- Centers Plan for Healthy Living (Margate, FL)
- …Plan For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer ... in their home to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all authorization requests to determine… more
- Ochsner Health (Union, MS)
- …Health and discover your future today!** This job works with organizational management to implement and maintain a nationally recognized Diabetes Self- Management ... subject to change at the company's discretion. **Education** Required - Registered nurse diploma or bachelor's degree in related field Preferred - Master's degree… more
- 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 (Thornton, CO)
- …Nursing or Nursing Diploma Required Bachelor's Degree in Nursing Preferred + RN) Registered Nurse + 2+ years experience in case management OR 3+ years experience ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… 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
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Manager, Social Services PRN/OCC, Variable Hours and Shifts Fort Sanders Regional Overview: Fort Sanders Regional Medical Center is an ... unit and reports directly to the Manager/Coordinator of Quality and Care Management at the facility level Recruiter: Lacey Spoon || ###@covhlth.com Responsibilities… 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