- Elevance Health (Denver, CO)
- ** Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... members in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care management… more
- Humana (Hallandale Beach, FL)
- …ensure interaction between the company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service members ... requirements to achieve and/or maintain optimal wellness state in a remote telephonic environment. The Behavioral Health Care Manager guides members and/or families… more
- ChenMed (Pembroke Pines, FL)
- …engagement with patient and family. + Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... we need great people to join our team. The Nurse Case Manager I position is responsible for achieving...achieving desired clinical outcomes within specific timeframe. + Conducts review for appropriate utilization of services from… more
- Sharecare (Nashville, TN)
- … utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification ... To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and objectives of the… more
- LA Care Health Plan (Los Angeles, CA)
- …such as ambulatory care, home care, palliative care, hospice care OR experience in Utilization Review or Care Management will be considered in lieu of direct ... Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department:...and/or disabilities in a UM/CM environment. Preferred: Experience in utilization review , skilled nursing, home health, discharge… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …and from the community. Possesses the knowledge related to VHA guidelines, utilization review criteria, current evidence-based standards of care, compliance ... Health System (NF/SG VAHS) is recruiting for a Registered Nurse Care Coordinator to work in the Office of...to achieve desired patient outcomes through day-to-day and/ or telephonic care coordination and management. The RN Care Coordinator… more
- Health Advocates Network (Harrisburg, PA)
- …setting, behavioral health setting, drug and alcohol setting, managed care, quality management/ utilization review or other related clinical experience; or An ... R&E Nurse - Med Care Services- Expert **Pay Rate:** $32...(MA), health care services, human services, long term care, utilization review , or knowledge of home care… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, AR)
- …the perioperative central scheduling office, perform a thorough historical chart review , perform a telephonic screening, provide patient education, and ... Summary The Perioperative Screening Nurse ( Nurse Navigator) is responsible for...education, orientation, competencies and providing quality improvement and outcomes utilization . Coordinates and collaborates with other VA and non-VA… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …+ Participate in interdisciplinary case rounds, quality improvement initiatives, and utilization review processes. + Support members during transitions of ... Position is On-Site The Behavioral Health Nurse - Managed Care is responsible for coordinating,...+ Experience in a managed care, case management, or utilization review setting + Strong understanding of… more
- CVS Health (Juneau, AK)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
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