- UPMC (Pittsburgh, PA)
- …and Clearances:** + Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Act 34 *Current licensure either ... Are you an experienced nurse looking for the next challenge in your...new opportunity! UPMC Health Plan is hiring a full-time Telephonic Care Manager to support the Medicare… 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 ... post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 ( RN )...above "Core" duties/responsibilities plus the following: + Community Case Manager role as above. + CM telephonic … 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 Hueneme, ... Credentialing Center (ANCC). Licensure:** Current, full, active and unrestricted license as a Registered Nurse Security** : Must possess ability to pass a… 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
- 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...in their homes but also during center visits and telephonic outreach. The incumbent will implement comprehensive care plans… 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 ... + 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
- CVS Health (Charleston, WV)
- …each and every day. **Position Summary** **Brief Overview** This is a Hybrid role. The Care Manager RN will be responsible to work from home as well as visit ... members homes. The Care Manager RN is responsible for driving and...discharge planning and/or home health care coordination experience * Registered Nurse with active unrestricted state license… more
- Sharecare (Orem, UT)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... to the disease management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians… more
- Matrix Providers (Fairfield, CA)
- Registered Nurse - Disease Management Location:...Health Working Group. - Proactively coordinates with the Case Manager and Utilization Manager as ... lower provider-to-patient ratios and fair, reliable schedules. Matrix Providers is hiring a Registered Nurse - Disease Management to join our team of talented… more
- ICW Group (Pleasanton, CA)
- …clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate ... providing direct clinical care required. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse ( RN ) or Licensed Vocational … more
- Humana (Washington, DC)
- …of our caring community and help us put health first** Humana is seeking a Telephonic Behavioral Health Care Manager who will, in a telephonic environment, ... interpretation and independent determination of the appropriate courses of action. The Telephonic Behavioral Health Care Manager : + Is responsible for the… more
- CVS Health (Doral, FL)
- …we do it all with heart, each and every day. **Position Summary** The Care Manager RN is responsible for driving and supporting care management and care ... care (assessing, planning, implementing, coordinating, monitoring, and evaluating). The CM RN utilizes advanced clinical judgment and critical thinking skills to… more
- ERP International (Luke AFB, AZ)
- …full, active, and unrestricted license to practice as a Registered Nurse , any state. Clinical Certification:** Certified Case Manager by Commission for ... **Overview** ERP International is seeking full time ** Registered Nurse - Case Management** in...of interventions, treatment delivery and timeliness of care; and utilization of resources. Monitors and evaluates the facility's case… 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
- ChenMed (Deerfield Beach, FL)
- …we need great people to join our team. The Part Time Registered Nurse , Virtual Care, is responsible for providing telephonic emergency triage and directional ... organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program efficacy. +… more
- US Tech Solutions (Columbia, SC)
- …the United States and in the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) OR, active, ... to support and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high risk pregnancy or… more
- US Tech Solutions (Columbia, SC)
- …+ Skill sets/qualities: Must have at least 2 years hospital experience, any other utilization review experience is great, different areas of work is always a plus, ... 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
- ChenMed (Philadelphia, PA)
- …with bachelor's degree in home in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... we need great people to join our team. The RN Case Manager (Community Care Nurse...patient/family conferences to review treatment goals and optimize resource utilization ; provides family education and identifies post-hospital needs. +… more
- ERP International (Macdill AFB, FL)
- **Overview** ERP International is seeking ** Registered ** ** Nurse ( RN )** for Full-Time positions in **Case Management** at MacDill AFB, FL. Apply online today ... Counselor Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) o National Academy of… more
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