- Sharp HealthCare (La Mesa, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... care nursing experience or case management experience. + California Registered Nurse ( RN ) - CA...Cycle/HIM regarding RAC decision to appeal, denials, input into appeals , share findings with providers.Review all cases with readmission… more
- State of Nevada (NV)
- …and oversee the Medical Unit in their assigned regions. The Compliance Coordinator - Registered Nurse ( RN ) position, which may be based in either ... COMPLIANCE COORDINATOR - RN APPROXIMATE ANNUAL SALARY - $73,309.68 to $109,640.88...Experience (Minimum Qualifications) Current license to practice as a Registered Nurse and three years of professional… more
- AdventHealth (Glendale Heights, IL)
- …Heights, IL 60139 **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... skills, as evidenced by capacity to prioritize multiple tasks and role components. + Registered Nurse ( RN ) Required + Accredited Case Manager (ACM) /… more
- Corewell Health (Southfield, MI)
- …2 years of relevant experience 2 years of experience in clinical/hospital setting. Required + Registered Nurse ( RN ) - State of Michigan Upon Hire required ... reviews. Coordinates activities involved in the certification, recertification, and concurrent appeals process, conducting referrals for 2nd level review, as needed.… more
- Whidbey General Hospital (Coupeville, WA)
- …Centers: In the absence of, or in collaboration with, the Medical Oncology Practice Registered Nurse : + Act as a liaison, navigator and care coordinator between ... JOB SUMMARY The RN - Oncology Navigator Care Coordinator works closely...and specialty pharmacy, including obtaining prior authorizations, managing denial appeals , and facilitating re-enrollments. + Assists patients in applying… more
- Children's Mercy Kansas City (Kansas City, MO)
- …or demonstrated leadership skills in a previous role + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon ... processes and data related to medical necessity denials, clinical appeals , long length of stay rounds, and clinically/financially risky...hire + One of the following: Licensed RN - Kansas, Registered Nurse … more
- Alameda Health System (San Leandro, CA)
- …Heart Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. PayRange:$58.74- $97.91/ ... SLH Case Manager RN , Full Time, Benefited, Days, 8hours, 1.0fteFeatured Job...Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
- State of Massachusetts (Boston, MA)
- …at least (A) three years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility and (B) ... an approved school of nursing must have applied for the first available registered nurse examination. Special Requirements: Based on assignment, possession of a… more
- Elderwood (Liverpool, NY)
- Salary $38.00 - $49.50 / hourly Overview Are you a Registered Nurse ( RN ) with Medicare experience? Do you consider yourself an expert in assessment and ... for pre and post-pay record reviews, ADR requests and appeals processes. + Manages NYS RUGs III case mix... - MDS Coordinator - Qualifications: + Licensed Professional Nurse ( RN licensure preferred) with current license… more
- CommonSpirit Health Mountain Region (Westminster, CO)
- …will cultivate excellence and achieve professional fulfillment united in humankindness. As a Registered Nurse ( RN ) you will assume responsibility and ... the way. Overview: **Qualified external applicants with at least six months of direct RN experience are eligible for a $20,000 sign-on bonus!** _To be eligible for… more