- Elevance Health (Washington, DC)
- ** Medical Management Nurse ** **Location:** Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and ... work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. The ** Medical Management Nurse ** will be responsible for review of… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- … requests. + Reviews cases referred by the prior-authorization non-clinical medical management coordinator and pre-certification technician staff according to ... Position Is Not Remote Position Purposes: Evaluates and approves requested services using organizational policies or MCG(R) screening criteria. Responsibilities: +… more
- Elevance Health (WA)
- ** Medical Management Clinician Associate** Carelon Post Acute Solutions A proud member of the Elevance Health family of companies, **Carelon Post Acute ... , **possible weekends as needed by the business.** The ** Medical Management Clinician Associate** is responsible for...policies. **How you will make an impact:** + Confirms medical services are appropriate based on assigned… more
- Elevance Health (Independence, OH)
- …health, long term services and supports, and psychosocial needs._ ** Medical Management Clinician** **Location:** This role enables associates to work ... hours may be necessary based on company needs. The ** Medical Management Clinician** responsible for ensuring appropriate,...do not require the training or skill of a registered nurse . **How you will make an… more
- Elevance Health (Walnut Creek, CA)
- **Manager II Medical Management ** **Location:** This role requires associates to be in-office **3** days per week, fostering collaboration and connectivity, ... is granted as required by law._ The **Manager II Medical Management ** will be responsible to manage...you will make an impact:** + Ensures adherence to medical policy and member benefits in providing service… more
- Travelers Insurance Company (Franklin, TN)
- …Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN) preferred. **What is a Must Have?** + ... the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with emphasis on early...Registered Nurse ; Licensed Practical Nurse … more
- PeaceHealth (Longview, WA)
- …for coordination of discharge planning services for these patients in collaboration with RN Care Management and other members of the care team. Details of ... include appropriate documentation and the effectiveness of the Care Management services . Collaborates with team members to...a minimum of four years' work experience in a medical or healthcare setting, social service agency,… more
- CVS Health (Columbus, OH)
- …in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll play a ... criteria to authorize procedures/ services or initiate a Medical Director referral as needed. + Assists management... Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners… more
- PeaceHealth (Longview, WA)
- …for coordination of discharge planning services for these patients in collaboration with RN Care Management and other members of the care team. Details of ... include appropriate documentation and the effectiveness of the Care Management services . Collaborates with team members to...a minimum of four years' work experience in a medical or healthcare setting, social service agency,… more
- ERP International (Barksdale AFB, LA)
- **Overview** ERP International is seeking a **Utilization Management Registered Nurse ( RN )** for a full-time position supporting the 2d Medical ... following; + Assist with orientation and training of other Medical Management staff and assist inproviding, assessing,...Management is required. Full time employment as a registered nurse within the last 36 months… more