- CareFirst (Baltimore, MD)
- …considerations, to determine medical necessity, appropriate level(s) of care and case management to engage members/enrollees, their families and other ... **Resp & Qualifications** **PURPOSE:** The Inpatient Management Onsite Clinical Navigator (RN) embedded at a...will be conducted with the hospital care team, including case managers, social workers and discharge planners to ensure… more
- UNC Health Care (Kinston, NC)
- …3. Reviews all denials and works collaboratively with the Physician Advisor and Case management Assistants. 4. Reviews and documents findings on all medical ... documentation and formulates appropriate appeals. Coordinates with the Physician Advisor and Case management Assistants in order to establish appeals plan based… more
- UPMC (Pittsburgh, PA)
- …Clinical Care Manager + Minimum of 2 years of experience in a clinical setting and case management nursing required. + Minimum 1 year of health insurance ... care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and...years of hire to remain in role) + Registered Nurse (RN) Licensure, Certifications, and Clearances: + LSW, CSW,… more
- Community Health Systems (Tucson, AZ)
- **Full Time position , working Day shift in Care Management / Case Management at Northwest Medical Center in Tucson, AZ** **$5k sign on bonus offered to ... advancement is possible. **Candidates need 2 years acute hospital experience, prior case management experience preferred.** **Job Summary** The Care Manager -… more
- Community Health Systems (Franklin, TN)
- …Degree in Nursing preferred + 2-4 years of clinical experience in utilization review, case management , or acute care nursing required + 1-3 years work ... requirements. + Documents all utilization review activities in the hospital's case management software, including clinical reviews, escalations, avoidable days,… more
- ChenMed (St. Petersburg, FL)
- …of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed ... management programs, clinical meetings and other meetings. The Nurse Practitioner, Specialty incumbent adheres to strict departmental goals/objectives, standards… more
- ChenMed (Houston, TX)
- …additional education patient may need and to oversee appropriate patient discharge from case management . + Performs clinical and Social determination of Heath ... visits, once patient has completed their episode of care management the register nurse (RN) will review...is mandatory during all LPN visits. + Conducts/coordinates initial case management assessment of patients to determine… more
- Trane Technologies (Grand Rapids, MI)
- …a Registered Nurse required + 3-5 years of experience in occupational health, case management , and clinical nursing required + Certifications in First ... as safety sensitive. **Job Summary:** As the Occupational Health Nurse in Grand Rapids, MI you will develop and...Be Well, and EHS requirements. Also responsible for facilitating care/ case management for employee illness and injury.… more
- Jet Health (San Antonio, TX)
- …Healthis hiring dedicated and compassionateRegistered Nurse Case Managersto provide nursing services and case management to our patients who receive ... execute, and properly document doctors' orders + Perform client assessments + Case management and coordination + Accurately document observations, interventions,… more
- HCA Healthcare (Austin, TX)
- …strong leadership skills. Thorough knowledge of Employee Health, Public Health, or Case Management . Clinical experience with adults. + Preferred experience: risk ... David's Healthcare team is looking for a(an) Employee Health Nursing Manager. HCA Healthcare is an advanced healthcare network...and Safety Program for external employers, and serves as Case Manager and Registered Nurse for Occupational… more
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