- AmeriHealth Caritas (Dover, DE)
- …Level of Care Redeterminations for home and community based members annually. This requires clinical review when evaluating the need for a member to remain in ... Provide education and routine follow-up with member.; + Perform initial clinical assessment of new members, develop...more frequently as needed in accordance with requirements.; + Review and acting upon worklists in Jiva, including monitoring… more
- Elevance Health (Chicago, IL)
- ** Nurse Reviewer I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in person training sessions, ... integration, and ensures essential face-to-face onboarding and skill development. The ** Nurse Reviewer I** will be responsible for conducting preauthorization,… more
- Elevance Health (Grand Prairie, TX)
- ** Nurse Reviewer I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... integration, and ensures essential face-to-face onboarding and skill development. The ** Nurse Reviewer I** will be responsible for conducting preauthorization,… more
- Elevance Health (San Juan, PR)
- …providing information technology and business operations services for health plans._ ** Nurse Reviewer I** **Location:** This role requires associates to ... but must be flexible according to business needs. The ** Nurse Reviewer I** is responsible for conducting...medical necessity clinical screening and determines if initial clinical information presented meets medical necessity… more
- McLaren Health Care (Pontiac, MI)
- …12. Performs other duties as assigned. #LI-KH1 _Required_ + State licensure as a Registered Nurse ( RN ) + Bachelor's degree in nursing from accredited ... care. **Essential Functions and Responsibilities as Assigned:** 1. Performs initial case management / clinical assessment on all...assessment on all patients reviewed in the ED. Conducts initial review using InterQual, MCG and other… more
- State of Colorado (Golden, CO)
- Registered Nurse I, RN I - Campus at Lookout Mountain, Youth Services Center - Golden Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4935383) Apply Registered Nurse I, RN I - Campus at Lookout Mountain, Youth Services Center… more
- Catholic Health Initiatives (Lexington, KY)
- **Responsibilities** **JOB SUMMARY:** The Bariatric Clinical Reviewer plays a crucial role in ensuring departmental compliance with MBSAQIP Data Registry and ... - Assist with patient scheduling to include medical exams, initial visits and indicated pre and post op assessment...of nursing required. BSN preferred. License/Certification: * Active, unencumbered Registered Nurse license * BLS required *… more
- PruittHealth (Kinston, NC)
- …care or LTC experience. **MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:** Current and unrestricted Registered Nurse ( RN ) licensure in state of practice. ... ** CLINICAL COMPETENCY COORDINATOR** **Also known as RN...3. Participates in the interview and selection process of clinical staff. 4. Completes initial competency assessment… more
- The Cigna Group (Sacramento, CA)
- …Other duties as required and related to this role. **Minimum requirements:** + Active unrestricted Registered Nurse ( RN ) license in state or territory of the ... for inpatient acute care, rehabilitation, referrals, and select outpatient services. May review initial liability disability claims to determine extent and… more
- Bon Secours Mercy Health (Midlothian, VA)
- …create an environment where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Clinical Nurse Educator - Physician Office ... Medical Center - Midlothian, VA** **PRIMARY FUNCTIONS/ GENERAL PURPOSE OF POSITION:** The clinical nurse will facilitate the coordinated care of the Perinatal… more
- RWJBarnabas Health (Newark, NJ)
- Registered Nurse ( RN ) Clinical Navigator FTReq #:0000195719 Category:ICU/Critical Care Nursing Status:Full-Time Shift:Day Facility:Newark Beth Israel ... background + Certification in Cardiac Nursing Certifications and Licenses Required: + Active NJ RN license or compact RN license with NJ endorsement + BLS from… more
- HCA Healthcare (Kansas City, MO)
- …step in your career path, we encourage you to apply for our Registered Nurse RN Burn opening. We review all applications. Qualified candidates will be ... bonuses or HCA loan/scholarships** **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN Burn you want in your current role?… more
- The Arc Erie County NY (Tonawanda, NY)
- …life by creating opportunities through comprehensive services for over 65 years. Are you a Registered Nurse ( RN ) looking for a flexible schedule plus: + ... Erie County is currently seeking a Full Time Pre-School Registered Nurse ( RN ) for our...full Job Description listed below Job Description Job Title: Registered Nurse Department: Clinical Services… more
- Fresenius Medical Center (Fort Mill, SC)
- **PURPOSE AND SCOPE:** The professional registered nurse Home Therapies RN CAP 2 may be an entry level designation into the Clinical Advancement Program ... (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement...from the Educator, Preceptor or in collaboration with another Registered Nurse . + Performs ongoing, systematic collection… more
- Helping Hands Home Care Service (Hermitage, PA)
- …and family care needs are being met. Duties: * As a member of the IDT, the Registered Nurse ( RN ) utilizes the nursing process to contribute to each patient's ... growth and diversification. Helping Hands is looking for PRN Registered Nurse to work in our Hospice...and caregivers as prescribed by the physician. Provides the initial assessment and comprehensive nursing assessment of patient needs… more
- Fresenius Medical Center (Waldorf, MD)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... **About this role:** As a Clinical Manager with Fresenius Medical Care, you will...patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely… more
- Banner Health (Mesa, AZ)
- …include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice ... Phoenix's Best Hospitals. As a Cardiovascular Intensive Care Unit RN , you will have the opportunity to care for...require a minimum of one year experience as a Registered Nurse in a physician practice or… more
- Fresenius Medical Center (Fort Mill, SC)
- **PURPOSE AND SCOPE:** The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for ... Registered Nurses. The CAP RN 1 is accountable and responsible for the provision...years. + Minimum of 9 months experience as a Registered Nurse (preferred). + Chronic Home dialysis… more
- AdventHealth (Hinsdale, IL)
- …**LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** **.** State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:** ... efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager...**The value you'll bring to the team:** **.** Completes Initial Evaluation for transition of care needs on all… more
- AdventHealth (Denver, CO)
- …+ Associate's Degree Nursing + Prior Care Management/Utilization Management experience + Registered Nurse - State Licensure and/or Compact State Licensure State ... efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager...**The value you'll bring to the team:** + Completes Initial Evaluation for transition of care needs on all… more