- Molina Healthcare (Kalamazoo, MI)
- …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... triggers from the assessment. + Develops and implements a case management plan in collaboration with the...assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required… more
- HCA Healthcare (Dallas, TX)
- …outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Medical City ... to the RN duties and responsibilities, the RN scope includes charge duties. The charge nurse...recognized as the world's best in their specialties. Patients travel to Medical City Dallas from all over the… more
- Elevance Health (Burlington, NC)
- … is responsible for coordinating operations and workflows related to OB and Mother/Baby case management activities in support of the North Carolina Foster Care ... costs for the foster care population via integrated (physical health/behavioral health/SDOH) case management and whole person health. Manages the most complex… more
- CommonSpirit Health (Rancho Cordova, CA)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, Managed Care is ... **Responsibilities** **ICU RN , Emergency Room RN or Level...Ability to learn quickly and retain complex information + Travel as needed + Ability to lift a minimum… more
- Genesis Healthcare (Clayton, NM)
- …with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable. *Must maintain current ... impact in the communities we serve. Responsibilities The MDS Nurse -- RN manages the overall process...manages the overall process and tracking of all Medicare/Medicaid case -mix documents to ensure appropriate reimbursement for all services… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …street and venue-based outreach and engagement, assessment, health services and triage, case management , linkages to housing agencies, and mental health ... supervise the Community Health Worker and the Behavioral Health Case Manager. The RN Care Manager will...set forth by HIPAA. + Must be willing to travel to assigned locations and drive street health medicine… more
- Elevance Health (Pinellas Park, FL)
- …Capabilities and Experiences:** + Bilingual in Spanish strongly preferred. + Previous case management or oncology experience strongly preferred. + Experience ... This is a field based position, candidate would need travel in and around the following counties based on...Coordinator - Clinician** works under the direction/supervision of an RN , with overall responsibility for the member's case… more
- Chautauqua Opportunities (Dunkirk, NY)
- …appropriateness and their ability to provide the services required. When appropriate, provides case management and obtains physicians orders to develop a plan of ... Required: * Bachelor's degree in nursing required. * Current NYS license for Registered Professional Nurse - DOH fingerprinting already completed for licensure.… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as ... for accessing Health Plan to perform medical review, obtains case or disease management support, or otherwise...opportunities. All Levels + Associates degree and active NYS RN license required. Bachelors degree preferred. + Minimum of… more
- Truecare Homecare Agency (Brooklyn, NY)
- …Be the liaison between pharmacy/CHHA to provide all aspects of clinical care including case management for clients as assigned + Be comfortable with CVC central ... up as directed for dressing changes, blood work and case management + Confer with patient's physician...Nursing School + Have access to a vehicle to travel between cases + Minimum 5 years RN… more