- HCA Healthcare (Hudson, FL)
- …goals. Unlock your potential! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure ... hours volunteering in our communities. As a(an) Case Manager RN with HCA Florida Bayonet Point Hospital you can...will promote cost effectiveness through the integration of case management , utilization review management and… more
- HCA Healthcare (Largo, FL)
- …goals. Unlock your potential! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure ... hours volunteering in our communities. As a(an) Case Manager RN with HCA Florida Largo Hospital you can be...will promote cost effectiveness through the integration of case management , utilization review management and… more
- HCA Healthcare (Inverness, 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
- Banner Health (Glendale, AZ)
- …to the latest health care advancements and excellent patient care. As the Registered Nurse Associate Director, you will bring your leadership experience and ... the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and… more
- BrightSpring Health Services (Arlington, VA)
- …in a Medicare certified home health agency generally required + Currently licensed as a Registered Nurse ( RN ), in good standing in state of residence ... utilization and hospital admission reduction. + Provides survey management support/ follow-up/and coordination of corrective actions plans relatied to care… 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
- 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
- Fallon Health (Worcester, MA)
- …preferred **License** : Active, unrestricted license as a Registered Nurse in Massachusetts **Certification:** Certification in Case Management strongly ... * A minimum of two years' clinical experience as a licensed Registered Nurse managing/coordinating/facilitating/providing care for member populations required *… more
- Point32Health (MA)
- …with the interdisciplinary care team, to improve member outcomes (ie, Utilization Management , Medical Director, pharmacy, community health workers, dementia ... Qualifications - what you need to perform the job Certification and Licensure + Registered Nurse with current unrestricted license in state of residence + May… more
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