- Elevance Health (Columbus, OH)
- ** Nurse Appeals RN ** **Location** : Ohio-Cincinnati, Columbus, Mason, or Seven Fields _(Must be within commutable distance to the listed locations.)_ ... an accommodation is granted as required by law._ The ** Nurse Appeals** is responsible for investigating and processing and...serves as a subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and… more
- Highmark Health (Pittsburgh, PA)
- …policy** **Union: Yes** **GENERAL OVERVIEW** This job collaborates with the OR Manager assigned to a specific specialty area in directing and providing perioperative ... nursing care . **ESSENTIAL RESPONSIBILITIES** + Serves as a clinical expert...systems and processes for obtaining, repairing, trialing, tracking and utilization of supplies and equipment in close cooperation with… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …always rewarding. **It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning ... degree in Nursing, Health Care Administration, or related field preferred. Current Registered Nurse licensure in the State of California and AHA CPR/BLS… more
- Erickson Living (Parkville, MD)
- …a plus. + Minimum 3 years' experience in a healthcare leadership role (Charge Nurse , Unit Manager , etc.). + Experience with an electronic medical record (EMR) ... for clinical leadership and outcomes within our Skilled, Assisted Living, and Memory Care neighborhoods. What we offer + A culture of diversity, inclusion, equity… more
- Charter Care Health Partners (North Providence, RI)
- …Graduate of a School of Nursing (BSN preferred) with current license to practice as a Registered Nurse in the State of Rhode Island or in the nurse 's ... Reports to the Director Care Management or designee. Provides coordinated care support to Physician leadership and Clinical Manager (s) of respective… more
- Charter Care Health Partners (North Providence, RI)
- …Graduate of a School of Nursing (BSN preferred) with current license to practice as a Registered Nurse in the State of Rhode Island or in the nurse 's ... Reports to the Director Care Management or designee. Provides coordinated care support to Physician leadership and Clinical Manager (s) of respective… more
- Albany Medical Center (Albany, NY)
- …knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure and/or Compact State ... for assigned service line across the continuum of care . The Case Manager works proactively with... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate… more
- BAYADA Home Health Care (St. Albans, VT)
- …professional growth. **Qualifications:** + Current VT licensure as a Licensed Practical Nurse , Registered Nurse , Physical Therapist, Physical Therapy ... Solutions** , a specialty offering of BAYADA Home Health Care , was created to address the unique needs of...in several significant ways. As the **Senior Living Program Manager ** , you will be a dynamic influencer managing… more
- HCR Home Care (Canton, NY)
- … needs in the Health Home Program. This position is designated as a higher-skilled Care Manager , capable of exceeding the basic tenants of care management. ... utilization . + Communicate directly with members of the care team to provide up - to - date...and prioritize multiple assignments. Work Environment The Health Home Care Manager 2 is primarily in an… more
- Tufts Medicine (Lowell, MA)
- …**Job Description** **Minimum Qualifications:** 1.Current licensure as a Registered Nurse or Physical Therapist. 2. Massachusetts RN Licensure OR Physical ... **Job Overview** The Clinical Manager - Home Health & Hospice directs, coordinates...Support (BLS) Certification **Preferred Qualifications:** 1. Bachelor's prepared level preferred- Registered Nurse BSN preferred, or Physical Therapist… more