- Geisinger (Danville, PA)
- …- Default Issuing Body; Valid Driver's License - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & VALUES: ... for the purpose of Peer Review pursuant of the Medicare Act, as directed by, and as a member...analysis, inpatient hospital utilization reviews, medical audits, and the compliance of assigned department, with the standards set by… more
- HCA Healthcare (El Paso, TX)
- …opening and continue to learn! **Job Summary and Qualifications** Position Summary The Registered Nurse ( RN ) CM is responsible for promoting patient-centered ... colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs...discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care… more
- Houston Methodist (Baytown, TX)
- …HM performance that demonstrates leadership responsibility **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or ... for employee engagement, adequate staffing levels, budget development and compliance , staffing decisions such as hiring and terminating employment,...Compact State Licensure within 90 days or + RN -Temp - Registered Nurse -… more
- State of Massachusetts (Boston, MA)
- …at least (A) three years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility and (B) ... Hospital (LSH) is seeking a Regulatory Readiness Coordinator - RN V. Under the direction of the Chief Quality...of nursing must have applied for the first available registered nurse examination. Special Requirements: Based on… more
- Molina Healthcare (NV)
- …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... through one or more direct report supervisors, facilitates integrated, proactive HCS management, ensuring compliance with state... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
- CVS Health (Hartford, CT)
- …Minimum 2+ years CM, discharge planning and/or home health care coordination experience * Registered Nurse with active state license in good standing within the ... tools and information/data. * Utilizes case management processes in compliance with regulatory and company policies and procedures. *...optimal function or return to work. * Develops a proactive course of action to address issues presented to… more
- CVS Health (Kalamazoo, MI)
- …and health needs based on key questions and conversation. **Required Qualifications** + Registered Nurse with active Michigan state license in good standing + ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...markets across the country. **Fundamental Components** * Develops a proactive plan of care to address identified issues to… more
- CVS Health (Springfield, IL)
- …toward desired outcomes through assessment and evaluation. **Required Background Experience:** - Registered Nurse with active state license in Illinois. - ... tools and information/data. + Utilizes case management processes in compliance with regulatory and company policies and procedures. +...optimal function or return to work. + Develops a proactive course of action to address issues presented to… more
- CVS Health (Springfield, IL)
- …progress toward desired outcomes through assessment and evaluation. **Required Qualifications** + Registered Nurse with active Illinois state license + Must ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...tools and information/data. + Utilizes case management processes in compliance with regulatory and company policies and procedures. +… more
- CVS Health (Southfield, MI)
- …status and health needs based on key questions and conversation. **Required Qualifications** + Registered Nurse with active MI state license in good standing + ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...to facilitate the member's overall wellness. + Develops a proactive plan of care to address identified issues to… more
- CVS Health (Albany, NY)
- …clinical tools and information/data. + Utilizes case management processes in compliance with regulatory and company policies and procedures. + Facilitates ... optimal function or return to work. + Develops a proactive course of action to address issues presented to...and evaluation. **Required Qualifications** + Active and unrestricted NY RN license **and** compact NJ RN license… more
- CVS Health (Columbus, OH)
- …clinical tools and information/data. + Utilizes case management processes in compliance with regulatory and company policies and procedures. + Facilitates ... optimal function or return to work. + Develops a proactive course of action to address issues presented to...and evaluation. **Required Qualifications** + Active and unrestricted compact RN licensure and live in compact state + Minimum… more
- CVS Health (Harrisburg, PA)
- …on our **Dual Eligible Special Needs Plan** (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social ... member to facilitate the member's overall wellness. **Fundamental Components** + Develops a proactive plan of care to address identified issues to enhance the short… more
- CVS Health (Trenton, NJ)
- …home). Standard Working hours Monday - Friday 8-5 pm EST. **ICM Case Manager RN ** **WFH Flexible** **Position Summary:** Help us elevate our patient care to a whole ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...member's overall wellness. The ICM care manager develops a proactive plan of care to address identified issues to… more
- CVS Health (Trenton, NJ)
- …to make health care more personal, convenient and affordable. **ICM Case Manager RN ** **WFH Flexible** **$7,500 Sign-On Bonus!** **Position Summary:** This is a work ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...member's overall wellness. The ICM care manager develops a proactive plan of care to address identified issues to… more
- CVS Health (Portage, MI)
- …models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social ... medical needs of the member to facilitate the member's overall wellness. Develops a proactive plan of care to address identified issues to enhance the short and… more
- CVS Health (Lansing, MI)
- …impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social ... member to facilitate the member's overall wellness. **Fundamental Components** * Develops a proactive plan of care to address identified issues to enhance the short… more
- CVS Health (Springfield, IL)
- …clinical tools and information/data. * Utilizes case management processes in compliance with regulatory and company policies and procedures. * Facilitates ... optimal function or return to work. * Develops a proactive course of action to address issues presented to...CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members. * Minimum 2+ years CM, discharge planning… more
- CVS Health (Carson City, NV)
- …determinant needs. Dual Eligible Special Needs Plans (DSNP) members are enrolled in Medicare and Medicaid. Our Care Managers are frontline advocates for members who ... DSNP into new markets across the country. **Fundamental Components** + Nurse Care Manager is responsible for assessing, planning, implementing, and coordinating… more
- CVS Health (Albany, NY)
- …clinical tools and information/data. * Utilizes case management processes in compliance with regulatory and company policies and procedures. * Facilitates ... optimal function or return to work. * Develops a proactive course of action to address issues presented to.../ Chinese Mandarin + Must possess active and unrestricted RN licensure in the state of NY + 3+… more