• Transition of Care Registered Nurse

    VNS Health (Manhattan, NY)
    …an Occupational Therapist in New York State required + Certified Case Manager preferred + For SelectHealth ETE Only: Nurse Practitioner (NP) certification ... cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in… more
    VNS Health (01/02/25)
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  • RN Case Manager , Inpatient

    Memorial Sloan-Kettering Cancer Center (New York, NY)
    …to learn more. Please note, this link is only accessible for MSK employees. Job Description RN Case Manager , Inpatient | New York, NY Exciting Opportunity at ... appeals and acquire authorizations for treatment Key Qualifications: + Current NYS Registered Nurse License/Registration and BSN preferred + At least 2-3… more
    Memorial Sloan-Kettering Cancer Center (12/30/24)
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  • Case Manager RN - Ocean…

    CVS Health (Toms River, NJ)
    …assessment, writing and communication skills are required. Fundamental Components/Job Description: The Case Manager is responsible for conducting face to face ... convenient and affordable. **Position Summary** This is a fulltime ** remote ** opportunity with 50 to 75% travel in Ocean...may include pediatric population and medically complex cases. The case manager is responsible for coordinating and… more
    CVS Health (01/08/25)
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  • Lead, Auditor ( RN ) Appeals & Grievances…

    Molina Healthcare (New York, NY)
    …to resolve/correct them.. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or ... be discussed during our interview process. This is a remote position. Work hours: Monday- Friday: 8:00am -5:00pm. Michigan...+ Required License, Certification, Association + Active, unrestricted State Registered Nurse ( RN ) License in… more
    Molina Healthcare (01/13/25)
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  • Case Manager PEDS Care LMHC, LCSW,…

    Molina Healthcare (New York, NY)
    …provides care coordination and assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required + Case ... _Further details to be discussed during our interview process._ Remote position in New York A New York LMHC,...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
    Molina Healthcare (01/09/25)
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  • Clinical Evalution Manager , RN

    VNS Health (Manhattan, NY)
    …or an Occupational Therapist in New York State requiredCertified Case Manager preferredFor SelectHealth ETE Only: Nurse Practitioner (NP) certification with ... cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in… more
    VNS Health (01/03/25)
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  • RN - Nurse Manager (PCTC)…

    Veterans Affairs, Veterans Health Administration (New York, NY)
    …a full-time Nurse Manager / Patient Care Team Coordinator. Responsibilities The Registered Nurse - MICU PCTC Manager is accountable for a 12 bed ... client care. Functions or Scope of Assigned Duties: The Nurse III Nurse Manager (NM)...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (12/06/24)
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  • Transition of Care, Discharge Planning Liaison…

    VNS Health (Manhattan, NY)
    …as a Social Worker in New York State for SWs + required + Certified Case Manager preferred Education: + Associate's Degree In Nursing required or + Master's ... upon discharge. + Participates as needed in outreach team case conferences. + Participates in special projects and performs...and Certifications: + Current license to practice as a Registered Professional Nurse in New York State… more
    VNS Health (01/11/25)
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  • Manager , Grievance and Appeals, RN

    VNS Health (Manhattan, NY)
    …navigating the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals ( RN )to lead the daily operations of our ... behalf. * Data-Driven Decisions: Maintain the integrity of our case files and data collection systems. Prepare insightful reports...+ License and current registration to practice as a registered professional nurse in New York State… more
    VNS Health (12/04/24)
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  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (Neptune, NJ)
    …and utilization management **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health Care Life Support ... New Jersey regulations for Nursing **.** **This is a remote , night shift position. The schedule for this role...HCP Certification. **Licenses and Certifications Preferred:** + Certified Case Manager (CCM), Certified Clinical Medical Assistant… more
    Hackensack Meridian Health (11/15/24)
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