- LA Care Health Plan (Los Angeles, CA)
- …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... License. Licenses/Certifications Preferred Certified Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - Board… more
- Fresenius Medical Center (East Hartford, CT)
- …related field preferred or an equivalent combination of education and experience + Registered Nurse required + Certification in Nephrology Nursing or quality ... barriers to quality improvement. This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders,… more
- Elevance Health (Ashburn, VA)
- …on relatively complex case types that require the training and skill of a registered nurse . Acts as a resource for more junior Clinicians. **Primary duties ... initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes.... review experience. + Current active, valid and unrestricted RN license and/or certification to practice as a health… more
- Molina Healthcare (Naperville, IL)
- …services and supports (LTSS), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
- Roper St. Francis (Summerville, SC)
- …for Primary Charge Nurse I. **Experience:** At least 2 years' experience as a registered nurse in a direct care patient setting for Primary Charge Nurse ... for considering a career at Roper St. Francis Healthcare! ** Manager seeking prior Labor And Delivery RN ...role. **Licensure/Certification:** Applicant must be currently licensed as a Registered Nurse in South Carolina or hold… more
- MetroHealth (Cleveland, OH)
- …of selected patients within the organization. Integrates and coordinates access and utilization management , proactive patient management , care facilitation, ... Summary:Manages the clinical and day-to-day operations of the care management teams. Collaborates with leadership for care coordination across...and 5 years of clinical experience and current Ohio RN licensure * Master's Degree in Social Work and… more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. * Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... does not have direct reports. Essential Duties & Responsibilities: Provider Relationship Management * Serve as the primary relationship manager and point… more
- McLaren Health Care (Flint, MI)
- …communicates department policies, procedures, protocols and regulations. _Required:_ + Licensed as a Registered Nurse to practice nursing in Michigan + BSN or ... **Position Summary:** Has responsibility for 24-hour accountability for the management of assigned patient care unit(s)/function(s). In this capacity, will… more
- Houston Methodist (The Woodlands, TX)
- …clinical experience + One year of surgical experience **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... AC position will assist the physician in the global management of patient care in all peri-operative settings; the... Practitioners program **WORK EXPERIENCE** + Two years of registered nurse , advanced practice or nurse… more
- Immigration and Customs Enforcement (Washington, DC)
- …Qualifications-Licenses and Certifications Required: a. Nursing License- Must be a Registered Nurse ( RN ).i. Maintains current/documented professional ... interpretation and/or translations services are available. d. The correctional registered nurse practices ethically per the Code...Nursing Services Unit. c. May be utilized as acting Nurse Manager (NM) during TDY assignments and… more