- Sharecare (Helena, MT)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more
- CareFirst (Baltimore, MD)
- …addition to the required work experience. **Licenses/Certifications Upon Hire Required:** + Health Services\ RN - Registered Nurse - State Licensure and/or ... coverage. + Oversees and participates in care coordination activities including case management and disease management to ensure effective transition across levels… more
- Elevance Health (Atlanta, GA)
- …complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. Primary duties may include ... improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and applies… more
- Molina Healthcare (Santa Fe, NM)
- …managed care setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Social Worker (LSW), or Licensed ... * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Certified Case Manager (CCM). To all current Molina employees: If… more
- Healthfirst (NY)
- **Duties and Responsibilities:** + **Leads and manages daily Reassessment Nurse operations such as overseeing scheduling and staffing, providing clinical ... to resolve issues.** + **Additional duties as assigned.** **Minimum Qualifications:** + **NYS RN License.** + **US based field work experience of which at least one… more
- Magellan Health Services (Albuquerque, NM)
- … - Care MgmtCare Mgmt, LCSW - Licensed Clinical Social Worker - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... clinical path variance data that indicates potential areas for improvement of case and services provided. + Works with members and the interdisciplinary care… more
- Parkview Health (Fort Wayne, IN)
- …off with plan of initial clinical care. Works collaboratively with Point of Entry Case Manager to ensure all patients have verified admission order and status ... recognition program + Ask about our Hotel Program! Qualifications: + Valid Indiana Registered Nurse license required. + Additional certifications may be required… more
- Luke Staffing (GU)
- …+ **Licensure:** Current, full, active, and unrestricted license to practice as a Practical OR Registered Nurse in any one of the 50 States, the District of ... ** NURSE - REFERRAL MANAGEMENT** **SITE OF SERVICE:** +...active duty, reserve/guard admissions to civilian hospitals and notifies case manager and Patient Administration Element daily.… more
- Hackensack Meridian Health (Edison, NJ)
- …systems; Google Docs, EPIC. **Licenses and Certifications Required** : + NJ State Professional Registered Nurse License. + AHA Basic Health Care Life Support HCP ... Quality Metrics. + Knowledge of health care delivery system, utilization and review and case review procedures....Certification. **Licenses and Certifications Preferred** : + Certified Case Manager or Accredited Case … more
- Intermountain Health (Murray, UT)
- …Requirements:** **Qualifications** Minimum Qualifications + Current license to practice as a Registered Nurse in the state residing. At minimum, would need ... promoting self-management, quality, and cost-effective outcomes. **Essential Functions** + The nurse care manager works collaboratively with physicians and other… more