- Healthfirst (NM)
- …case management, identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of ... **This position is 100% Remote **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which includes: + Pre-certification… more
- Pacific Medical Centers (Seattle, WA)
- …Care patient in order to assure cost effective, appropriate utilization of health care resource. UM Nurse Case Manager perform utilization management of ... benefits and more! **Required Qualifications:** + Upon hire: Washington Registered Nurse License. + 5 years Clinical...+ Bachelor's Degree in Nursing. + Upon hire: Certified Case Manager . **Why Join Providence?** Our best-in-class… more
- The Arora Group (Bethesda, MD)
- …for each two-week period will be provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ): The contracted RN shall provide ... regarding development, implementation, and management of the MTF healthcare UM /RM activities. Utilizes critical thinking skills to support, coordinate,...in Building 19. QUALIFICATIONS OF THE REGISTERED NURSE CASE MANAGER ( RN… more
- ERP International (Port Hueneme, CA)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port ... for professional growth and development as related to the case manager position and maintenance of CM...( RN -NCM),(CMC) **OR** Possess a Master's Degree in Nurse Case Management from a program accredited… more
- ERP International (Twentynine Palms, CA)
- …Counselor Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) o National ... **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case Managers**...obtain within 18 months of employment.) o Commission for Case Manager Certification Certified Case … more
- ERP International (Eglin AFB, FL)
- **Overview** ERP International is seeking a ** Registered Nurse ( RN )** for a full-time ** Case Manager ** position in support of the **Eglin Hospital, ... for community resources. + Integrate CM and utilization management ( UM ) and integrating nursing case management with... license from any US State. Clinical Certification:** Desired Case Management certification, ie ACCC, CRC, RN -NMC,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Summary: Vanderbilt University Medical Center (VUMC) is accepting applications for the Case Manager role within our Transition Management Office (TMO). The ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work Experience:** Relevant… more
- Highmark Health (Carson City, NV)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking full time ** Registered Nurse - Case Management** in support of the56th Medical Group at Luke AFB, AZ ... and unrestricted license to practice as a Registered Nurse , any state. Clinical Certification:** Certified Case Manager by Commission for Case … more
- Molina Healthcare (Long Beach, CA)
- …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in nursing. ... Nurse ** is responsible for ensuring that Molina Healthcare's UM delegates are compliant with all applicable State, CMS,...Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare… more
- Humana (Oklahoma City, OK)
- …+ Manager must be one of the following: + An active Licensed Registered Nurse ( RN ) in Oklahoma/multi-state, without restrictions + A licensed Master's ... part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE (PACS- Patient Monitoring at Home Program) Apply Now **Mission Statement** Michigan Medicine improves the health of patients, populations and ... advancement **Responsibilities This position is responsible for serving as a telehealth Registered Nurse providing monitoring services to patients enrolled in… more
- HCA Healthcare (Lake City, FL)
- …at HCA Florida Lake City Hospital have the opportunity to make a real impact. As a(an) Case Manager RN PRN you can be a part of change. **Benefits** HCA ... improve positive outcomes for your patients as a (an) Case Manager RN PRN. We...and weekend/holiday coverage **What qualifications you will need:** + Registered Nurse + Associate Degree + One… more
- Covenant Health (Nashua, NH)
- …fragmentation and duplication of care and enhancing quality, cost-effective clinical outcomes. The RN Case Manager works closely with, and delegates care ... Summary RN Case Managers provide a systematic...or new information to the team. Job Requirements + Registered Nurse licensed in New Hampshire required… more
- Omaha Children's Hospital (Omaha, NE)
- …such as Word and eEcel. + Previous EPIC experience preferred. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... for diagnosis, care needs, and discharge plans. + Introduces Nurse Case Management (NCM) role to family....issues, and benefits management. + Understands the NCM and UM Nurse role in revenue cycle management.… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... Job Description: Summary: Conducts case management program activities in accordance with departmental,...Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist… more
- University of Michigan (Ann Arbor, MI)
- RN CASE MANAGER : (Care...competitive salary with excellent benefits! **Hourly range for RSAM Registered Nurses $41.44 - $64.45 / hour** + Evening ... Health Care Pavilion ) Apply Now **Job Summary** The RN Case Manager assesses, develops,...Night Shift Weekend Differential- $6.90 / hour + Charge Nurse Differential- $1.00 / hour The benefit package includes:… more
- UNC Health Care (Eden, NC)
- …of employment date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. **Professional ... CAPP as appropriate. As necessary meet with the Utilization Manager ( UM ) and SW after the meeting...Two (2) years of health care experience as a Registered Nurse . **Knowledge/Skills/and Abilities Requirements:** * Strong… more
- Bassett Healthcare (Cooperstown, NY)
- … management experience, preferred License/Certifications: Current NYS Licensure as a Registered Professional Nurse , required Case management certification, ... possible. What you'll do The Unit Clinical Care Coordinator RN Unit C3 acts a principle liaison between emergency...status and level of care matches order Collaborates with UM Nurse to assure that all payor… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position...other duties as required. **Qualifications** **Required** : Current NYS RN . A Bachelor's degree or a nurse ... Summary** At Stony Brook Medicine, a **TH Staff Associate/ Case Manager ** is a valuable member of...their work and follow up with cases. **Preferred:** CM, UM , Quality, Coding, Risk or MCG Certification Working knowledge… more