- CVS Health (Austin, TX)
- …occasionally per the need of the department.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... with heart, each and every day. **Position Summary** This Utilization Management (UM) Nurse Consultant...the coordination and administration of the utilization /benefit management function. **Required Qualifications** + RN with… more
- Centene Corporation (Chicago, IL)
- …IL** **Are you a passionate RN with a strong background in case management or utilization management within an inpatient setting? Join our dedicated ... 30 miles of Chicago.** **What We're Looking For:** . ** Registered Nurse ( RN ) with active...) with active Illinois license** . **Experience in case management and/or utilization review** . **Previous work… more
- LA Care Health Plan (Los Angeles, CA)
- …Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and ... Managed Long Term Services and Supports Nurse Specialist RN II Job Category:...and must adhere to regulatory mandates that apply to Utilization Management (UM) and Care Management… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …to ensure optimal and cost-effective health outcomes. Required Skills and Experiences * Registered nurse with current MN license and with no restrictions. All ... Impact You Will Have Utilizing key principles of case management , the RN Case Manager focuses on...* 2+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- Cedars-Sinai (Marina Del Rey, CA)
- …us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review...like family. **Req ID** : 11818 **Working Title** : RN Case Manager - Case Management (Inpatient)… more
- ERP International (Macdill AFB, FL)
- **Overview** ERP International is seeking ** Registered ** ** Nurse ( RN )** for Full-Time positions in **Case Management ** at MacDill AFB, FL. Apply online ... algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with… more
- Albany Medical Center (Albany, NY)
- …Aids Program Work Shift: Day (United States of America) Salary Range: $83,200.00 - $128,960.00 Registered Nurse ( RN ) - Full time HIV Medicine Clinic - ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...Nursing program is required* Current NYS license as a Registered Nurse Thank you for your interest… more
- UPMC (Pittsburgh, PA)
- …Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Certified Case Manager (CCM) + Driver's License + Registered Nurse ( RN ) + Act 33 with renewal + Act 34 ... of health insurance experience required. + 1 year of experience in clinical, utilization management , home care, discharge planning, and/or case management … more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …members of the interdisciplinary team. Responsibilities The Outpatient Cardiac Clinic Staff Registered Nurse ( RN ) is responsible for providing competent, ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Baystate Health (Springfield, MA)
- …- American Heart AssociationAmerican Heart Association, Driver License - OtherOther, Registered Nurse - State of MassachusettsState of Massachusetts **Equal ... ** RN , ACO Nurse Care Manager, Community...management application is required and is vital. Care management program metrics including, emergency room utilization ,… more