- STG International (Rockville, MD)
- …agreement and coordinating service delivery with FOH Business Operations team. Serves as a Registered Nurse Case Review Specialist for the case review ... exams according to the Interagency Agreement (IAA). The Registered Nurse Case Review Specialist will...met, relay any concerns raised by customers to Program Manager (PM). + Ensure exam scheduling requests are submitted… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry ... ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members,...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -… more
- Deloitte (Los Angeles, CA)
- …+ Experience as clinical registered nurse , physician, physician assistant, case manager , clinical documentation specialist , utilization review, ... Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist - CCDS (inpatient) certification required. + A minimum of 3 years of… more
- ERP International (Hurlburt Field, FL)
- …Counselor Certification: Certified Rehabilitation Counselor (CRC) American Nurses Credentialing Center Nurse Case Manager (RN-NCM) National Academy of ... **Overview** ERP International is seeking a full time **Registered Nurse (RN) Case Manager ** in...Health Nurse (COHN) or Certified Occupational Health Nurse - Specialist (COHN-S). National Board for Certification in… more
- ERP International (Anchorage, AK)
- **Overview** ERP International is seeking a **Registered Nurse Case Manager ** for a full-time position supporting the673d Medical Group, Joint Base ... Health Nurse (COHN) or Certified Occupational Health Nurse - Specialist (COHN-S). o National Board for Certification...Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o… more
- ERP International (Twentynine Palms, CA)
- …Counselor Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy of ... obtain within 18 months of employment.) o Commission for Case Manager Certification Certified Case ...Health Nurse (COHN) or Certified Occupational Health Nurse - Specialist (COHN-S). o National Board for Certification… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager Location: Remote Career Area: Health ... The Impact You Will Have Utilizing key principles of case management, the RN Specialist will research...and ensure evidence-based treatment is being applied. An experienced case manager with managed care experience will… more
- Fallon Health (Boston, MA)
- …fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an ... plan Manages NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point Geriatric Support Service… more
- Carle Health (Champaign, IL)
- … Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR); Certified Case Manager within 2 years - Commission for Case Manager ... experience - External Applicants Only** Hybrid Option The Registered Nurse (RN) who serves in the role of System... (RN) who serves in the role of System Case Management Specialist /Analyst will serve the … more
- Immigration and Customs Enforcement (Washington, DC)
- …and resources pertaining to the Nursing Services Unit. c. May be utilized as acting Nurse Manager (NM) during TDY assignments and may be providing guidance to ... complex quality issues for nursing to site NM, Regional Nurse Manager (RNM) or Chief Nurse...Medical Quality Management Unit. SUPERVISORY CONTROLS: The Clinical Senior Nurse Specialist , Medical Asset Support Team (MAST)… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary… more
- University of Miami (Miami, FL)
- …. The Department of Stem Cell Transplant is currently seeking a full time Nurse Specialist , Research to work in Miami. The Nurse ... sponsor regulations, and institutional policies and procedures. Additionally, the Nurse Specialist , Research plays a key role...of clinical data that has been entered on the case report forms to ensure accuracy, and corrects any… more
- Beth Israel Lahey Health (Cambridge, MA)
- …to the Director of Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported quality data by ... the key performance indicators and quality measures, the RN specialist also aims to foster a culture of safety...reduce serious safety events and improve patient outcomes. The nurse works with clinical staff to review clinical charts,… more
- Travelers Insurance Company (New York, NY)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the identification, selection and direction… more
- Option Care Health (Hobart, IN)
- …and brightest talent in healthcare. **Job Description Summary:** The Clinical Transition Specialist is an experienced sales professional who uses sales techniques to ... gathering preadmission information, collaborating with internal (intake) and external ( case managers, discharge planners) partners to ensure quality of service… more
- LG Energy Solution (Holland, MI)
- Title: Occupational Health Nurse Reports to: Manager , Health & Safety Location: Holland, MI LG Energy Solution Michigan Inc. (LGESMI) develops and manufactures ... leader in advanced EV batteries! www.lgenergymi.com Summary The Occupational Health Nurse is responsible for the prevention, recognition, and treatment of on-the-job… more
- ERP International (Macdill AFB, FL)
- …Counselor Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy of ... (CCNE). **Experience:** Minimum 1 years experience as a RN Case Manager within the past 24 months....Health Nurse (COHN) or Certified Occupational Health Nurse - Specialist (COHN-S). o National Board for Certification… more
- Beth Israel Lahey Health (Boston, MA)
- …Ensures timely and satisfactory review of cases, data trending, and coordinates root case analysis of all sentinel events (along with the Department of Health Care ... Bachelor's degree in Nursing required. Bachelor's degree preferred. 2. License Registered Nurse required. 3. 1-3 years related work experience required. 4. Advanced… more
- Katmai (Usaf Academy, CO)
- **SUMMARY:** Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions. **ESSENTIAL DUTIES & ... on Accreditation of Healthcare Organizations(JCAHO), Ambulatory Health Care (AAAHC) & Case Management Society of America (CMSA)). + Collaborates with military and… more
- Fallon Health (Worcester, MA)
- …member to approve their care plan + Manages ACO members in conjunction with the Nurse Case Manager , Navigator, Social Care Managers, ACO Partners, Community ... of Purpose:** The Accountable Care Organization (ACO) Behavioral Health Case Manager (BHCM) is an integral part...medical providers, behavioral health providers, state agencies and/or internal nurse case managers and navigators + Ability… more
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