- MetroPlusHealth (New York, NY)
- …us. You can come to work being proud of what you do every day. The Care Manager , under the direction of the Vice President of Clinical Services, is primarily ... the coordination of services, both outpatient and inpatient. The Care Manager will assist the provider in...health insurance plan required. New York State license as Registered Nurse , License Practical Nurse ,… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity… more
- Somatus (Annapolis, MD)
- …supporting teammates physical and mental well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member of the care ... care and barriers to good health; The RN Care Manager is expected...2+ years healthcare related experience. + Current, unrestricted compact Registered Nurse license + Requires all teammates… more
- HealthCare Support (Ridgewood, NY)
- …Friday 8:30 AM - 5:00 PM one remote day after 90 days Required Qualifications for Manager of Care Delivery - RN Active NY Registered Nursing license ... Manager of Care Delivery - RN HealthCare Support is actively seeking a Manager of Care Delivery - RN to fill an opening with a leading healthcare… more
- 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 screens, will need a headset, high speed internet,… more
- Stanford Health Care (Palo Alto, CA)
- …180 Days or + CCDS - Cert Clinical Document Spec required within 180 Days + RN - Registered Nurse - State Licensure And/Or Compact State Licensure required ... Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II… more
- Commonwealth Care Alliance (Springfield, MA)
- …(must have): - Meaningful clinical experience including: - 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care , ... them at home, by providing best-in-class disability competent primary care . Within Care Delivery, the Manager...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Seattle Children's (University Place, WA)
- …1:30-5:30pm. This is a remote position, with residence required in Washington state. The RN Care Manager works to improve the health of and reduce the ... cost of care for children. The Care Manager is responsible for assuring program-specific transitional care , ED visit follow-up, and PCP strategies are… more
- Somatus (Utica, NY)
- Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to ... This position is responsible for ensuring the continuity of care in both the inpatient and outpatient setting utilizing...telephonically as the need arises. **This is a fully remote role where New York licensure is required.** **The… more
- Rady Children's Hospital San Diego (San Diego, CA)
- **POSITION DETAILS:** **Schedule: Days, 10-hour shifts in person (not remote )** **FTE: CASUAL for 4 mos from hire date, with potential extension, Full-Time, 80 hours ... per 2 week pay period** JOB SUMMARY: The Care Coordinator, in collaboration with Gastroenterology specialty medical providers,...the Position (GI) Two years of nursing experience California RN License BLS for Healthcare Providers, issued by AHA… more
- Commonwealth Care Alliance (Boston, MA)
- …(must have): - Meaningful clinical experience including: - 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care , ... member of Care Delivery Leadership, the Primary Care Nursing Manager is the nursing leader...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… 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 ... living, recovery, and community connections. This position allows for remote work, when possible, but does require in-person visits...Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager +… more
- BlueCross BlueShield of Tennessee (Memphis, TN)
- …this position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state ... they need to meet their complex needs\. As a Care Transition Case Manager , you will play...their residence if the state is participating in the Nurse Licensure Compact Law\. _Experience_ + 3 years \-… more
- Lucile Packard Children's Hospital (Palo Alto, CA)
- …of abuse/neglect activity, and mobility. * Performs the following procedures as directed by Registered Nurse ( RN )/ Nurse Practitioner (NP)/ Physician (MD) ... CA Req: P138281-1076 Employee Group: Non-Exempt/Non-Represented Benefits Eligible: Yes Remote Eligible: No Department: Clinic Peds Sunnyvale 2A Scheduled Weekly… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …note this is not a remote position. JOB SUMMARY: The Triage Resource RN functions at the Standard Level of nursing practice and is responsible for the ... independent application of the nursing process while providing patient care . This includes, but is not limited to patient and family education, using department… more
- Cordis (Miami Lakes, FL)
- …we are dedicated to being the heart of innovation to transform cardiovascular care . At Cordis, we're teammates, not just employees. We embrace an empowered and ... standardsof scientific accuracy, regulatory compliance, and clinical relevance. The Manager partners cross-functionally with Clinical, Regulatory, Marketing, and Commercial… more
- Commonwealth Care Alliance (Boston, MA)
- …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... 011230 CA-Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation Partnerships and… more
- Commonwealth Care Alliance (Boston, MA)
- … Nurse Supervisor and is under the general supervision of the Primary Care Manager and Clinical Director. **Supervision Exercised:** + None **Essential Duties ... team through health maintenance and chronic disease management, care coordination, and triage within the RN ...Meaningful clinical experience including: + 3+ years' experience as Registered Nurse in a high touch clinical… more
- Commonwealth Care Alliance (Boston, MA)
- …supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an account manager , relationship manager , and ... a seamless provider experience and consistent delivery of quality care . The BH Provider Engagement Program Manager ...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Commonwealth Care Alliance (Boston, MA)
- …Long-Term Services Coordinators (LTSC) agencies, ensuring alignment with CCA's model of care and strategic objectives. The Manager fosters effective clinical and ... are met in a manner that supports quality, independence, and cost-effective community-based care . The Manager also ensures providers are educated on CCA… more
