- Bozeman Health (Bozeman, MT)
- …+ Previous ICD-10 and CPT coding + Previous experience in medical pre-authorization, case management and / or financial counseling Essential Job Functions: In ... pre-authorization and assistance programs. Provides timely communication to the providers and nursing staff and patients as it relates to insurance guidelines and… more
- CVS Health (Springfield, IL)
- …themselves. This role is responsible for assessing, planning, implementing, and coordinating case management activities to support members' overall health and ... interviewing techniques to engage members and assess health status. + Document case management activities in compliance with regulatory and company policies.… more
- WellSpan Health (Waynesboro, PA)
- …Required + Utilization management , care management , or clinical nursing specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required ... a variety of duties and applies utilization and care management techniques to determine the most efficient use of...medical necessity and appropriateness of setting for the assigned case load. + Conducts concurrent reviews to ensure medical… more
- ERP International (Hurlburt Field, FL)
- …for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with social work case management ... Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care. * Provide nursing expertise about the CM… more
- ERP International (Tinker AFB, OK)
- …for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with social work case management ... **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager** for a...ensure that the CMP meets established case management (CM) standards of care. * Provide nursing… more
- Tenet Healthcare (Detroit, MI)
- …and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Utilization Management ... Registered Nurse (RN) - Case Manager -...needs , m) timely complete and concise documentation in Case Management system, n ) maintenance of… more
- HCA Healthcare (Brownsville, TX)
- …responsible for promoting patient-centered care by coordinating all aspects of hospital-based case management for his/her assigned area of responsibility in ... opportunity to make a real impact. As a(an) Registered Nurse RN Case Manager you can be...alignment with the goals of the Case Management Department + You will be… more
- HCA Healthcare (Tomball, TX)
- …responsible for promoting patient-centered care by coordinating all aspects of hospital-based case management for his/her assigned area of responsibility in ... Do you have the career opportunities as a Registered Nurse RN Case Manager PRN you want...alignment with the goals of the Case Management Department** + **You will be… more
- ChenMed (Houston, TX)
- …+ Ability to plan, implement and evaluate individual patient care plans. + Knowledge of nursing and case management theory and practice. + Knowledge of ... we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible...to preferred providers. + Coordinates the integration of social services/ case management functions in the pre-acute, ER,… more
- ERP International (Twentynine Palms, CA)
- …for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with social work case management ... ensure that the CMP meets established case management (CM) standards of care. * Provide nursing...Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy… more