- Atlantic Health System (Morristown, NJ)
- …Duties & Responsibilities: * Maintain a thorough knowledge of the Medicare/ Medicaid Hospice benefit including admission criteria, philosophy and services. * Educate, ... for Internal Candidates Job Qualifications/Experience Required: * Current NJ RN License Associates in Nursing Preferred: * BSN preferred..." CHPN preferred * 3-5 years' experience as a RN in Hospice/Palliative Care or related field " 2-3… more
- Atlantic Health System (Morristown, NJ)
- The nurse navigator helps patients "navigate" through the often-complicated journey of a cancer diagnosis. Throughout this process, the nurse navigator is there ... the patient, their families and/ or caregivers. Required: + RN license and maintain required credentials + BSN Preferred:...twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start… more
- Atlantic Health System (Morristown, NJ)
- …assigned. Required: 1. Bachelor's degree in Nursing or related field. 2. Valid NJ RN license. Preferred: 1. Master's degree in Nursing or related field. 2. 2+ years ... - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown… more
- McLaren Health Care (Flint, MI)
- …live healthier and more satisfying lives. We are looking for a Utilization Management RN , to join in leading the organization forward. MHP is a Managed Care ... member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life.… more
- Nuvance Health (Sharon, CT)
- …Achievement Award * Vizient Quality Leadership Award * Center for Medicare and Medicaid Services (CMS) - 5-Star Rating At Sharon Hospital, we pride ourselves on ... *Required: Sign-On Bonus for external candidates with minimum of 1-year current RN L&D experience. Internal candidates who transfer to bonus eligible positions do… more
- CVS Health (Wayne, NJ)
- …can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... + Minimum 3+ years of clinical practice experience. + Must have active and unrestricted RN licensure in the state of NJ. + Willing and able to travel 25-50% of… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Jennie Stuart Health is seeking a dedicated Case Management Nurse to join our healthcare team on a PRN basis. This role is integral to our patient care system, ... clinical and psychosocial support throughout the continuum of care. The Case Management Nurse will be based at our Medical Center location, working in a mid-career… more
- Ochsner Health (Meridian, MS)
- …Required - Certified Social Worker (CSW) as verified by the LABSWE or Registered Social Worker (RSW) certificate as verified by the LABSWE and five years ... criteria for managed care programs such as those funded by Medicare, Medicaid and Commercial Insurance Plans. + Strong interpersonal skills necessary to deal… more
- BrightStar Care (Indianapolis, IN)
- …clinical/administrative positions: Only for certain Clients) * Part of a team with RN Oversight * Home Health or Facility shifts available * Enterprise Champion for ... on plan of care, health changes, and concerns Requirements * .Current unrestricted RN license in the state for which care is being provided.* Preferred: Bachelor's… more
- CVS Health (Baton Rouge, LA)
- …mindset + Collaboration and relationship-building **Required Qualifications** + Active and unencumbered RN license in Louisiana or compact license + 5+ years of ... clinical experience + 3 years' experience in utilization management, prior authorization experience preferred + Demonstrated leadership experience in a healthcare setting, management of direct reports preferred + Strong knowledge of utilization management… more