• Care Review Clinician, PA (RN) Remote in

    Molina Healthcare (New York, NY)
    …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... illness and the site of service. We are seeking a candidate with a RN licensure, UM and Inpatient Review experience. The Care Review Clinician must be able to… more
    Molina Healthcare (03/21/25)
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  • Director, Acute Care Case Management

    Nuvance Health (Norwalk, CT)
    …but not required. MSW considered* *Minimum Experience: five years* Desired: Registered Nurse with management experience. Knowledge of community resources, ... *Description* *$30K SIGN ON BONUS - FOR ELIGIBLE EXTERNAL CANDIDATES* Director, Acute Care Hospital Case Management Opportunity! *Required: BSN or MSW with Acute … more
    Nuvance Health (03/12/25)
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  • Program Manager, HCS RN, LMSW, LMHC, LMFT, or LPC…

    Molina Healthcare (New York, NY)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... RN, LMSW, LMHC, LMFT, or LPC licensure with previous UM , Case Management, and managed care experience....Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license.… more
    Molina Healthcare (03/21/25)
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  • Clinical Evaluation Manager

    VNS Health (Manhattan, NY)
    …assigned. Qualifications Licenses and Certifications: + Current license to practice as a Registered Professional Nurse or an Occupational Therapist in New York ... Certified Case Manager preferred + For SelectHealth ETE Only: Nurse Practitioner (NP) certification with background or degree in...UM Only: Experience must be with a Managed Care Organization or Health Plan. CAREERS AT VNS Health… more
    VNS Health (03/11/25)
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  • Clinical Evaluation Manager

    VNS Health (Manhattan, NY)
    …as assigned. QualificationsLicenses and Certifications: Current license to practice as a Registered Professional Nurse or an Occupational Therapist in New York ... required Certified Case Manager preferred For SelectHealth ETE Only: Nurse Practitioner (NP) certification with background or degree in...UM Only: Experience must be with a Managed Care Organization or Health Plan. For SelectHealth ETE Only:… more
    VNS Health (03/11/25)
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  • Inpatient Review (RN): Remote, California ( 3-12…

    Molina Healthcare (New York, NY)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional ... **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_2 openings for 12 hour NIGHT SHIFT:...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long… more
    Molina Healthcare (02/14/25)
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