• AVP Care Coordination

    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
    Nuvance Health (09/10/25)
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  • RN /Case Manager-MSH-Case…

    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 (08/28/25)
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  • RN /Case Manager-Inpatient-Mount Sinai…

    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
    Mount Sinai Health System (08/16/25)
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  • Clinical Program Coordinator RN

    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
    Providence (08/23/25)
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  • Clinical Liaison - NeuroTransitional Center…

    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
    Select Medical (09/04/25)
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  • Clinical Manager, Home Health -- RN

    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
    WesleyLife (08/28/25)
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  • RN Clinical Integration Specialist…

    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
    Trinity Health (09/10/25)
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  • Utilization Review Nurse

    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
    US Tech Solutions (07/31/25)
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  • Charge Nurse RN II (Internal Pool)-…

    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
    State of Colorado (09/12/25)
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  • Care Transitions Jobs

    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
    Beth Israel Lahey Health (07/03/25)
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