- US Tech Solutions (Columbia, SC)
- **Job Description:** + Must be an RN in SC and have an active and unrestricted SC RN license. + Hours/Schedule - M-F 8:30am - 5pm. + Onsite training for the ... to determine the priority of our cases. Then we review the requests against the policy and the member's...the policy and the member's contract. When reviewing the clinical we determine if it can be reviewed at… more
- Atlantic Health System (Martinsville, NJ)
- …emergent calls. (In-basket messages: patient calls, patient advice request). + Daily huddle with clinical staff to review tasks for the day, any coverage that ... clinical practice area and within the scope of RN practice. + Supports the overall strategic goals of...care area, AMG, the AHS hospital sites, Atlantic Visiting Nurse , and the system. + Exemplifies and fosters the… more
- US Tech Solutions (Columbia, SC)
- **Job Description:** + Must be an RN in SC and have an active and unrestricted SC RN license. + Hours/Schedule - Monday - Friday, 8:30AM-5PM + Onsite for 3-4 ... of our nurses. + A typical day would like in this role: Inpatient admission review for hospitals, SNFs, rehab and LTAC facilities and continued stay reviews for all… more
- CVS Health (Arlington, VA)
- …network management and clinical coverage policies. + Through the use of clinical tools and information/data review , conducts an evaluation of member's needs ... all with heart, each and every day. **Position Summary** This Case Manager RN /LPN position is a field-based position out of Virginia; specifically the Alexandria,… more
- Veterans Affairs, Veterans Health Administration (MO)
- …Substance Abuse Residential Recovery and Treatment Program (SARRTP) - The SARRTP Mental Health RN is employed in a clinical /direct care role caring for patient ... (DOM) RN - The DOM Mental Health RN is employed in a clinical /direct care...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Frankfort, KY)
- …of care (assessing, planning, implementing, coordinating, monitoring, and evaluating). The CM RN utilizes advanced clinical judgment and critical thinking skills ... a member's overall health through integration. + Through the use of clinical tools and information/data review , conducts comprehensive assessments of member's… more
- US Tech Solutions (Columbia, SC)
- …the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) **About US Tech ... + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and… more
- US Tech Solutions (Columbia, SC)
- **Duration: 3+ Months Contract (Possible temp to hire)** **Job Description:** + Must be an RN in SC and have an active and unrestricted SC RN license. + ... + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and… more
- Lawrence General Hospital (Methuen, MA)
- …plans contracted by the hospital and being held accountable for appropriate financial and clinical outcomes of these patients. The RN Care Coordinator will be ... Job Description: The RN Care Coordinator is responsible for overseeing the...to reduce the possibility of reimbursement denials * Provides clinical information necessary for authorization to 3rd parties within… more
- Help at Home (Bronx, NY)
- …our clients safe and comfortable in their homes and communities. **The Home Visit RN will support clients and caregivers throughout our Bronx, NY territory with our ... Home company).** **A typical day for a Home Visit RN includes:** + Making the initial in-home evaluation visit...the plan of care and necessary revisions + Preparing clinical and progress notes for each patient visit and… more