- Trinity Health (Hartford, CT)
- …at **Saint Francis Hospital and Medical Center** , the Registered Nurse RN serving in the role of Complex Care Coordinator will specialize in managing ... the care of patients with complex medical, social, and/or behavioral health needs. **What you...in Nursing or another Healthcare field is preferred. + ** Registered Nurse RN Licensure:** Must… more
- Veterans Affairs, Veterans Health Administration (Leeds, MA)
- …Services program office after complete review of the EDRP application. Responsibilities This Registered Nurse (Acute Mental Health) position is located in the ... as customer service programs. The psychiatric Mental Health (MH) Registered Nurse provides and leads the provision...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- The Cigna Group (Bloomfield, CT)
- …in Arizona or willing to work Arizona Time Zone** + **Requirements:** + Active unrestricted Registered Nurse ( RN ) license in state or territory of the United ... specific delegated tasks assigned by a supervisor in the Nurse Case Management job family. Plans, implements,...Resolves non-routine issues escalated from more junior team members. RN and current unrestricted nursing license required. + **Job… more
- Baystate Health (Springfield, MA)
- … Case Manager** to join their **Inpatient Case Management Team.** The Hospital Case Manager is a registered nurse responsible for the coordination of ... Hospital Case Manager leads the interdisciplinary team in developing complex discharge plans. **Responsibilities:** + Facilitates patients care plan as called… more
- The Cigna Group (Bloomfield, CT)
- …to culturally diverse situations, clients and customers. **Minimum requirements:** + Active unrestricted Registered Nurse ( RN ) license in state or territory ... specific delegated tasks assigned by a supervisor in the Case Management job family. Handles moderately- complex cases....field with current licensure. **Job Description** This position, the Nurse Case Manager Senior Analyst, through the… more
- Baystate Health (Springfield, MA)
- **Summary** The Hospital Case Manager is a registered nurse responsible for the coordination of clinical care, quality, and financial outcomes of a ... Hospital Case Manager leads the interdisciplinary team in developing complex discharge plans. **Responsibilities:** + Facilitates patients care plan as called… more
- Baystate Health (Springfield, MA)
- …of Nursing Degree: Nursing **Certifications:** Basic Life Support - American Heart Association, Certified Registered Nurse - Other, Registered Nurse - ... Hospital for Nursing Excellence is looking for an **Assistant Nurse Manager** to join our team. At Baystate Health,... Manager** to join our team. At Baystate Health, RN means more. It stands for our deep respect… more
- Sedgwick (Hartford, CT)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- Sedgwick (Hartford, CT)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Field Case Manager **_This Field Case Manager will cover our Hartford, CT ... in order to be considered._** **P** **RIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured workers and medical providers… more
- Commonwealth Care Alliance (Springfield, MA)
- …to adults of all ages, familiar with those who have complex physical, developmental, intellectual, and behavioral health conditions, requiring medical evaluation ... members of CCA Care Team + Participate in Team Case Review + Maintains appropriate written and oral communication...and in‐services as able + Requires ability for independent complex medical decision making as well as independent time… more
- Commonwealth Care Alliance (Springfield, MA)
- …to adults of all ages, familiar with those who have complex physical, developmental, intellectual, and behavioral health conditions, requiring medical evaluation ... members of CCA Care Team + Participate in Team Case Review + Maintains appropriate written and oral communication...and in‐services as able + Requires ability for independent complex medical decision making as well as independent time… more
- CVS Health (Hartford, CT)
- …and appeal requests. + Develops strategy for review requirements to assure case reviews are overseen by practitioners with relevant clinical expertise. + Applies ... advanced knowledge of complex delegation arrangements, coding logic, contracts, clinical criteria, benefit...solving and decision making skills Position Summary The Appeals Nurse Consultant position is responsible for processing the medical… more
- Baystate Health (Springfield, MA)
- …a Magnet Hospital for Nursing Excellence is looking for a full-time day shift ** Registered Nurse Transplant Coordinator** to join our team! At Baystate Health, ... Certified Nephrology Nurse - Nephrology Nursing Certification Commission, Registered Nurse - State of Massachusetts **Equal Employment Opportunity… more
- Humana (Hartford, CT)
- …Services and Supports (LTSS). + Experience compiling NCQA File Review Universes. + Registered Nurse or Behavioral Health professional. + Managed care, Medicaid ... in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational… more
- Baystate Health (Springfield, MA)
- …of Science (Required), Bachelor of Science **Certifications:** Driver License - Other, Registered Nurse - State of Massachusetts **Equal Employment Opportunity ... of excellent customer services skills. **Job Responsibilities:** **1)** Collaborates with case management and/or facility team to ensure safe and optimal transition… more