- Tenet Health (West Palm Beach, FL)
- …EDUCATION Graduate of Registered Nurse Program EXPERIENCE 2 years acute care RN experience LICENSE Registered Nurse CERTIFICATION BLS (AMERICAN ... for all insurance authorizations, clinical communication, and denial and appeals . Tracking and reporting of data for other departments....Who We Are We are a community built on care . Our caregivers and supporting staff extend compassion to… more
- State of Colorado (Denver, CO)
- …basis Special Qualification: Maintains active and unencumbered Colorado Registered Nurse License Preferred qualifications: Experience in long-term care or ... Support NA 01 A requirement of the position is that you possess and maintain a VALID Registered Nurse ( RN ) License issued by the State of Colorado or any… more
- Valley Health System (Paramus, NJ)
- …Managed Care and Commercial Payors, Oversight of all inpatient Denials and Appeals activity ie Medicare RAC Denials, Managed Care Denials, Medicaid Denials ... implementation of hospital's system / processes for Utilization Management, Denials / Appeals Management, Resource / LOS management. Accountable for directing the… more
- NavitsPartners (Cambridge, MA)
- Job Title: Travel Nurse - Inpatient Case Manager ( RN ) Location: Hyannis, MA Assignment Duration: 13 Weeks Hours: Weekdays, 8:00 AM - 4:30 PM Weekly Pay: ... - $2,890 Position Overview: This is a 13-week travel assignment for an experienced RN Case Manager supporting hospital-based care management. You'll ensure… more
- UC Davis Health (Sacramento, CA)
- …upload license and/or certification if required of the position Valid California Registered Nurse License without restriction Graduation from an accredited ... The Clinical Case Manager integrates and coordinates utilization management, care...- Communication, Coordination, and Documentation 10% - Denials and Appeals Management 10% - Secure Authorization for Care… more
- Trinity Health (Peosta, IA)
- …72 hours biweekly Day Shift General Requirements: Iowa licensure as a Registered Nurse . Member of a professional healthcare organization. Education: High ... Full time Shift: Day Shift Description: At MercyOne, health care is more than just a doctor's visit or...the MercyOne Family! We are looking to hire a RN Clinical Integration Specialist. The purpose of the Clinical… more
- Pioneer Healthcare (Indianapolis, IN)
- Case Manager Job Description: If you want to make a significant impact as a Registered Nurse - Case Manager in Indianapolis, IN this position might be ... , and approvals for necessary medical services and treatments. Qualifications: IN Registered Nurse license Associate Degree in Nursing (ADN) or Bachelor… more
- Franciscan Missionaries of Our Lady Health System (Lafayette, LA)
- …to serve people in need throughout our community, every day. Job Summary: The Case Manager will facilitate the interdisciplinary plan of care with a focus on ... care , medical necessity, admission status, level of care , and resource management. The Case Manager ...outcomes and ensures patients are receiving appropriate level of care ; includes coordinating denials/ appeals . Collaborates with all… more
- Blue Shield of California (Rancho Cordova, CA)
- …and treating MDs. The Case Management Nurse , Senior will report to the Manager , Care Management. In this role you will determine, develop and implement the ... plan of care based on accurate assessment of the member and...Nursing or advanced degree preferred. Requires a current CA RN License. Certified Case Manager (CCM) Certification… more
- State of Colorado (Denver, CO)
- …Registered Nurse Health Compliance Inspector Home Care - FAA00601 (HP III RN ) Print ... Registered Nurse Health Compliance Inspector Home Care - FAA00601 (HP III RN ) Salary...Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical Case Manager * PRN * * *Your experience matters* At Frye Regional Medical Center, we are driven by a profound commitment ... to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as...employment." **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ), Clinical Case Manager … more
- Molina Healthcare (Midvale, UT)
- **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state of UTAH or have a compact license._ _This ... appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of… more
- State of Colorado (Denver, CO)
- …(HP III RN ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5010527) Apply Registered Nurse , Complaints Health Compliance Inspector - ... Registered Nurse , Complaints Health Compliance Inspector -...FAA00438 (HP III RN ) Salary $80,916.00 - $90,648.00 Annually Location Denver, CO Job… more
- Sacramento County (Sacramento, CA)
- Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply Supervising Registered Nurse ... pm on: 2/3/25, 4/7/25, 6/2/25, 8/4/25, 10/6/25, 12/1/25 Supervising Registered Nurse - Detention/Correctional Facility is the...and reviewing the operations, programs, personnel of a medical care unit staffed by Registered Nurses, Licenses… more
- State of Colorado (CO)
- …10 or more years 10 Please describe the type of setting (s) you've worked as a Registered Nurse providing patient care (ie correctional, acute care , long ... CDOC Registered Nurse ( Nurse I)...clinic, infirmary, or specialized cell house setting for acute care , chronic support and emergency interventions. Nurse … more
- State of Colorado (Sterling, CO)
- …10 or more years 09 Please describe the type of setting (s) you've worked as a Registered Nurse providing patient care (ie correctional, acute care , long ... CDOC Registered Nurse - Part-time - Sterling...clinic, infirmary, or specialized cell house setting for acute care , chronic support and emergency interventions. Nurse … more
- Catholic Health Services (Melville, NY)
- …Health was named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals ... updates regarding third party contractual changes from the Managed Care Department and applies to UM and appeals...accredited Nursing School or College; current New York State, RN License required, BSN Bachelor of Science in Nursing… more
- State of Colorado (Pueblo, CO)
- Registered Nurse I - Nursing Residency...care within a safe and secure environment. The RN Residency Program is a one-year program that encompasses ... Program - CMHHIP - Pueblo Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5007135) Apply Registered Nurse I - Nursing Residency Program -… more
- Commonwealth Care Alliance (Boston, MA)
- …intensive care management and care delivery. Within the CIC Program, the Registered Nurse ( RN ) serves as an integral member of an interdisciplinary ... fluctuating needs of the defined panel of members, the Registered Nurse will engage in regular assessments,...and addresses significant medical, behavioral, and social needs. The RN uses evidenced-based care approaches, clinical skills,… more
- State of Colorado (Pueblo, CO)
- Registered Nurse I - CMHHIP Print...that shift and works within multiple levels of patient care coordinated across a continuum. The Nurse ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4999328) Apply Registered Nurse I - CMHHIP Salary $43.80 - $61.31 Hourly...partner. CMHHIP is a 24 hour behavioral health acute care facility that is intended to provide a safe,… more
