- 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
- Centene Corporation (Phoenix, AZ)
- …documented + Provides education to interdepartmental teams on training needed within the utilization management team based on trends + Provides feedback to ... experience. Expert of Medicare and Medicaid regulations preferred. Expert of utilization management processes preferred. **License/Certification:** + RN or LPN… more
- Centene Corporation (New York, NY)
- …preferred. Knowledge of Medicare and Medicaid regulations preferred. 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
- ChenMed (Winter Park, FL)
- …license required if available in state. + A minimum of 2 years' onsite case management at ChenMed and/or utilization review or discharge planning in a hospital ... markets to deliver on managing their case load by providing onsite and remote planning, clinical group leadership and expert technical guidance to their team.… 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
- CVS Health (East Orange, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... County and surrounding counties. **Position Summary** This is a remote Case Manager opportunity with 50 to 75% field...Health service strategies, policies, and programs are comprised of utilization management , quality management , network… more
- WellSpan Health (Lewisburg, 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
- WellSpan Health (York, 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
- WellSpan Health (Gettysburg, 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
- Children's Mercy Kansas City (Kansas City, MO)
- …beyond the walls of our hospital. Overview The Clinical Review Nurse Care Manager utilizes clinical expertise, evidence-based guidelines, insurance knowledge, ... business acumen, and high level of communication skills to ensure appropriate utilization of and reimbursement for resources from admission through hospital stay to… more
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