- The Cigna Group (Philadelphia, PA)
- …and/or additional state licensure as needed 3) 3+ years of experience as a Registered Nurse 4) Proficient level of experience with Microsoft Office applications, ... The RN Coordinator serves as the key contact point...of the team to manage heath care cost and utilization **Provider Support** 1. Completes telephonic nursing… 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 ... a one-hour lunch between 11:00am and 1:00pm No Weekends, No Holidays, No Call! **Core Registered Nurse Duties:** The duties include, but are not limited to the… 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...Bachelor of Science in Nursing (BSN) and an unrestricted RN license in South Carolina (or a compact state).… more
- Elevance Health (GA)
- ** Telephonic Nurse Case Manager I - $3000 Sign-On Bonus Offered** **Location: This is a virtual position, but you must reside in the State of Georgia.** **Work** ... must complete the assessment within 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager I** is responsible for telephonic care… more
- Elevance Health (Tampa, FL)
- ** Telephonic Nurse Case Manager Senior** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... the assessment within 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager Senior** is responsible for care management within… more
- Elevance Health (Norfolk, VA)
- ** Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... members in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care management… more
- Elevance Health (Palo Alto, CA)
- ** Telephonic Nurse Case Manager II** **Location: This is a virtual position. Prefer candidates reside in a PST or MST state and within 50 miles of an Elevance ... members in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care management… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Nurse Specialist RN...Actively monitors for admissions in any inpatient setting. Performs telephonic and/or onsite admission and concurrent review ,… more
- HCA Healthcare (Campbell, CA)
- …personal growth, we encourage you to apply for our Utilization Management RN opening. We promptly review all applications. Highly qualified candidates will ... We care like family! Jump-start your career as a(an) Utilization Management RN today with HCA Healthcare....years of experience in Managed Care, Provider Office, or Utilization Review organization required Physician Services Group… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will...Actively monitors for admissions in any inpatient setting. Performs telephonic and/or on site admission and concurrent review… more
- Albany Medical Center (Albany, NY)
- …- Otolaryngology Work Shift: Day (United States of America) Salary range: $68,640 - $99,023 Registered Nurse ( RN ) - Full Time Ear, Nose, and Throat Surgery ... outpatient practice at Albany Med is seeking a dynamic Registered Nurse to join our team! This...advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse … more
- HCA Healthcare (Thornton, CO)
- …qualifications you will need:** + Current licensure in the State of Colorado as a Registered Nurse , or current active multistate Registered Nurse ... typical candidate is hired below midpoint of the range. ** RN Case Manager PRN** **Weekday, Weekend and Holiday Availability...nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want… more
- Albany Medical Center (Albany, NY)
- …Work Shift: Day (United States of America) Salary range: $68,640 - $99,023 Registered Nurse - Full time Journey's Pediatric Palliative Care Consult Service ... Care Consult Service) is looking for a Full time Registered Nurse . This individual supports the mission...advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse … more
- Albany Medical Center (Albany, NY)
- …Work Shift: Per Diem (United States of America) Salary range: $33/hr. - $47.60/hr. Registered Nurse ( RN ) General Pediatrics Office - Albany, NY Per ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...Registered Nursing program is required * NYS current RN licensure is required * Minimum of 1 year… more
- Albany Medical Center (Albany, NY)
- …- Community Endo Work Shift: Day (United States of America) Salary range: $43.50/hr. Registered Nurse Endocrinology Office Work Shift: Per Diem Day shift Albany, ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...for both in person and telehealth visits* Participate in nurse visits including medication review , education and… more
- Albany Medical Center (Albany, NY)
- …Work Shift: Per Diem (United States of America) Salary range: $33/hr. - $47.60/hr. Registered Nurse Neurosurgery Outpatient Office Albany, NY We are looking for ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...Registered Nursing program is required + NYS current RN licensure to practice professional nursing is required +… more
- Trinity Health (Albany, NY)
- …other related duties as assigned Experience and Requirements + Active Licensure as a registered nurse , preferably with a **bachelor's degree** in nursing from an ... Skilled Nursing Facilities have a unique opportunity for a RN to receive, review and process referrals...accredited school and Certified Registered Rehab Nurse preferred (CRRN). + A… more
- Baystate Health (Springfield, MA)
- …Basic Life Support - American Heart Association, Driver License - Other, Registered Nurse - State of Massachusetts **Equal Employment Opportunity Employer** ... The **ACO Nurse Care Manager i** s responsible for the...face visits, home visits if necessary, as well as telephonic interactions. In addition, they will assist with advance… more
- CVS Health (Des Moines, IA)
- …medical necessity reviews **Required Qualifications** + 5+ years' experience as a Registered Nurse with hospital experience; preferably in the specialty + ... A Registered Nurse that holds an unrestricted license...lower levels of care + 1+ years' experience in Utilization Review + CCM and/or other URAC… more
- Kepro (Logan, OH)
- …community. + Ensure day-to-day processes are conducted in accordance with the Utilization Review Accreditation Commission (URAC) and other regulatory standards. ... health solutions in the public sector. Acentra seeks an RN Complex Case Manager in Logan, Ohio (covering Athens,...coordination in defined areas of coal mine states and telephonic care coordination across the United States. An integrated… more