- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key...work may be required on a rotational basis; some travel to home office may be required. **Required Education… more
- CVS Health (Chicago, IL)
- …to promote quality, cost effective outcomes. **Required Qualifications** + Active and unrestricted Registered Nurse License in the state of Illinois + Minimum ... management , clinical coverage, and policies. **Position** **Summary/Mission** Our Case Managers use a collaborative process of assessment, planning, facilitation,… more
- CVS Health (Petersburg, VA)
- …surrounding areas. Requirement is for candidates to hold a current unrestricted Virginia state RN licensure. Nurse Case Manager is responsible for assessing, ... with heart, each and every day. **Position Summary** This Case Manager RN position is with Aetna's...planning, implementing and coordinating all case management activities with members to evaluate… more
- Bon Secours Mercy Health (Kilmarnock, VA)
- …responsible for screening, identification, and assessment of individuals in need of active Case Management services and promotes the right resources, at the ... covered by compact (required) Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from… more
- Gentiva (Pittsburgh, PA)
- …We are proud to be an EEO employer + We maintain a drug-free workplace Keywords: Regional Hospice RN , Travel Registered Nurse - Hospice, Hospice RN - ... **Schedule:** Typically Monday-Friday Eligible for a company fleet vehicle ** Travel Registered Nurse - Hospice...fleet car is provided for eligible employees._** **_+ Hospice Case Management Experience Preferred_** **_+ Home Care… more
- CVS Health (Rocky Mount, VA)
- …And we do it all with heart, each and every day. **Position Summary** Nurse Case Manager is responsible for assessing, planning, implementing and coordinating ... all case management activities with members to evaluate...telephone and typing on the computer. **Required Qualifications** - RN with current unrestricted Virginia state licensure required. -… more
- BrightSpring Health Services (San Antonio, TX)
- …person(s) served and staff on health maintenance and disease prevention. Provide case management . Core Requirements + Deliver quality results through operational ... an accredited school of nursing OR License as a Registered Nurse , current and in good standing...year of nursing experience, Supervisory experience preferred + Minimal travel may be required to assigned operations/locations About our… more
- CVS Health (Richmond, VA)
- …dependent care, do not interfere with work duties. As a **field-based role** , the Nurse Case Manager will regularly travel to various locations including ... reside in or near Harrisonburg VA_** **Position Summary:** **This Case Management position is with Aetna's Long-Term...The requirements is for candidates to hold a Virginia RN or LPN License, and travel up… more
- CVS Health (Wayne, NJ)
- …themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical ... This role will be work at home with 25-50% travel within Morris County, NJ. (50-mile radius from applicants'...in meeting goals and objectives, presents cases at interdisciplinary case conferences. + Utilizes case management… more
- CVS Health (Trenton, NJ)
- …Travel requirements are subject to change based upon business need. **Preferred** + Case Management experience in an integrated model + Bilingual preferred. + ... all with heart, each and every day. **_Field Based RN role in Northern New Jersey-Preference to residents of...responsible for assessing and evaluating members with potential care management needs through telephonic and face to face assessments… more