- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role BHPS provides Utilization Management (UM) services to its clients, ensuring high-quality, clinically sound decision-making. The Clinical Appeal and ... Grievance Nurse is responsible for conducting daily clinical and benefit...environment. The position reports directly to the Clinical Appeal Manager . Note: This job description is not intended to… more
- Elevance Health (Columbus, GA)
- …Must have License to practice in the state of Georgia** The **Medical Management Nurse ** is responsible for review of the most complex or challenging cases that ... consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations on alternate types, places, or… more
- UnityPoint Health (Des Moines, IA)
- …continuity through elimination of fragmentation of care/service and facilitates the effective utilization of resources. Serves as educator and a central source of ... evaluation of patient-focused care for prioritized patients . + Documents the case management plan to include: clinical needs, barriers to quality care, effective… more
- Garnet Health (Harris, NY)
- …effectively organize/prioritize accordingly, and implement evidence based care. Social Work Clinician/ Case Manager - primary role is to provide psychiatric/detox ... with: law enforcement personnel, EMS, Medical Center security, ED RN staff, and family members. SW Clinician - is...plan. The SW Clinician will also be the primary Case Manager for the detox patient on… more
- AdventHealth (Castle Rock, CO)
- …Advanced Practice Social Worker (CAPSW) + Certified Independent Social Worker (CISW) + Accredited Case Manager (ACM) + Certified Case Manager (CCM) ... for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care… more
- HCA Healthcare (Houston, TX)
- …integrity. We care like family! Jump-start your career as a Clinical Research Nurse today with HCA Houston Healthcare Clear Lake. **Benefits** HCA Houston Healthcare ... location._** Come join our team as a Clinical Research Nurse . We care for our community! Just last year,...+ Ensures the integrity of the data submitted on Case Report Forms or other data collection tools by… more
- HCA Healthcare (Richmond, VA)
- …We care like family! Jump-start your career as a Clinical Research Nurse today with Chippenham Hospital. **Benefits** Chippenham Hospital offers a total rewards ... location._** Come join our team as a Clinical Research Nurse . We care for our community! Just last year,...Associate's Degree in Nursing; Bachelor's Degree is preferred** + ** RN license required** + **At least one year of… more