- State of Colorado (Golden, CO)
- Registered Nurse I, RN I...records for medication errors and reporting them to the Lead Medical or Mid-Level Provider in charge, including lack of ... Mountain, Youth Services Center - Golden Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4935383) Apply Registered Nurse I, RN I -… more
- Elevance Health (Tampa, FL)
- ** Nurse Appeals ** **Location** : **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... skill development. **Expected Work Hours: Monday-Friday OR Tuesday-Saturday; 8am-5pm** The ** Nurse Appeals ** is responsible for investigating and processing… more
- Sacramento County (Sacramento, CA)
- …of Supervising Public Health Nurse : + Must possess and maintain a current Registered Nurse License and Public Health Nurse Certificate issued by the ... Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days...to this class must possess and maintain a current Registered Nurse license and Public Health … more
- Sharp HealthCare (La Mesa, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... care nursing experience or case management experience. + California Registered Nurse ( RN ) - CA...policies; work calmly and respond courteously when under pressure; lead , supervise, teach, collaborate and accept direction.The RN… more
- CommonSpirit Health Mountain Region (Westminster, CO)
- …will cultivate excellence and achieve professional fulfillment united in humankindness. As a Registered Nurse ( RN ) you will assume responsibility and ... some of the most diverse communities across the nation, letting humankindness lead the way. Overview: **Qualified external applicants with at least six months… more
- University of Michigan (Ann Arbor, MI)
- RN CASE MANAGER: (Care Management- D. Dan and...the stay with providers, patient and nursing staff + Lead daily care coordination rounds to update the plan ... Betty Kahn Health Care Pavilion ) Apply Now **Job Summary** The RN Case Manager assesses, develops, implements, coordinates and monitors a comprehensive plan of care… more
- Nuvance Health (Danbury, CT)
- …in nursing, health administration, or a related field preferred * Current licensure as a registered nurse ( RN ) * Minimum of 5 years of clinical experience ... of care, prevent readmissions, and optimize patient outcomes. * *Denials Management & Appeals :* * *Root Cause Analysis:* Lead a specialized team to thoroughly… more
- Centene Corporation (Tacoma, WA)
- …or Healthcare Administration required **Experience in Behavioral Healthcare field preferred:** Registered Nurse ( RN ) certification, Licensed Mental Health ... Care or Healthcare Administration required. Experience in Behavioral Healthcare field required. Registered Nurse ( RN ), Licensed Clinical Social Worker… more
- Elevance Health (Independence, OH)
- …provide an equivalent background. Preferred Skills, Capabilities and Experiences: + Licensed Registered Nurse ( RN ) or Licensed Independent Social Worker ... Job Description **LTSS Director - Planning & Strategy Lead ** **(** **Strategy & Prog Dev Dir** **ector)** **_Preferred Location: Ohio. This position is hybrid and… more
- Sharp HealthCare (La Mesa, CA)
- …Degree in Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...policies; work calmly and respond courteously when under pressure; lead , supervise, teach, collaborate and accept direction.The RN… more
- Trinity Health (Maywood, IL)
- …1-2 years **Licensure/Certifications:** **Required:** CPR (Cardiopulmonary Resuscitation) Current Registered Nurse License State of Illinois **Preferred:** ... **Employment Type:** Full time **Shift:** **Description:** The Lead Case Manager Position reports to the Manager... Case Manager Position reports to the Manager of Nurse Care Management. The specific duties include: Recruiting, interviewing,… more
- State of Colorado (Denver, CO)
- Lead Mid-Level Provider - Gilliam Youth Services Center - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4920655) Apply Lead ... per requirements in applicable cases. Serves as the facilities' lead decision maker during emergency medical situations. Approves and...interns. Point of contact for the local schools for RN , NP or PA students. Facilitates regular staff meetings.… more
- Sacramento County (Sacramento, CA)
- …Possession of a valid license from the State of California to practice as a Registered Nurse , Vocational Nurse or Psychiatric Technician AND Either: 1. Two ... Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days...California license you currently hold to practice in: + Registered Nurse + Vocational Nurse … more
- Presbyterian Homes and Services (Roseville, MN)
- …effective care plan development and management for your assigned region. Qualifications + Registered nurse with current licensure the State Board of Nursing in ... + Audit RUG grouper/MDS end splits, review all expedited appeals and ALJ level appeals . Perform concurrent...+ High initiative and ability to efficiently and effectively lead interdisciplinary teams and coordinate and manage RAI process… more
- Alameda Health System (Oakland, CA)
- …a supervisory or lead role. **Required Licenses/Certifications:** Active licensure as a Registered Nurse in the State of California or licensed in Clinical ... and internal compliance studies. + Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals .… more
- Alameda Health System (Oakland, CA)
- …nursing background. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Preferred ... listed are necessarily performed by each individual in the classification. + Lead and manage a team of utilization review professionals providing guidance, training,… more
- San Antonio Behavioral Health (San Antonio, TX)
- …May consult with staff as needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers (CMs) and outcome managers to ... Identify opportunities for process and system improvement and initiate and lead performance initiatives as indicated. + Identify and facilitate resolution of… more
- HCA Healthcare (Greenwood Village, CO)
- …of Hospice and /or relevant end of life care experience preferred. + Licensed as a Registered Nurse in the state(s) in which he/she will be providing services. + ... appeals and denials as requested. + Provides a lead role regarding oversight and approval of effective workflow...of five (5) years of experience as a professional nurse with two (2) years administrative/supervisory experience preferred. +… more
- Trinity Health (Des Moines, IA)
- …health administration or related field required. + Iowa licensure as a Registered Nurse . + Member of a professional healthcare organization.Demonstrated ... for Medicare and Medicaid Services (CMS), Iowa Department of Inspections and Appeals (IDIA), The Joint Commission (TJC),etc.), in conjunction with the hospital's… more
- CareOregon (Portland, OR)
- …effectiveness on the health, experience, and cost of care for the membership. + Lead teams in setting and fulfilling established goals and objectives. + Develop and ... and collaborator with multiple teams including provider customer service, claims, appeals and grievances, population health, information systems, and others. + Keep… more