383,147 Management Nurse jobs in the United States

We are seeking a career-minded RN Case Manager in Timonium, MD. This is an excellent opportunity for a motivated RN or LPN who is eager to grow professionally within an innovative and mission-driven organization.

Position Summary:

The Medical Case Manager is responsible for assessing, planning, coordinating, monitoring, and evaluating the services and resources available to support an optimal treatment plan for each member. This role plays a key part in ensuring continuity of care across different settings in a cost-effective and patient-focused manner.

Key Responsibilities:

• Coordinate care and services for members across local and national providers
• Serve as liaison among patients, primary care providers, specialists, and health plans
• Monitor ongoing care needs, including pharmaceuticals and durable medical equipment (DME)
• Facilitate discharge planning and care transitions
• Track service authorizations and manage approval/denial processes
• Perform medical risk assessments for Stop Loss carriers
• Manage assigned caseloads, providing insight into financial exposure for each case

Qualifications:

• Active RN or LPN license (required)
• Bachelor’s degree in Nursing or a health-related field (preferred for RN candidates)
• Minimum of 2 years of clinical experience (critical care experience preferred)
• Previous experience in case management, utilization review, or discharge planning
• Familiarity with healthcare claims, risk assessment, and insurance processes
• Experience in a business, administrative, or corporate setting is a plus
• Ability to work onsite full-time in Timonium, MD

Compensation & Benefits:

• Range: $85,000-$95,000- pending experience and education
• Comprehensive benefits package for full-time employees

*Ideally looking for a Fall 2025 start!

#HC123

Skills & Equipment

Required Experience:

Role Overview

This is a multifaceted Case Manager role involving:

Discharge planning

Utilization review

Swing bed coordination

You’ll be responsible for ensuring smooth transitions from acute care to post-acute settings, managing utilization, and overseeing swing bed services.

Requirements:

Experience:

Minimum 3 years in case management or utilization management

OR

5 years as an RN in an acute care hospital setting

Education:

Bachelor’s degree in a healthcare-related field (e.g., Nursing, Social Work, Healthcare Administration)

Licensure/Certification:

Valid healthcare license or certification (RN, SW, BSW, or equivalent)

*Offered pay rate will be based on education, experience, and healthcare credentials.

Pride Health provides a comprehensive benefits package, including medical, dental, and vision insurance, flexible spending accounts, company-paid life and long-term disability insurance, and optional supplemental life insurance for employees, spouses, and children. Additional perks include short-term disability, accident and critical illness coverage, identity theft protection, a 403b retirement plan, and tuition reimbursement of up to $4,000 annually for full-time employees.

Interested? Apply now!

About Pride Health

Pride Health is Pride Global's healthcare staffing branch, providing recruitment solutions for healthcare professionals and the industry at large since 2010.

As a minority-owned business that delivers exceptional service to its clients and candidates by capitalizing on diverse recruiting, account management, and staffing backgrounds, Pride Health's expert team provides tailored and swift sourcing solutions to help connect healthcare talent with their dream jobs. Our personalized approach within the industry shines through as we continue cultivating honest and open relationships with our network of healthcare professionals, creating an unparalleled environment of trust and loyalty.

Equal Employment Opportunity Statement

As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

Benefits:

401(k)

Competitive salary

Dental insurance

Health insurance

Paid time off

Signing bonus

Training & development

Vision insurance

Outpatient Case Management West Los Angeles VAMC 11301 Wilshire Blvd Los Angeles, CA. 90073

There are five new RN vacancies at the West Los Angeles VA Medical Center.

Service Line | Unit | Position Title | Tour | Qualified Contractor | Vendor HOSPITAL OPERATIONS | INPATIENT | RN | | Vacant | Open HOSPITAL OPERATIONS | INPATIENT | RN | | Vacant | Open HOSPITAL OPERATIONS | INPATIENT | RN | | Vacant | Open HOSPITAL OPERATIONS | OUTPATIENT | RN | | Vacant | Open HOSPITAL OPERATIONS | OUTPATIENT | RN | | Vacant | Open

Benefits/Perks

Competitive Compensation

Great Work Environment

Career Advancement Opportunities

Job Summary

We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for efficiency and effectiveness. Your role will be to ensure we are running at optimal efficiency, and that all patients under our care are receiving the necessary treatments and procedures. The ideal candidate has deep experience in a similar medical setting, has a bachelor's or higher in Nursing, and has a certification in either Case Management or Utilization Management.

Responsibilities

Review patient files and treatment information for efficiency

Monitor the activity of staff to ensure effective patient treatment

Advocate for quality patient care to prevent complications

Review discharge information for outgoing patients

Work closely with clinical staff to provide excellent patient care

Prepare reports on patient management and cost assessments

Dimensions of Nursing Practice

PRACTICE: Knowledge of professional nursing practice and the ability to apply the nursing process (assessment, diagnosis, outcome identification, planning, implementation, and evaluation) with close supervision.

Expectations:

1. Completes orientation according to expected standards.

2. Works with close supervision, is responsible and accountable for individual nursing practice and seeks direction from others as needed.

3. Manages workload as assigned, organizes, and completes own assignments in an efficient and appropriate manner.

4. Participates in the development, implementation, and evaluation of interdisciplinary care.

5. For Inpatient RNs, performs unit based inpatient case management duties, with the ability to perform RN case management assessments, discharge planning, formulating safe plans of care and anticipating patient care needs.

VETERAN/PATIENT DRIVEN CARE: Knowledge of Veteran/patient driven care, patient experience, satisfaction, and safety.

Expectations:

1. Establishes a therapeutic relationship, allowing the patient to attain, maintain or regain optimal function through assessment and treatment.

2. Engages patients, families, and other caregivers to incorporate knowledge, values, and beliefs into care planning without judgement or discrimination.

3. Knowledgeable of ethical issues related to professional nursing practice and follow established policies of the practice setting, VA, and ANA Code of Ethics for Nurses.

4. Aware of high reliability principles to deliver consistent care and improve patient outcomes.

LEADERSHIP: Communicates, collaborates, and utilizes leadership principles to perform as an effective member of the interprofessional team.

Expectations:

1. Demonstrates positive, effective communication skills and professional behaviors that promote cooperation and teamwork with internal and external customers.

PROFESSIONAL DEVELOPMENT: Incorporates educational resources/opportunities and self-evaluation for professional growth.

Expectations:

1. Participates in unit based educational activities and continuing education requirements.

2. Responsible for maintaining competency to continue personal and professional growth.

EVIDENCE-BASED PRACTICE/RESEARCH: Awareness of evidence-based practice/research to improve quality of care and resource utilization.

Expectations:

1. Applies evidence-based practice/research to patient care.

2. Participates in unit-based activities to improve and deliver cost effective patient care.

3. Demonstrates knowledge of specific unit level performance improvement activities.

4. Incorporates patient preferences into shared care delivery decisions.

Customer Services Requirements: The incumbent meets the needs of the Veteran and as appropriate the Veteran’s family, caregiver and/or significant other, the Veteran’s representative, visitors to VA facilities, all VA staff and other customers while supporting VA missions. The incumbent consistently communicates and treats the Veteran and as appropriate the Veteran’s family, caregiver and/or significant other, the Veteran representatives, visitors to VA facilities, all VA staff, and other customers in a courteous, tactful, and respectful manner. The incumbent provides the Veteran’s family, caregiver and/or significant other, the Veteran’s representative, visitors to VA facilities, all VA staff, and other customers with consistent information according to establish policies and procedures. The incumbent handles conflict and problems in dealing with any consumer group appropriately and in a constructive manner.

Age, Development, and Cultural Needs of Patients Requirement: The primary age of Veterans treated is in their middle years (ages 40 to 50) or at the geriatric level (ages 60 or older). There are occasionally younger patients between the ages of 25 to 40 years of age that require care. The position requires the incumbent to possess or develop an understanding of the particular needs of these types of patients. Sensitivity to the special needs of all patients in respect to age, developmental requirements, and culturally related factors must be consistently achieved. Computer Security Requirement: The incumbent protects printed and electronic files containing sensitive data in accordance with the provisions of the Privacy Act of 1974 and other applicable laws, Federal regulations, VA statutes and policy, and VHA policy. The incumbent protects the data from unauthorized release or from loss, alteration, or unauthorized deletion. Follows applicable regulations and instructions regarding access to computerized files, release of access codes, etc., as set out in the computer access agreement that the incumbent signs. Reports all known information security incidents or violations to the supervisor and/or the Information Security Officer immediately. Reports all known privacy incidents or violations to the Privacy Officer immediately. Compliance is measured by supervisory observation and periodic random monitoring by the Information Security Officer or Office of Information Technology staff. Major violations such as loss of or unauthorized release, alteration, or deletion of sensitive data are unacceptable.

Other Significant Information: This position potentially requires flexibility in schedule and assignments. For RN Inpatient Case Management staff, there may be rotation to from the initial (Monday – Friday)

Qualifications:

BSN and/or MSN preferred.

Minimum of 5 years of successful nursing practice, encompassing education, administration, leadership, and Quality Management Performance Improvement (QM/PI) experience preferred.

Basic computer literacy proficiency with the use of Microsoft Office programs or comparable word processing, spreadsheet and graphic software and the ability to learn new programs specific to the VA preferred.

Ability to work variable and flexible tours to meet program demands.

Demonstrated ability to accurately implement policies, regulations, standards of care and standards of practice preferred.

Demonstrated ability to review patient clinical records.

Proven ability to facilitate group problem solving preferred.

Proven ability to utilize sound judgment in making patient transfer decisions preferred.

Ability to lead and effectively direct staff within program unit/team/group preferred.

Excellent organizational, communication, writing, and time management skills preferred.

Excellent interpersonal skills and the ability to work independently as well as collaboratively with multiple service lines and disciplines preferred.

• MO or compact RN license
• Utilization management experience, InterQual experience preferred
• Two (2) years of clinical nursing experience and one year of experience in performing prior authorization review
• Experience using medical management software programs
• Experience working with a correctional institution or agency preferred
• Must be able to pass background investigation and obtain agency security clearance

• Health, dental, vision, disability and life insurance
• 401(k) with company match
• Generous paid time off
• Paid holidays
• Flexible Spending Account
• Continuing Education benefits
• Much more.

Pain Management Nurse Practitioner at Nuvance Health summary:

The Pain Management Nurse Practitioner at Nuvance Health provides comprehensive evaluation and treatment for patients experiencing pain. Responsibilities include developing individualized care plans utilizing pharmacologic and non-pharmacologic therapies, educating patients and families, and monitoring treatment outcomes. The role requires advanced nursing credentials and offers a competitive salary with benefits in a leading regional healthcare network.

Description

• Global management of patients with pain conditions 
• Conduct thorough evaluations of patients with pain conditions, including detailed medical histories and physical examinations.
• Develop and implement individualized treatment plans based on patient assessments, incorporating pharmacologic and non-pharmacologic therapies.
• Utilize various modalities for pain relief, including medication management, physical therapy referrals, interventional procedures, and complementary therapies.
• Educate patients and families about pain management options, coping strategies, and lifestyle modifications to improve quality of life.
• Schedule and conduct follow-up appointments to monitor treatment efficacy and adjust plans as needed.
• Maintain accurate and timely documentation of patient assessments, treatment plans, and outcomes in accordance with healthcare regulations.
• M-F position

• Master’s degree in Nursing with a focus on Nurse Practitioner studies.
• Current Nurse Practitioner licensure and certification in a relevant specialty (e.g., Pain Management, Family, or Adult).
• Previous experience in pain management, palliative care, or a related field preferred
• New graduates will be considered

Keywords:

pain management, nurse practitioner, patient evaluation, pharmacologic therapy, non-pharmacologic therapy, interventional procedures, patient education, treatment planning, healthcare, neurology

New Jersey/Suburban New York City NP/PA Opportunity

Compensation is: $70 to $80/hour to start with experience (can be a little
higher too).

The PA/NP will work collaboratively to assist the Physician to provide care to
patients who present to the regenerative pain office with acute/chronic pain
and/or functional medicine visits. The NP/PA will review the patient's medical
history, order labs, radiographic, and other diagnostic tests, perform
follow-up care and conduct consults. The NP/PA will also be responsible for
the management and oversight of the office and surgical patients. The NP/PA
will also examine patients to determine eligibility for Vitamin IV infusions as
well as assisting in running the infusion program.

NP/PA will act as a portal of entry for all patients entering into practice by
screening and processing new patients.

We take pride in providing concierge customer service and excellent functional
medicine to our patients. Applicant must be an energetic, positive
people-person and have the ability to combine clinical skills with genuine
concern and empathy for patients.

This is an opportunity to work in a concierge environment to build programs for
patients on an individual basis. Job duties will include managing the office
and surgical fronts for patients, Pain Mgmt/MSK examinations, ordering
preliminary labs, pre/post op care, managing surgical schedule, and prepare
consultation/surgical notes.

Roles and Responsibilities
Conducts new patient assessments/H&Ps, which includes comprehensive MSK exams
in office
Supporting physicians with scheduling, prior authorizations, and maintaining
and compliance with state and federal guidelines.
Documents items such as: appropriate chief complaint, all applicable diagnosis,
past medical, family, and social history, review of systems, examinations,
medications, allergies, assessment, and plans
Prescribe medications, order tests, and follow up with tests as required.
Assist on OR Surgical Procedures (suturing, paperwork, IV, and etc)
IV Infusions
Experience in clinically assessing patient, takings vitals, and charting in EHR
Provide education to patients regarding their pharmacologic and
nonpharmacologic pain management regimens.
Conduct follow up visit and/or post procedure calls to ensure patient safety
and address any questions or concerns.
Develop and oversee patient and office policies and procedures to deliver the
highest quality of care in a patient focused environment
Work collaboratively with providers to create a treatment plan based on
patient's clinical needs
Responsible for the coordination of care with primary care providers,
specialists, and appropriate ancillary services.
Completes all documentation and paperwork in a timely manner.
Maintains quality of care standards as defined by the practice.
Perform effectively, as reflected by improved patient quality outcomes, which
will be measured and reported daily.
Facilitates closing gaps in care by educating patients about Pain Mgmt &
Wellness
Other duties as assigned

Position Requirements
Active and unrestricted NJ Registered Nurse and Nurse Practitioner/PA license.
Board certified by ANCC or AANP.
Current and unrestricted DEA & CDS LIcense
BLS Certification
ACLS Certification
Minimum (2) two years of acute and chronic pain management experience including
pain disorders, diagnostic tests, procedures, and medications
Regenerative Medicine and IV experience a plus
Ability to work without direct supervision and practice autonomously.
Access to transportation, a valid driver's license, and car insurance.
Must be proficient with medical instruments and equipment required by the work.
Knowledge of EHR & Google Spreadsheets, as well as medical records
Ability to communicate effectively, in verbal and written form, with retail and
medical partners at various levels, patients, family members, physicians and
representatives of the community.
Sound understanding of all federal and state regulations including HIPAA and
OSHA.
Bilingual in Spanish is helpful.
Experience conducting MSK/Pain Mgmt visits

Job Types: Full-time

Benefits:
Malpractice insurance
Paid time off
Holiday

Medical specialties:
Pain Medicine/ Regenerative/ Functional Medicine
Surgery
IV Infusion

Standard shift:
Day shift

Weekly schedule:
Monday to Friday

Work setting:
In-person
Operating room
Private practice

Ability to commute/relocate:
Totowa & South Plainfield, NJ: Reliably commute

Experience:
Pain Mgmt and/or Surgical: 2 years (Required)

License/Certification:
NP/PA License (Required)
DEA & CDS License (Required)

New Jersey/Suburban New York City NP/PA Opportunity

Compensation is: $70 to $80/hour to start with experience (can be a little
higher too).

The PA/NP will work collaboratively to assist the Physician to provide care to
patients who present to the regenerative pain office with acute/chronic pain
and/or functional medicine visits. The NP/PA will review the patient's medical
history, order labs, radiographic, and other diagnostic tests, perform
follow-up care and conduct consults. The NP/PA will also be responsible for
the management and oversight of the office and surgical patients. The NP/PA
will also examine patients to determine eligibility for Vitamin IV infusions as
well as assisting in running the infusion program.

NP/PA will act as a portal of entry for all patients entering into practice by
screening and processing new patients.

We take pride in providing concierge customer service and excellent functional
medicine to our patients. Applicant must be an energetic, positive
people-person and have the ability to combine clinical skills with genuine
concern and empathy for patients.

This is an opportunity to work in a concierge environment to build programs for
patients on an individual basis. Job duties will include managing the office
and surgical fronts for patients, Pain Mgmt/MSK examinations, ordering
preliminary labs, pre/post op care, managing surgical schedule, and prepare
consultation/surgical notes.

Roles and Responsibilities
Conducts new patient assessments/H&Ps, which includes comprehensive MSK exams
in office
Supporting physicians with scheduling, prior authorizations, and maintaining
and compliance with state and federal guidelines.
Documents items such as: appropriate chief complaint, all applicable diagnosis,
past medical, family, and social history, review of systems, examinations,
medications, allergies, assessment, and plans
Prescribe medications, order tests, and follow up with tests as required.
Assist on OR Surgical Procedures (suturing, paperwork, IV, and etc)
IV Infusions
Experience in clinically assessing patient, takings vitals, and charting in EHR
Provide education to patients regarding their pharmacologic and
nonpharmacologic pain management regimens.
Conduct follow up visit and/or post procedure calls to ensure patient safety
and address any questions or concerns.
Develop and oversee patient and office policies and procedures to deliver the
highest quality of care in a patient focused environment
Work collaboratively with providers to create a treatment plan based on
patient's clinical needs
Responsible for the coordination of care with primary care providers,
specialists, and appropriate ancillary services.
Completes all documentation and paperwork in a timely manner.
Maintains quality of care standards as defined by the practice.
Perform effectively, as reflected by improved patient quality outcomes, which
will be measured and reported daily.
Facilitates closing gaps in care by educating patients about Pain Mgmt &
Wellness
Other duties as assigned

Position Requirements
Active and unrestricted NJ Registered Nurse and Nurse Practitioner/PA license.
Board certified by ANCC or AANP.
Current and unrestricted DEA & CDS LIcense
BLS Certification
ACLS Certification
Minimum (2) two years of acute and chronic pain management experience including
pain disorders, diagnostic tests, procedures, and medications
Regenerative Medicine and IV experience a plus
Ability to work without direct supervision and practice autonomously.
Access to transportation, a valid driver's license, and car insurance.
Must be proficient with medical instruments and equipment required by the work.
Knowledge of EHR & Google Spreadsheets, as well as medical records
Ability to communicate effectively, in verbal and written form, with retail and
medical partners at various levels, patients, family members, physicians and
representatives of the community.
Sound understanding of all federal and state regulations including HIPAA and
OSHA.
Bilingual in Spanish is helpful.
Experience conducting MSK/Pain Mgmt visits

Job Types: Full-time

Benefits:
Malpractice insurance
Paid time off
Holiday

Medical specialties:
Pain Medicine/ Regenerative/ Functional Medicine
Surgery
IV Infusion

Standard shift:
Day shift

Weekly schedule:
Monday to Friday

Work setting:
In-person
Operating room
Private practice

Ability to commute/relocate:
Totowa & South Plainfield, NJ: Reliably commute

Experience:
Pain Mgmt and/or Surgical: 2 years (Required)

License/Certification:
NP/PA License (Required)
DEA & CDS License (Required)