- Commonwealth Care Alliance (Boston, MA)
- …Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in...work may be required on a rotational basis; some travel to home office may be required. **Required Education… more
- Somatus (Augusta, GA)
- …settings. + 2+ years healthcare related experience. + Current, unrestricted compact Registered Nurse license + Requires all teammates to maintain current, ... well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member of the...Qualifications Required + 1+ years of nursing experience in case management or care management, preferably coordinating care across… more
- Somatus (Seattle, WA)
- …and mental well-being + Community engagement opportunities + And more! Field Based Nurse Case Managers are an important part of the interdisciplinary care ... quality care through close communication with members via in-person or on-phone interaction + Travel to complete in home and in facility visits with members + … more
- ERP International (Nellis AFB, NV)
- **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Disease Manager** in support of theMike O'Callaghan Military Medical Center ... background and work experience are required: Minimum of five years of experience as registered nurse with at least 12 months of experience in disease management… more
- Terumo Neuro (Aliso Viejo, CA)
- …education and experience. 2. Registered Radiologic Technologist (RT) CV, VI, CI, Registered Nurse ( RN ) or Endovascular, Cardiac background with a minimum ... on knowledge of neuro anatomy and physiology. 5. Capability and flexibility to travel to hospitals and participate in clinical case coverage. 6. Understanding… more
- Commonwealth Care Alliance (Boston, MA)
- …in ADA administration **Required Licensing:** + Unencumbered license to practice as a Registered Nurse in Massachusetts **Required Experience:** + 5+ years of ... + Certification as an Occupational Health Nurse (COHN) or Occupational Health Nurse Specialist (COHN-S) + Certification in Case Management + Certification… more
- Commonwealth Care Alliance (Boston, MA)
- …within the organization to overcome barriers to effective and efficient local workflows + Assists management and leadership with the development, implementation, ... on plans. + Accountable for quality and financial outcomes, service utilization, targeted case mix and productivity levels of APCs + Participates in the selection,… more
- Commonwealth Care Alliance (Springfield, MA)
- …specialty services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, care attendants, patient designated contacts, and next of kin. ... efforts + Participates in regular Interprofessional Care Team meetings and Team Case Review. + Participates in Risk Management meetings as needed. + Conducts… more
- Commonwealth Care Alliance (Boston, MA)
- …consistency and quality across BH and Health Home providers. - Participate in case review meetings and rounds as needed to enhance coordination and care transitions. ... Care Alliance's standard operating hours of 8:30am-5pm Monday-Friday. Ability to travel to provider offices and access to reliable transportation. Required Education… more
- Commonwealth Care Alliance (Springfield, MA)
- …specialty services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, care attendants, patient designated contacts, and next of kin. ... in weekly interprofessional care team meetings and ad hoc case conferences as needed + Provides consultation and support...support patient across various locations. + This position requires travel to CCA sites and offices per required need… more
- Commonwealth Care Alliance (Boston, MA)
- …and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical review and ... reviews). - Hire, train and mentor UM staff, including nurse reviewers and support personnel. - Act as liaison...- Act as liaison with medical director, provider relations, case management and quality teams to support care coordination… more
- Amergis (Grand Rapids, MI)
- Salary: $1267 / Week The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of ... and compliance with medical regime. Minimum Requirements: + Current RN licensure in state practicing + At least one...in state practicing + At least one year of Case Management experience preferred + Current CPR if applicable… more
- Amergis (French Camp, CA)
- …x 2 years Experience with PERFORMANT or CDCR denials PREFERRED not REQUIRED. The RN Case Manager is responsible for coordinatingcontinuum of care activities for ... Salary: $1442 / Week Travel Contract: $3242/WK | Days | 40 HRS GTE Local Contract: $75/HR | $112/OT Hiring points for a perfect candidate: **Needs Case … more
- BAYADA Home Health Care (Burlington, VT)
- …looking for compassionate and dedicated **Full Time** ** Registered Nurse ** ( ** RN )** to join our hospice case management team in the **Colchester VT, ... and opportunities for career advancement. **Responsibilities for a Hospice RN - Registered Nurse include**...with electronic medical records (EMR) preferred. + Ability to travel to cases as assigned. BAYADA recognizes and rewards… more
- BAYADA Home Health Care (Perryville, MD)
- …Bonus!** **_Flexible schedules, 1:1 care, and great work/life balance. Join us today!_** ** Registered Nurse ( RN ) Benefits:** + BAYADA offers a comprehensive ... referral bonuses; 401(k) with company match; and opportunities for career advancement. ** Registered Nurse ( RN ) Responsibilities:** + Follow a designated… more
- Gentiva (Irwin, PA)
- **Overview** **Lead with Heart. Be the Difference. Transform End-of-Life Care.** ** Registered Nurse - RN Case Manager - Hospice - FT - 4 - 10s - ... We maintain a drug-free workplace Related Job Titles hospice RN jobs, case manager nurse ,...nursing jobs, hospice careers, palliative careers ReqID: 2025-129260 Category: Registered Nurse Position Type: Full-Time Company: Heartland… more
- AdventHealth (Fletcher, NC)
- ** Registered Nurse Case Manager...Transylvania Counties.** **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager ... to succeed:** **Minimum qualifications:** + 1 years relevant clinical RN experience + Registered Nurse ...experience in a Medicare-certified home health agency as a case -manager + COS-C - Certificate for OASIS Specialist -… more
- Highmark Health (Dover, DE)
- …experience in long-term care, home health, hospice, public health, or assisted living **Or** + Registered Nurse or Licensed Practical Nurse and 2 years of ... :** **JOB SUMMARY** This job manages a team of Case Managers charged with promoting quality member outcomes to...health, hospice, public health, or assisted living **Substitutions** + Registered Nurse or Licensed Practical Nurse… more
- BAYADA Home Health Care (Millsboro, DE)
- ** Registered Nurse ( RN ) -...time management skills + Ability to work independently and travel to patient homes within the assigned territory **Join ... and scholarship programs + Easy-to-use electronic documentation on a tablet device ** Registered Nurse ( RN ) Responsibilities:** + Perform home health… more
- BAYADA Home Health Care (Edgewood, MD)
- **Join Our Caring Team as a Full Time Registered Nurse ( RN ) in Home Health!** Are you a compassionate RN looking for a rewarding career with flexible ... Weekly pay and direct deposit + Referral bonuses + One-on-one training and mentorship ** Registered Nurse ( RN ) Responsibilities:** + Follow a designated care… more
