• RN Care Manager

    Sanford Health (Bismarck, ND)
    …**Weekly Hours:** 40.00 **Salary Range:** $32.00 - $48.00 **Department Details** The Clinical Care Manager 's primary responsibility is to manage care for ... and support primary clinical teams with these efforts. The Nurse will provide daily care coordination, case...knowledge of specialty area preferred. Currently holds an unencumbered RN license with the State Board of Nursing where… more
    Sanford Health (12/07/24)
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  • RN Registered Nurse - AHN…

    Highmark Health (Bismarck, ND)
    …implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is fully responsible for all ... Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** The Registered Nurse assesses human responses and plans,...committee meetings as required. + Cooperates with other health care team members and the Operations Manager more
    Highmark Health (12/06/24)
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  • Care Manager RN - Weekends…

    Highmark Health (Bismarck, ND)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
    Highmark Health (01/07/25)
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  • Care Manager RN

    Healthfirst (ND)
    …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... overtime as necessary. + Additional duties as assigned. **Minimum Qualifications:** NYS RN **Preferred Qualifications** + Experience with care management +… more
    Healthfirst (01/24/25)
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  • Complex Case Manager RN - Pediatric…

    Highmark Health (Bismarck, ND)
    …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (01/25/25)
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  • Care Manager - Remote

    Sharecare (Bismarck, ND)
    **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
    Sharecare (01/17/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Bismarck, ND)
    …and external partners. Ability to travel for business needs. **Preferred Qualifications:** Registered Nurse ( RN ) Previous leadership experience. AAPC Coding ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders… more
    CVS Health (12/25/24)
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  • Case Manager , Health Plan

    Sanford Health (Fargo, ND)
    …**Salary Range:** $29.00 - $46.50 **Department Details** Registered Nurse Case Manager position on the Care Transitions team. Core hours M-F, 8 to 5, ... improve and better manage their health through education, goal setting and coordination of care . **Job Summary** The case manager provides case management and … more
    Sanford Health (01/02/25)
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  • Manager , Operations - VBCM

    Sharecare (Bismarck, ND)
    …that will positively impact the greater team and aid in their personal development as a Care Manager . + Provide performance management for the team of Care ... of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred. + Bachelor's degree… more
    Sharecare (01/17/25)
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  • Care Manager - Complex Care

    Healthfirst (ND)
    …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... Conducts assessments to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans and recommends… more
    Healthfirst (01/09/25)
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  • Pediatric Care Manager

    Healthfirst (ND)
    …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... position is 100% Remote + Adhere to standards of care for children including but not limited to developmentally...and vendors in the appropriate system in accordance with internal and established documentation procedures; follows up as needed;… more
    Healthfirst (01/09/25)
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  • Accreditation Manager

    Humana (Bismarck, ND)
    …**Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health plan ... help us put health first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of accreditation professionals who perform… more
    Humana (01/25/25)
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  • PRN Home Infusion Nurse

    Naven Health (Fargo, ND)
    …. The Infusion Nurse works under the direct supervison of their designated Regional Nurse Manager . The Infusion Nurse is responsible for the delivery of ... clinical platform focused on delivering specialized, truly exceptional infusion care . With over 1,600 team members, including over 1,500...accredited School of Nursing. + Current active and unrestricted registered nurse license + At least 2… more
    Naven Health (11/16/24)
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  • Manager , Clinical Reimbursement, Long Term…

    Good Samaritan Society (ND)
    …years of housing and services to seniors with a commitment to quality care and service in a Christian environment.** **Facility:** Remote ND (Central Time) ... Occasional travel including AAPACN conference, team retreat, and regional meetings. RN required, BSN preferred. RAC-CT required. Opening due to internal more
    Good Samaritan Society (01/14/25)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Bismarck, ND)
    …degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language (Other than ... clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to...network status and work with TPA Case Managers and/or internal cost containment staff to obtain discounting on all… more
    Highmark Health (11/25/24)
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