- UPMC (Pittsburgh, PA)
- …Clearances:** + Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Act 34 *Current licensure either in ... Are you an experienced nurse looking for the next challenge in your...interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan… more
- Matrix Providers (Fairfield, CA)
- Registered Nurse - Disease Management...consideration for the goals and objectives of the MTF-s Utilization Management and Medical Management ... and fair, reliable schedules. Matrix Providers is hiring a Registered Nurse - Disease Management ...team and facility staff on policies and procedures for utilization of guidelines, protocols, and other disease management… more
- ChenMed (Tampa, FL)
- …+ Under the direction and supervision of a Registered Nurse ( RN ) provides in home and telephonic visits to patients at high-risk for hospital ... The Community Care team is a multidisciplinary service including Registered Nurse ( RN ) Community Care...work experience preferred + Proven working experience in Case Management : + A minimum of 2 years' utilization… more
- Gentiva (Traverse City, MI)
- …+ Good problem-solving skills + Good time management skills **We Offer** **As a Registered Nurse / RN , you will be eligible for:** + Competitive Pay ... designated teams and functions as an interdisciplinary advanced illness management and support, along with telephonic , video,..., video, and in person interventions afterhours. **As a Registered Nurse / RN , you… more
- Sharecare (Orem, UT)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... according to the disease management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager (OM). All Sharecare… more
- Fenway Health (Boston, MA)
- …MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Nursing Job Type Part-time Description As a Registered Nurse ( RN ) at Fenway Health ... principles, and the patient's subjective experiences. + Conducts virtual, telephonic , or in-person nurse assessment and triage...+ Education: Associate degree in nursing + Current Massachusetts Registered Nurse ( RN ) license degree… more
- ChenMed (North Miami Beach, FL)
- …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... great people to join our team. The Acute Care Nurse ( RN ) is responsible for achieving positive...experience required. + A minimum of 1 year of utilization review and/or case management , home health,… 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 databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case...full, active, and unrestricted license to practice as a Registered Nurse , any state. Clinical Certification:** Certified… more
- ERP International (Port Hueneme, CA)
- …(CRRN),(COHN), (ACCC), (CRC), ( RN -NCM),(CMC) **OR** Possess a Master's Degree in Nurse Case Management from a program accredited by the American Nurses ... **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for...and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case… more
- Option Care Health (Austin, TX)
- …and/or Experience Requirements:** + Graduate of an accredited school of nursing + Current Registered Nurse ( RN ) licensure in the state of practice + ... regarding patient care that relate to telephonic nursing support and management . + Provide excellent communication to nurse colleagues regarding patients on… 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 ... algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with… more
- CVS Health (Frankfort, KY)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... is URAC accredited in Case Management , Disease Management and Utilization Management . AHH...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Charleston, WV)
- …2+ years CM, discharge planning and/or home health care coordination experience * Registered Nurse with active unrestricted state license in good standing within ... Care Manager RN is responsible for driving and supporting care management and care coordination activities across the continuum of care (assessing, planning,… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …desired patient outcomes through day-to-day and/ or telephonic care coordination and management . The RN Care Coordinator functions in the Office of Community ... Veterans Health System (NF/SG VAHS) is recruiting for a Registered Nurse Care Coordinator to work in...Care at the Malcom Randall VA Medical Center. The RN Care Coordinator uses the nursing process and evidence-based… more
- ChenMed (Jacksonville, FL)
- …expanding and we need great people to join our team. The Registered Nurse , Care Line, is responsible for providing telephonic triage directional patient care ... Triage assessments within license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and others on the… more
- ICW Group (Pleasanton, CA)
- …providing direct clinical care required. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse ( RN ) or Licensed Vocational ... evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and...Nurse (LVN) required. Certification in case management , rehabilitation nursing or a related specialty is strongly… more
- Access Dubuque (Dubuque, IA)
- …consumers, ensuring quality outcomes and cost-effective treatment. **Key Responsibilities:** + Provide telephonic case management and utilization review for ... comprehensive case management services across the continuum of care. The RN Case Manager will assess, plan, implement, coordinate, monitor, and evaluate care for… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Humana (Washington, DC)
- …our caring community and help us put health first** Humana is seeking a Telephonic Behavioral Health Care Manager who will, in a telephonic environment, assess ... independent determination of the appropriate courses of action. The Telephonic Behavioral Health Care Manager: + Is responsible for...Health Care Manager: + Is responsible for the care management of pediatric members (under 21) who utilize Applied… more
- CVS Health (Doral, FL)
- …Care Manager RN is responsible for driving and supporting care management and care coordination activities across the continuum of care (assessing, planning, ... implementing, coordinating, monitoring, and evaluating). The CM RN utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member… more
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