- CVS Health (Austin, TX)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... in a hospital setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Luke Staffing (Montgomery, AL)
- ** REGISTERED NURSE - CASE MANAGER** **SITE OF SERVICE** **:** . Maxwell Ambulatory Healthcare Center, 300 South Twining Street, Bldg. 760, Maxwell AFB, AL. . ... . **Licensure:** Current, full, active, and unrestricted license to practice as a Registered Nurse . **Travel:** Travel may be required for this position for… more
- Cardinal Health (Casper, WY)
- …business units and external customers. The Value-Based Care / Transition of Care Registered Nurse plays a critical role in enhancing patient outcomes and ... safe and effective transitions of care across settings, reducing avoidable hospital utilization , and promoting chronic disease management. The nurse collaborates… more
- Access Dubuque (Dubuque, IA)
- …office and is also available remotely within Iowa. **Key Responsibilities:** + Provide telephonic case management and utilization review for assigned ... Bilingual RN Case Manager **Cottingham & Butler/ SISCO** 1...Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred. + **Skills:**… more
- Humana (Hallandale Beach, FL)
- …+ Bachelor's degree in social work or behavioral health-related field + Active licensed Registered Nurse , RN in the state of Florida without disciplinary ... ensure interaction between the company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service members… more
- US Tech Solutions (Columbia, SC)
- **Duration: 3+ Months Contract (Possible temp to hire)** **Job Description:** + Must be an RN in SC and have an active and unrestricted SC RN license. + ... have critical thinking skills. + Experience in case management or care coordination and telephonic care experience is preferred. + A typical day would be managing a… more
- CVS Health (Tallahassee, FL)
- …status which has resulted in an inpatient admission. The Transition of Care (TOC) RN ensures the member experiences a seamless transition to their next care setting. ... **Position Responsibilities:** . Responsible for telephonic and/or face to face assessing, planning, implementing, and coordinating all care management activities… more
- CVS Health (Franklin, KY)
- …+ Discharge Planning Experience + Motivational Interviewing skills + Managed Care/ Utilization Review Experience + Clinical experience and demonstrated knowledge ... do it all with heart, each and every day. **Position Summary** The Complex Nurse Case Manager is responsible for assessing members through regular and consistent in… more
- US Tech Solutions (Columbia, SC)
- **Duration: 3+ Months Contract (Possible Extension)** **Job Description:** + Must be an RN in SC and have an active and unrestricted SC RN license. + ... promote quality, cost effective outcomes. + Performs medical or behavioral review /authorization process. Ensures coverage for appropriate services within benefit and… more
- Elevance Health (Grand Prairie, TX)
- ** Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... complete the assessment within 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible for care management within… more
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