- North Shore Community Health (Gloucester, MA)
- … management . + Pharmacy services. + Substance abuse disorder treatment. + Nurse care management . + Insurance enrollment assistance. NSCH operates service ... Primary Care Team Nurse Care Manager Gloucester, MA (http://maps.google.com/maps?q=302+Washington+Street+Gloucester+MA+USA+01930) Description Primary Purpose of… more
- State of Colorado (Golden, CO)
- …Analyzes staff management of medical / mental health problems during nurse 's off duty hours. Medical Policy Implementation Oversight: Provide oversight of DYS ... Medical Operations Coordinator ( Nurse V) - Lookout Mountain Youth Services Center...pre-adjudicated youth, the Division is also responsible for the management and oversight of Colorado Youth Detention Continuum, a… more
- State of Colorado (Denver, CO)
- Off Hours Nurse Supervisor - Nurse III (Internal Pool) - Colorado Mental Health Hospital Fort Logan Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5132944) Apply Off Hours Nurse Supervisor - Nurse III (Internal Pool) - Colorado Mental Health… more
- Centene Corporation (Jefferson City, MO)
- …knowledge of Medicare and Medicaid regulations preferred. Strong knowledge of utilization management processes preferred. **License/Certification:** + LPN - ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- International Medical Group (Indianapolis, IN)
- …large case management cases by diagnosis, dollar amount and/or high utilization of medical services and refer those identified for large case management ... in good standing in Indiana. + Location: Hybrid or Remote working options. + Corporate office is in Indianapolis,...use of health care services, procedures, and facilities for utilization review and /or /evacuation/repatriation. Work as a liaison… more
- Bon Secours Mercy Health (Youngstown, OH)
- …Function/General Purpose of Position** In the capacity of a Care Transition Nurse /Registered Nurse (RN), provide and facilitate coordination of services during ... patients. Work directly with the patient, family/support members, inpatient case management team, and interdisciplinary care team members during admission for… more
- InGenesis (Columbia, SC)
- …guidelines. In this role, you will provide support and review of medical claims and utilization practices. This is a REMOTE opportunity for a LPN living in the ... InGenesis is currently seeking a Licensed Practical Nurse / LPN to work remotely with our...operations of assigned area. * Interfaces with the medical management on a regular basis to work more complex… more
- Trinity Health (Mishawaka, IN)
- …is NOT a remote position.** **_About the job:_** The licensed Registered Nurse (RN) plans & provides professional nursing services & standards of practice in ... & Stewardship:** Incorporates caring process (Caritas), advocacy & appropriate resource utilization as an essential component of nursing practice through concrete… more
- Zurich NA (Schaumburg, IL)
- …medical terminology Preferred Qualifications: + 2 or more years' experience in Utilization Review, Case Management , Workers Compensation, or medical bill reviews ... Medical Bill Review Senior Nurse 127127 Zurich Insurance is currently looking for...order to identify any anomalies or discrepancies and ensure management has access to up to date and accurate… more
- WellSpan Health (Lebanon, PA)
- …in the management of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education ... as a nursing resource for clinical staff. **Duties and Responsibilities** ** Remote Work Capable** **Essential Functions:** + Obtains patient history and gathers… more