- Fresenius Medical Center (Talleyville, DE)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions...the Director. + Plans, coordinates and acts as the liaison for patient care as per the disease management… more
- Gentiva (Newark, DE)
- …Participate in company quality assessment and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + ... for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here,...need with dignity, grace, and love. **As a Hospice RN / RN Case Manager, you will:** +… more
- Trinity Health (Wilmington, DE)
- …Hospital, a member of Trinity Health Mid-Atlantic, is looking for an experienced RN Clinical Administrator to join our team! Schedule Full-time Day Shift, ... all points of entry throughout the continuum. This person serves as a liaison between/among all clinical departments. **Responsibilities include:** + Serves as a… more
- AmeriHealth Caritas (Newark, DE)
- …34207 **Job Brief** Qualified candidates must reside in Delaware. Current and unrestricted RN license in Delaware. Your career starts now. We are looking for the ... reporting/analytics for UM DE, and serves as SME for clinical components DE Medicaid Utilization Management Program. Works in...DE Utilization Management program. + Act as a primary liaison with plan providers including but not limited to… more
- Elevance Health (Wilmington, DE)
- ** Nurse Audit Lead** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ideal ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Nurse Audit Lead** is responsible for leading a team of clinicians… more