- Humana (Carson City, NV)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
- Sharecare (Carson City, NV)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...minimum. + This position will be based in a home office which must satisfy all HIPAA requirements. Sharecare… more
- CVS Health (NV)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.**...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- ICW Group (Las Vegas, NV)
- …2 years of professional experience providing direct clinical care required. Case Management in WC, Discharge Planning, or Home Health preferred. **CERTIFICATES, ... Current unrestricted Registered Nurse (RN) or Licensed Vocational Nurse (LVN) required. Certification in case management , rehabilitation nursing… more
- Lincoln Financial (Carson City, NV)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... **Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at ...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position… more
- Evolent (Carson City, NV)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management ...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
- Fresenius Medical Center (Reno, NV)
- …Quality, and Technical Services departments. + Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies ... Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. +… more
- ERP International (Nellis AFB, NV)
- …* Knowledge of managed care principles, military and civilian population healthcare, case management , utilization management , and demand management ... care, following Air Force policies/instructions. * Must complete Disease Management Course, AF Medical Home Course, Access...months o Experience in case management , condition management , discharge planning, utilization management ,… more
- HCA Healthcare (Las Vegas, NV)
- …you want to join an organization that invests in you as a Director Case Management ? At Sunrise Hospital, you come first. HCA Healthcare has committed up to $300 ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Las Vegas, NV)
- …typical candidate is hired below midpoint of the range. **Introduction** This Work from Home position requires that you live and will perform the duties of the ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Las Vegas, NV)
- …in your current role? We invest in what matters most to nurses like you - at home , at work, and at every stage in your career. We have an exciting opportunity for ... Nurses at MountainView Hospital! **Job Summary and Qualifications** **The Registered Nurse (RN) CM is responsible for promoting patient-centered care by coordinating… more
- LifePoint Health (Elko, NV)
- …stabilizing the psychiatric crisis and the development of healthy mental health management through a biopsychosocial model of treatment. * Coordinates the referral ... of patients and families to appropriate community, social service, home health service, extended care, and rehabilitation facilities, and organizations. Arranges for… more