- Sacramento County (Sacramento, CA)
- …Employment Qualifications Minimum Qualifications Possession of a current valid license as a Registered Nurse and a Nurse Practitioner certification issued by ... examination will evaluate the relevance, level, recency, progression and quality of candidate's education, training and experience. The candidate's...must submit a copy of both my current valid Registered Nurse license AND my Nurse… more
- City and County of San Francisco (San Francisco, CA)
- …experience. + One (1) year (equivalent to 2,000 hours) of experience as a Registered Nurse on a psychiatric inpatient unit, psychiatric emergency service clinic ... in staff meetings and conferences regarding patient care, as well as quality improvement/control activities. The 2328 Nurse Practitioner (All Specialties) may… more
- Corewell Health (Royal Oak, MI)
- …experience in care management, utilization review, home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon ... it relates to disease management, resource utilization, access, discharge planning, quality , service and efficiently across the continuum. This is an interventional… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …care coordination, and transition of care between settings. Required Skills and Experience * Registered nurse with current MN license and with no restrictions. * ... Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health Services About Blue Cross… more
- Catholic Health Services (West Islip, NY)
- …degree required. + Master of Science degree strongly preferred. + Licensure: New York Registered Nurse ( RN ) License & Registration. + Certification: Care ... Care Management: + Works collaboratively with, but not limited to, Medical Staff, Quality /Risk Management, CH Utilization and Central Appeals , Managed Care and… more
- Sacramento County (Sacramento, CA)
- …status. + None + Basic Life Support (BLS) / Cardiopulmonary Resuscitation (CPR) + Registered Nurse in California + Advanced Cardiac Life Support + Certified ... Licensed Vocational Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448956) Apply Licensed Vocational Nurse D/CF Salary… more
- Community Wellness Partners (Oswego, NY)
- …or more than forty (40) hours per week. QUALIFICATIONS: 1. Current NYS Licensed Registered Nurse 2. Knowledge of MDS 3.0, CAA's, Medicare and Medicaid Guidelines ... social services, therapy, and physician services to ensure appropriate quality of care and reimbursement. 5. MDS Nurse...Issues NOMNC to residents/responsible party and assists with the appeals process, as needed. 20. Completes QA audits as… more
- International Medical Group (Indianapolis, IN)
- …or tasks as assigned. QUALIFICATIONS + Current and active Nursing license - Registered Nurse + Minimum two years acute hospital-based experience providing direct ... creating the best experience for travelers. JOB DETAILS + RN License -- Must have an active RN...assistance cases. + Knowledge of the Non-certification process and Appeals process including logs and time frames. + Participate… more
- Sanford Health (Rapid City, SD)
- …experience preferred. Experience in medical necessity review preferred. Currently holds an unencumbered registered nurse ( RN ) license with the State Board of ... interaction with payers. Additional duties include management of medical denials, appeals , and grievances. Understand and provide insight into evaluating current… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** RN /Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management for an assigned ... on reducing the length of stay (LOS), improved efficiency, quality and resource utilization. Assignment will be by units/clinical...or a minimum of 3-5 years experience as a RN in an acute care setting. Licensing and Certification… more