- Commonwealth Care Alliance (Boston, MA)
- …**Required Experience (must have):** + 2 to 3 years Utilization Management experience in a managed care setting + 2 or more years working in a clinical setting ... Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely… more
- Alameda Health System (Oakland, CA)
- …be acceptable). Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Required Licenses/Certifications: ... CN II - Ambulatory Procedural Nurse + Oakland, CA + Highland General Hospital...treatment recommendations to establish and maintain a plan of care jointly created and managed by patient,… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …degree in Nursing, Health Care Administration, or related field preferred. Current Registered Nurse licensure in the State of California and AHA CPR/BLS ... rewarding. **It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning for… more
- Battelle Memorial Institute (Norfolk, VA)
- …two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any US State, the District of Columbia, Guam, Puerto ... via telephone, and coordinating discharge planning to optimize care delivery and outcomes. Additionally, the Nurse ...sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients… more
- Teleflex (Houston, TX)
- …Sales Representative, Anesthesia, is making connections with surgeons, anesthesiologists, nurse anesthesiologists, members of the surgical team and various health ... care professionals in operating rooms, surgical centers, as well...and other suites where anesthesia / intubation are routinely managed . - Forming clinical knowledge - Strong analytical skills… 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
- Veterans Affairs, Veterans Health Administration (Redlands, CA)
- Summary The Registered Nurse (Lead Home Telehealth Care Coordinator) is responsible and accountable for all elements of the nursing process when providing ... of Patient Care Services . Responsibilities The Registered Nurse Lead Home Telehealth Care...and data exchange with community-based providers when there is co- managed care . Provides interdisciplinary consultation and interventions… more
- CVS Health (Columbia, SC)
- …compassionate. And we do it all with heart, each and every day. **Job Summary** The Care Manager- Registered Nurse is a key member of our Special Needs Plan ... of care management within Medicare and Medicaid managed care . + Familiarity with community resources...**Required Qualifications** + Candidate must have active and unrestricted Registered Nurse (RN) licensure in the state… 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 (Canton, 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
- 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
- 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
- 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 ... **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
- Mohawk Valley Health System (Utica, NY)
- Registered Nurse - Care manager - Full Time - Days Department: CARE MGMT SVCS Job Summary The Care Manager is responsible for completing a ... obtaining sufficient information/education necessary to function effectively in the managed long term care setting. + Participates...and currently registered to practice as a Registered Professional Nurse or BSN in New… more
- Trinity Health (Grand Rapids, MI)
- …Multi-Specialty Unit, managed 24/7 by an intensivist team._ **Position Summary:** Registered Nurse , RN works in a collaborative environment to deliver ... of an interdisciplinary team providing evidenced based medicine and individualized patient care . A Registered Nurse , RN is expected to facilitate all aspects… more
- Trinity Health (Grand Rapids, MI)
- …Multi-Specialty Unit, managed 24/7 by an intensivist team._ **Position Summary:** Registered Nurse , RN works in a collaborative environment to deliver ... of an interdisciplinary team providing evidenced based medicine and individualized patient care . A Registered Nurse , RN is expected to facilitate all aspects… more
- Athena Health Care Systems (Webster, MA)
- We are hiring a Registered Nurse (RN) to join our dynamic care team at Webster Manor Rehabilitation & Health Care Center in Webster! Up to a $5,000 ... grow within the company. As a Registered Nurse , you provide direct nursing care to...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Banner Health (Tucson, AZ)
- …in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice positions ... require a minimum of one year experience as a Registered Nurse in a physician practice or...Nurse in a physician practice or an acute care setting. Employees working at Banner Behavioral Health Hospital,… more
