- Covenant Health (Hobbs, NM)
- …for this position include:** + Bachelor's Degree - Nursing + New Mexico Registered Nurse License + Care Manager RN Auditor, Care Manager Clinical ... we must empower them.** **Providence is calling a Care Manager RN , Case Management who...Denial, Care Manager RN Clinical Audit and Denial - Unit Educator, Accredited Case… more
- Beth Israel Lahey Health (Cambridge, MA)
- …admissions. Inpatient Case Manager performance is evaluated using the Inpatient Case Manager Guidelines and audit tool. Reports to Inpatient Case ... teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and...degree preferred. 2. Current Massachusetts state license as a Registered Nurse ( RN ). 3. Two… more
- WellSpan Health (Chambersburg, PA)
- Registered Nurse - Inpatient Behavioral Health - Day/Evening/Night Location: Chambersburg Hospital, Chambersburg, PA Schedule: PRN/Per Diem Sign-On Bonus ... care coordinator and occupational therapy + Care Coordination The Registered Nurse is responsible and accountable for...unit or their designee. In his/her absence, reports to Nurse Manager , Administrative Resource Coordinator, Director of… more
- Veterans Affairs, Veterans Health Administration (Anchorage, AK)
- Summary The Assistant Nurse /Clinic Manager is a registered professional nurse who is accountable to the Chief of Social and Behavioral Health Services. ... staff daily to identify and address potential issues. g. Audit mental health outpatient clinic's nursing functional statements and...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Beth Israel Lahey Health (Cambridge, MA)
- …admissions. Inpatient Case Manager performance is evaluated using the Inpatient Case Manager Guidelines and audit tool. Reports to Inpatient Case ... teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and...1. Bachelor's degree preferred. Current state license as a Registered Nurse . 2. Three years of medical/surgical… more
- Molina Healthcare (Columbia, SC)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must be licensed in the state you reside. We are looking for a Clinical ... Nurse Appeals RN to support our SC...Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager… more
- Molina Healthcare (Reno, NV)
- **JOB FUNCTION: CASE MANAGEMENT REGISTERED NURSE OR LICENSED SOCIAL WORKER, MANAGER HEALTHCARE SERVICES** **For this role we are seeking a people leader ... identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational… more
- LA Care Health Plan (Los Angeles, CA)
- …programs such as Excel, Power-point and relational data bases. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Manager , Delegation Oversight Clinical Audit Job...California License Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Certified Professional in Healthcare… more
- Houston Methodist (Houston, TX)
- …performance that demonstrates progressive leadership abilities **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure ... At Houston Methodist, the Manager Case Mgmt Social Svcs position...and/or Compact State Licensure within 90 days or + RN -Temp - Registered Nurse -… more
- Cleveland Clinic (Independence, OH)
- …in Nursing or Bachelor's degree in a related field preferred. **Certifications:** + Licensed Registered Nurse ( RN ) in the state of Ohio, BSN preferred. ... in the world. We are looking for a Finance Case Manager to join our dedicated team...Our ideal caregiver is someone who: * Is a Registered Nurse . * Is self-motivated and positive.… more
- UNC Health Care (Rocky Mount, NC)
- …Nursing preferred. **Licensure/Certification Requirements:** * RN Licensed to work as a Registered Nurse in the state of North Carolina. + Certification in ... of the unique communities we serve. **Summary:** The Recovery Audit Nurse will work closely with other...of Healthcare/Medical setting + 1 year of HealthCare/Medical - Case Manager in Case Management,… more
- LA Care Health Plan (Los Angeles, CA)
- …Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnam Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... Manager , Enhanced Care Management ( RN or...Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily responsible for organizing and… more
- Centerwell (Youngsville, NC)
- …opportunities. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse + Minimum of two years clinical home care experience ... help us put health first** As a **Home Health RN Care Manager ** , you will: +...the skills/abilities of the care team assigned to each case . + Lead Care Team Conference of assigned team… more
- LifePoint Health (Rutherfordton, NC)
- …admitted to the hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process, encouragement of use of ... any denials through the appeals process; including RAC chart audit reviews. Emergency Department (ED) Case Management1....appropriate areas of the hospital, ie outpatient.3. The ED Case Manager is responsible for monitoring and… more
- Amergis (Fresno, CA)
- …+ Other duties as assigned by the Director. MINIMUM QUALIFICATIONS/EDUCATION: + Registered Nurse required. + Healthcare related bachelor's degree. + Master's ... go without care. Our client in Fresno, CA is looking for a reliable, passionate RN with clinical experience but looking to move into an Administrative role to become… more
- Somatus (Oakland, CA)
- Overview **$5K Sign On Bonus Offered!!** The Operations Manager - Population Health supervises and provides clinical and implementation support to a multi-state care ... health care team for populations identified. + Reviews, manages and coordinates case assignments with care teams for identified patient populations. + Supervise the… more
- Amergis (Fresno, CA)
- …+ Other duties as assigned by the Director. MINIMUM QUALIFICATIONS/EDUCATION: + Registered Nurse required. + Healthcare related bachelor's degree. + Master's ... This great opportunity is ideal for a detailed oriented RN with a background on insurance policy. Our client...Management and the Chief Medical Officer, the Medical Management Manager will work closely with their Team and its… more
- Catholic Health Initiatives (Lexington, KY)
- **Overview** The RN Quality Ambulatory Care Coordinator is responsible for supporting the quality initiatives of the clinically integrated network. These functions ... best practices for billing, coding, documentation, and improved patient outcomes. RN Quality Ambulatory Care Coordinators review and share the quality performance… more
- Carle (Urbana, IL)
- …the Home Health Services Department (HHSD). Qualifications: CERTIFICATION & LICENSURE REQUIREMENTS Registered Professional Nurse ( RN ) License upon hire and ... RN - Home Health + Department: Home Care -...assigned to the client's care. * Participates in client case reports to team members. * Reports to the assigned… more