- Blue KC (Workman, MN)
- …of URAC and NCQA(R) guidelines and state and federal regulations. + Valid and active Registered nurse ( RN ) in Missouri and Kansas. + Valid and active ... evaluation and authorizes in accord with medical policy. Opens case and follows NCQA case management... Registered nurse ( RN ) licensure in... Registered nurse ( RN ) licensure in all 50 states… more
- Sharp HealthCare (San Diego, CA)
- …Time** **Shift End Time** Bachelor's Degree in Nursing; Bachelor's Degree; Master's Degree; California Registered Nurse ( RN ) - CA Board of Registered ... approach that includes referral management , prior authorization, Case Management and Disease Care...Or + Bachelor's Degree in Healthcare Administration. + California Registered Nurse ( RN ) - CA… more
- CVS Health (Salt Lake City, UT)
- …is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year.... **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Molina Healthcare (Detroit, MI)
- …gerontology, public health or social work or related **REQUIRED EXPERIENCE:** 1-3 years in case management , disease management , managed care or medical ... assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required...year of professional experience. **PREFERRED EXPERIENCE:** 3-5 years in case management , disease management… more
- Molina Healthcare (Bellevue, OH)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who lives in OHIO and must be licensed for the state of OHIO. This position will ... Long Term Services & Supports. + 1-3 years in case management , disease management...+ Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing… more
- Molina Healthcare (Hampden, MA)
- …Care Services business in Massachusetts. We are looking for a candidate with a MA RN licensure. Candidates with case management and home health are highly ... School of Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management , disease management , managed care or… more
- Molina Healthcare (Warren, MI)
- …with disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management , disease management , managed care or medical ... + Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing...Degree in Nursing **Preferred Experience** + 3-5 years in case management , disease management… more
- Molina Healthcare (Nampa, ID)
- …gerontology, public health or social work or related **REQUIRED EXPERIENCE:** 1-3 years in case management , disease management , managed care or medical ... assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required...year of professional experience. **PREFERRED EXPERIENCE:** 3-5 years in case management , disease management… more
- McLaren Health Care (Flint, MI)
- …in the medical management of members in assigned product lines, including case specific and disease management programs, including catastrophic cases. ... We are looking for a Case Manager RN , to join us...member advocate with emphasis on education regarding managed care, disease management and PCP treatment plans. Monitors… more
- Henry Ford Health System (West Bloomfield, MI)
- …or a Master's Degree of Social Work. Three (3) years of clinical experience in case management , disease management , health coaching, nursing, or home ... The Supervisor of Integrated Case Management for Population Health is...develop collaborative relationships an interdisciplinary care team. CERTIFICATIONS/LICENSURES REQUIRED: Registered Nurse ( RN ) or a… more