- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license… more
- Commonwealth Care Alliance (Springfield, MA)
- …accepted medical guidelines, and appropriate scope of practice. + Provide regularly scheduled telephonic calls to support the management of chronic disease or ... + RN : 2+ years meaningful clinical experience in primary care or care management including telephonic based setting, home health or acute care case … more
- The Arora Group (Twentynine Palms, CA)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager near Palm Springs, California, to provide care to ... Psychological Health Transition to Care Initiative in the Case Management / Utilization Management Division at Naval...80 hours per two week period. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):… more
- The Arora Group (Coronado, CA)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager in Coronado, California, to work at Coronado Naval ... - Fri between 7:30AM - 8:00PM. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):...and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case… more
- The Arora Group (Goose Creek, SC)
- Registered Nurse Case Manager - Lead Nurse Currently recruiting a Registered Nurse Case Manager - Lead to work in the Medical Home Port Clinic at ... leave, plus paid 10 federal holidays. DUTIES OF THE REGISTERED NURSE CASE MANAGER - LEAD INCLUDE:...and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case… more
- The Arora Group (Annapolis, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse Case Manager in Annapolis, Maryland to provide care to active duty ... and military retirees at Naval Branch Health Clinic Annapolis. Registered Nurse Case Manager is full-time position,...databases for community resources, etc. + Integrate CM and utilization management (UM) and integrate nursing case… more
- Fenway Health (Boston, MA)
- …MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+02215) * Nursing Job Type Part-time Description As a Registered Nurse ( RN ) at Fenway Health you ... 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
- Matrix Providers (Glendale, AZ)
- Registered Nurse - Case Manager -...and databases for community resources. + Integrate CM and utilization management (UM) and integrate nursing case ... Come home to Matrix. Matrix Providers is hiring a Registered Nurse - Case Manager to join...Certified Rehabilitation Counselor (CRC). + American Nurses Credentialing Center Nurse Case Manager ( RN -NCM). + National Academy… more
- ERP International (Mountain Home AFB, ID)
- **Overview** ERP International is seeking a full time ** Registered Nurse ( RN ) Case Manager** in support of the 366th medical group at Mountain Home AFB, ID. ... algorithms, CM software, and databases for community resources.Integrate CM and utilization management (UM) and integrating nursing case management… more
- ERP International (Yuma, AZ)
- …(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 (Luke AFB, AZ)
- **Overview** ERP International is seeking full time ** Registered Nurse - Case Management ** in support of the56th Medical Group at Luke AFB, AZ ... and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case...full, active, and unrestricted license to practice as a Registered Nurse , any state. Clinical Certification:** Certified… more
- ERP International (Hill AFB, UT)
- **Overview** ERP International is seeking a ** Registered Nurse - Case Manager ( RN )** for a full-time position supportingHill AFB, UT ... algorithms, CM software, and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case management with… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for a full-time position supporting **SHG Clinic** in support of **Tinker ... and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… 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
- US Tech Solutions (Columbia, SC)
- …enrollment in care management programs and/or health and disease management programs. Provides telephonic support for members with chronic conditions, ... the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact. **Skills** + Working… more
- Insight Global (Philadelphia, PA)
- …company local to the Philadelphia area is looking for to hire a fully remote Case Management RN to join their Care management team. Under the direction of ... a designated Care Management and Coordination Supervisor, performs telephonic or...equipment to work from home 3+ years of case management and utilization management experience… more
- Dignity Health (Phoenix, AZ)
- …responsible for providing telephonic clinical assessment health education and utilization management services to a variety of patients. Responsibilities: + ... + Minimum 6 months of telephone/ call center triage nurse experience required. + Arizona Registered Nurse ( RN ) or compact state + Ability to obtain RN… 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
- Actalent (Santa Barbara, CA)
- …unit. Depending on unit assignment, the HPNC may perform utilization management activities, which may include telephonic or onsite clinical review; case ... Non-profit healthcare network is looking for a registered nurse case manager to join...These units include, but are not limited to, the Utilization Management , Case Management , Enhanced… more
- HCA Healthcare (Thornton, CO)
- …qualifications you will need:** + Current licensure in the State of Colorado as a Registered Nurse , or current active multistate Registered Nurse ... clinical nursing experience in the acute care setting. + Prior utilization /quality/discharge planning/and/or case management experience highly preferred. For… more
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