- Geisinger (Danville, PA)
- …and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & ... Job Summary The RN Case Manager role allows nurses...of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... Credentialing Center (ANCC). Licensure:** Current, full, active and unrestricted license as a Registered Nurse Security** : Must possess ability to pass a… more
- AmeriHealth Caritas (Florence, SC)
- **REMOTE | Care Manager II Registered Nurse ...is required and must hold a current and unrestricted ** Registered Nurse ( RN )** license in ... Management ID**: 34390 **Job Brief** This position is a telephonic Care Manager that is required to...Counties preferred are York, Florence, Darlington, Williamsburg and Horry. RN required. **Remote to qualified candidates living in South… 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 ... Counselor Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) o National Academy of… 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...Education:** BSN **Experience:** Minimum 1 year experience as a RN Case Manager within the last 3… more
- AmeriHealth Caritas (Greenville, SC)
- **Care Manager II Registered Nurse (BSN) -...(BSN) is required and must hold a current and unrestricted Registered Nurse ( RN ) license in good ... Management ID**: 34482 **Job Brief** This position is a telephonic Care Manager , open to candidates in...Bachelor of Science in Nursing (BSN) and an unrestricted RN license in South Carolina (or a compact state).… more
- US Tech Solutions (Canton, MA)
- …assigned **Additional Information :** **Job Requirements** + Current and valid Massachusetts Registered Nurse licensure in good standing + Skill and proficiency ... + **Obstetrics/OB** + **Gynecology/Women's Health** + **Maternity/Delivery** **Job Summary** The Care Manager - Nursing ( RN CM) will ensure that all members… 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 ... + Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CM + Develop and implement tools to support case management, such… 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...Health Working Group. * Proactively coordinates with the Case Manager and Utilization Manager as… 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, and collaborates… more
- HCA Healthcare (Campbell, CA)
- …midpoint of the range. **Introduction** Do you have the career opportunities as a(an) ** Utilization Management RN ** you want with your current employer? We have ... of colleagues. Do you want to work as a(an) Utilization Management RN where your passion for...your knowledge and expertise! **Job Summary and Qualifications** The ** Utilization Management Nurse ** 's primary function is… more
- CVS Health (Oklahoma City, OK)
- …medical necessity reviews **Required Qualifications** + 5+ years' experience as a Registered Nurse with hospital experience; preferably in the specialty + ... + This position consists of working intensely as a telephonic case manager with patients and their...A Registered Nurse that holds an unrestricted license… more
- Point32Health (MA)
- …trends in the communities we serve. **Education, Certification and Licensure** + Registered Nurse with current unrestricted license in state of residence ... who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Care Manager - Nursing ( RN CM) will ensure that all members receive… more
- Baystate Health (Springfield, MA)
- …- American Heart AssociationAmerican Heart Association, Driver License - OtherOther, Registered Nurse - State of MassachusettsState of Massachusetts **Equal ... The **ACO Nurse Care Manager i** s responsible...face visits, home visits if necessary, as well as telephonic interactions. In addition, they will assist with advance… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …As an integral member of the Project SHINE clinical care management team the Registered Nurse ( RN ) Care Manager (CM) will have the opportunity to make a ... on the needs of the organization and may include telephonic or in person in a variety of potential...with patients. + Demonstrate knowledge and implementation of HIV nurse -on-call procedures, including functioning as the liaison to inpatient… more
- CVS Health (Helena, MT)
- …- Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... - This position consists of working intensely as a telephonic case manager with patients and their...setting - A Registered Nurse that holds an active, unrestricted… more
- Centene Corporation (Tallahassee, FL)
- …Bachelor's degree in nursing and 4 - 6 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... and Case Management experience strongly preferred. Home health experience and utilization management a plus.** **Position Purpose:** Assesses, plans, and implements… more
- The Cigna Group (Bloomfield, CT)
- …requires working onsite at providers office. **Experience** : + Current Licensure as a registered nurse , in the state of residence in good standing. + Associates ... participate in weekly Complete Health Team rounds -market dependent. + Perform telephonic outreach. + Communicates with all departments to resolve issues or document… more
- US Tech Solutions (Columbia, SC)
- …the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) **About US Tech ... and have critical thinking skills. Experience in case management or care coordination and telephonic care experience is preferred. + A typical day would like in this… more
- Elevance Health (Muncie, IN)
- …following counties: Grant, Blackford, Jay, Madison, Delaware, Randolph, and Henry counties** The ** RN Case Manager ** **(LTSS Service Coordinator- RN )** is ... member's case within the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case, as required by the IN… more