- Katmai (Usaf Academy, CO)
- …all levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. ... **Job Requirements:** **MINIMUM QUALIFICATIONS** + Associates Degree of Nursing. Registered nurse shall be a graduate from...+ Shall possess a current, active, full and unrestricted Registered Nurses ( RN ) licensed in Colorado or… more
- Elevance Health (Darlington, WI)
- …living, employment, and contributing to their communities. The **LTSS Service Coordinator- RN Clinician** is responsible for overall management of member's ... **LTSS Service Coordinator - RN Clinician ( RN Case Manager)** **$5,000...face-to-face functional assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral… more
- Centene Corporation (Austin, TX)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- US Tech Solutions (Columbia, SC)
- …**Duration: 3+ Months Contract (Possible temp to hire)** **Job Description:** + Must be an RN in SC and have an active and unrestricted SC RN license. + ... remote position after training. + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise,… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …to patient groups, maximizing utilization of resources, and enhancing the case management program. The nurse 's primary commitment is to the patient, whether ... with severe mental health illnesses, including complex psychosocial and behavioral issues along with coexisting medical illnesses all patients...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Corewell Health (Grand Rapids, MI)
- …clinical nursing and or case management /managed care or related field Preferred + Registered Nurse ( RN ) - State of Michigan Upon Hire required + ... Thursday, Friday (4 hours), mostly remote, occasional on-site About the Department: RN UM - Supporting the insurance coordination functions for the Helen DeVos… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to help us transform healthcare? Bring your true colors to blue. The RoleThe RN Utilization Management Reviewer is responsible for facilitating care for ... appropriate use of the member's benefit to provide the best quality care. The TeamThe RN Utilization Management Reviewer is part of a highly dedicated and… more
- Prime Healthcare (Lynwood, CA)
- …experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/ rn -case-manager utilization… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …eligibility and documentation requirements (https://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/ Registered - Nurse / RN -Licensure-by-Endorsement) ... Utilization Review Nurse Coordinator (40 Hour)...(https://www.elicense.ct.gov/) online (expand the 'Public Health Practitioners' grouping, select ' Registered Nurse ' and then 'Start'; + Request… more
- UnityPoint Health (Cedar Rapids, IA)
- …of accredited nursing program + Current licensure in good standing to practice as a Registered Nurse in [type in State]. + Must possess and maintain current ... implementation and evaluation of patient care in the outpatient setting for behavioral health home care. Responsible for case coordination of patients and insurance… more