- ChenMed (Lakeland, FL)
- …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... we need great people to join our team. The Nurse Case Manager 2 ( RN ) is responsible...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking full time ** Registered Nurse - Case Management** in support of the56th Medical Group at Luke AFB, AZ ... Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health… more
- CVS Health (Columbus, OH)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- CVS Health (Charleston, WV)
- …- Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting - A Registered Nurse that holds an active, unrestricted...lower levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC… more
- ERP International (Eglin AFB, FL)
- **Overview** ERP International is seeking a ** Registered Nurse ( RN )** for a full-time **Case Manager** position in support of the **Eglin Hospital, Eglin ... + Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CM + Develop and implement tools to support case management, such… more
- PruittHealth (Norcross, GA)
- …years industry experience in a managed care setting focused on experience in utilization review /case management and at least two years case management, home ... with long-term care population **MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:** * Licensed Registered Nurse with current, unrestricted license in state of… more
- Albany Medical Center (Albany, NY)
- …of the practice physician and/or advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse Supervisor ( RN ), the ... may provide direct patient care, patient triage (in-person and telephonic ), assessment, planning, directing and evaluating of a patient's...or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests… more
- US Tech Solutions (Columbia, SC)
- **Job Description:** + Must be an RN in SC and have an active and unrestricted SC RN license. + Hours/Schedule - Monday-Friday 8:30am - 5pm. Remote position ... cost effective outcomes. **Responsibilities:** + Performs medical or behavioral review /authorization process. Ensures coverage for appropriate services within benefit… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Nurse Specialist RN...Actively monitors for admissions in any inpatient setting. Performs telephonic and/or onsite admission and concurrent review ,… more
- Albany Medical Center (Albany, NY)
- …Aids Program Work Shift: Day (United States of America) Salary Range: $60,028.00 - $99,023.00 Registered Nurse ( RN ) - Part Time HIV Medicine Clinic - Albany, ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...program is required * Current NYS license as a Registered Nurse is required * Minimum of… more
- ChenMed (New Orleans, LA)
- …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... we need great people to join our team. The Nurse Case Manager 1 ( RN ) is responsible...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
- ChenMed (Houston, TX)
- …RN with Bachelor Degree in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... we need great people to join our team. The Nurse Case Manager 1 ( RN ) is responsible...experience required. + A minimum of 1 year of utilization review and/or case management, home health,… more
- Centene Corporation (Springfield, IL)
- …**Candidates must reside within 30 miles of Peoria.** **What We're Looking For:** + ** Registered Nurse ( RN ) with active Illinois license** + **Experience in ... case management and/or utilization review ** + **Previous work in an...4 - 6 years of related experience. **License/Certification:** + RN - Registered Nurse -… more
- ChenMed (Philadelphia, PA)
- …with bachelor's degree in home in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... great people to join our team. The Community Care RN ( Nurse Case Manager) is responsible for...with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization ;… more
- Albany Medical Center (Albany, NY)
- …Pediatrics Work Shift: Day (United States of America) Salary Range: $60,028.00 - $99,023.00 Registered Nurse ( RN ) General Pediatrics Albany, NY Under the ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...may provide direct patient care, patient triage (in-person and telephonic ), assessment, planning, directing and evaluating of a patient's… more
- Albany Medical Center (Albany, NY)
- …friendly team-oriented work environment centered on efficient, compassionate patient care. Registered Nurse Full Time Pediatric Rheumatology Department Work ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...Registered Nursing program is required * NYS current RN licensure to practice professional nursing is required *… more
- Albany Medical Center (Albany, NY)
- …of America) Salary Range: $60,028.00 - $99,023.00 Salary range: $68,640 - $99,023 Registered Nurse - Full Time Neurosurgery Outpatient Office Work schedule: ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...may provide direct patient care, patient triage (in-person and telephonic ), assessment, planning, directing and evaluating of a patient's… more
- Trinity Health (Albany, NY)
- …other related duties as assigned Experience and Requirements + Active Licensure as a registered nurse , preferably with a **bachelor's degree** in nursing from an ... Skilled Nursing Facilities have a unique opportunity for a RN to receive, review and process referrals...accredited school and Certified Registered Rehab Nurse preferred (CRRN). + A… more
- Baystate Health (Springfield, MA)
- …- American Heart AssociationAmerican Heart Association, Driver License - OtherOther, Registered Nurse - State of MassachusettsState of Massachusetts **Equal ... ** RN , ACO Nurse Care Manager, Community...face visits, home visits if necessary, as well as telephonic interactions. In addition, they will assist with advance… more
- Baystate Health (Springfield, MA)
- …- American Heart AssociationAmerican Heart Association, Driver License - OtherOther, Registered Nurse - State of MassachusettsState of Massachusetts **Equal ... The **ACO Nurse Care Manager- Primary Care i** s responsible...face visits, home visits if necessary, as well as telephonic interactions. In addition, they will assist with advance… more
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