• Utilization Management

    Centene Corporation (New York, NY)
    …information and may also provide education on the medical review process. + The Utilization Management clinician ( LPN ) makes coverage decisions based ... **Must have a New York State license or identification card.** **Position Purpose:** The Utilization Review (UM) Clinician ( LPN ) performs clinical reviews to… more
    Centene Corporation (01/10/25)
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  • Medical Management Clinician Senior

    Elevance Health (Walnut Creek, CA)
    **Be Part of an Extraordinary Team** **Medical Management Clinician Senior** **Location: Remote-** Candidates must reside within 50 miles or 1-hour commute each ... shifts **Build the Possibilities. Make an Extraordinary Impact.** The **Medical Management Clinician Senior** is responsible for ensuring appropriate, consistent… more
    Elevance Health (01/08/25)
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  • Medical Management Clinician

    Elevance Health (Margate, FL)
    **Medical Management Clinician Associate (RN)** **Location:** Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites ... per week at our Margate, FL location. The **Medical Management Clinician Associate (RN)** is responsible for...not require the training or skill of a registered nurse . **How You Will Make an Impact** Primary duties… more
    Elevance Health (01/09/25)
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  • Medical Management Clinician

    Elevance Health (NY)
    **Medical Management Clinician Associate (RN)** **Location:** Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites ... per week at our Jamaica, NY location. The **Medical Management Clinician Associate (RN)** is responsible for...not require the training or skill of a registered nurse . **How You Will Make an Impact** Primary duties… more
    Elevance Health (01/09/25)
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  • LTSS Service Coordinator - RN Lead…

    Elevance Health (Tampa, FL)
    …line contact for conflict resolution. + Directs and/or supervises the work of any LPN /LVN, LSW, LCSW, LMSW, and other licensed professionals other than an RN, ... **LTSS Service Coordinator - RN Lead Clinician ** Location: This is a field based position....** is responsible for leading a team and assisting management with day to day activities, such as workforce… more
    Elevance Health (12/11/24)
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  • LTSS Service Coordinator- Clinician

    Elevance Health (Nashville, TN)
    **LTSS Service Coordinator - Clinician ** **Location:** **Dickson, Cheatham, Davidson** **Counties** **This is a field position 4-5 days per week** **$2500 Sign On ... Bonus** ​ **LTSS Service Coordinator - Clinician ** this role will be working under the direction/supervision of an RN, with overall responsibility for the member's… more
    Elevance Health (12/11/24)
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  • LTSS Service Coordinator-RN Clinician

    Elevance Health (Waverly, TN)
    …is a field position 4-5 days per week** The **LTSS Service Coordinator - RN Clinician ** is responsible for overall management of member's case within the scope ... providers, claims or service issues. + Directs and/or supervises the work of any LPN /LVN, LSW, LCSW, LMSW, and other licensed professionals other than an RN,… more
    Elevance Health (12/28/24)
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  • LTSS Service Coordinator- Clinician

    Elevance Health (Grand Prairie, TX)
    …contract. **Preferred Skills, Knowledge, and Experience:** + Previous experience with Utilization Management preferred. + Computer experience and experience ... should reside in Dallas, TX area. The **LTSS Service Coordinator - Clinician ** working under the direction/supervision of an RN, with overall responsibility for… more
    Elevance Health (01/01/25)
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  • LTSS Service Coordinator-RN Clinician

    Elevance Health (NY)
    …to 75% travel is required within your assigned area.** **The LTSS Svc Coord-RN Clinician ** is responsible for overall management of member's case within the ... providers, claims or service issues. + May direct or supervise the work of any LPN , LCSW, LMSW, or other licensed professionals than an RN, in coordinating… more
    Elevance Health (01/08/25)
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  • Case Manager - Hospice, Evenings

    Guthrie (Vestal, NY)
    …'s providing care for Guthrie Hospice. Education, License & Cert: Registered Professional Nurse currently licensed in New York. Knowledge of nursing theory and ... Vestal Team is searching for a disciplined & compassionate, evening shift, Registered Nurse Case Manager. Our amazing team of Case Managers are critical thinkers… more
    Guthrie (11/26/24)
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