- Elevance Health (Darlington, WI)
- **LTSS Service Coordinator - RN Clinician ( RN Case Manager )** **$5,000 Sign-on Bonus** **Hiring near Southwestern Wisconsin in counties:** Pepin, Buffalo, ... living, employment, and contributing to their communities. The **LTSS Service Coordinator- RN Clinician** is responsible for overall management of member's… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/ rn -case- manager ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute… more
- Saint Francis Health System (OK)
- …in various levels of care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate with providers the details ... Nursing. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 2 years of… more
- BayCare Health System (Tampa, FL)
- …**On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager ) ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/ RN responsibilities include:** +...Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical… more
- Beth Israel Lahey Health (Cambridge, MA)
- …SKILLS, AND ABILITIES REQUIRED** 1. RN with experience in risk management , quality assessment, or utilization management . 2. Strong spreadsheet, ... Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported...on the key performance indicators and quality measures, the RN specialist also aims to foster a culture of… 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. + ... established clinical criteria to service requests or provides health management program interventions. **Responsibilities:** + Utilizes clinical proficiency and… more
- AmeriHealth Caritas (Philadelphia, PA)
- …us at www.amerihealthcaritas.com . **Responsibilities:** Under the supervision of the LTSS Manager /Director for Utilization Management , this position is ... ; **Education/ Experience:;** + Bachelor's degree or equivalent relevant experience + Unrestricted Registered Nurse ( RN ) or Physical Therapist (PT) + Valid… more
- Molina Healthcare (WA)
- …Active, unrestricted Certified Case Manager (CCM) Some experience with Utilization Management processes is desirable (InterQual, MCG guidelines) , discharge ... care or medical or behavioral health settings. Prior experience in Utilization Management and discharge planning. **Preferred License, Certification,… more
- University of Southern California (Los Angeles, CA)
- …The RN case manager role integrates the functions of utilization management , quality management , discharge planning assessment, and coordination of ... + Pref Bachelor's degree + Pref 1 year Case management or utilization review experience within the...the last three years preferred. Required Licenses/Certifications: + Req Registered Nurse - RN (CA… more
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... have been filled. Qualified applicants will be reviewed and referred to the hiring manager on a weekly basis. **This position is eligible for the Education Debt… more