- Magellan Health Services (Albuquerque, NM)
- …Magellan Credentialing criteria. 2+ years' post-licensure clinical experience. Experience in utilization management , quality assurance, home or facility ... cost effective and quality outcomes. Duties performed are either during face-to-face home visits or facility based depending on the assignment. Promotes the… more
- HCA Healthcare (Denver, CO)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... + Referral services for child, elder and pet care, home and auto repair, event planning and more +...rules, operating manuals, and maintenance manuals. + Performs intra-operative management of assigned procedures. + Initiates and maintains a… more
- Virtua Health (Mount Holly, NC)
- …and/or certification from the State of New Jersey as a MSW or Registered Nurse .Case Management Certification (requirement within one year of hire beginning April ... over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques… more
- HCA Healthcare (Denver, CO)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... + Referral services for child, elder and pet care, home and auto repair, event planning and more +...rules, operating manuals, and maintenance manuals. + Performs intra-operative management of assigned procedures. + Initiates and maintains a… more
- Commonwealth Care Alliance (Springfield, MA)
- …(must have): * Meaningful clinical experience including: * 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care, OR * 2+ ... programing is responsible for providing care delivery and care management to a specific panel of high risk and...the people we serve and help keep them at home , by providing best-in-class disability competent primary care. Within… more
- PruittHealth (Augusta, GA)
- …three years industry experience in a managed care setting focused on experience in utilization review/case management and at least two years case management , ... **JOB PURPOSE:** Responsible for the oversight of clinical care management of community based long-term care population for PruittHealth Premier Dual Eligible… more
- Commonwealth Care Alliance (Boston, MA)
- …(must have): * Meaningful clinical experience including: * 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care, OR * 2+ ... the people we serve and help keep them at home , by providing best-in-class disability competent primary care. *...Manager will collaborate closely with other members of the management team. This role is full-time on site in… more
- HCA Healthcare (Riverside, CA)
- …resource utilization . **What qualifications you will need:** + Registered Nurse (RN) with current California license required + Associate's Degree in Nursing ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Austin, TX)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... + Referral services for child, elder and pet care, home and auto repair, event planning and more +...performing duties in multiple physical locations. Works with clinical, management , and other support personnel to coordinate both on… more