- Cambia Health Solutions, Inc (Lewiston, ID)
- Care Management Nurse (Future Opportunities)Work from home within Oregon, Washington, Idaho or Utah *Please be advised that this role is part of our ... field (psychiatric RN or Master's degree in Behavioral Health preferred for behavioral health care management ); or Registered nurse (RN) license (must have a… more
- Merck & Co. (Denver, CO)
- …50-75% overnights should be expected. These customers may include: - Health care providers such as physicians, physician assistants, nurse practitioners, nurses, ... Job DescriptionThe Chronic Care Representative (CCR) is the primary point of...consistent and ongoing review of Company promotional materials.Providing Company management with updates on customer needs as it relates… more
- Major Health Partners (Shelbyville, IN)
- …a remote position) JOB SUMMARY AND SPECIFICATIONS JOB SUMMARY A Remote Patient Monitoring Nurse monitors patients' health remotely using advanced technology. ... patients to assess their health. They collaborate with healthcare providers to adjust care plans as needed and respond promptly to any alerts. Additionally, they… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of time post discharge to monitor and evaluate the effectiveness of the care management plan and modifies as necessary. Addresses patient's understanding and ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted...nursing, utilization review and other members of the health care team to ensure patient management that… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of expected patient outcomes with appropriate transitions to the next level of care ; Responsible for length of stay management , regulatory compliance, and ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...to five (5) years of experience in direct patient care and/or case management . Financial and discharge… more
- A-Line Staffing Solutions (New York, NY)
- …Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management , Registered Nurse , MCO, RN, Nurse , Managed Care , Medical Claims, ... Chris M. at A-Line! Job Summary: * combination of remote work with field visits in the assigned area....CMS Guidelines, Utilization Review, Utilization Management , Registered Nurse , MCO, RN, Nurse , Managed Care… more
- Dialysis Clinic, Inc. (Nashville, TN)
- …in the rapidly growing field of dialysis care .This Position will be 100% remote , allowing the Nurse Recruiter the flexibility to work from home on an ... with our Corporate Talent Acquisition Supervisor as well as our local Nurse Management and Operational Leadership on various recruiting initiatives across… more
- TalentBurst, Inc. (Cookeville, TN)
- …referral process, and contact informationo Collaborate with primary care nurse and providerso Provide in-person or remote social needs screening/assessment ... with primary care patients referred by nurse or providero Coordinate or make aware of social...to identify patient and community resources * Conduct case management activitieso Work with hospitals for discharge planning, follow-up… more
- VNS Health (Manhattan, NY)
- …assesses effectiveness, and makes recommendations for improvements, as needed.Acts as liaison for care management teams to ensure the program is meeting expected ... Health Plans.Assesses, educates, and improves patient/member knowledge of chronic disease, self- care management and identification of changes in health status,… more
- GHR Healthcare (Atlanta, GA)
- …on making critical decisions that impact patient care ? Join us as a Care Management Coordinator and play a key role in evaluating and authorizing essential ... business hours) Type: Temp to Hire (Candidates will be remote but need to reside in the tri-state area...the healthcare system. Data Management : Maintain accurate records and report trends or issues to improve care … more
- Trusted Resource Associates (TRA) (Palm Springs, CA)
- … care experience and at least one year of Case Management experience in an Acute Care Discharge environmentRequired Certification/Licensure-State ... Trusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing...agency. The RN Case Manager is responsible to facilitating care along a continuum through effective resource coordination to… more
- Pacer Staffing (Atlanta, GA)
- Position Title: Care Coordinator Supervisor Location: Remote Schedule: Standard Duration: 3+ Months, "Contract to Hire" Summary: Supervises daily operations of ... as well as those of associated staff. Required: Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW), with...URAC-recognized entity Three years full-time equivalent of direct clinical care to the consumer Two Years Case Management… more
- Russell Tobin & Associates (Remote, OR)
- …of the care coordinator. Provides non-clinical support to the CDU nurse in the processing of all adverse determinations and notices including provider outreach ... looking to hire a Central Denials Unit Coordinator. Location: Remote in CA Pay: $20-22/ hourly Contract: 4 Month...3 to 5 years of experience in a health care setting. 2 years referrals management or… more
- Pacer Staffing (Atlanta, GA)
- …empowering the beneficiary to successfully manage their chronic condition. . The DM nurse will partner with the interdisciplinary care team to identify ... (DM) services to TRICARE beneficiaries. . The DM nurse will collaboratively assess, plan, implement, coordinate, monitor and...of three years clinical experience . Experience in case management , care coordination or discharge planning in… more
- Pacer Staffing (Atlanta, GA)
- …Completes comprehensive case management assessments and develops individualized case management care plans to assist beneficiaries with obtaining access to ... Shift - Standard | Mon to Fri Location - Remote (Case Manager - serious diagnoses. Children/Pediatric with down...funding options. Documents activity and implements changes in the care plan maintained in the medical management … more
- Pacer Staffing (Atlanta, GA)
- …standards, and TRICARE policies while advocating for beneficiary access to necessary care . Key Responsibilities Case Management : Screen referrals and perform ... Fully Remote In Alaska Only Duration: 3+ Months (Temp...Friday Job Summary The Case Manager provides comprehensive case management services to TRICARE beneficiaries. This role involves screening… more
- Sterling Medical Corporation (Coronado, CA)
- …an LVN or LPN Must have a background overseeing and coordinating patient care Referral Management Experience preferred License: Must have a current, unrestricted ... Sterling Medical is looking for LPN's with Referral Management Experience for Virtual Healthcare Services for Naval...within the military healthcare system-80% of this position is remote , 4 days a week remote , 1… more
- 315 health (Warner Robins, GA)
- …through continuous care programs like Remote Patient Monitoring and Chronic Care Management . Our team works fervently to anticipate the needs of our ... preferred + Background in adult chronic health conditions (Medical Surgical, Outpatient/Clinic, Care Management ) preferred + Variety of Electronic Medical Record… more
- AmeriHealth Caritas (Myrtle Beach, SC)
- ** REMOTE | Care Manager II Registered Nurse (BSN) - Foster Care Program -SC** Location: Myrtle Beach, SC Primary Job Function: Medical Management ... complete, and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. 6. Monitor appropriate utilization… more
- SteadyMD (Thousand Oaks, CA)
- …name a few! Position Overview: + Role: Nurse Practitioner for Virtual Patient Care + Location: Fully Remote + Schedule: Available 10 hours a week, scheduling ... with complex chronic condition management preference + Telemedicine or virtual care experience is preferred Benefits + Fully Remote work with flexible… more
