- Elevance Health (Houston, TX)
- **Medical Management Nurse ** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... members in different states; therefore, Multi-State Licensure will be required.** The **Medical Management Nurse ** is responsible for review of the most complex… more
- Queen's Health System (Honolulu, HI)
- …to, initiation and development of the plan of care, patient/family education, utilization management and discharge planning. II. TYPICAL PHYSICAL DEMANDS ... physical safety. IV. MINIMUM QUALIFICATIONS A. Education/Certification and Licensure: 1.Licensure: Registered Nurse , State of Hawaii 2.Diploma or Associate… more
- Penn Medicine (Plainsboro, NJ)
- …timely and accurate information to payors. The role integrates and coordinates utilization management , care facilitation and discharge planning functions. In ... planning needs, to third party payors to secure optimal reimbursement. Credentials: + Registered Nurse - NJ (Required) Education or Equivalent Experience: + BSN… more
- Edward M. Kennedy Community Health Center, Inc. (Milford, MA)
- …may require evening, weekend and/or holiday shifts on a rotating basis. Job Requirements: + Registered Nurse License in MA + 1-2 years of clinical experience + ... The Clinical Care Manager (CCM) provides, coordinates, and organizes evidence-based care management to chronic disease patients, especially to those who are most at… more
- Bluestone Physician Services (Detroit Lakes, MN)
- …medical care teams to ensure health care quality measures are met and use utilization management tools to meet value-based goals + Supporting members during ... discharge and follow up plan Qualifications : Education/Certification/Experience + Current Minnesota Registered Nurse license + OR Current MN Licensed Social… more
- Bluestone Physician Services (Eagan, MN)
- …with providers to identify high risk patients Qualifications: Education/Certification/Experience + Registered Nurse , Social Worker, or LPN with 4-year degree ... their unique needs. Using an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate to manage… more
- Queen's Health System (Honolulu, HI)
- …to, initiation and development of the plan of care, patient/family education, utilization management and discharge planning. II. TYPICAL PHYSICAL DEMANDS ... physical safety. IV. MINIMUM QUALIFICATIONS A. Education/Certification and Licensure: 1.Licensure: Registered Nurse , State of Hawaii 2.Diploma or Associate… more
- Queen's Health System (Ewa Beach, HI)
- …to, initiation and development of the plan of care, patient/family education, utilization management and discharge planning. II. TYPICAL PHYSICAL DEMANDS ... physical safety. IV. MINIMUM QUALIFICATIONS A. Education/Certification and Licensure: 1.Licensure: Registered Nurse , State of Hawaii 2.Diploma or Associate… more
- Queen's Health System (Honolulu, HI)
- …to, initiation and development of the plan of care, patient/family education, utilization management and discharge planning. II. TYPICAL PHYSICAL DEMANDS ... physical safety. IV. MINIMUM QUALIFICATIONS A. Education/Certification and Licensure: 1.Licensure: Registered Nurse , State of Hawaii 2.Diploma or Associate… more
- Mount Sinai Health System (Wantagh, NY)
- …experience with three years supervisory experience including one year in health care management + Registered Nurse or related health science clinical ... compliance with established approved budgets, ensuring effective staff and resource utilization . 7.Manages office billing procedures, including but not limited to,… more