- One Medical (Washington, DC)
- …care services, on-site labs, and programs for preventive care, chronic care management , common illnesses and mental health concerns have been delighting people for ... you'll be working on: Treating patients via tele-health visits, including telephonic triage calls, video visit appointments, and email follow-ups Continuous learning… more
- Humana (Boise, ID)
- …and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Telephonic Nurse Care Manager 2, in a telephonic environment, assesses and ... appropriate for the care and wellbeing of members. The Telephonic Nurse Care Manager 2's work assignments...Care Management programs, Military Treatment Facility (MTF) Utilization Management /Case Management /DM staff, physicians… more
- Elevance Health (Norfolk, VA)
- ** Telephonic Nurse Case Manager Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager Senior** is responsible...claims or service issues. + Assists with development of utilization /care management policies and procedures, chairs and… more
- Elevance Health (Indianapolis, IN)
- ** Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... service members in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care … more
- ICW Group (San Diego, CA)
- …assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical ... Current unrestricted Registered Nurse (RN) or Licensed Vocational Nurse (LVN) required. Certification in case management , rehabilitation nursing… more
- UPMC (Pittsburgh, PA)
- Are you an experienced nurse with a background in case management ? Are you interested in the opportunity to work from home? UPMC Health Plan is looking for you! ... We are hiring a full-time Telephonic Care Manager to join the Home and Community-Based...interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan… more
- Actalent (Santa Barbara, CA)
- … Nurse Coordinator - REMOTE POSITION Non-profit healthcare network is looking for a utilization management registered nurse to join their team on a ... a leading healthcare organization Job Description The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse ...Health programs. The HPNC may perform utilization management activities, which can encompass telephonic or… more
- Sharecare (Providence, RI)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...for supporting the goals and objectives of the Disease Management program by providing high quality telephonic … more
- ERP International (Yuma, AZ)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... databases for community resources, etc. + Integrate CM and utilization management (UM) and integrate nursing case...the certifications below **OR** Possess a Master's Degree in Nurse Case Management from a program accredited… more
- Actalent (Santa Barbara, CA)
- …Model, and Population Health programs. The HPNC may perform utilization management activities, which can encompass telephonic or onsite clinical reviews, ... an active California Registered Nurse license + Experience within Utilization Management + Experience in HEDIS medical record abstraction is a plus. Work… more
- Actalent (Santa Barbara, CA)
- …efficiently to support member care plan goals. + Perform utilization management activities, which may include telephonic or onsite clinical review; case ... need is now looking for a REMOTE Health Plan Nurse Coordinator to join their team! Here you will...alpha resource center, parents helping parents, etc. knowledge of Utilization Management process/ turnaround times. + Familiar… more
- Fenway Health (Boston, MA)
- …objective scientific principles, and the patient's subjective experiences. + Conducts virtual, telephonic , or in-person nurse assessment and triage to assess the ... Registered Nurse , Per Diem Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Nursing...to the care team with primary responsibilities for disease management , care coordination, and advice/triage needs for the care… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …it pertains to patient admission/safe discharge. + Participates in utilization management initiatives/opportunities for improvement through departmental ... based on clinical guidelines and insurance coverage. + Provide telephonic and/or in-person case management and member...behavioral/mental health + Experience in a managed care, case management , or utilization review setting + Strong… more
- CVS Health (Salt Lake City, UT)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... + This position consists of working intensely as a telephonic case manager with patients and their care team...Obstetrics experience . **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Baystate Health (Springfield, MA)
- …Health Center** The **ACO Nurse Care Manager i** s responsible for the management of care for a defined group of patients including complex care management , ... Nurse Care Manager, Community...management application is required and is vital. Care management program metrics including, emergency room utilization ,… more
- Luke Staffing (Montgomery, AL)
- …algorithms, CM software, and databases for community resources. . Integrate CM and utilization management (UM) and integrating nursing case management with ... **REGISTERED NURSE - CASE MANAGER** **SITE OF SERVICE** **:**...Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health Services… more
- ERP International (Cherry Point, NC)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... **Overview** ERP International is seeking full-time **Registered Nurse (RN) Case Manager** in support of theNaval Health Clinic Cherry Point, NC. Apply online today… more
- Luke Staffing (GU)
- …algorithms, CM software, and databases for community resources. . Integrate CM and utilization management (UM) and integrating nursing case management with ... **REGISTERED NURSE - CASE MANAGER** **SITE OF SERVICE:** ....Certification Certified Case Manager (CCM) o Certification of Disability Management Specialists Commission: Certified Disability Management Specialist… more
- Nuvance Health (Poughkeepsie, NY)
- …case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within ... the ER and Observation units Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support the… more
Related Job Searches:
Management,
Nurse,
Telephonic,
Utilization,
Utilization Management,
Utilization Management Nurse