- Saint Francis Health System (Tulsa, OK)
- …patients including COPD, pneumonia, CHF, PEC (pre-exiting conditions), and cardiac monitoring + Remote cardiac monitoring + Work closely as a team with case ... management , social work, therapy, and physicians to maximize care...units. + All private rooms Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care,… more
- Saint Francis Health System (Tulsa, OK)
- …patients including COPD, pneumonia, CHF, PEC (pre-exiting conditions), and cardiac monitoring + Remote cardiac monitoring + Work closely as a team with case ... management , social work, therapy, and physicians to maximize care...units. + All private rooms Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care,… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** ** Remote based work location** **POSITION PURPOSE** At the direction of the Regional Manager, Clinical ... as it relates to reimbursement and other clinical data quality management for colleague training. Provides quality and productivity monitoring; coordinates and… more
- Geisinger (Danville, PA)
- Job Summary Please note this is NOT a remote position. Geisinger is proud to offer an Inpatient RN a $41.00 minimum hiring rate with increased rates for experienced ... safety, and maximize patient satisfaction. Exhibits compassionate care during patient- nurse interactions. Coordinates patient care and interaction of staff. Meets… more
- US Tech Solutions (GA)
- **Job Description:** This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA ... is necessary and will involve computer system data entry, data management , and reporting. + Review criteria-based prior authorizations following policy and… more
- Fallon Health (Worcester, MA)
- …with one year experience working with a frail or elder population. Recent case management or utilization management experience and knowledge of criteria for ... goals * Knowledge of managed care, quality, and risk management principles * Participates in the SE Utilization...Massachusetts Board of Registration in Nursing as a Registered Nurse . Valid Driver's License CCM or similar certification desired… more
- CVS Health (West New York, NJ)
- …high-quality, cost-effective care for our members. These strategies encompass utilization management , quality improvement, network coordination, and clinical ... every day. **Position Summary** We are seeking a dedicated ** Remote Case Manager (RN)** to join our team, serving...in the role. **Required Qualifications** + Active, unrestricted **Registered Nurse (RN) license in New Jersey** . + Minimum… more
- Sharecare (Little Rock, AR)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to...+ Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex… more
- Atrius Health (Boston, MA)
- …in the country. *SUMMARY * Under the direction of the Department Chief, Nurse Leader or designee, this registered professional nurse provides practice support ... across the lifespan. This position is responsible for effective care delivery and management of patient care within a specialty, utilizing the nursing process and… more
- WTW (Boston, MA)
- …+ Health analytics experience preferred + Understanding of health plan utilization /case management processes, network management , credentialing, quality ... executive summary for senior H&B stakeholders & client presentations, developing management reports and other activities. You will continually learn about North… more