- HCA Healthcare (Richmond, VA)
- …and concurrent review for all payers and maintains legible documentation as directed by the Utilization Management Plan + As a member of Case Management team ... any other healthcare provider. We are seeking a(an) Case Manager Registered Nurse RN PRN to join our healthcare...experience as RN years demonstrated leadership experience + Commercial Utilization Management and/or Case Management … more
- HCA Healthcare (San Antonio, TX)
- … Management will be performed. + Prefer at least one year experience in utilization review, resource management , discharge planning or case management . + ... 156,000 hours volunteering in our communities. As a Case Manager RN with Methodist Hospital Texsan you can be...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- HCA Healthcare (San Antonio, TX)
- …90 days of hire date.) + Prefer at least one year experience in utilization review, resource management , discharge planning or case management . Methodist ... you have the PRN career opportunities as a(an) Case Manager RN PRN you want with your current employer?...for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and… more
- HCA Healthcare (San Antonio, TX)
- …Management will be performed. + Prefer at least one year experience in utilization review, resource management , discharge planning or case management . ... have the PRN career opportunities as a RN Case Manager PRN you want with your current employer? We...for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and… more
- AmeriHealth Caritas (Dublin, OH)
- …complete, and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. + Monitor appropriate utilization and ... **Role Overview:** ;The Care Manager is responsible for managing and coordinating care,...health for members with acute, chronic, medically complex, and/or behavioral health conditions and other health needs. Serves as… more
- Veterans Affairs, Veterans Health Administration (IN)
- Summary The VISN 22 CRH RN Nurse Manager will contribute to the completion of projects and utilization of resources to support the mission and goals of the VISN ... completed at the highest standard. The CRH RN Nurse Manager is required to exercise leadership and organizational skill,...panels of patients for an extended period of time. Behavioral Health (BHIP) RN Is responsible for providing … more
- Elevance Health (Atlanta, GA)
- …and experience which would provide an equivalent background. Previous experience in case management / utilization management with a broad range of experience ... **Behavior Health Care Manager II** **Location:** This role enables associates to...member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance… more
- Baystate Health (Springfield, MA)
- **RN, ACO Nurse Care Manager , Community Health Center** The **ACO Nurse Care Manager i** s responsible for the management of care for a defined group of ... care management application is required and is vital. Care management program metrics including, emergency room utilization , and hospital… more
- HCA Healthcare (Houston, TX)
- …national standards for case management scope of services including + Utilization Management supporting medical necessity and denial prevention + Transition ... care like family! Jump-start your career as a(an) Registered Nurse Case Manager today with HCA Houston Healthcare Northwest. **Benefits** HCA Houston Healthcare… more
- HCA Healthcare (Houston, TX)
- …national standards for case management scope of services including + Utilization Management supporting medical necessity and denial prevention + Transition ... make a real impact. As a(an) Registered Nurse Case Manager PRN you can be a part of change....for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more