- UPMC (Pittsburgh, PA)
- …of experience in clinical, care coordination, and/or case management required. + Registered Nurse ( RN ) or Social Services Licensure (LSW, LCSW, LPC) ... Team. The team is looking to hire either an RN (as a Telephonic Care Manager) or...setting and case management nursing required. + Registered Nurse ( RN ) + .Meet… more
- 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 ... Job Summary The RN Case Manager role allows nurses who are...Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania… more
- The Cigna Group (Birmingham, AL)
- The RN serves as the key contact point for...licensure as needed 5+ years of experience as a Registered Nurse Proficient level of experience with ... the patient to coordinate and streamline all services offered within Evernorth. The RN will educate the patient on healthcare options, provide patient education and… more
- The Cigna Group (Houston, TX)
- …and/or additional state licensure as needed 3) 3+ years of experience as a Registered Nurse with experience in internal medicine or adult medicine 4) Proficient ... 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
- 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 (Baltimore, MD)
- …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 (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
- ICW Group (Woodland Hills, CA)
- …providing direct clinical care required. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse ( RN ) or Licensed Vocational ... evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and...Nurse (LVN) required. Certification in case management , rehabilitation nursing or a related specialty is strongly… 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
- 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
- Fenway Health (Boston, MA)
- …wellness program Requirements + Education: Associate degree in nursing + Current Massachusetts Registered Nurse ( RN ) license degree required. + Current CPR ... Registered Nurse - Reproductive Health Boston,...principles, and the patient's subjective experiences. + Conducts virtual, telephonic , and in-person nurse assessment and triage… more
- MyFlorida (Kissimmee, FL)
- REGISTERED NURSE - 64068605 Date: Dec 29, 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
- US Tech Solutions (Canton, MA)
- …with the interdisciplinary care team, to improve member outcomes (ie, Utilization Management , Medical Director, pharmacy, community health workers, dementia ... assigned **Additional Information :** **Job Requirements** + Current and valid Massachusetts Registered Nurse licensure in good standing + Skill and proficiency… 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)
- ** Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- ChenMed (Miami, FL)
- …providers. We're rapidly expanding and we need great people to join our team. The Registered Nurse 1, Care Line, is responsible for providing telephonic ... and assessments within license, and as possible given technology and medium. The registered nurse collaborates with primary caregivers and others on the… more
- Sharecare (Columbus, OH)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... care enhancement program by ** ** providing high quality telephonic support in an appropriate, efficient and cost-effective manner...and their Primary Care Provider according to the disease management program intervention guidelines. An RN is… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- CVS Health (Harrisburg, PA)
- …**until 9pm EST depending on business needs and Holiday rotation required** As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... more personal, convenient and affordable. Requisition Job Description **Position Summary:** **This Utilization Management (UM) Nurse Consultant role is 100%… more
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