- Geisinger (Danville, PA)
- …- Default Issuing Body; Valid Driver's License - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & VALUES: ... for the purpose of Peer Review pursuant of the Medicare Act, as directed by, and as a member...analysis, inpatient hospital utilization reviews, medical audits, and the compliance of assigned department, with the standards set by… more
- HCA Healthcare (El Paso, TX)
- …Nurse Case Manager opportunity. **Job Summary and Qualifications** **Position Summary** The Registered Nurse ( RN ) CM is responsible for promoting ... from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our...discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care… more
- HCA Healthcare (El Paso, TX)
- …at Del Sol Medical Center! **Job Summary and Qualifications** **Position Summary** The Registered Nurse ( RN ) CM is responsible for promoting patient-centered ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse Case Manager you want in...discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care… more
- Lancaster General Health (Lancaster, PA)
- …**JOB REQUIREMENTS and EXPECTATIONS** **MINIMUM REQUIRED QUALIFICATIONS:** + Current licensure as a Registered Nurse , issued by the PA State Board of Nursing ... initiatives across the organization. As part of the nursing leadership team and proactive agent of change, this role fosters communication between nursing and other… more
- Northwell Health (New York, NY)
- …in Nursing, required. Master's Degree, preferred. 2. Current license to practice as a Registered Professional Nurse in New York State. 3. Three to five years ... outcomes. + Promotes failure mode effects analysis (FMEA) as a methodology for proactive assessment to improve care delivery. + Evaluates quality indicator data for… more
- Houston Methodist (Baytown, TX)
- …HM performance that demonstrates leadership responsibility **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or ... for employee engagement, adequate staffing levels, budget development and compliance , staffing decisions such as hiring and terminating employment,...Compact State Licensure within 90 days or + RN -Temp - Registered Nurse -… more
- Houston Methodist (Houston, TX)
- …and control; and/or health information management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or ... across the hospital to assess, measure, and report ongoing compliance with standards, promote evidence-based best practices, and standardize...Compact State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
- CVS Health (Albany, NY)
- …in Long Island, New York, or within commuting distance of Long Island, NY. A Registered Nurse that must hold an unrestricted license in their state, New York ... systems and keyboarding Bilingual Spanish and English Education Associate degree minimum as registered Nurse . Pay Range The typical pay range for this role… more
- Bon Secours Mercy Health (Greenville, SC)
- …for clinical and operational excellence. **Primary Function/General Purpose of Position** The RN Care Manager is a key contributor to the overall financial, quality, ... and clinical performance at St. Francis Health System. The RN Care Manager will: + Facilitate the extraction of...required. + Utilization management experience preferred. + Familiar with Medicare MS-DRGs and Medicare PPS preferred. +… more
- Trinity Health (Des Moines, IA)
- …KNOWLEDGE, SKILLS AND ABILITIES REQUIRED** **:** + Possession of a current license as a registered nurse issued by the State of Iowa. + BSN or degree in ... the admission process. + Assists medical staff physicians with interpretation and compliance with external regulatory agencies and Medicare , Medicaid and third… more
- Bon Secours Mercy Health (Greenville, SC)
- …for clinical and operational excellence. **Primary Function/General Purpose of Position** The RN Care Manager is a key contributor to the overall financial, quality, ... and clinical performance at St. Francis Health System. The RN Care Manager will: + Facilitate the extraction of...required. + Utilization management experience preferred. + Familiar with Medicare MS-DRGs and Medicare PPS preferred. +… more
- CVS Health (Tallahassee, FL)
- …as well as some special proprietary applications Education and Certification Requirements: + Registered Nurse with active state license in good standing within ... determinant needs. Dual Eligible Special Needs Plans (DSNP) members are enrolled in Medicare and Medicaid. Our Care Managers are frontline advocates for members who… more
- CVS Health (Harrisburg, PA)
- …as well as some special proprietary applications Education and Certification Requirements + Registered Nurse with active state license in good standing within ... Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range...the member's overall wellness. Fundamental Components + Develops a proactive plan of care to address identified issues to… more
- CVS Health (Springfield, IL)
- …progress toward desired outcomes through assessment and evaluation. Required Background Experience: - Registered Nurse with active state license in Illinois or ... clinical tools and information/data. Utilizes case management processes in compliance with regulatory and company policies and procedures. Facilitates appropriate… more
- CVS Health (Lansing, MI)
- …status and health needs based on key questions and conversation. Required Qualifications + Registered Nurse with active MI state license in good standing + ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...markets across the country. Fundamental Components * Develops a proactive plan of care to address identified issues to… more
- CVS Health (Columbia, SC)
- …progress toward desired outcomes through assessment andevaluationRequired Qualifications + A Registered Nurse that must hold an unrestricted license in ... provision of rehabilitation services; applies all special instructions required by Medicare andreferral sources.* Conducts an evaluation of beneficiary's needs and… more
- Bon Secours Mercy Health (Greenville, SC)
- …to the next level of care. + Supports and promotes assertive, proactive care for inpatients and observation patients, assisting in removing barriers related ... other care team members required. + Supports and follows compliance rules and regulations such as CC 44, IMM,...of three years experience in social work role required. ** RN Employment Qualifications:** + Graduate of an NLN accredited… more
- CVS Health (Trenton, NJ)
- …solutions to make health care more personal, convenient and affordable. ICM Case Manager RN WFH Flexible $5000, Sign-On Bonus! Position Summary: This is a work from ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...member's overall wellness. The ICM care manager develops a proactive plan of care to address identified issues to… more
- CVS Health (Tallahassee, FL)
- …determinant needs. Dual Eligible Special Needs Plans (DSNP) members are enrolled in Medicare and Medicaid. Our Care Managers are frontline advocates for members who ... expand DSNP into new markets across the country. Fundamental Components + Nurse Care Manager is responsible for assessing, planning, implementing, and coordinating… more
- CVS Health (Lansing, MI)
- …solutions to make health care more personal, convenient and affordable. Case Manager RN This is a full-time telework position with less than 10% travel required. ... Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range...the member's overall wellness. Fundamental Components + Develops a proactive plan of care to address identified issues to… more