- St. Mary's Healthcare (Amsterdam, NY)
- …of nursing required. Licensure / Certification / Registration: Required Credential(s): * Registered Nurse credentialed from the New York Board of Nursing. ... recognize and resolve billing inconsistencies. * Reviews commercial and government claim denials and audit requests and coordinates attempts to overturn denials … more
- AdventHealth (Orlando, FL)
- …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... inpatients and 125,000 outpatients each year **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses,… more
- AdventHealth (Celebration, FL)
- …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... and results at the right time. **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians… more
- Geisinger (Scranton, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... through appropriate administrative and medical channels to avoid third party payer denials . + Maintains awareness of all concurrent denials through interaction… more
- Geisinger (Danville, PA)
- …and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & ... administrative and medical channels to avoid third party payer denials . + Maintains awareness of all concurrent denials...but not required. + Required Experience: 3 years of RN work experience Geisinger cares about not only its… more
- Pipeline Health System, LLC (Gardena, CA)
- Case Manager Registered Nurse RN - Per Diem 8-Hour Day Shift The RN Case Manager (CM) performs a wide variety of tasks and functions. These include ... record and in the required information system. + The RN CM reports to the Director/Manager of the department....interdisciplinary team. Communicates expected discharges to the unit charge nurse , patient unit and family. + Identifies patients at… more
- Bon Secours Mercy Health (Newport News, VA)
- …that would benefit from and need care management services. **Licensing/ Certification** + Acute Registered Nurse ( RN ) (required) + BLS Basic Life Support - ... needs for acute level of care, collaborating with utilization management nurse to prevent potential denials . The care manager will address when patient is not… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …services. **This is a PRN position at Maryview Medical Center** Licensing/ Certification + Acute Registered Nurse ( RN ) (required) + BLS Basic Life Support - ... needs for acute level of care, collaborating with utilization management nurse to prevent potential denials . The care manager will address when patient is not… more
- Ascension Health (Manhattan, KS)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board of Nursing ... related to coding, medical records/documentation, precertification, reimbursement and claim denials /appeals. + Assess and coordinate discharge planning needs with… more
- AdventHealth (Winter Garden, FL)
- …for the mind, body, and spirit! **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians, ... care coordination and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources… more
- Pipeline Health System, LLC (Gardena, CA)
- RN Case Manager Full Time 8-Hour Day Shift The RN Case Manager (CM) performs a wide variety of tasks and functions. These include utilization review, discharge ... record and in the required information system. + The RN CM reports to the Director/Manager of the department....interdisciplinary team. Communicates expected discharges to the unit charge nurse , patient unit and family. + Identifies patients at… more
- Dignity Health (Rancho Cordova, CA)
- …LI-DH# **Qualifications** **Qualifications Required:** + Minimumthree (3) years of clinical experience as Registered Nurse ( RN ) + California RN license ... can also follow us on Twitter and Facebook. **Responsibilities** The Denials Management RN is responsible for the following: + receiving, processing and… more
- HCA Healthcare (Houston, TX)
- …appropriate. **What qualifications you will need:** + Bachelor's degree Nursing preferred + Registered Nurse - Currently licensed as a registered ... healthcare provider. We are seeking a(an) Case Management Supervisor RN to join our healthcare family. **Benefits** Texas Orthopedic...Support + Registered Social Worker (RSW), or Registered Nurse , or Certified Care Manager (CMC)… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager Adult Services Full Time Days - 2406003328 Description : **$15,000 Sign on Bonus, with required relevant experience** DMC Harper ... hypertension, stroke prevention and heart failure. Job Description: The RN Case Manager is responsible to facilitate care along...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- Sutter Health (San Francisco, CA)
- …**EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** ... in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the… more
- Sharecare, Inc. (Columbus, OH)
- …in influencing patient and provider outcomes **Qualifications:** + Current multi-state/compact Registered Nurse licensure in state of residence is required, ... on understanding benefit coverage, explanation of benefits, and reasons for coverage denials . + Ensure all health care services are medically necessary and provided… more
- Penn Medicine (Plainsboro, NJ)
- …reimbursement, proactively identify potential denials in order to avoid non-appealable denials ; Credentials: + Registered Nurse - NJ (Required) + ... Certified Case Manager (Required) + National Case Management certification preferred; or obtained within two years of employment. Education or Equivalent Experience: + Bachelor of Arts or Science (Required) + BSN degree requiredMinimum of 3 years… more
- Stanford Health Care (Palo Alto, CA)
- …**This is an onsite Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN ) will be responsible for ensuring the ... health record (EHR) systems and other healthcare software. **Licenses and Certifications** + Nursing/ RN - Registered Nurse - State Licensure and/or Compact… more
- Penn Medicine (Plainsboro, NJ)
- …and institution Credentials: + Basic Cardiac Life Support (Required) + Registered Nurse - NJ (Required) + Case Management RN + National Case Management ... Are you living your life's work? Summary: + The Nurse Manger assists the Director in managing the daily...care (LOC) management + Patient billing status management + Denials management + CMS Conditions of Participation Utilization review… more
- Sharp HealthCare (San Diego, CA)
- …Case Manager (CCM) - Commission for Case Manager Certification; Bachelor's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...organization goals including reductions in length of stay, decreasing denials , improvement of care transitions, and reduction in avoidable… more