- Elevance Health (CA)
- ** Medical Management Clinician Senior** **Location:** This role...do not require the training or skill of a registered nurse . Acts as a resource for more ... - Friday 7:00 AM - 3:30 PM PST The ** Medical Management Clinician Senior** is responsible for...+ Develops and fosters ongoing relationships with physicians, healthcare service providers and internal and external customers to help… more
- Elevance Health (Miami, FL)
- ** Medical Management Nurse ** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... 7am - 6pm EST and will include weekends. The ** Medical Management Nurse ** will be...member's clinical presentation to determine whether to approve requested service (s) as medically necessary. Works with healthcare providers to… more
- Elevance Health (Richmond, VA)
- ** Medical Management Clinician Sr** **Location: Norfolk,...do not require the training or skill of a registered nurse . Acts as a resource for ... integration, and ensures essential face-to-face onboarding and skill development. The ** Medical Management Clinician Sr** is responsible for ensuring… more
- Elevance Health (Costa Mesa, CA)
- **Manager II Medical Management ** **Location:** This role requires associates to be in-office 1 - 2 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
- Elevance Health (Latham, NY)
- The ** Medical Management Clinician Associate** is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical ... law. **How you will make an impact:** + Confirms medical services are appropriate based on assigned...experience. + Current active, valid and unrestricted LPN/LVN or RN license and/or certification to practice as a health… more
- Elevance Health (Tampa, FL)
- **Manager I Medical Management (Prior Authorizations) - Florida Medicare** **Office Locations:** This role is based in Florida at either our Tampa or Miami ... is granted as required by law._ The **Manager I Medical Management (Prior Authorizations)** is responsible for...but are not limited to: + Ensures adherence to medical policy and member benefits in providing service… more
- Cleveland Clinic (Sheffield Lake, OH)
- … Management is seeking a full-time Physician Assistant (PA) or Advanced Practice Registered Nurse (APRN) with a strong interest in acute pain management ... general pain evaluations, the role will involve assessment and management of medical spine patients-those with spine-related...an accredited APRN program. + If in neonatal care service area Master's Degree is required upon hire. **PA**… 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 (Boise, ID)
- …without personal distractions to meet quality and metric expectations. **Required Qualifications** + Registered Nurse ( RN ) - active license. + 3+ Years ... criteria to authorize procedures/ services or initiate a Medical Director referral as needed. Assists management ...a Medical Director referral as needed. Assists management with training new nurse reviewers/business partners… 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