
Skill in developing training materials and educating staff in the proper responses for critical care issues

Job Responsibility

Assists in the organization and administration of Emergency Department as the Director Patient Care Services
Analyzes nursing and ancillary services to improve quality of patient care and attains maximum utilization of staff time and resources
Assumes other responsibilities delegated by Chief Nursing Officer
Manages operations for quality 24/7 patient care and for the management of an optimal work environment for employees
Supervises staff involving interviewing and hiring, training, and performance evaluation
establishes specific performance standards and measures for work
confronts others directly and respectfully when performance does not meet expectations
Oversees assigned budgets, including projections and reconciliation
understands implications of TMC business decisions on bottom line and manages activities to produce results to support business decisions
Identifies areas where costs per unit can be optimized, prioritizes which projects will have greatest returns, and ensures quality results are realized in a timely manner

Fulltime

Utilization Management RN

As a Utilization Management RN, you will be crucial in ensuring accurate and com...

Location

United States , Bakersfield

Salary:

47.41 - 70.52 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Minimum of 3 years’ recent clinical experience
Graduate of an accredited RN Program
Clear and current CA Registered Nurse (RN) license
Knowledge of nursing theory and ability to apply or modify as appropriate
Knowledge of ICD-10, CPT, HCPCS coding, medical terminology and insurance benefits
Knowledge of legal and ethical considerations related to patient information, PHI and HIPAA regulations

Job Responsibility

Authorization Review: Proactively, concurrently, or retroactively reviewing referral authorization requests, gathering necessary information, and escalating to the Medical Director when needed
Compliance & Accuracy: Meeting turnaround times and accuracy standards
Provider Network: Ensuring authorized services are with contracted providers and coordinating with contracting for new agreements
Care Coordination: Identifying cases for additional case management and collaborating with internal departments to coordinate patient care
Quality & Cost-Effectiveness: Adhering strictly to utilization management policies to promote quality, cost-effective care
Denial Notice Composition: Drafting compliant, clear, and member-specific denial letters in accordance with federal, state, and health plan regulations, as well as NCQA standards

What we offer

medical, prescription drug, dental, vision plans, life insurance, paid time off, tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, Health Spending Account (HSA), Long Term Disability, 401k retirement plan with a generous employer-match, Sick Leave

Fulltime

RN Clinical Care Guide

The Clinical Care Guide (RN) will be a key contributor to our first-class care t...

Location

United States , Scottsdale

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

Current state license to practice as a Registered Nurse
BLS certification
Electronic Medicare Records experience
Customer service orientation and experience
Strong communication skills across multiple modalities
Highly collaborative
Empathy and advocacy
Exceptional organizing skills, detail-orientation
Must be able to maintain confidentiality at all times
Active AZ fingerprint clearance card

Job Responsibility

Support members both in-person and virtually with real-time consultation, education, scheduling of specialist & diagnostic referral appointments, and follow-through + follow-up of those appointments
Play a critical role in the achievement of improved health outcomes and cost savings
Be an empathetic problem-solver and become the most visible partner to all patients
Clarify and explain referral for specialist and diagnostic service recommendations
Care for end to end process as needed, for referral or specialist services
Lead center in development and management of quality programs to include patient outreach to members in an effort to provide an elevated primary care experience with gaps in care or other clinical needs
Support members with chronic conditions by providing education, reminders, and other support
Handle the management and integration of office processes
Lead service and schedule requests on member’s behalf
Inform and equip Care Team with referral information and requirements

Fulltime

Patient Care Associate

As an integral part of the clinical care team, the Patient Care Associate is res...

Location

United States , New York

Salary:

27.85 - 29.88 USD / Hour

Mount Sinai Health System

Expiration Date

Until further notice

Requirements

High School Diploma (graduate or equivalent)
Certificate of completion of a medical assistant/patient care assistant program/equivalent with skills in venipuncture and EKG
Interpersonal skills to communicate and collaborate effectively with other members of the Specialty Service
Documentation of Medical Assistant/Patient Care Associate training
Three to nine months of healthcare experience preferred
Ability to set priorities, problem solve, use proper judgement in difficult situations and be flexible
Sufficient oral and writing skills in the English language in order to communicate effectively
Physical stamina and manual dexterity to perform a variety of tasks and skills in the area of assignment
American Heart Association Heartsaver or BLS Certification

Job Responsibility

Demonstrates the ability to perform clinical/technical/service/administrative tasks
Demonstrates the knowledge and skills necessary to provide care, based on physical, psychosocial, educational, safety, and related criteria, appropriate to the age of the patients served in assigned area
Performs and records patient’s vital signs, such as blood pressure, pulse, temperature and respirations. Documents intake and output and other data as assigned
Obtains patient’s rating on pain scales as a fifth vital sign in all areas except Pediatrics
Performs clinical procedures, such as specimen collection including blood glucose, venipuncture, EKG, application of compression devices, post-mortem care, and maintenance of skin integrity
Sets up for selected procedures and assists RN’s accordingly
Assists patient with activities of daily living, such as feeding, bathing and/or toileting. Orients Patients to clinical environment. Assists patient with ambulation and all levels of mobilization
Assists with dietary functions, including delivering and collecting patient trays at bedside, passing menus to patients and assisting them with menu completion, mixing nutritional supplements, reporting variation in eating patterns to RN/Dietitian, and maintaining accurate and timely systems for transmission of patient dietary orders and changes
Maintains a safe, clean and functional environment, including ensuring for the comfortable Movement of the patient. Assists the patient in room maintenance, such as bed-stripping and trash removed, when necessary
Performs on-to-one observation or close observation status of patients, e.g. safety, elopement risk, or suicide prevention

Fulltime

Clinical Manager Hospice RN

Are you looking for a rewarding career in hospice? If so, we invite you to join ...

Location

United States , Toms River

Salary:

115000.00 - 120000.00 USD / Year

Amedisys

Expiration Date

Until further notice

Requirements

Associate or bachelors degree in nursing
One year of clinical RN experience in home health or hospice
One year of RN management experience
Current RN license, specific to the state(s) you are assigned to work
Current CPR certification

Job Responsibility

Supports, participates and works cooperatively with the director of staffing
Responsible for overall quality of patient care and clinical performance of nurses and aides
Organizes clinical operations for the care center
Reviews requests for services and determines patient eligibility/suitability for home care services
Works with intake in coordinating patient referrals and admissions
Oversees scheduling
Oversees payor verification and precertification requirements
Reviews documentation of other staff members and ensures missing, incomplete and/or untimely documentation issues are resolved
Assists clinicians in establishing immediate and long-term patient goals, setting priorities and developing Plan of Care (POC)
Regularly evaluates the needs of the patient and makes necessary revisions to the plan of care in collaboration with clinicians

What we offer

A full benefits package with choice of affordable PPO or HSA medical plans
Paid time off
Up to $1,000 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan
Up to $500 in wellness rewards for completing activities during the year
Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program
401(k) with a company match
Family support with infertility treatment coverage, adoption reimbursement, paid parental and family caregiver leave
Fleet vehicle program (restrictions apply) and mileage reimbursement

Fulltime

RN Case Manager Hospice

Are you looking for a rewarding career in hospice? If so, we invite you to join ...

Location

United States , Hyannis

Salary:

93000.00 - 97000.00 USD / Year

Amedisys

Expiration Date

Until further notice

Requirements

One year of nursing experience
Current RN license, specific to the state(s) you are assigned to work
Current CPR certification
Valid driver's license, reliable transportation and liability insurance

Job Responsibility

Performs patient assessments and collaborates with the care team to develop and implement a plan of care
Makes referrals to other hospice care disciplines as needed or documents rationale for not doing so
Develops, prepares, and maintains individualized patient care progress records with accuracy, timeliness and according to care center policies
Records pain/symptom management changes/outcomes as appropriate
Teaches patients, families, and caregivers appropriate patient care techniques
Regularly communicates with clinical manager and care team
Performs on-call responsibilities and on-call services to patients/families as assigned
Other duties as assigned

What we offer

$7,500 Sign-on Bonus
A full benefits package with choice of affordable PPO or HSA medical plans
Paid time off
Up to $1,000 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan
Up to $500 in wellness rewards for completing activities during the year
Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program
401(k) with a company match
Family support with infertility treatment coverage, adoption reimbursement, paid parental and family caregiver leave
Fleet vehicle program (restrictions apply) and mileage reimbursement

Fulltime

RN - Patient Care Manager

Arcadia Home Care and Staffing - an Addus family company

Location:
United States , Eugene

Category:
Nursing

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
December 06, 2025

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RN - Patient Care Manager

Arcadia Home Care and Staffing - an Addus family company

Location:United States , Eugene

Category:Nursing

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:December 06, 2025

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