- CVS Health (Richmond, VA)
- …communication skills, both verbal and written. + Bilingual in English/Spanish **Education** + Registered Nurse ( RN ) Licensure with minimum of an Associates ... all with heart, each and every day. **Position Summary** Nurse Case Manager is responsible for assessing, planning, implementing...all case management activities with members to evaluate the medical needs of the member to facilitate the member's… more
- Sojourner House (Pittsburgh, PA)
- 4-10 hrs/ week Sojourner House is seeking an experienced Psychiatric Registered Nurse Practitioner to provide psychiatric services within our licensed inpatient ... monitoring and evaluating the treatment results. The Psychiatric Certified Registered Nurse works collaboratively with clinical management, therapists,… more
- CVS Health (Annandale, VA)
- …current unrestricted Virginia state licensure required - 3+ years clinical experience as a Registered Nurse (ie med surg, behavioral health, acute care) - Must ... Areas- Haymarket, Gainesville, Centerville and Manassas. Monday-Friday Standard Business Hours. Nurse Case Manager is responsible for telephonically and/or face to… more
- Sutter Health (San Francisco, CA)
- …Master in nursing, case management or related field. **CERTIFICATION & LICENSURE** + RN - Registered Nurse of California (required) + CCM-Certified Case ... Case Manager works in collaboration with the Physician, Medical Social Worker and bedside RN to...services, third party payers and review agencies, claims and finance departments, Medical Directors, and… more
- CVS Health (IL)
- …Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS...setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Workman, MN)
- …by the company) -3+ years of acute hospital clinical experience as an RN (general medical , post-surgical, ICU experience). Must possess reliable transportation ... all with heart, each and every day. **Preference for RN who hold a Compact RN license**...all case management activities with members to evaluate the medical needs of the member to facilitate the member's… more
- Martin's Point Health Care (Portland, ME)
- …performs medical necessity reviews for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate ... for medical necessity reviews. + Manage the review of medical claims disputes,...and offerings. Education/Experience: + Unrestricted state license as a Registered Nurse required; BSN preferred. + 3+… more
- Sutter Health (Roseville, CA)
- …school of nursing + Bachelor's in Nursing preferred. **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** + ... position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to...services, third party payers and review agencies, claims and finance departments, Medical Directors, and… more
- Sutter Health (Burlingame, CA)
- …: **EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire CCM certification ... position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to...services, third party payers and review agencies, claims and finance departments, Medical Directors, and… more
- CVS Health (Lansing, MI)
- …status and health needs based on key questions and conversation. **Required Qualifications** - Registered Nurse with active MI state license in good standing ... all with heart, each and every day. **Case Manager RN ** WFH Flexible **Position Summary** **This position offers a...all case management activities with members to evaluate the medical needs of the member to facilitate the member's… more