- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key... **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** +… 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 ... Medical Evaluation Unit (THMEU) in San Antonio, Tx. The Case Manager will be required to attend...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary**...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN ... At Stony Brook Medicine, a ** RN Case Manager ** is a valuable member of...the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity… more
- Somatus (Honolulu, HI)
- …can leverage existing high-speed internet service Preferred Qualifications: - BSN - Certified Case Manager (CCM) - Diabetic educator experience - ICU, Cardiology ... utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the ... daily operation of the Utilization Management Review Nurse and Specialist staff...decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director… more
- Battelle Memorial Institute (Fort Benning, GA)
- …The Health Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager ** to join our team in support of our ... ensuring comprehensive support for those who serve. As a Nurse Case Manager , you will...+ Current, full, active, and unrestricted license as a Registered Nurse in any US State, the… more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care… 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 ... to meet their complex needs\. As a Care Transition Case Manager , you will play a vital...have you on our team\. **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine cases… more
- National Health Care Associates (Wethersfield, CT)
- …USD $85,000.00 /Yr. **-** **What You'll Bring:** **Qualifications of a Regional Case Manager include:** + Valid state RN license preferred LPN, LICSW, PT, OT ... We invite you to join our team! **-** **What You'll Do:** As a Regional Case Manager , your advocacy will ensure our short-term, skilled nursing patients are… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …influences that may impact potential lifestyle changes. + Create a space where a case manager and member can collaborate, along with relevant caregivers and ... of the following: + Nursing: Current registration as a nurse (eg, RN , ARNP) + Behavioral Health:...**Preferred:** **?** + 1+ years prior experience as a Case Manager + Certified Case … more
- ERP International (Luke AFB, AZ)
- …work and social work CM services. - Provide patient referrals. - Interface with the MTF RN Case Manager (s) in the development and implementation of the ... **Overview** ERP International is seeking a **Licensed Clinical Social Worker/ Case Manager ** for a Full-Time position in...a one hour lunch **Core Duties:** - Participate in Utilization Management/ Case Management meetings to review and… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …from home opportunity! Please note this position aligns to PST business hours.** The ** Manager , Case Management** Team is a Supervisor for Case Managers. ... functions, which may include preauthorization, outpatient and inpatient management, case management, retrospective claim review, and delegated management oversight.… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …Master's degree in Nursing, Health Care Administration, or related field preferred. Current Registered Nurse licensure in the State of California and AHA CPR/BLS ... rewarding. **It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning for… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... mission and supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an account manager , relationship manager , and… more
- Alameda Health System (San Leandro, CA)
- …at a medical group or health plan. Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California, Active BLS - Basic Life ... Nurse , Care Management + San Leandro, CA +...clinical background. Within the last 3 years, experience in Case Management in an acute setting or utilization… more
- Commonwealth Care Alliance (Springfield, MA)
- …influence the clinical outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment for behavioral health needs, and closing quality ... across various locations. This position reports to the CIC BH Clinical Manager . **Supervision Exercised:** + No, this position does not have direct reports.… more
- Mayo Clinic (Jacksonville, FL)
- …Retirement: Competitive retirement package to secure your future. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an ... management, care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing… more
- Prime Healthcare (Weslaco, TX)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/233537/ registered - nurse - case ... Overview KNAPP MEDICAL CENTER IS LOOKING FOR A PRN REGISTERED NURSE CASE MANAGER...illness. Qualifications Education and Work Experience Required qualifications: 1. RN License, BSW or other Bachelor degree in a… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228577/ rn - case - manager ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five… more
- Prime Healthcare (Montclair, CA)
- …graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/230024/ case - manager -%28rn-%29 … more
