- Lowe's (Charlotte, NC)
- …5 years of experience in a clinical position. + 3-5 Years of Experience as a Case Manager or Utilization Review Nurse in worker's compensation + Experience in a ... an appropriate resolution. Apply medical treatment guidelines for future Medicare -covered expenses. The candidate will work directly for a...RN license in home State + CCM - Certified Case Manager + CRRN - Certified Rehabilitation… more
- Cassia (Minneapolis, MN)
- …MDS assessments and observations. + Develop initial and temporary care plans. + Assist Case Manager with Medicare scheduling, monthly billing, charting, and ... referral records, and reports. + Work in collaboration with Admissions staff, Case Manager and nursing team. + Display a courteous attitude and respect for… more
- UCLA Health (Los Angeles, CA)
- …regulations + Ability to travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager ... level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team of UM… more
- Medical Mutual of Ohio (OH)
- …remote opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after._** **Responsibilities** ** Medicare ... to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part...focus on member experience. Conducts outreach to Pharmacy Benefit Manager (PBM) for refills, claim reprocessing and to members… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #266 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to create the ... they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and...performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling… more
- Sutter Health (Los Altos, CA)
- …**Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The nurse case manager conducts preauthorization, concurrent, and retrospective ... continuity of care using community resources. * For cases not meeting criteria, the case manager documents applicable guideline, rationale, and routes to the UM… more
- Spring Creek Rehabilitation and Nursing Center (Harrisburg, PA)
- Registered Nurse (RN) Case Manager - Monday thru Friday, On Site **The position is on site at the facility, and remote work will not be considered.** Benefits of ... the Registered Nurse (RN) Case Manager : + It Really Pays to...care setting. + Proficient in ability to interpret Managed Care/ Medicare Advantage Contracts and provide education to the teams… more
- Houston Methodist (Houston, TX)
- Case Manager -PRN + 9 shifts in a 6 week period (2 weekend shifts) + Must work 1 major holiday, 1 minor holidays + No benefits, No PTO + Must float to all Houston ... -- Case Management-related **OR** ACM - Accredited Case Manager (NBCM) REQUIRED At Houston Methodist,...and informs management of the possible need for issuing Medicare Hospital Initiated Notice of Non-coverage. + Applies approved… more
- Sharp HealthCare (San Diego, CA)
- …Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; Certified Case Manager (CCM) - Commission for Case Manager ... in Nursing or in health related field. + Certified Case Manager (CCM) - Commission for ...in accordance with payer contracts and benefit guidelines and/or Medicare guidelines.Engages the client/family in the planning process as… more
- ACI Federal (Norfolk, VA)
- Case Manager - CM III PATH EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment ... and assign other duties as necessary. Full-Time/Part-Time Full-Time Position Non-Medical Case Manager Position Requirements Knowledge, Skills, and Abilities: ?… more
- Molina Healthcare (Nampa, ID)
- …organized and analytical thinking . Medicare knowledge/experience is highly preferred. The Case Manager must be able to work in a high-volume environment. ... level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit.… more
- Hackensack Meridian Health (Maywood, NJ)
- …Health Care Life Support HCP Certification. **Licenses and Certifications Preferred:** + Certified Case Manager . If you feel that the above description speaks ... a leader of positive change. The **Registered Nurse Care Manager ** is a member of the healthcare team and...benefits, and Provides Second Important message is provided to Medicare patients 4 to 48 hours prior to discharge.… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- HCA Healthcare (West Palm Beach, FL)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Case Manager PRN with HCA Florida JFK North Hospital you can be ... our organization. We are looking for an enthusiastic RN Case Manager PRN to help us reach...continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process,… more
- Sanford Health (Bismarck, ND)
- …Monday through Friday, 8 to 5 pm, no weekends or holidays **Job Summary** The Case Manager , D-SNP is responsible for providing case management services for ... in managing their care. To achieve this goal the Case Manager , D-SNP will demonstrate and apply...health and/or discharge planning preferred. Experience working with the Medicare and Medicaid populations is preferred. Currently licensed with… more
- Sharp HealthCare (La Mesa, CA)
- …**Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... Certification; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; Master's Degree **Hours** **:**… more
- AdventHealth (Ormond Beach, FL)
- **Registered Nurse RN Case Manager Hospice** **-** **AdventHealth Hospice** **All the benefits and perks you need for you and your family:** + Benefits from Day ... Working as part of the interdisciplinary team, the Hospice Registered Nurse Case Manager provides medical nursing care to alleviate physical suffering,… more
- AdventHealth (Ormond Beach, FL)
- **Registered Nurse Case Manager | AdventHealth Hospice** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days Off ... Working as part of the interdisciplinary team, the Hospice Registered Nurse Case Manager provides medical nursing care to alleviate physical suffering,… more
- CVS Health (Springfield, NJ)
- …be eligible for up to a $7,500 sign on bonus upon hire.** This is a remote Case Manager opportunity with 50 to 75% field travel in Union County and surrounding ... writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face… more
- Henry Ford Health System (Detroit, MI)
- Job Summary: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient care, ensuring seamless transitions between care levels. This ... skills, and a deep understanding of healthcare systems. The Case Manager -RN will collaborate closely with patients,...in discharge planning or transitional care + Knowledge of Medicare , Medicaid, and other insurance programs By joining our… more
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