- Commonwealth Care Alliance (Boston, MA)
- …(must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years Utilization ... CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management...work may be required on a rotational basis; some travel to home office may be required. **Required Education… more
- Option Care Health (St. Paul, MN)
- …scheduling, performance reviews, discipline, etc.) BASIC EDUCATION AND EXPERIENCE REQUIREMENTS Licensed Registered Nurse ( RN ) or licensed Pharmacist in the ... gathering preadmission information, collaborating with internal (intake) and external ( case managers, discharge planners) partners to ensure quality of service… more
- ChenMed (Cincinnati, OH)
- …people to join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse ( RN ) who works with our highest complexity patients, their ... in a related clinical field preferred A valid, active Registered Nurse ( RN ) license in...community case management experience highly desired Certified Case Manager certification is preferred. Certification through… more
- Katmai (Usaf Academy, CO)
- **SUMMARY:** Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions. **ESSENTIAL DUTIES & ... on Accreditation of Healthcare Organizations(JCAHO), Ambulatory Health Care (AAAHC) & Case Management Society of America (CMSA)). + Collaborates with military and… more
- Somatus (Renton, WA)
- …and mental well-being + Community engagement opportunities + And more! Field Based Nurse Case Managers are an important part of the interdisciplinary care ... communication with members via in-person or on-phone interaction + Travel to complete in home and in facility visits...+ BSN or higher level of education + Certified Case Manager (CCM) + Diabetic Educator experience… more
- Molina Healthcare (Pasadena, TX)
- …services and supports (LTSS), or equivalent combination of relevant education and experience. Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Opportunity for a Texas licensed RN to join Molina to work with our...with individuals with substance use disorders. Preferred Qualifications Certified Case Manager (CCM). Experience working with populations… more
- BlueCross BlueShield of Tennessee (Memphis, TN)
- …those who are intellectually and developmentally disabled\. In this role, the SelectCommunity Nurse Case Manager \(NCM\) assesses members' current status, ... **SelectCommunity at BCBST is seeking a Registered Nurse ** who is compassionate about case management,...job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active… more
- Highmark Health (Dover, DE)
- …of experience in long-term care, home health, hospice, public health, or assisted living OR Registered Nurse or Licensed Practical Nurse and 2 years of ... or HIV/AIDS population. Substitutions None Preferred One year in home clinical or case management experience Certified Case Manager (CCM) Licensed Bachelors… more
- Molina Healthcare (Dallas, TX)
- …or behavioral health setting, or equivalent combination of relevant education and experience. Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Opportunity for TX licensed RN to join our DSNIP team to work...Preferred Qualifications Transitions of care sub-specialty certification and/or Certified Case Manager (CCM). Hospital discharge planning or… more
- UnitedHealth Group (Everett, WA)
- …of health care, you must be smart about the business of health care. As a Field Case Manager working with Medicaid members, you'll wear many hats, and work in a ... for other roles you may be interested in. Required Qualifications: Current, unrestricted RN OR Behavioral Health license in the state of Washington 2+ years of… more
- Humana (Bloomington, IL)
- …Marshall, Mason, McLean, Peoria, Putnam, Stark, Tazewell or Woodford. An active, unrestricted, Registered Nurse ( RN ) license, Licensed Clinical Social Worker ... be required to be screened for TB. Ability to travel throughout the state of Illinois. This role is...Advanced degree in nursing or business health field. Certified Case Manager (CCM). Previous experience working in… more
- Sharp HealthCare (San Diego, CA)
- …Department Job Status Regular Shift Day FTE 1 Shift Start Time Shift End Time California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... experience 2 Years Medical Management experience, preferably in a managed care setting California Registered Nurse ( RN ) - CA Board of Registered … more
- Hologic (Trenton, NJ)
- …preferred. Candidates with backgrounds such as Radiology Technologists, Mammography Technologists, Registered Nurses ( RN ), or other clinical professionals are ... Radiology Clinical Account Manager - New Jersey Newark, NJ, United States Atlantic...and National Accounts to optimize customer experience. Educate through case coverage, in-services and office calls to drive account… more
- Elevance Health (Greensboro, NC)
- …will work virtually from your home. You must reside within a proximity to travel throughout Guilford County. HOURS : General business hours, Monday through Friday. ... TRAVEL : Travel within your assigned area or...an accommodation is granted as required by law. The Manager I Care Management ( Manager I GBD Special… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... coordinated care for members. In this role, the Program Manager acts as an account manager , relationship...across BH and Health Home providers. - Participate in case review meetings and rounds as needed to enhance… more
- Houston Methodist (Houston, TX)
- …nursing experience Leadership or Coordinator experience preferred LICENSES AND CERTIFICATIONS - REQUIRED RN - Registered Nurse - Texas State Licensure -- ... At Houston Methodist, the Nurse Navigator position is responsible for serving as...Case Management Recognized Certification OR ACM - Accredited Case Manager (NBCM,ACMA) KNOWLEDGE, SKILLS, AND ABILITIES… more
- Somatus (Fairfax, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Nurse Navigator is a critical member of the Somatus care team, serving both ... as a patient advocate and a strategic partner to case management teams and hospital staff. This role collaborates with local leadership and case management teams… more
- Hackensack Meridian Health (Brick, NJ)
- …scheduler for payroll. Recognize patient grievances and direct them to the appropriate manager . Assist On-call RN with weekend and/or daily on-call process. ... a Total Rewards package including comprehensive Health Benefits, generous Paid Time Off, Travel Reimbursement as well as an investment in your future with a 401(k)… more
- Hackensack Meridian Health (Neptune, NJ)
- …a Total Rewards package including comprehensive Health Benefits, generous Paid Time Off, Travel Reimbursement as well as an investment in your future with a 401(k) ... Per Diem team members are eligible to participate in Travel Reimbursement and may be eligible to receive a...of the client?s needs and priorities. Transfer calls to RN for orders. Enter accurate referrals from any At… more
- Medtronic (Orlando, FL)
- …include supporting the Cardiac Surgery business in areas of surgical case coverage, support, troubleshooting and clinician education and training. A Day ... 2 years clinical ECMO experience Certified Clinical Perfusionist, Respiratory Therapist or RN with ECMO experience ECLS/ECMO experience - minimum of 2 years Ability… more
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