- Daiichi Sankyo, Inc. (Chesapeake, VA)
- …state, REMS and safety information with respect to DSI marketed products.Collaborate with managed care counterparts or MSLs to provide ongoing clinical updates ... a driving record that meets company requirements Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure The ideal… more
- buyer (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care , Medicare, Child Health Plus, Exchange, Partnership in Care ... and2-5 years' clinical experience in an acute or applicable care setting.UM/UR experience in managed care...or health insurance plan required.New York State license as Registered Nurse , License Practical Nurse ,… more
- Central Vermont, Home Health and Hospice (Barre, VT)
- …Central Vermont, Home Health and Hospice Job Type Travel Offering Nursing Profession Registered Nurse (RN) Specialty Case Management Job ID 33519153 Job Title ... Registered Nurse (RN) - Case Management Weekly...in case management or discharge planning preferred. Knowledge of managed care , insurance processes, and community resources.… more
- Mary Lanning Healthcare - ML (Hastings, NE)
- …Type Travel Offering Nursing Profession RN Specialty ER Job ID 33431172 Job Title RN ( Registered Nurse ) Weekly Pay $2150.0 Shift Details Shift DNR - 12X3 - 07,19 ... Date 11/24/2025 Duration 13 Week(s) Job Description Job Title: Registered Nurse Profession: Nursing Specialty: Emergency Room...triage beds, trauma bays, and additional beds for patient care . There is a separate triage area used when… more
- Clever Care Health Plan (Huntington Beach, CA)
- …license issued by the California BRN required. *Certified Case Manager (CCM) preferred *Certified Managed Care Nurse (CMCN) preferred Skills *2-3 years in ... and Certifications *Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) or Licesnsed Vocational ...case management, disease management, managed care , or medical or behavioral health… more
- Sprenger Wellspring Silver Maple (Lorain, OH)
- …teaching. Documents patient progress toward outcomes of care . In conjunction with the registered nurse , modifies plan of care based on ongoing provision ... nurse follows through with the plan of care established by the registered professional ...of patient pay source and make visits appropriately. Ensures managed care patients have authorizations prior to… more
- MaineGeneral Rehabilitation and Long Term Care - Gray Birch (Augusta, ME)
- …08/09/2025 End Date 11/08/2025 Duration 13 Week(s) Job Description Job Title: Night Shift Registered Nurse (RN) / Licensed Practical Nurse (LPN) Shift: 12 ... Details Client Name MaineGeneral Rehabilitation and Long Term Care - Gray Birch Job Type Travel Offering...(Assisted Living) Description: We are seeking dedicated and compassionate Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) to… more
- Aya MSP / MedStar Union Memorial Hospital (Baltimore, MD)
- …: CVOR Registered Nurse (RN) Job Summary : A CVOR Registered Nurse (RN) provides specialized care to patients undergoing cardiovascular surgical ... in Nursing (BSN) preferred; Associate Degree in Nursing (ADN) accepted. Licensure : Valid Registered Nurse (RN) license in the state of practice. Certification :… more
- LBH - Levindale Hebrew Geriatric Center and Hospital (Baltimore, MD)
- …- 3x12 Hour (19:00 - 07:30) Job Description: We are seeking a dedicated and experienced Registered Nurse with a minimum of 2 years of experience to join our High ... Duration 14 Week(s) Job Description Job Title: Night Shift Nurse - High Intensity Care Unit (HICU)...and accommodates up to 40 patients requiring advanced medical care . Patients may be managed for acute… more
- Knox Community Hospital (Mount Vernon, OH)
- …for information as requested and necessary for the Patient Center Medical Home, Managed Care Organizations, BWC, attorneys, and employers; copy, fax, and/or ... Job Specifics Career Department Department of Primary & Specialty Care Status Full Time Shift Monday - Friday 8:00...specific training has been completed): Prepares patients for the nurse and physician. Records height & weight, if required.… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will ... proper claims adjudication * Perform other duties as assigned. Minimum Qualifications * Current Registered Nurse / RN license in the State of South Carolina. *… more
- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care / Infection Control Registered Nurse has oversight over functions of the employee health program which include pre ... employment screening, employee verification, annual PPD testing, Covid testing, work related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies for… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse (RN) Manager, Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... applying: + The candidate selected for this role MUST have recent experience with healthcare/ managed care grievances + The candidate selected for this role must… more
- Humana (Detroit, MI)
- …**years experience in health care and/or case management** + **Active Michigan Registered Nurse (RN) license with no disciplinary action** + **Must reside in ... your skills to make an impact** **Required Qualifications** + ** Registered Nurse , Nurse Practitioner, or...coaching and wellness + Experience with Medicaid Long Term Care + Previous managed care … more
- ChenMed (Largo, FL)
- …to join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity patients, their primary ... care compliance and policies and procedures. The Register Nurse (RN) Community Care Nurse ...a related clinical field preferred + A valid, active Registered Nurse (RN) license in State of… more
- Whitney Young Health Center (Albany, NY)
- Registered Nurse (RN) Care ...certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. RN CARE ... Manager (CM) certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. All qualified applicants will receive… more
- BAYADA Home Health Care (Cape May, NJ)
- …core values, affording them the opportunity to remain at home and receive the medical care required. ** Registered Nurse (RN) Benefits:** + BAYADA offers a ... **$2,500 Sign on Bonus!** **Cape Regional Home Health Care Managed by BAYADA** is looking...match; and opportunities for career advancement. ** Registered Nurse (RN) Responsibilities:** + Follow a designated care… more
- Highmark Health (Dover, DE)
- …long-term care , home health, hospice, public health, or assisted living **Or** + Registered Nurse or Licensed Practical Nurse and 2 years of experience ... health, hospice, public health, or assisted living **Substitutions** + Registered Nurse or Licensed Practical Nurse...case management experience + Medicare and Medicaid experience + Managed care experience **SKILLS** + Leadership skills… more
- McLaren Health Care (Flint, MI)
- …setting. Performs as the member advocate with emphasis on education regarding managed care , disease management and PCP treatment plans. Monitors member's ... experience. **Preferred:** + BSN. + Two (2) years' experience in Managed Care Utilization Management, Medical Management, Case Management. + Two (2) years'… more
- Penn State Health (Hershey, PA)
- …veteran status, and family medical or genetic information._ **Union:** Non Bargained **Position** Registered Nurse Care Manager - Pediatrics Specialties - ... select patient population as determined by individualized plan of care , clinical pathways, managed care ...nursing experience + Currently licensed to practice as a Registered Nurse by state of employment or… more
