Case Presentation Jobs

The RN Admissions Coordinator - Utilization Management role operates within Carle Health's interdisciplinary team to manage patient admissions and care transitions across Eureka and BroMenn facilities. Key responsibilities include conducting clinical assessments, coordinating with payers for preauthorization and concurrent reviews, and facilitating safe transitions from acute care to appropriate levels of care such as swing beds or home. The position requires collaboration with physicians and families to optimize patient outcomes while ensuring compliance with Medicare and state regulations. This opportunity appeals to nurses seeking a purpose-driven career in a Magnet-designated organization that values professional growth, community impact, and a supportive culture. The work arrangement involves on-site presence at Eureka with occasional afternoons at BroMenn based on census needs.

This full-time Self-Directed Service Coordinator role supports individuals with developmental disabilities in Sullivan and Lower Grafton counties, NH. The position involves managing a caseload of 25 to 30 individuals by facilitating person-centered planning, developing individual budgets, and ensuring regulatory compliance. Key responsibilities include conducting quarterly visits, monitoring financial statements, and collaborating with families to promote individual choice and decision-making. The role offers a hybrid work arrangement with optional remote days and requires regional travel with mileage reimbursement. The position is appealing for its mission-driven culture focused on empowering individuals to live their best lives, along with comprehensive benefits and professional growth opportunities.

The Care Manager II-IP role at Mercy Hospital Jefferson is a PRN position within the interdisciplinary Case Management department, serving patients in the emergency department and inpatient floors. The position requires a Master's in Social Work or a nursing degree with relevant acute care experience. Key responsibilities include assessing patient needs, planning and coordinating care from admission to discharge, and advocating for safe transitions to the next appropriate level of care. The role appeals to professionals seeking a dynamic environment where every day presents new challenges, fostering a collaborative culture where individual voices matter. Team members benefit from comprehensive support including tuition assistance and retirement plans while contributing to the organization's mission of compassionate, innovative healthcare.

The RN Admissions Coordinator - Utilization Management role operates within Carle Health's interdisciplinary team to oversee patient admissions and care transitions across Eureka and BroMenn facilities. Key responsibilities include conducting clinical assessments, coordinating with payers for preauthorization and concurrent reviews, and managing the discharge planning process to ensure appropriate levels of care. The position requires collaboration with physicians and families to optimize patient outcomes while maintaining compliance with Medicare and state regulations. This opportunity appeals to experienced nurses seeking a position that combines clinical expertise with strategic case management in a supportive environment. The role offers a hybrid work arrangement with on-site requirements at Eureka and occasional shifts at BroMenn, providing a chance to contribute to a Magnet-designated organization dedicated to community health and professional growth.

The Clinical Denials Management Program Coordinator RN role operates within Patient Financial Services at a nationally recognized hospital. The position manages clinically based appeals between the organization and external payers while serving as a liaison for Case Management and other departments. Key responsibilities include reviewing denials against InterQual guidelines, constructing clinically oriented appeal letters, tracking denial trends, and developing corrective action plans to reduce future denials. The role also involves providing educational sessions to staff on reimbursement changes and denial prevention strategies. This position is appealing due to the organization's reputation for excellence, its award-winning workplace culture, and a commitment to fostering a dynamic, inclusive environment. The role requires a current California RN license and significant case management experience.

The Transition Home Manager role is a live-in position based in Nashville, Tennessee, responsible for overseeing daily operations and resident well-being at a nonprofit housing facility. The individual upholds house policies, facilitates conflict resolution, and provides 24-hour supervision to support justice-involved individuals in their reentry journey. Key duties include coordinating household activities like meal planning and chores, documenting daily resident progress, and ensuring a safe, structured environment. This position is appealing for its mission-driven focus on reducing racial disparities and empowering at-risk populations through meaningful career preparation. The role offers free housing with a private bedroom and bathroom, along with opportunities for professional growth within a collaborative team dedicated to social impact.

The Patient Access Specialist I role supports CAN Community Health's mission to provide equitable access to care for individuals living with HIV and related infectious diseases. This full-time position, operating on a hybrid schedule with occasional travel, serves as a liaison between patients, prescribers, and pharmacy services to facilitate medication access and adherence. Key responsibilities include resolving insurance barriers, assisting with prior authorizations, educating patients on financial assistance programs, and addressing social determinants of health. The role appeals to candidates seeking a supportive, award-winning environment with opportunities for career growth, comprehensive benefits, and professional development in a mission-driven organization.

The Social Services Coordinator role at the Connecticut Institute for Communities supports community members in accessing vital health, education, and housing resources. Key responsibilities include conducting client intake assessments, developing individualized service plans, and coordinating referrals to medical and social support networks. The position also involves providing case management, assisting with benefit applications, maintaining electronic records, and engaging in community outreach to underserved neighborhoods. This opportunity is appealing for its collaborative, inclusive environment that values public service and offers the chance to make a meaningful impact on social well-being. The role requires a bachelor's degree and emphasizes cultural humility, with potential for field visits and interaction with diverse populations.

The Inpatient Master of Social Work Care Manager role operates within the Clinical Care department at Providence St. Patrick Hospital in Missoula, Montana. This on-site position focuses on delivering comprehensive, patient-centric services to vulnerable individuals in an acute care setting. Key responsibilities include assessing patient needs, coordinating care plans, managing discharge logistics, and advocating for patients facing social, financial, or behavioral barriers. The role appeals to professionals seeking a collaborative environment that values whole-person care and mutual respect. Employees benefit from a supportive culture that empowers staff voices and offers extensive professional growth opportunities within a large, inclusive healthcare network.

The Manager Care Management RN role at Swedish Edmonds leads the Case Management department within a large not-for-profit healthcare system. This position serves as a liaison between patients, families, physicians, and community agencies while overseeing daily operations including staff supervision, discharge planning, and utilization management. Key responsibilities involve establishing clinical standards, analyzing patient data to improve care quality, managing departmental budgets, and collaborating with multidisciplinary teams to optimize resource utilization. The role appeals to nursing leaders seeking to drive process improvement in a culture that values whole-person care, mutual respect, and professional growth. The position is full-time and on-site, offering opportunities to support a diverse workforce and contribute to the organization's mission of serving the community.

This travel nursing role places a Registered Nurse in a Case Management and Nurse Manager capacity at a long-term care facility in Camden, Maine. The position involves overseeing patient care coordination, managing clinical operations, and ensuring high-quality outcomes within a 9-week contract. Key responsibilities include leading daily shifts, optimizing resource utilization, and supporting the facility's mission of improved patient care. The opportunity is appealing for professionals seeking flexible work arrangements with comprehensive benefits, including day-one health insurance and license reimbursement. The role offers a supportive environment with dedicated recruiter assistance and the chance to work in a new community while advancing clinical leadership skills.

The Medical Director, Medical Management role at Highmark Inc. leads a physician team responsible for ensuring utilization management aligns with current clinical standards. Key duties include conducting electronic reviews of escalated cases to determine medical necessity, engaging in peer-to-peer discussions, and advising multidisciplinary teams on complex care scenarios. The position also involves developing clinical protocols and managing special projects to improve member care. This opportunity appeals to physicians seeking to impact population health within a collaborative environment that values critical thinking and professional growth. The role is primarily office-based with occasional travel up to 25 percent.

The Medical Director, Medical Management role at Highmark Inc. leads a physician team responsible for overseeing utilization management and ensuring clinical standards align with current regulations. Key duties include conducting electronic reviews of escalated cases to determine medical necessity, participating in multidisciplinary case management teams, and developing clinical protocols. The position offers the opportunity to influence care quality for members while working within a collaborative environment that values physician expertise. The role is primarily office-based with minimal travel requirements and supports professional growth through involvement in special projects and guideline development.

This role involves serving as a Probation and Parole Officer within the Louisiana Department of Public Safety and Corrections in the Amite District. The officer supervises adult offenders through counseling, case management, and community resource referrals to promote rehabilitation and public safety. Key responsibilities include monitoring compliance with release conditions, conducting criminal investigations, preparing reports for courts, and coordinating treatment programs. The position offers a supportive culture with clear pathways for professional growth, internal promotion opportunities, and a comprehensive benefits package including a pension plan and flexible work schedules. The role requires a valid driver's license, the ability to carry a firearm, and a willingness to obtain POST certification.

The Social Work Supervisor role provides clinical and administrative leadership at the Entertainment Community Fund, a national organization supporting performing arts professionals. The position oversees a team delivering case management, groups, and workshops to clients facing HIV, chronic health issues, and related life challenges. Key responsibilities include assigning cases, supervising direct service providers, developing comprehensive care plans, conducting home or hospital visits, and collaborating with unions and community partners to secure resources. The role appeals to those seeking to make a meaningful impact within a diverse, mission-driven culture that values empathy and professional growth. This full-time position is based at the organization's headquarters in New York City, with occasional evening or weekend hours required to meet client needs.

This 20-week travel nursing role places a Registered Nurse in a Hospice Case Manager position at Central Vermont Home Health & Hospice in Barre, Vermont. The position involves providing end-of-life care within home settings and managing patient cases during a Monday through Friday day shift schedule. Key responsibilities include delivering compassionate hospice services and utilizing electronic medical records for patient documentation. The role appeals to nurses seeking professional variety and personal growth through a nomadic lifestyle that helps prevent burnout. It offers the opportunity to explore rural healthcare environments and potentially transition into a permanent position after the contract concludes.

The Program Supervisor role at Volunteers of America Los Angeles involves leading social service initiatives for vulnerable populations including veterans, homeless individuals, and at-risk youth. Key responsibilities include supervising program staff, coordinating daily operations and service delivery, maintaining accurate client records for compliance, and collaborating with community partners to connect clients with resources. This position offers the opportunity to make a meaningful impact within a mission-driven non-profit culture while developing leadership skills through mentoring and training. The role requires on-site presence in Los Angeles to provide direct oversight and support to the team.

The Tenancy Supports Specialist role at Kentucky River Community Care focuses on the Kentucky 1915(i) RISE Initiative, assisting individuals with serious mental illness or substance use disorders in securing stable housing. Key responsibilities include helping participants find and maintain affordable housing, negotiating leases, mediating with landlords, and teaching independent living skills such as budgeting and home maintenance. The position involves regular home visits and coordination with community partners to ensure long-term housing stability. This full-time, on-site role in Breathitt County offers the opportunity to make a direct impact on community integration and recovery within a supportive behavioral health environment.

The LVN Care Coordinator role operates within a home health agency across multiple California locations, focusing on the coordination and management of patient care. Key responsibilities include reviewing patient cases to assign appropriate clinicians, evaluating clinical performance, and assisting in the development of therapeutic care plans. The position also involves conducting record reviews, participating in case conferences, and supporting the training and orientation of new staff. This opportunity appeals to licensed vocational nurses seeking a collaborative environment where they can utilize their clinical decision-making skills to improve patient outcomes while contributing to organizational quality and policy development. The role is based on-site with standard weekday hours and occasional overtime.

The Champaign County Moderate Care Coordinator role supports the OhioRISE program by delivering community-based wraparound care for children with complex behavioral health and multi-system needs. The position involves leading high-fidelity wraparound teams, developing individualized plans of care, and coordinating services to keep youth in their homes and schools. Key responsibilities include conducting life domain assessments, managing crisis stabilization, and collaborating with families and community providers. The role appeals to professionals seeking a mission-driven environment focused on family empowerment and system integration. The position offers a comprehensive benefits package including paid time off, professional development opportunities, and flexible scheduling. While the role is based in Champaign County with some overlap into Logan County, it requires reliable personal transportation and a valid driver's license.

This non-exempt Court Clerk role within the Missouri State Court System supports civil records processing using advanced electronic filing systems. The position involves managing case files, reviewing legal documents for compliance, and handling financial duties such as disbursing monies and reconciling accounts. Key responsibilities include preparing court orders, managing juror lists, and providing direct customer service to the public, attorneys, and judges. The role offers the opportunity to work independently with minimal supervision in a fast-paced environment while contributing to the efficient operation of the judicial system. Candidates must possess strong organizational skills and the ability to handle sensitive information with discretion.

This full-time CAP Nurse role supports medically fragile children in Buncombe and Madison Counties, focusing on preventing institutionalization through home-based care. The position involves conducting initial assessments, developing individualized care plans, and coordinating with RNs and interdisciplinary teams to manage client health and safety. Key responsibilities include evaluating client progress, documenting social histories, and connecting families with essential community resources. The role appeals to those seeking a meaningful career with a mission-driven organization dedicated to improving lives for individuals with developmental disabilities and mental health challenges. It offers flexible scheduling, comprehensive benefits including health insurance and retirement savings, and opportunities for professional growth through free training. The position requires a valid North Carolina driver's license and involves travel within the service area.

The Clinical Assessment Manager role within VNS Health involves conducting comprehensive clinical, environmental, and social assessments for New York members to establish individualized plans of care. Key responsibilities include performing face-to-face and telehealth evaluations, determining appropriate service levels in compliance with state and federal regulations, and collaborating with care teams to ensure cost-effective, high-quality community-based support. This position offers the appeal of working for a historic nonprofit organization dedicated to improving lives, featuring significant opportunities for professional growth, tuition reimbursement, and internal mobility. The role requires travel across upstate and downstate counties and is open to candidates with a New York nursing license and relevant clinical experience.

The Target Security Specialist role within the Assets Protection team focuses on maintaining a safe and secure environment for guests and team members while preventing theft and fraud. Key responsibilities include utilizing intelligence-led tactics for crisis response, managing crowds, and de-escalating incidents, as well as operating video surveillance systems and documenting security cases accurately. The position also involves greeting guests, assisting with merchandise checks, and supporting store operations during peak times. This role is appealing for individuals who thrive in fast-paced, active environments and value meaningful career development through comprehensive training. It offers a collaborative culture that emphasizes ethical conduct and teamwork, with a flexible work schedule that includes varying shifts, nights, weekends, and holidays to meet business needs.

The Clinical Assessment Manager role within VNS Health involves conducting comprehensive clinical, environmental, and social assessments for members to establish individualized plans of care that ensure safety within the community. Key responsibilities include performing face-to-face and telehealth evaluations, determining appropriate service plans, coordinating with providers and families, and ensuring strict compliance with state and federal regulations. This position offers significant appeal through a mission-driven culture at a leading nonprofit organization, extensive professional growth opportunities including tuition reimbursement, and a robust benefits package featuring generous paid time off and retirement matching. The role requires travel across New York State to conduct in-home assessments and supports a collaborative environment focused on high-quality, cost-effective healthcare.