- Humana (Little Rock, AR)
- …and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Humana (Boise, ID)
- …determined based on operational needs at the discretion of department leadership. The Telephonic Nurse provides medical guidance, assists with access to care ... trained to act as a clinical concierge. The NAL Telephonic Nurse role is a remote position,...care, skilled or rehabilitation setting, home health, DME, triage, utilization , or case management . + **Ability to… more
- Elevance Health (Costa Mesa, CA)
- ** Telephonic Nurse Case Manager II** **Sign on Bonus: $5000.** **Location: This role enables associates to work virtually full-time, with the exception of ... service members in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care … more
- Actalent (Atlanta, GA)
- Utilization Review - Registered Nurse Job Description...GA or Compact. + 1+ years of experience in Utilization Management (UM). + 1+ years of experience ... members, providers, Customer Service, Claims, Contracts and Benefits - Appeals, and Risk Management . Essential Skills + Registered Nurse (RN) with a valid… more
- Ventura County (Ventura, CA)
- …and patient-centered care. Under general direction, the Senior Medical Management Nurse is responsible for performing utilization review, case management ... Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5113983)...in Case Management , CCM. + Experience with Utilization Management and/or Quality Assurance in a… more
- Sharecare (Helena, MT)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...for supporting the goals and objectives of the Disease Management program by providing high quality telephonic … more
- ERP International (Yuma, AZ)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... databases for community resources, etc. + Integrate CM and utilization management (UM) and integrate nursing case...the certifications below **OR** Possess a Master's Degree in Nurse Case Management from a program accredited… more
- Fenway Health (Boston, MA)
- …objective scientific principles, and the patient's subjective experiences. + Conducts virtual, telephonic , or in-person nurse assessment and triage to assess the ... Registered Nurse Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Nursing Job Type...to the care team with primary responsibilities for disease management , care coordination, and advice/triage needs for the care… more
- Veterans Affairs, Veterans Health Administration (Greenville, NC)
- …to apply. Responsibilities VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for ... EDRP Coordinator for questions/assistance. Learn more Duties: The primary purpose of the nurse practitioner (NP) is to practice to the full extent of their… more
- Baystate Health (Springfield, MA)
- …Health Center** The **ACO Nurse Care Manager i** s responsible for the management of care for a defined group of patients including complex care management , ... face visits, home visits if necessary, as well as telephonic interactions. In addition, they will assist with advance...management application is required and is vital. Care management program metrics including, emergency room utilization ,… more
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