- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: RN Case Manager - Commercial TOC Location: Remote Career Area: Health ... difference, join us. The Impact You Will Have The Case Manager is a critical component of...of care between settings. Required Skills and Experience * Registered Nurse licensure in the state of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …+ One of the following current New York State clinical licensures is required: RN , PT, BH Clinician, NP, PA, or Registered Dietician. + Minimum of ... This position serves as the expert and leader for case management activities and overall coordination within the ...Association (BCBSA) for the Federal Employee Program (FEP). The Manager serves as a resource to management, internal staff,… more
- Ochsner Health (New Orleans, LA)
- …team to develop and implement discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC ... to change at the company's discretion. **Education** Required - Registered nurse diploma or equivalent. Preferred -...Certification in Case Management (CCM) or Accredited Case Manager (ACM). **Knowledge Skills and Abilities… more
- ERP International (Hurlburt Field, FL)
- **Overview** ERP International is seeking a full time ** Registered Nurse ( RN ) Case Manager ** in support of the 1st Special Operations Medical Group ... Counselor Certification: Certified Rehabilitation Counselor (CRC) American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) National… more
- Henry Ford Health System (Detroit, MI)
- …has to offer. Register today by following this link: qrco.de/bffvep Job Summary: The Case Manager - RN plays a pivotal role in coordinating comprehensive ... skills, and a deep understanding of healthcare systems. The Case Manager - RN will collaborate closely...support patient needs beyond the hospital setting. Qualifications: + Registered Nurse ( RN ) with active… more
- ERP International (Twentynine Palms, CA)
- …Counselor Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) o National ... **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case Managers**...obtain within 18 months of employment.) o Commission for Case Manager Certification Certified Case … more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager ** for a full-time position supporting **SHG Clinic** in support of ... Medical Evaluation Unit (THMEU) in San Antonio, Tx. The Case Manager will be required to attend...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking a full time ** Registered Nurse - Case Management** in support of the56th Medical Group at Luke AFB, AZ ... and unrestricted license to practice as a Registered Nurse , any state. Clinical Certification:** Certified Case Manager by Commission for Case … more
- CVS Health (High Point, NC)
- …There is no travel expected with this position. This Case Manager RN position is part of Aetna's Commercial Care Management division and is part of ... And we do it all with heart, each and every day. **Position Summary** The Case Manager RN position is 100% remote and employees can live in any state.… more
- Northwell Health (Bay Shore, NY)
- …up and action. + * Acts as a liaison with patients insurance carrier ( case manager , utilization reviewer) to coordinate post hospital services and referrals. + ... in the maintenance of Utilization Management, Discharge Planning and Case Management statistics as required. + * Keeps abreast...field, preferred. + Current license to practice as a Registered Professional Nurse in New York State.… more
- Presbyterian Homes and Services (St. Paul, MN)
- …the lives and touching the hearts of older adults. Responsibilities The Registered Nurse / RN Case Manager is responsible for using empathy and ... and growth. Marvella is seeki ng a Full- Time Registered Nurse / RN to...clinical best practices. This position will function as a RN Case Manager in Marvella's… more
- ERP International (Macdill AFB, FL)
- …Counselor Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) o National ... International is seeking ** Registered ** ** Nurse ( RN )** for Full-Time positions in ** Case Management**...Education (CCNE). **Experience:** Minimum 1 years experience as a RN Case Manager within the… more
- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services...Clinical Care Coordination 1. Able to effectively manage a case load, supporting up to 100 commercial … more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care and manages ... BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association -… more
- Claxton-Hepburn Medical Center (Ogdensburg, NY)
- CHMC- Case Management- RN Case Manager - Per Diem- Various Shift - Req 9133 Pay Range: $36.54-$48.41* Job Summary: An RN Case Manager ... related to the management of patient care across the continuum. Qualifications: + Registered Nurse with valid NYS licensure and current registration. + Two… more
- HCA Healthcare (Panama City, FL)
- …our nurses set us apart from any other healthcare provider. We are seeking a(an) RN Case Manager to join our healthcare family. **Benefits** HCA Florida ... their passion for patient care. Apply today for our RN Case Manager opportunity. **Job...compact license required within 90 days of hire. Advanced Nurse Practitioner license acceptable + 5 years Case… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The Role The RN Case Manager is responsible for facilitating care for members and ... health, and any barriers to care. The Team The RN Case Manager is part...Voted as the highest in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross… more
- Blue KC (Workman, MN)
- …Serves as a key subject matter expert and strategic partner for the Commercial Sales organization and regularly attends client meetings (with benefits managers and ... reports (eg, High-cost claimant reports, early warning reports, census reports, case management participant reports, etc.) to identify potential high-cost claimants,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …compliance and regulatory requirements. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical ... to identify red flags/aberrant billing patterns. + Manages cases as assigned, prioritizing case load as appropriate. Maintains case logs, prepares records and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …CPR's Director and Clinical Lead, Operations Lead, Senior Credentialing Manager / Compliance Consultant, Risk Specialist, Exception Review Specialists and Project ... Manager . This position is eligible for our Resident, Mobile,...timely and accurate information on all cases in CPR's case management system (Access database) used for on-going monitoring,… more