- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health Services ... operation of the department. * Guides member through the Prior Authorization and Appeals process. * Engage...of care between settings. Required Skills and Experience * Registered nurse with current MN license and… more
- Sharp HealthCare (La Mesa, CA)
- …Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... care nursing experience or case management experience. + California Registered Nurse ( RN ) - CA...services are directed to appropriate network providers, and obtains prior authorization for in network and out… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care and manages ... from third party payers and placement to appropriate level of care prior to hospitalization utilizing medical necessity criteria and third party guidelines. Obtains… more
- Carle Health (Urbana, IL)
- …Care, Convenient Care and a wide variety of specialty clinics Under the direction of a Registered Nurse ( RN ), the Nurse Resident functions as a support ... Overview ACCEPTING APPLICATIONS 12 MONTHS PRIOR TO GRADUATION DATE Our Carle Nurse...Nursing Assistant (CNA) or Completion of first semester of Registered Nurse ( RN ) education program… more
- Stony Brook University (Stony Brook, NY)
- …with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals. + Consistent documentation ... RN Case Manager **Position Summary** At...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Pediatrics All Locations: 10 Gove Street - Taylor Building Position Summary: A registered nurse holds ultimate responsibility for direct and indirect nursing ... the department's immediate needs and long-term goals. In addition, the registered nurse demonstrates initiative, critical thinking, problem solving, leadership… more
- Mohawk Valley Health System (Utica, NY)
- …regulations. + Performs related duties as assigned. Education/Experience Requirements REQUIRED: + Registered Nurse licensed in State of New York, Bachelor's ... RN Supervisor Case Management - Full Time - Days...and currently registered to practice as a Registered Nurse in New York State. Disclaimer Qualified… more
- Fairview Health Services (St. Paul, MN)
- …with five years of clinical experience and ability to learn new specialty area + MN Registered Nurse ( RN ) License + Basic Life Support (American Heart Assoc ... Fairview Care Coordination team has an opening for a RN Care Coordinator to support patients within M Health...program and assists with marketing efforts. Oversees or manages prior authorization process and results verification process… more
- Carle Health (Olney, IL)
- …only) Under the supervision of the Nurse Manager , the staff Registered Nurse ( RN ) is a professional caregiver who assumes responsibility for ... - American Heart Association (AHA)American Heart Association (AHA); Licensed Registered Professional Nurse ( RN ) -...using safety precautions, performs timeouts upon entry of suite, prior to incision, and prior to exiting… more
- Beth Israel Lahey Health (Cambridge, MA)
- …a job, you're making a difference in people's lives.** Reporting to the unit's Nurse Manager , the Wound Care Specialist- RN works collaboratively with members ... well-being and as required for license renewal. **Minimum Qualifications:** + License Registered Nurse in the Commonwealth of Massachusetts required. +… more