- Nuvance Health (Danbury, CT)
- …or a related field preferred * Current licensure as a registered nurse ( RN ) * Minimum of 5 years of clinical experience in an acute care setting * ... and operational oversight for a team of utilization review staff, denials and appeals specialists, non- clinical support staff while partnering with local case… more
- Mount Sinai Health System (New York, NY)
- …for assessment, communication and monitoring of discharge planning process (The clinical nurse initiates the discharge planning process on admission). ... **Job Description** ** RN /Case Manager MSH Case Management FT Days** The...with physicians and managed care companies on concurrent denial appeals e. Communicates clinical information to the… more
- Mount Sinai Health System (New York, NY)
- …for assessment, communication and monitoring of discharge planning process (The clinical nurse initiates the discharge planning process on admission). ... **Job Description** RN /Case Manager Mount Sinai West FT Days 8a-4p...with physicians and managed care companies on concurrent denial appeals 5. Communicates clinical information to the… more
- Providence (OR)
- …in the collaboration and management of patient care + Current unencumbered Registered Nurse License in state of residency **Preferred qualifications for ... must empower them.** **Providence Health Plan is calling a Clinical Program Coordinator RN , Medicare / Medicaid...Nursing or Health Education + Upon Hire: Current unencumbered Registered Nurse License in Oregon + Within… more
- Select Medical (Dallas, TX)
- …and valid state licensure or eligibility for state licensure as a Registered Nurse , Physical Therapist, Occupational Therapist, or Speech Language Pathologist ... joint venture with Select Medical & Baylor Scott & White Health Dallas, TX ** Clinical Liaison ( RN strongly preferred)** **Full-Time, Monday through Friday 8am -… more
- WesleyLife (Urbandale, IA)
- …**Required** + Car Insurance + Driver's License + Basic Life Support + Registered Nurse **Experience** **Required** + 2 years: Full-time work experience as ... of the residents at Wesley at Home. **As a Clinical Manager, you will:** + Support the Nurse...a registered nurse in a healthcare setting. **Preferred**… more
- Trinity Health (Des Moines, IA)
- …Join the MercyOne Family! We are looking to hire a RN Clinical Integration Specialist. The purpose of the ... and Medicaid Services (CMS), Iowa Department of Inspections and Appeals (IDIA), The Joint Commission (TJC),etc.), in conjunction with...Day Shift **General Requirements:** + Iowa licensure as a Registered Nurse . + Member of a professional… more
- US Tech Solutions (Columbia, SC)
- …+ NICE TO HAVE skill sets/qualities: Utilization management experience and /or Appeals experience /strong clinical skills Behavioral Health or infusion therapy ... of business. Previous Medicare experience and /or UR experience/Process Appeals requests/can have experience in either Utilization management or...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … more
- State of Colorado (Denver, CO)
- Charge Nurse RN II (Internal Pool)- CO Mental...a license. As an example, if you are a registered nurse with a multistate license from Arizona ... Fort Logan (S. Denver) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5076532) Apply Charge Nurse RN II (Internal Pool)- CO Mental Health… more
- Beth Israel Lahey Health (Plymouth, MA)
- …concurrent and retrospective reviews for level of care and continued stay * Lead appeals of clinical denials and collaborate with physician advisors * Coordinate ... and insurers * Collect data and support denial prevention strategies * Integrate clinical and reimbursement knowledge for optimal outcomes ** RN Case Manager -… more