- Centene Corporation (Queens, NY)
- …medical abbreviations, medications. Experience in medical records review, claims processing or utilization and case management in a clinical practice or managed ... Long Term Care Department. Potentially working to review care management activities / records of the Care Management...+ Act as a liaison between Field Nurses and Nurse Supervisors to improve clinical processes and workflow communication.… more
- Magellan Health Services (Somerset, PA)
- …Strong organization, time management and communication skills.* Knowledge of utilization management procedures, mental health and substance abuse community ... Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community… more
- Sharp HealthCare (San Diego, CA)
- …competency and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge planning, as ... policy.Identify opportunities for cost reduction and participate in appropriate utilization management venues.Escalate and refers cases for consultation… more
- Geisinger (Danville, PA)
- …safety, and maximize patient satisfaction. Exhibits compassionate care during patient- nurse interactions. Coordinates patient care and interaction of staff. Meets ... care and handling of equipment. Participates in unit-based decision-making regarding the utilization of evidence- based practice. + Actively participates as a team… more
- Rady Children's Hospital San Diego (San Diego, CA)
- GASTROENTEROLOGY Outpatient Nurse POSITION DETAILS: Schedule: Days, 8-10 hour shifts (not remote ) FTE: PART Time, 32 hours per week, 64 per pay period JOB ... procedures to perform education and advice to patients, in clinic procedures and nurse run visits, manages patient requests and needs via telephone triage and… 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
- CVS Health (Vernon, NJ)
- …the development and implementation of health service strategies. This includes utilization management , quality improvement, and coordination of physical, ... each and every day. **Position Summary: Case Manager Registered Nurse - Field in Sussex County, NJ** This is...- Field in Sussex County, NJ** This is a remote Case Manager role with 50-75% field travel in… 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
- Community Health Systems (Naples, FL)
- THIS IS NOT A REMOTE POSITION **Benefits** ** Tuition Reimbursement ** 401K Match Program ** Student Loan repayment plan ** Comprehensive benefits (Medical, Dental, ... coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves… more