- 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
- Sutter Health (San Francisco, CA)
- …+ Graduate of an accredited school of nursing **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
- CVS Health (Lansing, MI)
- …not permitted. **Required Qualifications** + Minimum 3+ years clinical practical experience as an Registered Nurse ( RN ). + Must have active and unrestricted ... all case management activities with members to evaluate the medical needs of the member to facilitate the member's...member's overall wellness. + Uses clinical tools and information/data review to conduct an evaluation of member's needs and… more
- Beth Israel Lahey Health (Boston, MA)
- …in people's lives.** Under the supervision of the Employee Health Director, the Registered Nurse - Employee Health provides occupational health care services to ... in Nursing preferred. **Licensure, Certification & Registration:** A Massachusetts Registered Nurse license is required. Certification as...least three (3) years of work experience as a medical or surgical staff nurse . **Pay Range:**… more
- CVS Health (Kalamazoo, 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/Field **Position Summary** Help us elevate our patient...all case management activities with members to evaluate the medical needs of the member to facilitate the member's… more
- CVS Health (Cheyenne, WY)
- …however, it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and coordinating ... all case management activities with members to evaluate the medical needs of the member and to help facilitate...- Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more
- Elevance Health (Atlanta, GA)
- …and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon...Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible… more
- CVS Health (Petersburg, VA)
- …areas. Requirement is for candidates to hold a current unrestricted Virginia state RN licensure. Nurse Case Manager is responsible for assessing, planning, ... each and every day. **Position Summary** This Case Manager RN position is with Aetna's Long-Term Services & Support...all case management activities with members to evaluate the medical needs of the member to facilitate the member's… more
- Packing Corp of America (Tomahawk, WI)
- …and limited risk to re-injury. Position Requirements: + Education: Must be licensed as a registered nurse in the State of Wisconsin and have a high school ... The Nurse must maintain relationships with internal and external customers. The Nurse is the facility's medical professional and employees rely on the … more
- CVS Health (Bassett, VA)
- …we do it all with heart, each and every day. **Position Summary** Nurse Case Manager is responsible for assessing, planning, implementing and coordinating all case ... management activities with members to evaluate the medical needs of the member to facilitate the member's...policies. Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more