- UPMC (Pittsburgh, PA)
- …OR Paramedic/EMT with 6-8 year of experience. + 3 years of experience in behavioral , clinical, utilization management , home care, discharge planning, and/or ... and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other...2 years of hire to remain in role) + Registered Nurse ( RN ) Licensure, Certifications,… more
- Molina Healthcare (West Valley City, UT)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
- Molina Healthcare (Las Vegas, NV)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
- HCA Healthcare (Aurora, CO)
- …opportunity. We want your knowledge and expertise! **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is responsible for promoting ... **Introduction** Do you have the career opportunities as a(an) RN Case Mgr PRN you want with your current...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- Commonwealth Care Alliance (Springfield, MA)
- …significant medical, behavioral , and social complexities that require intensive care management and care delivery. Within the CIC Program, The Senior Clinician, ... to influence the clinical outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment for behavioral health needs, and closing… 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
- HCA Healthcare (Port Charlotte, FL)
- …your knowledge and expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure ... you have the career opportunities as a(an) Case Manager RN you want with your current employer? We have...will promote cost effectiveness through the integration of case management , utilization review management and… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care and manages ... party payers. + Maintains a working knowledge of care management , care coordination changes, utilization review changes,...a clinical nursing role + Current State of PA RN licensure OR Current multi-state licensure through the enhanced… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …of care between settings. Required Skills and Experience * Registered Nurse with Psychiatric experience or Behavioral Health Professional that is Clinician ... Blue Cross and Blue Shield of Minnesota Position Title: Behavioral Health Case Manager - Medicare Advantage Location: Remote...* 1+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- HCA Healthcare (Englewood, FL)
- …your knowledge and expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure ... you have the career opportunities as a(an) Case Manager RN you want with your current employer? We have...will promote cost effectiveness through the integration of case management , utilization review management and… more