- Providence (Torrance, CA)
- **Description** Appeals RN - Care Manager to...in Nursing. + upon hire: California Registered Nurse License. + 2 years Direct patient care ... care ). + 2 years Experience as a case manager in an acute care setting. Preferred...Case management certification. + Experience working with denials and appeals in/for an acute care setting. +… more
- Providence (Santa Rosa, CA)
- **Description** Care Manager RN - 100% Remote ( Appeals ) working Part Time Day shift (20 hours per week). Manages specific patients throughout their ... Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your...Competency due within 30 days of hire. + California Registered Nurse License upon hire + 2… 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
- 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
- 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
- Crouse Hospital (Syracuse, NY)
- …contractual agreements. Manager , Care Coordination Requirements: + Licensed as a Registered Nurse in New York State + Bachelor's degree + Five (5) years ... well as community health education and outreach programs. Crouse's Care Coordination team is hiring a Manager ...responsible for providing day to day management of the RN Care Managers in the department. Pay… more
- State of Colorado (Denver, CO)
- Registered Nurse I-Colorado Mental Health Hospital in Fort Logan-Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5000402) Apply ... Registered Nurse I-Colorado Mental Health Hospital in...during own shift and proximal shifts + Collaboration with Nurse Manager and treatment team, recommends a… more
- CenterWell (Providence, RI)
- …or requested. **Use your skills to make an impact** **Required Experience/Skills:** + Registered Nurse or Physical Therapist. + Current state license as a ... and monitoring all payer requests for additional documentation (ADR), appeals and denials. Works with branch staff to gather... Registered Nurse or Physical Therapist. + 5… more
- Beth Israel Lahey Health (Plymouth, MA)
- …multidisciplinary team to assess and improve the denial management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor ... + Ability to work independently **Registration/Certification:** + Current MA RN licensure **As a health care organization,...Current MA RN licensure **As a health care organization, we have a responsibility to do everything… more
- Veterans Affairs, Veterans Health Administration (Middleton, WI)
- Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the ... No Fault, and Worker's Compensation cases to validate related care for reimbursement. Conducts clinical appeals as...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN , Full Time, Benefited, Days, 8hours, 1.0fteFeatured Job + San Leandro, CA + San Leandro Hospital + SLH Social Services + Full Time - Day + ... + FTE:1 + Posted:May 14, 2025 **Summary** **Job Summary:** The SLH Case Manager RN is responsible for providing comprehensive case management services to… more
- Children's Hospital Boston (Boston, MA)
- …or Utilization Management) preferred. Licensure/ Certifications: + Current Massachusetts license as a Registered Nurse ( RN ) + A certification as a Certified ... 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care OperationsAutoReqId:80451BRStatus:Part-TimeStandard… more
- Children's Hospital Boston (Boston, MA)
- …or Utilization Management) preferred. Licensure/ Certifications: + Current Massachusetts license as a Registered Nurse ( RN ) + A certification as a Certified ... 80501BRJob Posting Title:Behavioral Health RN Case Manager - 20hrsDepartment:Patient Services-Patient Care OperationsAutoReqId:80501BRStatus:Part-TimeStandard… more
- Highmark Health (Monroeville, PA)
- …also building relationships across the organization in a community setting. **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of ... care and manages coordination of care in accordance with recognized standards of practice for Care Management. Professional role model utilizing expertise in … more
- AdventHealth (Glendale Heights, IL)
- …capacity to prioritize multiple tasks and role components. + Registered Nurse ( RN ) Required + Accredited Case Manager (ACM) / Certified Case Manager ... you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to...legitimacy of hospital admission, treatment, and appropriate level of care . The UM RN leverages the algorithmic… more
- Trinity Health (Berwyn, IL)
- …Full time **Shift:** **Description:** The Lead Case Manager position reports to the Manager of Nurse Care Management. Their specific duties include: + ... of managerial experience. + CPR (Cardiopulmonary Resuscitation) certification. + Current Registered Nurse License State of Illinois + Specialty certification… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** RN /Case Manager Inpatient Mount Sinai West FT Days 8a-4p EOW (Holiday Rotation)** The Case Manager (CM) will be responsible for all ... or a minimum of 3-5 years? experience as a RN in an acute care setting. +...contractual agreements. 4. Works collaboratively with physicians and managed care companies on concurrent denial appeals 5.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** RN /Case Manager MSH Case Management PT Days** The Case Manager (CM) will be responsible for all aspects of case management for an ... or a minimum of 3-5 years experience as a RN in an acute care setting **Certification...contractual agreements. d. Works collaboratively with physicians and managed care companies on concurrent denial appeals e.… more