- HCA Healthcare (Englewood, CO)
- …continued needs post-discharge and facilities those services required. Performs telephonic clinical reviews with claims insurance personnel to facilitate ... licensure in the State of Colorado as a Registered Nurse , or current active multistate Registered Nurse ...Registered Nurse , or current active multistate Registered Nurse license. Current AHA or ARC BLS certification required.… more
- Highmark Health (Dover, DE)
- …community-based settings to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state and national ... health, hospice, public health, or assisted living **OR** + Registered Nurse or Licensed Practical Nurse and 2 years of experience in long-term care, home… more
- Molina Healthcare (Dallas, TX)
- JOB DESCRIPTION We are seeking a (RN) Registered Nurse who must live in the Dallas service delivery area and have a current active unrestricted RN license in the ... state of TX. Case Manager RN will work Hybrid ( Telephonic and face to face visits within hospitals) supporting...equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in… more
- University of Southern California (Alhambra, CA)
- …the status and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning needs and documents is computer system ... 7. Participates in InterQual and/or MCG competency testing. 8. Perform telephonic , and if appropriate, on-site initial/concurrent review on identified in-patient… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …practice and provider performance against measures. This work will include telephonic outreach to patients. **Education, Knowledge, Skills and Abilities Required** : ... + Licensed Practical Nurse (LPN). + Basic proficiency in standard computer programs...Technology. **Licenses and Certifications Required** : + Licensed Practical Nurse . + Valid Driver's License from a USA state.… more
- CareFirst (Baltimore, MD)
- …Level:** High School Diploma or GED **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure RN- Registered Nurse ... + Excellent verbal and written communication skills, along with the telephonic and keyboarding skills necessary to assess, coordinate and document services… more
- AmeriHealth Caritas (Detroit, MI)
- …for Medicare members receiving LTSS and custodial care. + Conduct telephonic and in-person clinical assessments to evaluate members' physical, behavioral, social, ... master's degree in Social Work required or active licensure as a Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), or Licensed Master Social Worker… more
- Saratoga Hospital (Saratoga Springs, NY)
- …our patients and families deserve. In this role, the Telephone Triage Registered Nurse will work within the Patient Engagement Center to assist the Pre-Service ... other prior authorizations. + Review/answer portal messages from patients + Other non- telephonic clinical duties as determined by supervisor. What You'll Do +… more
- HCA Healthcare (Thornton, CO)
- …continued needs post-discharge and facilities those services required. Performs telephonic clinical reviews with claims insurance personnel to facilitate ... licensure in the State of Colorado as a Registered Nurse , or current active multistate Registered Nurse ...Registered Nurse , or current active multistate Registered Nurse license. Current AHA or ARC BLS certification required.… more
- Humana (Clermont, IN)
- …met. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the state of Indiana without restrictions + At least one ... (2) years of clinical experience as a nurse in providing case management or similar health care...about 70% to meet with members. **On Call** **-** Telephonic on call for an occasional night and/or weekend… more