- Mount Sinai Health System (New York, NY)
- …for assessment, communication and monitoring of discharge planning process (The clinical nurse initiates the discharge planning process on admission). ... **Job Description** ** RN /Case Manager Inpatient Mount Sinai West FT Days...with physicians and managed care companies on concurrent denial appeals 5. Communicates clinical information to the… more
- US Tech Solutions (Columbia, SC)
- …+ NICE TO HAVE skill sets/qualities: Utilization management experience and /or Appeals experience /strong clinical skills Behavioral Health or infusion therapy ... of business. Previous Medicare experience and /or UR experience/Process Appeals requests/can have experience in either Utilization management or...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … more
- UNC Health Care (Chapel Hill, NC)
- …of employment date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. **Professional ... focus include Surgery, Women's, and Children's at UNCMC. The team: + Completes clinical reviews for all areas: pediatric, adult surgical, and postpartum patients +… more
- Johns Hopkins University (Baltimore, MD)
- …division in fulfilling its mission. **Minimum Qualifications** + Master's Degree in Nursing; Registered Nurse license and Certified as a Nurse Practitioner. ... our ambulatory GI practices located at White Marsh and Bayview. The Nurse Practitioner works collaboratively within a multidisciplinary health team to optimize team… more
- Sacramento County (Sacramento, CA)
- …status. + None + Basic Life Support (BLS) / Cardiopulmonary Resuscitation (CPR) + Registered Nurse in California + Advanced Cardiac Life Support + Certified ... Licensed Vocational Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448956) Apply Licensed Vocational...+ Use and care of medical equipment used in clinical and infirmary settings + Basic medical indications of… more
- City and County of San Francisco (San Francisco, CA)
- …university. + License and Certification: + Requires possession of a valid license as a Registered Nurse issued by the California Board of Registered Nursing ... team based patient centered care to patients in a clinical or hospital setting, both independently and in collaboration...Practitioner (NP) license issued by the California Board of Registered Nursing (BRN). AND; + California Nurse … more
- NJM Insurance (Parsippany, NJ)
- …departmental business process improvements. Required Skills & Experience: + Actively licensed registered Nurse in New Jersey and Connecticut, Delaware, Maryland, ... to the Medical Management Administrator and Medical Services, the Precertification Nurse supports our Workers Compensation and Auto (PIP/Medpay) lines of business… more
- CommonSpirit Health Mountain Region (Westminster, CO)
- … Clinical Career Ladder to help you grow and recognize your contributions to clinical excellence! As a Nurse with us you will assume responsibility and ... external applicants with at least six months of direct RN experience are eligible for a $20,000 sign-on bonus!**...care for orthopedic, abdominal, and general surgeries. 5 West appeals to anyone interested in broadening their skillset as… more
- Tufts Medicine (Melrose, MA)
- …providing clinical updates to insurance companies. 11. Coordinates insurance appeals related to discharges and adhering to policies and procedures of Medicare ... to home with a community hospital. **Job Overview** The RN Case Manager manages a designated caseload to coordinate...scores which meet or exceed hospital established targets for nurse sensitive quality indicators as appropriate for the unit.… more
- Tufts Medicine (Lowell, MA)
- …providing clinical updates to insurance companies. + Coordinates insurance appeals related to discharges and adhering to policies and procedures of Medicare ... **Job Overview** The RN Case Manager manages a designated caseload to...scores which meet or exceed hospital established targets for nurse sensitive quality indicators as appropriate for the unit.… more