- Geisinger (Danville, PA)
- …and efficiency results for assigned population. + Works to appropriately apply benefits and utilization management serving as a resource to the patient or member ... Job Summary The RN Case Manager role allows nurses who are...Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania… more
- The Cigna Group (Birmingham, AL)
- The RN serves as the key contact point for...licensure as needed 5+ years of experience as a Registered Nurse Proficient level of experience with ... the patient to coordinate and streamline all services offered within Evernorth. The RN will educate the patient on healthcare options, provide patient education and… more
- The Cigna Group (Houston, TX)
- …and/or additional state licensure as needed 3) 3+ years of experience as a Registered Nurse with experience in internal medicine or adult medicine 4) Proficient ... of the team to manage heath care cost and utilization **Provider Support** 1. Completes telephonic nursing...and make appropriate referrals to social work, pharmacy, case management and engagement _Other telephonic patient care… more
- Fenway Health (Boston, MA)
- …MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Nursing Job Type Part-time Description As a Registered Nurse ( RN ) at Fenway Health ... principles, and the patient's subjective experiences. + Conducts virtual, telephonic , or in-person nurse assessment and triage...+ Education: Associate degree in nursing + Current Massachusetts Registered Nurse ( RN ) license degree… more
- ERP International (Scott AFB, IL)
- **Overview** ERP International is seeking a full time ** Registered Nurse ( RN )** to support the Family Medicine Clinic -375th Medical Group at Scott AFB, IL ... and 1:00pm No Weekends, No Holidays, No Call! **Core Registered Nurse Duties:** The duties include, but...* Educates/trains team/facility staff on policies and procedures for utilization of guidelines, protocols and other disease management… more
- ERP International (Camp Pendleton, CA)
- …(CRRN),(COHN), (ACCC), (CRC), ( RN -NCM),(CMC) **OR** Possess a Master's Degree in Nurse Case Management from a program accredited by the American Nurses ... **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for...and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case… 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 ... algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with… more
- AmeriHealth Caritas (Florence, SC)
- …of Science in Nursing **(BSN)** is required and must hold a current and unrestricted ** Registered Nurse ( RN )** license in good standing in South Carolina or ... **REMOTE | Care Manager II Registered Nurse (BSN) - Foster Care...accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. 6. Monitor appropriate utilization… more
- ERP International (Lemoore, CA)
- **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case Managers** for full-time positions in support of the **Naval Health Clinic Lemoore, ... and implement local strategies using inpatient, outpatient, onsite and telephonic CM * Develop and implement tools to support...and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case… more
- AmeriHealth Caritas (Greenville, SC)
- …Bachelor of Science in Nursing (BSN) is required and must hold a current and unrestricted Registered Nurse ( RN ) license in good standing in South Carolina or ... **Care Manager II Registered Nurse (BSN) - Foster Care...accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. + Monitor appropriate utilization… more
- MyFlorida (Kissimmee, FL)
- REGISTERED NURSE - 64068605 Date: Nov 1, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 840001 Agency: Department of Health Working Title: REGISTERED NURSE - 64068605 Pay Plan: Career Service Position… more
- US Tech Solutions (Canton, MA)
- …with the interdisciplinary care team, to improve member outcomes (ie, Utilization Management , Medical Director, pharmacy, community health workers, dementia ... assigned **Additional Information :** **Job Requirements** + Current and valid Massachusetts Registered Nurse licensure in good standing + Skill and proficiency… more
- ERP International (Tyndall AFB, FL)
- **Overview** ERP International is seeking a full time ** Registered Nurse ( RN ) Case Manager** in support of the Wounded Warrior program at the 325th Medical ... and implement local strategies using inpatient, outpatient, onsite and telephonic CM + Develop and implement tools to support...and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case… more
- US Tech Solutions (Columbia, SC)
- …working. + A typical day would like in this role: Employee will be providing telephonic case management for our members. + Past job instability. Registered ... more of RECENT clinical experience. + Strong communication skills required to provide telephonic case management to patients and to coordinate with team,… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- VNS Health (Manhattan, NY)
- …in development of plans to address improvement needs as appropriate. * For Utilization Management Only: * Issues Determinations, Notices of Action, and other ... communications required by state or federal regulations are saved in the Utilization Management System. * Reviews, evaluates and determines the appropriateness… more
- CVS Health (Austin, TX)
- …is part of the dedicated team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... care more personal, convenient and affordable. Position Summary: This Utilization Management (UM) Nurse Consultant...Required Qualifications: + Must have active current and unrestricted RN licensure in state of residence + 2+ years… more
- CVS Health (Phoenix, AZ)
- …occasionally per the need of the department.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... to make health care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote… more
- Gentiva (Athens, TX)
- …+ Good problem-solving skills + Good time management skills **We Offer** **As a Registered Nurse / RN , you will be eligible for:** + Competitive Pay ... designated teams and functions as an interdisciplinary advanced illness management and support, along with telephonic , video,..., video, and in person interventions afterhours. **As a Registered Nurse / RN , you… more
- Gentiva (Southern Pines, NC)
- …+ Good problem-solving skills + Good time management skills **We Offer** **As a Registered Nurse / RN , you will be eligible for:** + Competitive Pay ... designated teams and functions as an interdisciplinary advanced illness management and support, along with telephonic , video,...coverage at least 1-2 evenings per week. **As a Registered Nurse / RN , you… more