- Stanford Health Care (Palo Alto, CA)
- …Payer Communication, Level of Care Appropriateness Coordination, Admission Status Determination, Clinical Denial Prevention ** Education Qualifications** + ... + LCSW - Licensed Medical Social Worker - State Licensure or + Nursing / RN - Registered Nurse - State Licensure and/or Compact State Licensure… more
- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Do you have the career opportunities as a(an) Case Manager Registered Nurse RN you want in your current role? We invest in ... will need:** + Required Five + years of recent clinical experience as RN years demonstrated leadership...we encourage you to apply for our Case Manager Registered Nurse RN opening. We… more
- Baptist Memorial (Memphis, TN)
- …Preferred: Five years clinical experience and 3-5 years case management or denial management experience. Minimum: RN , 5 years clinical experience in ... a clinical care setting. Licensure, Registration, Certification Preferred: CCM; RN ;CCS Minimum: RN Special Skills Minimum: Excellent communication skills.… more
- Carle (Urbana, IL)
- …Location: Carle at The Fields + Weekend Requirements: no + Other Posting Information: Registered Professional Nurse ( RN ) License Illinois upon hire. + ... EDUCATIONAL REQUIREMENTS Bachelor's Degree in Nursing CERTIFICATION & LICENSURE REQUIREMENTS Registered Professional Nurse ( RN ) License Illinois upon… more
- Bon Secours Mercy Health (Kilmarnock, VA)
- …+ BLS Basic Life Support - American Heart Association (required) + Acute Registered Nurse ( RN ) (BSN highly preferred). + Social Work ... effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Primary Function/General Purpose of Position** The… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …services. **This is a PRN position at Maryview Medical Center** Licensing/ Certification + Acute Registered Nurse ( RN ) (required) + BLS Basic Life Support - ... Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Primary Function/General Purpose of Position Responsible… more
- Bon Secours Mercy Health (Newport News, VA)
- …that would benefit from and need care management services. **Licensing/ Certification** + Acute Registered Nurse ( RN ) (required) + BLS Basic Life Support - ... Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Primary Function/General Purpose of Position** Responsible… more
- ProMedica Health System (Toledo, OH)
- …clinical . Experience with electronic record interfaces License: RN Certification: Prior oncology pre-certification/authorization PREFERRED QUALIFICATIONS ... services with payers & assist with appeal process when needed. Provides clinical review and document submission of pre-certification requests for oncology treatments… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager Adult Services Full Time Days - 2406003328 Description : **$15,000 Sign on Bonus, with required relevant experience** DMC Harper ... ancillary staff, payors, patients and families to achieve optimum clinical outcomes (15% daily, essential). Education : Ensures...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- St. Mary's Healthcare (Amsterdam, NY)
- …of nursing required. Licensure / Certification / Registration: Required Credential(s): * Registered Nurse credentialed from the New York Board of Nursing. ... May educate case management staff and other departments regarding payer changes and denial /appeal process. Education : * Diploma from an accredited school/college… more
- Atlantic Health System (Newton, NJ)
- …Required Relevant Experience: + At least 3+ years of experience as a Registered Nurse in cardiac rehabilitation or cardiac/telemetry setting strongly preferred ... for the total needs of the patients including physical, psychological and education daily. Assesses patients needs, sets priorities, and evaluates EKG, vital signs,… more
- Molina Healthcare (Bronx, NY)
- …plans to assure member's health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with ... health settings. + Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field… more
- SSM Health (St. Louis, MO)
- …Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + ... MO-SSM Health Mission Hill **Worker Type:** Regular **Job Highlights:** RN - Clinical Auditor Manager, Care Transformation - Case...Registered Nurse ( RN ) - Missouri Division of Professional… more
- Masonicare (Wallingford, CT)
- …attends all mandatory Masonicare in services and departmental staff and inservice meetings. Education : Requires a Registered Nurse with a current Connecticut ... RN Manager Clinical Reimbursement Job Location:...Fairs + Hospice + Behavioral Health Similar Jobs + RN Behavioral Health Nurse Wallingford Center, Connecticut… more
- Point32Health (MA)
- …(https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Clinical Reviewer is a licensed Registered Nurse that is expected to function independently in her / ... clinically complex caseload of varied requests for services. The Clinical Reviewer is responsible for making the determination of...EDUCATION :** + Bachelor's degree in Nursing preferred + Registered Nurse with a current and unrestricted… more
- Stanford Health Care (Palo Alto, CA)
- …**This is an onsite Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN ) will be responsible for ensuring the ... and ensure evidence-based recommendations are in line with best clinical practices. 6. Continuous Improvement and Education :...systems and other healthcare software. **Licenses and Certifications** + Nursing/ RN - Registered Nurse -… more
- Houston Methodist (Baytown, TX)
- At Houston Methodist, the Case Manager (CM) Advanced position is a registered nurse ( RN ) responsible for promoting the achievement of optimal clinical ... that admission and continued stay are medically necessary, communicating clinical information to payers to ensure reimbursement. The Advanced...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (Baytown, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management, which includes ... experience + Case management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact… more
- Alameda Health System (San Leandro, CA)
- …Heart Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. **Additional Information** ... SLH Case Manager RN , Full Time, Benefited, Days, 8hours, 1.0fte +...Case Management, Utilization Review, Home Health or Public Health Registered Nurse experience. Schedule: every other weekend… more
- Dignity Health (Rancho Cordova, CA)
- …**Qualifications** **Qualifications Required:** + Minimumthree (3) years of clinical experience as Registered Nurse ( RN ) + California RN license + ... also follow us on Twitter and Facebook. **Responsibilities** The Denials Management RN is responsible for the following: + receiving, processing and documenting all… more