- Cedars-Sinai (Los Angeles, CA)
- …of the patient care team on an ongoing basis **Qualifications** Qualifications: Education: High school diploma or GED required Bachelor's Degree in Nursing or ... care field preferred Foreign trained MDs will be considered License/Certifications: Registered Nurse , LVN, Occupational Therapist, Physical Therapist, Physician… more
- Marshfield Clinic (Marshfield, WI)
- …stay. **JOB QUALIFICATIONS** **EDUCATION** _For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be ... **Minimum Required:** One year of healthcare experience. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in a… more
- Commonwealth of Pennsylvania (PA)
- Registered Nurse Supervisor (2nd Shift) - Selinsgrove Center Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5002155) Apply Registered ... seeking a dependable and compassionate individual to grow their leadership skills as a Registered Nurse Supervisor. In this role, you will help lead our nursing… more
- Northern Light Health (Pittsfield, ME)
- …direction and manages workflow and time. Credentials + Required Registered Nurse Education + Required High School Diploma/General Educational Development ... on bonus that is paid out incrementally. Summary: The Registered Nurse II is a fully competent...care. * Resource Management o Identifies opportunities to improve utilization of resources. * Professional Development o Takes responsibility… more
- Wellpath (Little Rock, AR)
- …Serve as the primary liaison with physicians, participate in discharge planning, utilization review , and case management to optimize care and resource ... make a difference** **Lead with Compassion as a Charge Nurse ( RN )!** Are you ready to take...and HIPAA training. **Qualifications & Requirements** **Education:** + Required: High school diploma or equivalent. + Preferred:… more
- Northern Light Health (Pittsfield, ME)
- …direction and manages workflow and time. Credentials + Required Registered Nurse Education + Required High School Diploma/General Educational Development ... on bonus that is paid out incrementally. Summary: The Registered Nurse II is a fully competent...+ Resource Management + + Identifies opportunities to improve utilization of resources. + Professional Development + + Takes… more
- Elevance Health (CA)
- …on relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior clinicians. **How you will ... to train lower-level clinician staff. **Minimum Requirements:** + Requires HS diploma or equivalent. Requires a minimum of 6...a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid… more
- Elevance Health (Richmond, VA)
- …on relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. **How you will ... to train lower-level clinician staff. **Minimum Requirements:** + Requires HS diploma or equivalent. + Requires a minimum of...a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid… more
- Elevance Health (Latham, NY)
- …or equivalent. + Requires a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN or ... RN license and/or certification to practice as a health professional within the scope of licensure in applicable state(s) or territory of the United States required.… more
- Elderwood (Cheektowaga, NY)
- …Administrator. Qualifications Managed Care Coordinator Educational Requirements and Qualifications + Minimum of High School Diploma + 1 - 2 years of experience ... Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and Competencies + Demonstrated… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- … Units to assist with medical necessity determinations. Key Qualifications: + Registered Nurse with an active unrestricted professional Massachusetts Nursing ... customers, relaying decisions accurately and thoroughly. Education and Experience: + Registered Nurse with an active Massachusetts Nursing license required… more
- Florida Health Care Plans, Inc. (Holly Hill, FL)
- …position prepares the case for the clinical RN reviewer and/or Utilization Management Physician review . The position will accurately document research and ... QUAL QUALIFICATIONS: Education, skills and experience: * High School Diploma required. A minimum of two years college or College Diploma preferred. *… more
- Ascension Health (Indianapolis, IN)
- …off shift work + **Hospital:** Ascension St. Vincent + **Location:** Indianapolis, IN Registered Nurse in the State of Indiana. Bachelor's Degree. Leadership & ... Registration: One or more of the following required: + Registered Nurse credentialed from the Indiana Board...the Commission for Case Manager Certification (CCMC). Education: + High school diploma/GED with 2 years of… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Information Technology systems + Bilingual, a plus #LI-HYBRID Minimum Education Requirements: High school degree or equivalent required unless otherwise noted ... transform healthcare? Bring your true colors to blue. The RN Manager will be leading and overseeing a case...+ Focus (ability to identify and manage to key, high -leverage information, tasks, and events) + Consistency (ability to… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …a license must be disclosed and reviewed. #LI-HYBRID Minimum Education Requirements: High school degree or equivalent required unless otherwise noted above ... Ready to help us transform healthcare? Bring your true colors to blue. The RN Case Manager is responsible for facilitating care for members and families of members… more
- Veterans Affairs, Veterans Health Administration (Topeka, KS)
- …care that generally consists of a specialty provider (MD, NP, PA, Pharmacist/CPS), Registered Nurse Care manager, nurse navigator, and Echo Tecnician. ... Responsible for coordinating with the patient care team to review the clinic utilization by using various...of the position; OR, (2) Education. One year above high school ; OR, (3) Experience/Education Combination. Equivalent… more
- Veterans Affairs, Veterans Health Administration (Galesburg, IL)
- …The PACT generally consists of a primary care provider (MD, NP, PA), registered nurse care manager, clinical associate (LPN or medical assistant/health ... Advanced MSA coordinates with the patient care team to review the clinic utilization by using various...of the position; OR (2) Education. One year above high school ; OR (3) Experience/Education Combination. Equivalent… more
- Houston Methodist (Spring, TX)
- …and timely manner. Takes messages via telephone/email to forward to the provider/ registered nurse . + Contributes towards improvement of department scores for ... the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. In...duties and responsibilities as the need arises. **EDUCATION** + High School diploma or equivalent education (examples… more
- Houston Methodist (Houston, TX)
- …and timely manner. Takes messages via telephone/email to forward to the provider/ registered nurse . + Contributes towards improvement of department scores for ... the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. In...duties and responsibilities as the need arises. **EDUCATION** + High School diploma or equivalent education (examples… more
- Houston Methodist (Cypress, TX)
- …level tasks under the direct supervision of a Physician and/or Registered Nurse for assigned patient populations, for providing high quality support of ... the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. Complete...duties and responsibilities as the need arises. **EDUCATION** + High School diploma or equivalent education (examples… more