- HealthCare Support (Houston, TX)
- Utilization Review RN HealthCare Support is actively seeking a Utilization Review RN to fill an opening with a Prestigious HealthCare Company in Remote Houston ... TX . Daily Responsibilities for Utilization Review RN : WIll need to use their OWN EQUIPMENT: 2...or any other seem to work fine) 1. Review telephonic and faxed clinical information to authorize medically necessary… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** As a Telephonic Nurse Care Manager with Humana Gold Plus-Integrated in Illinois, ... skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the...education for adult acute care . + Managed care experience. + Certified Case Manager (CCM).… more
- CenterWell (Frankfort, KY)
- … Nurse with a Bachelor of Science in Nursing (BSN) to join our team as a Care Manager , Telephonic Nurse 2. In this pivotal role, you will play a ... infectious diseases, cancer(s), and other rare ailments. As a Care Manager , Telephonic Nurse...of clinical acute care experience + **Licensed Registered Nurse ( RN )** in the… more
- CVS Health (Atlanta, GA)
- …of health (SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social ... Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS)...regulatory requirements within specified timelines. + **Consults** with the Care Manager RN within the… more
- Humana (Denver, CO)
- …achieve desired clinical outcomes and to enhance quality of medical care . The ** Telephonic Nurse Case Manager ** will collect and document data to ... caring community and help us put health first** The Telephonic Nurse Case Manager will...in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in… more
- Commonwealth Care Alliance (Boston, MA)
- …Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed ... Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager +...Facing:** ☒ YES: The job has in-person contact (not telephonic /virtual) with CCA members or patients as part of… more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- …base to support the optimal health and wellness of the pediatric patient. Through telephonic outreach, the Licensed Care Manager will communicate with ... + GENERAL SUMMARY + The Fortify Licensed Care Manager has the opportunity to...regulatory and accreditation requirements. + LICENSES AND/OR CERTIFICATIONS + Registered Nurse with current, unrestricted Virginia license… more
- Ochsner Health (New Orleans, LA)
- …case management, care coordination or disease management. **Certifications** Required - Current Registered Nurse ( RN ) License in the state of practice. ... the healthcare needs of the enrollee, identify barriers to care , develop a comprehensive treatment plan complete with specific...Preferred - Certification as a Case Manager (CCM). **Knowledge Skills and Abilities (KSAs)** + Proficiency… more
- Belle (Atlanta, GA)
- …Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to help deliver high-quality, member-centered care . In this role, you will play ... satisfaction for both members and their caregivers. As a Nurse Case Manager , you will: + Review...the member experience Experience, Skills, & Personality + Active Registered Nurse ( RN ) license with… more
- Commonwealth Care Alliance (Boston, MA)
- …all assessments and ensuring timely submission to MassHealth. The department includes registered nurse assessors and reviewers. The assessors are organized into ... designed to improve outcomes for CCA members. The Assessment nurse reports to the Regional RN Supervisor....to escalate members with urgent needs to the Regional RN Supervisor and/or manager during or immediately… more
- CVS Health (Montgomery, AL)
- …more compassionate. And we do it all with heart, each and every day. **Job Summary** The Care Manager - Registered Nurse is a key member of our Special ... + Meets regulatory requirements within specified timelines. + The Care Manager RN supports other...**Required Qualifications** + Candidate must have active and unrestricted Registered Nurse ( RN ) licensure in… more
- CVS Health (Austin, TX)
- …and evaluate comprehensive plans of care for multiple disease state patients. As a Telephonic Registered Nurse , you will a profound effect on the lives ... position. Learn more about us: https://protect-us.mimecast.com/s/cA1pCG6o9qf0q467ZS7DW0y?domain=vimeo.com RN , Registered Nurse , Case Manager , Nurse… more
- ChenMed (Largo, FL)
- …join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse ( RN ) who works with our highest complexity patients, their primary ... and policies and procedures. The Register Nurse ( RN ) Community Care Nurse will...a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in… more
- Sharecare (Concord, NH)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary … more
- ERP International (Yuma, AZ)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager ** for a full-time position at the Camp Pendleton **Branch Health Clinic** ... Credentialing Center (ANCC). Licensure:** Current, full, active and unrestricted license as a Registered Nurse Security** : Must possess ability to pass a… more
- Molina Healthcare (El Paso, TX)
- …or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have ... **JOB DESCRIPTION** Opportunity for TX licensed RN to join our DSNIP team to work...health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager … more
- Humana (San Juan, PR)
- …in Puerto Rico. You must live in Puerto Rico for this position. The RN Care Manager works in a telephonic environment. They assess and evaluate members' ... appropriate for their care and wellbeing. The Care Manager , Telephonic Nurse...pass language proficiency tests in both languages) + Active RN license without restrictions in Puerto Rico + Active… more
- CVS Health (Lafayette, IN)
- …on-call rotation of one shift/month. There are no in-person visits when on call. As a Registered Nurse ( RN ), Home Infusion you will work outside the walls of ... Certification and recertification expenses can be reimbursed for eligible RN 's such as Certified Registered Nurse...Transplant, Case Manager **Required Qualifications** : - Registered Nurse with current license in state… more
- CVS Health (Atlanta, GA)
- …and more compassionate. And we do it all with heart, each and every day. As a Registered Nurse ( RN ), Home Infusion you will work outside the walls of a ... to treat people in their homes. Infusion, Home Infusion, RN , Registered Nurse , IV Therapy,...Line, Infusion clinic, Ambulatory infusion, Cath lab, Transplant, Case Manager **Required Qualifications:** * Registered Nurse… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager ** for a full-time position supporting **SHG Clinic** in support of ... **Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
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