- 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
- Bon Secours Mercy Health (Batavia, OH)
- …Bachelor's of Nursing (BSN) (preferred) **Work Experience** 2 year of experience as an Registered Nurse in acute care (required) **Training** EPIC Electronic ... Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, ...the relevant Standards and Scope of Practice for the Registered Nurse . **Essential Job Functions** RN Clinical… 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