- Beth Israel Lahey Health (Plymouth, MA)
- …a difference in people's lives.** 32 hpw; 8-hr shifts (7a-3:30p flex ); rotating weekends and holidays **Job Description:** **Duties/Responsibilities:** + Reviews ... using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care provided to… more
- Tufts Medicine (Lowell, MA)
- …Hospital is seeking an **ED Clinical Resource Nurse .** The ED Clinical Resource Nurse is a Registered Nurse with responsibility and accountability for ... utilization of all resources. The ED Clinical Resource Nurse utilizes the nursing process, leadership skills and current...Assist with management of unit schedule + The resource RN will act as the charge nurse … more
- St. Luke's Health System (Boise, ID)
- …Assistant! **What You Can Expect From This Role:** + Provides support to the RN Case Managers, Social Workers and Utilization Reviewers + Assists with all ... aspects of case and/or utilization management functions, which may include activities such as...patients, authorizations and referrals, verification of patient information, benefit review , intake and screening, and coordination of services +… more
- Edward M. Kennedy Community Health Center, Inc. (Framingham, MA)
- …require evening, weekend and/or holiday shifts on a rotating basis. Required Qualifications: + Registered Nurse License in MA + Bachelor's degree in Nursing from ... are currently hiring a Clinical Care Manager - OBAT RN based in Framingham. As part of a team-based...or Certification and Location* *Part Time 20 Hours, can flex into a Full Time Opportunity if Interested* Essential… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The RN Manager will be leading and overseeing a case management team, including but not ... and procedures, and providing associate development and performance management. The RN Manager is responsible for monitoring and achieving group metrics, such… more
- Houston Methodist (The Woodlands, TX)
- …performance that demonstrates progressive leadership abilities **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- Houston Methodist (Houston, TX)
- …with HM performance that demonstrates leadership abilities **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- Methodist Health System (Mansfield, TX)
- …* Bachelor's degree in Social Work, Master's degree in Social Work, Registered Nurse with BSN preferred. Hospital case management experience preferred ... supporting a balance of optimal care and appropriate resource utilization . The Care Transitions Navigator will identify potential barriers...* LMSW/LBSW, or RN as licensed by the Texas Board of Examiners,… more
- Parkview Health (Fort Wayne, IN)
- …recognition program + Ask about our Hotel Program! Qualifications: + Valid Indiana Registered Nurse license required. + Additional certifications may be required ... Case Manager to ensure all patients have verified admission order and status review . Monitors and projects bed availability based on known, predicted, or expected… more