- Parkview Health (Fort Wayne, IN)
- …in Nursing (BSN) required. Licensure/Certification: Valid Indiana Registered Nurse license required. Certification in Case Management highly desirable. ... Summary: Continuously evaluates the quality, care, treatment and outcomes of complex patient populations. Collaborates with the patient/family and caregivers to… more
- University of Southern California (Los Angeles, CA)
- …years' experience as Nurse Navigator or Oncology preferred Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic Life ... The Coordinator/Navigator position is a Registered Nurse with recognized leadership abilities...Complex profile - other chronic diseases complicating the case - other social factors complicating the case… more
- AdventHealth (Orlando, FL)
- …role you'll contribute:** The Mission Control RN Tier 1 is a professional registered nurse functioning withing Mission Control in one of three primary roles. ... Obtains pre-authorization and provides information to the Utilization Review Specialist , Utilization Review Case Manager and the...State of Florida or multi state license as a Registered Nurse . Graduate of school of Nursing… more
- HCA Healthcare (Largo, FL)
- …verbal instructions, PC skills **What qualifications you will need:** + Bachelors Degree + ( RN ) Registered Nurse , or (OT) Occupational Therapist, or (LPT) ... referral sources, and acute inpatient rehab operations. The Clinical Rehabilitation Specialist is responsible for establishing relationships with case managers,… more
- UPMC (Pittsburgh, PA)
- …(or must be obtained within 2 years of hire to remain in role) + Registered Nurse ( RN ) **Licensure, Certifications, and Clearances:** + LSW, CSW, LCSW ... a licensed individual to function as a Health Plan Specialist to work onsite at UPMC Shadyside. This role...care and services across the continuum of care with case management, physicians, pharmacy, behavioral health, and other providers… more
- Highmark Health (Albany, NY)
- …Degree if licensed Behavioral Health Professional **Substitutions** + None **Preferred** + If Registered Nurse ( RN ), BSN or MSN preferred **EXPERIENCE** ... with the member's treating provider or providers in more complex clinical situations requiring case management intervention....**LICENSES AND CERTIFICATIONS** **Required** Any of the following: + Registered Nurse ( RN ) + Licensed… more
- Immigration and Customs Enforcement (Washington, DC)
- …Qualifications-Licenses and Certifications Required: a. Nursing License- Must be a Registered Nurse ( RN ).i. Maintains current/documented professional ... ensuring needed interpretation and/or translations services are available. d. The correctional registered nurse practices ethically per the Code of Ethics for… more
- LA Care Health Plan (Los Angeles, CA)
- …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... Care Management Specialist II, D-SNP Team (12 month Assignment) Job...Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - Board Certified (CMGT-BC)… more
- Community Health Systems (Franklin, TN)
- …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to… more
- BJC HealthCare (St. Louis, MO)
- …insurance + 401K + Multiple BJC Employee Discounts **BJC CAREER LADDER** + The BJC Registered Nurse Career Ladder differentiates BJC as the place for nurses to ... Nurse Managers, Team Lead Charge Nurses, an Advanced Practice Clinical Nurse Specialist , and Clinical Education Specialists. Additionally, the unit is… more