• Utilization Management Nurse Specialist…

    LA Care Health Plan (Los Angeles, CA)
    …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Nurse Specialist RN II Job Category:...Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 10793 Salary Range: $88,854.00 (Min.)… more
    LA Care Health Plan (04/09/24)
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  • Clinical Nurse , Case and Disease…

    Blue KC (MO)
    …of URAC and NCQA(R) guidelines and state and federal regulations. + Valid and active Registered nurse ( RN ) in Missouri and Kansas. + Valid and active ... and abilities required by the job. + 3 years full -time direct patient care clinical experience in either of... Registered nurse ( RN ) licensure in... Registered nurse ( RN ) licensure in all 50 states… more
    Blue KC (04/18/24)
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  • Delegation Oversight Clinical Auditor RN II

    LA Care Health Plan (Los Angeles, CA)
    …Computer ease & literacy with Word, Excel, PowerPoint Skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department: Executive Services...Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 10819 Salary Range: $88,854.00 (Min.)… more
    LA Care Health Plan (02/15/24)
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  • Enhanced Care Management Clinical Specialist II…

    LA Care Health Plan (Los Angeles, CA)
    …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Enhanced Care Management Clinical Specialist II ( RN or LCSW) Job Category: Clinical Department: Care...Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 10720 Salary Range: $88,854.00 (Min.)… more
    LA Care Health Plan (03/03/24)
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  • Cigna Medicare Population Health Nurse Case…

    The Cigna Group (Bloomfield, CT)
    …to culturally diverse situations, clients and customers. **Minimum requirements:** + Active unrestricted Registered Nurse ( RN ) license in state or territory ... field with current licensure. **Job Description** This position, the Nurse Case Manager Senior Analyst, through the case management...of the United States. Compact RN license a plus + Two years full more
    The Cigna Group (04/10/24)
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  • Clinical Reviewer, Inpatient - Acute

    Point32Health (MA)
    RN license is required. **EDUCATION:** (Minimum education & certifications required) + Registered Nurse with current, unrestricted MA license + BSN: Preferred ... click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Clinical Reviewer, Inpatient RN , is a licensed professional that is expected to function… more
    Point32Health (03/15/24)
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  • Staff Professional-Risk Mgmt

    Marriott (Columbus, OH)
    …Information** Nurse CARE Manager (CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 **Job Category** Finance ... with supervisor keeping him/her informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational health nurse more
    Marriott (04/23/24)
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  • Medical Case Manager - Hybrid

    Crawford & Company (Wilkes Barre, PA)
    …Certification as a case manager from the URAC-approved list of certifications (preferred); + A registered nurse ( RN ) license. + Must be compliant with state ... region. + National Certification such as CCM, CRC, COHN, CRRC preferred. + RN degree required. + Prior Workers Compensation Case Management preferred. To provide… more
    Crawford & Company (04/11/24)
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  • Medical Case Manager

    Crawford & Company (Modesto, CA)
    …as a case manager from the URAC-approved list of certifications (preferred); * A registered nurse ( RN ) license. * Minimum of 1 National Certification ... region. + National Certification such as CCM, CRC, COHN, CRRC preferred. + RN degree required. + Prior Workers Compensation Case Management preferred. To provide… more
    Crawford & Company (03/01/24)
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  • Care Management Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 10750 Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.)… more
    LA Care Health Plan (02/03/24)
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  • Care Manager - Pediatric

    WellSense (Manchester, NH)
    …as needed + Other duties as assigned **Q** **ualifications:** + Active, unrestricted, Registered Nurse license required (NH or MA depending on service area) ... designated Level of Care criteria. Our Investment in You: + Full -time remote work + Competitive salaries + Excellent benefits **Key Functions/Responsibilities:**… more
    WellSense (04/17/24)
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