- Dignity Health (Las Vegas, NV)
- …and experience + Minimum of 3 years of clinical care coordination experience, ( Utilization Management , Denial Management , Care Coordination) or 3 years ... **Where You'll Work** HelloHumankindness (https://www.dignityhealth.org/hello-humankindness) **Is your experience in Case Management as an RN in acute care with… more
- Sanford Health (Bemidji, MN)
- …outcomes based on an integration among established clinical, financial and utilization data. Feels comfortable functioning in structured and unstructured health care ... Bachelor's in Nursing within 18 months of hire. Currently holds an unencumbered RN license with the Minnesota State Board of Nursing. **Benefits** Sanford Health… more
- Arnot Health (Elmira, NY)
- …of patient care . The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager 's average ... care rounds and participates in them. . The Case Manager tracks and trends LOS , resource utilization...with a current license as a registered nurse . BSN or Case Management Certification… more
- Molina Healthcare (Buffalo, NY)
- …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... ensure appropriate reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS)… more
- BJC HealthCare (Alton, IL)
- …to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to ... at this time **Additional Preferred Requirements** + At least 5 years of hospital-based RN experience + Prior Case Management experience + Proficient in EPIC… more
- BayCare Health System (Dunedin, FL)
- …with 1 year Home Health RN visit experience. **Required Credentials:** + RN ( Registered Nurse ) License + Diploma, Associate's or Bachelor's Nursing ... dignity, respect, responsibility and clinical excellence. **Home Care Supervisor, RN position details:** + **Location:** BayCare HomeCare Dunedin + **Status:**… more
- Gentiva (Northfield, NJ)
- …Hospice Administrator to join our leadership team. This role is ideal for a licensed Registered Nurse ( RN ) with strong leadership experience in hospice care, ... while driving branch revenue growth through census development, referral management , and efficient resource utilization + Maintain...+ We maintain a drug-free workplace Related Job Titles RN Branch Director, RN Branch Manager… more
- US Tech Solutions (Columbia, SC)
- …the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) **About US Tech ... established clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to… more
- Actalent (Orlando, FL)
- …Case Manager Job Description We are seeking a dedicated RN Case Manager to perform telephonic case management for Medicare Advantage members in the state ... new cases using Athena EMR. Essential Skills + Valid RN license in Florida. + Minimum of 2 years...in patient care, triage, medical records, customer service, and utilization management . + Experience in fast-paced and… more
- Bassett Healthcare (Cooperstown, NY)
- …optimum health and enjoy the best quality of life possible. What you'll do The STAT Nurse RN will provide clinical support and direct patient care in a variety ... inpatient units during peak periods of activity. The STAT Nurse RN will provide episodic nursing care,...experience, required Licensure/Certifications: + Current NYS License as a Registered Nurse , required + BLS Certification, required… more