- Sentara Healthcare (Virginia Beach, VA)
- …Search: JR-81890 Talroo - Nursing Care Coordination, Case Management, RN , Case Manager , Registered Nurse , BSN, ADN, Nursing, Hampton, Newport News, ... (Days) Overview: Sentara Health Plans is hiring an Integrated Nurse Case Manager / RN for Severe...solving with provider, claims or service issues. Required qualifications: Registered Nurse ( RN ) License (Compact… more
- Corvel (Tallahassee, FL)
- The Telephonic Case Manager coordinates resources and creates flexible, cost-effective options for ill or injured individuals on a case-by-case basis to ... individualized treatment goals, including timely return-to-work if appropriate. The Telephonic Case Manager will rely on their...BSN desirable Graduate of accredited school of nursing Current RN Licensure in FL 3 or more years' of… more
- ChenMed, LLC (Miami, FL)
- …and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic triage directional patient care advice ... organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program effectiveness.… more
- Cedars Sinai (Marina Del Rey, CA)
- …has named us one of America's Best Hospitals! What You Will Do in This Role: A Registered Nurse Case Manager plans and coordinates care of the patient from ... established/communicated timeframe Documents appropriate reviews for assigned patients using utilization review tool. Provides telephonic review for identified… more
- Integrated Resources, Inc. (Detroit, MI)
- …Education: -Nursing degree OR -MSW Preferred Education: -N/A Required Certification & Licensure: - Registered Nurse ( RN ) with a valid, unrestricted State of ... 5 years of Inpatient Case Management experience (this does not include telephonic , utilization management, or therapy experience), Strong computer skills, Epic… more
- Pyramid Consulting, Inc. (Wolfforth, TX)
- Immediate need for a talented Senior LTSS Service Care Manager ( RN ) . This is a 06+months contract opportunity with long-term potential and is located in Lubbock ... team meetings and 1:1 w/ preceptor, team lead and manager . Day to day, task change regularly, you may...in the field or you may be working on telephonic follow ups from your home office. We carry… more
- Elevance Health (Grand Prairie, TX)
- Anticipated End Date: 2025-11-30 Position Title: LTSS Service Coordinator - RN Job Description: LTSS Service Coordinator - RN Location: The location for this ... responsiveness to client needs, and direct, hands-on engagement. The LTSS Service Coordinator- RN is responsible for overall management of member's case within the… more
- UnitedHealth Group (Durham, NC)
- …for other roles you may be interested in. Required Qualifications: Current, unrestricted RN license in the state of North Carolina Certified in Basic Life Support ... Access to reliable transportation Preferred Qualifications: BSN Certified Case Manager (CCM) Case management experience Experience in discharge planning Experience… more
- Albany Med (Albany, NY)
- …(United States of America) Salary Range: $60,028.00 - $99,023.00 Salary range: $33/hr. - $47.60/hr. Registered Nurse ( RN ) - Full Time HIV Medicine Clinic - ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or ...Nursing program is required *Current NYS license as a Registered Nurse is required *Minimum of 1-2… more
- Nuvance Health (Poughkeepsie, NY)
- …affiliates, Position Summary: Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support ... stay criteria with third party payers (including onsite and telephonic Case Managers) as well as Primary Care and...have Associate's Degree or BSN preferred. Must have current RN license. Preferred experience in Utilization Review/Management.… more
- AdventHealth (Altamonte Springs, FL)
- …Remote **The role you'll contribute:** A Workers Comp Support Registered Nurse is responsible for providing telephonic medical case management for Workers ... and vocational health of individuals. The goal of the Telephonic Case Manager is to assist the...is essential **LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED:** + Active Registered Nurse ( RN ) license in… more
- ERP International (Yuma, AZ)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager ** for a full-time position at the Camp Pendleton **Branch Health Clinic** ... Credentialing Center (ANCC). Licensure:** Current, full, active and unrestricted license as a Registered Nurse Security** : Must possess ability to pass a… more
- ERP International (Cherry Point, NC)
- **Overview** ERP International is seeking full-time ** Registered Nurse ( RN ) Case Manager ** in support of theNaval Health Clinic Cherry Point, NC. Apply ... Counselor Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) o National Academy of… more
- ERP International (Twentynine Palms, CA)
- **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case Managers** for full-time positions in support of the **Naval Hospital Twentynine ... Counselor Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) o National Academy of… more
- CVS Health (Austin, TX)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... + This position consists of working intensely as a telephonic case manager with patients and their...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- Humana (Hallandale Beach, FL)
- …+ Bachelor's degree in social work or behavioral health-related field + Active licensed Registered Nurse , RN in the state of Florida without disciplinary ... to ensure interaction between the company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service… more
- ICW Group (Lisle, IL)
- …clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate ... Discharge Planning, or Home Health preferred. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse ( RN ) or Licensed Vocational … more
- ChenMed (Miami, FL)
- …and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic triage directional patient care advice ... organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program effectiveness.… more
- US Tech Solutions (Columbia, SC)
- **Duration: 3+ Months Contract (Possible Extension)** **Job Description:** + Must be an RN in SC and have an active and unrestricted SC RN license. + ... Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates… more
- 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...Actively monitors for admissions in any inpatient setting. Performs telephonic and/or onsite admission and concurrent review, and collaborates… more
