- YesCare Corp (Union Springs, AL)
- …**Key Qualifications** + ** Registered Nurse License:** + Must have an active Registered Nurse ( RN ) license within the state of employment, with the ... Call Coordination:** + Coordinate sick call for the Mental Health Unit, ensuring nurse triage and appropriate referrals for physician follow-up. + **Clinical… more
- CVS Health (Montgomery, AL)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience.… more
- Humana (Montgomery, AL)
- …each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in the state they reside. + Minimum ... part of our caring community and help us put health first** The Nurse Auditor 2 performs...of care such as ER, OR, Pre-op, PACU,L&D, mother-baby, behavioral health , SNF, care manager/discharge manager, LTC,… more
- Highmark Health (Montgomery, AL)
- …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... identifying various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality outcomes (clinical,… more
- Highmark Health (Montgomery, AL)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... measurable outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Chenega Corporation (Maxwell AFB, AL)
- …or Family Nurse Practitioner (FNP). + Possess and maintain a current and unrestricted Registered Nurse ( RN ) license. + Possess and maintain a current and ... **Summary** **C2 ALASKA, LLC** Maxwell AFB, AL The **Pediatric Nurse Practitioner** (NP) will be the Primary Care Manager (PCM) for a panel of up to 1,300 patients.… more