- Cedars-Sinai (CA)
- …for medical necessity, appropriateness of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to ... case manager assigned to the SNF's for continued review and follow up. + Authorizes all appropriate services...continued employment. **Req ID** : 13443 **Working Title** : Registered Nurse Care Coordinator- Inpatient Specialty Program… more
- Catholic Health (Buffalo, NY)
- …and Holiday Rotation Hours: Primary 10-6pm with potential rotation 8-4pm, 9-5pm Summary: The Registered Nurse ( RN ) Care Manager-Transition of Care, as an ... BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York...nursing + Preferred prior insurance /managed care/ utilization review experience in the role of a Case… more
- Wellpath (Lemoyne, PA)
- …or Care Management Certification. + RN preferred. Experience + Previous utilization review and/or case management and pre-certification experience + ... difference** The Regional Care Manager (RCM) works collaboratively with the Utilization Medical Director, Regional Medical Directors, and Site Leadership to… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- …RN ) - Community Care, aligned under Chief of Staff. Responsibilities The Community Care (CC) RN Registered Nurse ( RN ) is responsible for executing a ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- HCA Healthcare (Greenwood Village, CO)
- …DeterminationsSupervisory experience preferredCertifications, Licenses, and other Special RequirementsCurrent/Active Registered Nurse ( RN ) License within ... and performance of assigned home health care team(s)Supervises ongoing case management of all patients ensuring an accurate evaluation...we encourage you to apply for our Clinical Manager Registered Nurse opening. We promptly review… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …Registered Nurse Community Living Center (CLC) Minimum Data Set (MDS) Registered Nurse ( RN ) is responsible for providing competent, evidence-based ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- HCA Healthcare (Alexandria, LA)
- …Medical Center we support our colleagues in their positions. Join our Team as a Registered Nurse in the Labor and Delivery unit and access programs to assist ... gain certifications and job skills. Apply today for our Registered Nurse Labor and Delivery opening and...clinical record and communicated to the physician, social worker, case manager, and ancillary departments when appropriate + Appropriate… more
- CVS Health (Springfield, IL)
- …including NCQA standards. **Required Qualifications** + Candidate must have an active and unrestricted Registered Nurse ( RN ) License in Illinois + 3+ years ... who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current...Degree in Nursing (PREFERRED) **License** + Active and unrestricted Registered Nurse ( RN ) License in… more
- Veterans Affairs, Veterans Health Administration (Wichita, KS)
- Summary Robert J. Dole VA Medical Center is recruiting for a Registered Nurse for our Community Care service. Responsibilities Duties included but not limited ... from the community. He/she possesses the knowledge related to VHA guidelines, utilization review criteria, current evidence-based standards of care, compliance… more
- Atlantic Health System (Basking Ridge, NJ)
- …Visiting Nurse , part of Atlantic Health System, is seeking a full-time hospice Registered Nurse to work 8AM- 4PM in the Somerset County area, including ... an accredited Nursing Program- Associates Degree 2. Current state licensure as a Registered Nurse . 3. BLS certification. Preferred: 1. Bachelor's degree in… more