- Elevance Health (GA)
- ** Telephonic Nurse Case Manager I** **Location: Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... must complete the assessment within 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager I** is responsible for telephonic care… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
- ChenMed (New Orleans, LA)
- …assess and record patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with inpatient staff for possible ... we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving...experience required. + A minimum of 1 year of utilization review and/or case management, home health,… more
- ChenMed (Houston, TX)
- …years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management, home health, discharge planning experience ... we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving...with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization ;… more
- ChenMed (Norfolk, VA)
- …healthcare setting experience is preferred. + Minimum of two (2) years of utilization review , case management, home health and/or discharge planning experience ... of communication. + Introduce self to patient/family and explain nurse case manager role and process to contact ...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
- ChenMed (Lakeland, FL)
- …assess and record patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with inpatient staff for possible ... we need great people to join our team. The Nurse Case Manager 2 (RN) is responsible for achieving...experience required. + A minimum of 1 year of utilization review and/or case management, home health,… more
- Actalent (Tampa, FL)
- Actalent is hiring Remote PAC Nurses!Job Description Actalent is looking for PAC Utilization Review Nurses that will work remote! Qualified candidates must have ... experience working in the managed care/insurance industry. The PAC Nurse is a telephonic position responsible for... experience and/or discharge planning. + 2 years of utilization review /management experience. + 1 year of… more
- ChenMed (Philadelphia, PA)
- …engagement with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization ; provides family ... people to join our team. The Community Care RN ( Nurse Case Manager) is responsible for achieving positive patient...achieving desired clinical outcomes within specific timeframe. + Conducts review for appropriate utilization of services from… more
- Spectrum Health Services (Philadelphia, PA)
- …from the hospital, specialty care practices, health plan staff, and others, the Nurse Care Manager identifies and proactively manages the needs of patients with high ... health and/or psychosocial problems through practice and home-based visits and telephonic support on a care management or case management basis appropriate… more
- CVS Health (Denver, CO)
- …with transferring patients to lower levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC recognized accreditation preferred - 1+ ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
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