- Elevance Health (Denver, CO)
- …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing… more
- CVS Health (OH)
- …+ 3+ years clinical nursing experience, with 1-3 years managed care experience in Utilization Review , Medical Claims Review , or other specific program ... clinical resolutions with internal and external support areas. **Required Qualifications** + A Registered Nurse that must hold an unrestricted license in their… more
- Covenant Health Inc. (Knoxville, TN)
- …Access.Oncology and healthcare leadership experience preferred. Licensure Requirement: Current state registered nurse license. Certified Oncology Nurse ... 80 Hours Per Pay Period, Day Shift Clinical Oncology Nurse manager overseeing RNs and MAs in clinic at...combination in healthcare management, business or other related field. RN , Pharmacist, or Medical Technologist strongly preferred.BSN… more
- Billings Clinic (Billings, MT)
- …be considered Certifications and Licenses * Current Montana state license as a registered nurse At hire * Certified Professional in Healthcare Risk Management ... all full- and part-time employees (minimum of 20 hours/week), including Medical , Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution… more
- Ascension Health (Tulsa, OK)
- …processes and procedures. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board of Nursing ... claims , qualityindicators and other risk-related data. + Coordinate the medical staff's professional performance evaluation and peer review programs in… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …care coordination, and transition of care between settings. Required Skills and Experience * Registered nurse with current MN license and with no restrictions. * ... Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN Location: Remote Career Area: Health Services About Blue Cross and Blue Shield… more
- Sutter Health (Oakland, CA)
- …an accredited school of nursing Required + BSN Preferred **CERTIFICATION & LICENSURE** + RN - Registered Nurse of California Required + Certified Case Manager ... 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 (Modesto, CA)
- …**EDUCATION:** 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
- Spira Care, LLC (Overland Park, KS)
- …Minimum Qualifications + Associate or bachelor's degree in nursing + Valid and active Registered Nurse ( RN ) in Kansas and Missouri or multi-state compact ... include: + Highly competitive total rewards package, including comprehensive medical , dental and vision benefits as well as a...helping people achieve their health goals. The Care Guide, RN is an integral role within the Care Team… more
- Rochester Regional Health (Rochester, NY)
- …Safety. Required Licensure/Certification Active licensure in one of the following: + Preferred: Registered Nurse ( RN ) + Qualified: Licensed Practical ... Job Title: Injury Prevention Specialist ( RN )Department: Injury Prevention Location: Rochester General Hospital Hours...assessments and training on an ad hoc basis. + Review federal and state safety regulations to ensure program… more