- Molina Healthcare (Covington, KY)
- …be supporting our Washington State Medicare plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare knowledge/experience is ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long...Suite and computer savvy is very helpful. The Case Manager must be able to work in a high-volume… more
- Molina Healthcare (Covington, KY)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases ... assess the appropriateness of service provided, length of stay and level of care . + Applies appropriate criteria on PAR and Non-PAR (contracted and non-contracted)… more
- Amergis (Madison, IN)
- …operative procedures; department admissions to the operative suite. He/She is responsible to the Nurse Manager and is directly supervised by the RN in the ... is assigned. Minimum Requirements: + Current licensure as a Registered Nurse in the state in which...year of operating room clinical experience in an acute care hospital within the last three years preferred +… more