- Humana (Concord, NH)
- **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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- Fresenius Medical Center (Lowell, MA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Veterans Affairs, Veterans Health Administration (Manchester, NH)
- …of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities This Registered Nurse - Community Living Center (CLC) is located in the ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- CVS Health (Concord, NH)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Evolent (Concord, NH)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals.… more
- Dartmouth Health (Hampstead, NH)
- …Manages the matrix relationships, including but not limited to providing input and feedback to Nurse Educators, Clinical Nurse Specialists, and Clinical ... Clinical or professional certification preferred. Required Licensure/Certifications - Licensed Registered Nurse with New Hampshire eligibility. - Current BLS… more
- Tufts Medicine (Lowell, MA)
- …(4 Hours)** **Job Description** **Minimum Qualifications:** 1.Current licensure as a Registered Nurse or Physical Therapist. 2. Massachusetts RN Licensure ... Life Support (BLS) Certification **Preferred Qualifications:** 1. Bachelor's prepared level preferred- Registered Nurse BSN preferred, or Physical Therapist with… more
- Tufts Medicine (Lowell, MA)
- …**Job Description** **Minimum Qualifications** **:** 1. Current licensure as a Registered Nurse or Physical Therapist. **Preferred Qualifications** **:** 1. ... Bachelor's prepared level preferred- Registered Nurse BSN preferred, or Physical Therapist...as interviewing, hiring, and disciplinary action. + Promotes efficient utilization of resources to achieve desired clinical … more
- HCA Healthcare (Derry, NH)
- …compact state Registered Nurse license + Two or more years of clinical experience. + Case Management, Utilization & Managed Care experience and 1 or more ... care with a focus on evaluating the appropriateness of clinical care, medical necessity, admission status, level of care,...supporting a balance of optimal care and appropriate resource utilization . + The RN Case Manager Team Lead will… more
- Highmark Health (Concord, NH)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
- Tufts Medicine (Nashua, NH)
- …direction of physicians, mid-level practitioners, and may work under the direction of registered nurses depending on their unit. A clinical technologist role ... outpatient/ambulatory setting. The position is a patient liaison through both clinical and administrative responsibilities. This position plays an important role in… more