- Geisinger (Danville, PA)
- …and efficiency results for assigned population. + Works to appropriately apply benefits and utilization management serving as a resource to the patient or member ... Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE… more
- Geisinger (Pittston, PA)
- …and efficiency results for assigned population. + Works to appropriately apply benefits and utilization management serving as a resource to the patient or member ... Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE… more
- Fenway Health (Boston, MA)
- …MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Nursing Job Type Part-time Description As a Registered Nurse ( RN ) at Fenway Health ... principles, and the patient's subjective experiences. + Conducts virtual, telephonic , or in-person nurse assessment and triage...+ Education: Associate degree in nursing + Current Massachusetts Registered Nurse ( RN ) license degree… more
- 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, ... of the team to manage heath care cost and utilization **Provider Support** 1. Completes telephonic nursing...and make appropriate referrals to social work, pharmacy, case management and engagement _Other telephonic patient care… more
- ERP International (Vandenberg AFB, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Case Manager** in support of the30th Medical Group at Vandenberg AFB, CA ... algorithms, CM software, and databases for community resources + Integrate CM and utilization management (UM) and integrating nursing case management with… 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...* Educates/trains team/facility staff on policies and procedures for utilization of guidelines, protocols and other disease management… more
- ERP International (Camp Pendleton, CA)
- …(CRRN),(COHN), (ACCC), (CRC), ( RN -NCM),(CMC) **OR** Possess a Master's Degree in Nurse Case Management from a program accredited by the American Nurses ... **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for...and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case… 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 ... algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with… more
- AmeriHealth Caritas (Florence, SC)
- …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 ... **REMOTE | Care Manager II Registered Nurse (BSN) - Foster Care...accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. 6. Monitor appropriate utilization… 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...and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case… more
- MyFlorida (Kissimmee, FL)
- REGISTERED NURSE - 64068605 Date: Nov 1, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 840001 Agency: Department of Health Working Title: REGISTERED NURSE - 64068605 Pay Plan: Career Service Position… 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 Medical ... and implement local strategies using inpatient, outpatient, onsite and telephonic CM + Develop and implement tools to support...and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case… more
- Elevance Health (Atlanta, GA)
- …criteria._** The ** Telephonic Nurse Case Manager I** is responsible for telephonic care management within the scope of licensure for members with complex ... ** Telephonic Nurse Case Manager I -...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Elevance Health (Costa Mesa, CA)
- ** Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... service members in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care … more
- US Tech Solutions (Columbia, SC)
- …working. + A typical day would like in this role: Employee will be providing telephonic case management for our members. + Past job instability. Registered ... more of RECENT clinical experience. + Strong communication skills required to provide telephonic case management to patients and to coordinate with team,… more
- VNS Health (Manhattan, NY)
- …in development of plans to address improvement needs as appropriate. * For Utilization Management Only: * Issues Determinations, Notices of Action, and other ... communications required by state or federal regulations are saved in the Utilization Management System. * Reviews, evaluates and determines the appropriateness… more
- Trinity Health (Fort Lauderdale, FL)
- …(UR) Nurse has well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This ... of various commercial and government payers. On-Site Position** **_Position Purpose:_** Utilization Review (UR) Nurses play a vital role in healthcare by… more
- Gentiva (Akron, OH)
- …+ Good problem-solving skills + Good time management skills **We Offer** **As a Registered Nurse / RN , you will be eligible for:** + Competitive Pay ... designated teams and functions as an interdisciplinary advanced illness management and support, along with telephonic , video,..., video, and in person interventions afterhours. **As a Registered Nurse / RN , you… more
- Gentiva (Southern Pines, NC)
- …+ Good problem-solving skills + Good time management skills **We Offer** **As a Registered Nurse / RN , you will be eligible for:** + Competitive Pay ... designated teams and functions as an interdisciplinary advanced illness management and support, along with telephonic , video,...coverage at least 1-2 evenings per week. **As a Registered Nurse / RN , you… more
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