- Elevance Health (Atlanta, GA)
- …criteria._** The ** Telephonic Nurse Case Manager I** is responsible for telephonic care management within the scope of licensure for members with complex ... ** Telephonic Nurse Case Manager I -...** Telephonic Nurse Case Manager I - $3000 Sign-On Bonus...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- UPMC (Pittsburgh, PA)
- Are you an experienced nurse with a background in case management ? Are you interested in the opportunity to work from home? UPMC Health Plan is looking for you! ... We are hiring a full-time Telephonic Care Manager to join the Home and Community-Based...interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN...Actively monitors for admissions in any inpatient setting. Performs telephonic and/or on site admission and concurrent review, and… 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 ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...Actively monitors for admissions in any inpatient setting. Performs telephonic and/or on site admission and concurrent review, and… more
- CVS Health (Raleigh, NC)
- …is part of the dedicated team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... and deliver solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote… more
- CVS Health (Raleigh, NC)
- …live in any state. There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... and deliver solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote… more
- Adecco US, Inc. (Dallas, TX)
- We are currently seeking a ** Utilization Management Nurse ** in **Dallas, Texas** . If you want to join our team, apply today! We offer competitive salary ... experience in an acute care hospital setting required. + Minimum of two years Utilization Management acute care setting experience required. + Minimum of one… more
- Universal Health Services (Conway, SC)
- …documentation, clinical and critical thinking skills essential. Working knowledge of utilization management / case management preferred. Strong problem ... Hospital is hiring for a Part Time RN Utilization Review Coordinator. Utilization Review / Risk Management Lighthouse Behavioral Health Hospital is a… more
- Elevance Health (Waukesha, WI)
- ** Telephonic Nurse Disease Management II** **$2000 Sign on Bonus** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance ... - 7:30 pm, 12:30 pm - 9 pm, or 2:30 pm - 11 pm EST.** The ** Telephonic ** **N** **urse Disease Management II** will be responsible for telephonic outreach,… more
- Commonwealth Care Alliance (Springfield, MA)
- …accepted medical guidelines, and appropriate scope of practice. + Provide regularly scheduled telephonic calls to support the management of chronic disease or ... Massachusetts + RN: 2+ years meaningful clinical experience in primary care or care management including telephonic based setting, home health or acute care case… more
- ERP International (Luke AFB, AZ)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... **Overview** ERP International is seeking full time **Registered Nurse - Case Management ** in support of the56th Medical Group at Luke AFB, AZ… more
- ERP International (Camp Pendleton, CA)
- …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
- The Arora Group (Twentynine Palms, CA)
- …(WII) under the Psychological Health Transition to Care Initiative in the Case Management / Utilization Management Division at Naval Hospital 29 Palms . ... assessment, planning, implementation, coordination, and monitoring. + Integrate case management (CM) with utilization management ...experience within the last 3 years as a registered nurse providing case management and obtain one… more
- The Arora Group (Goose Creek, SC)
- …algorithms, CM software, and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case management with ... Registered Nurse Case Manager - Lead Nurse ...Defense (DoD) programs which affect coordination of care and utilization of health care services for active duty and… more
- The Cigna Group (Harlingen, TX)
- …Nursing * Three to Five (3-5) years recent experience in an acute-care environment, case- management or utilization management position (experience can be a ... provider practices * Identifies high-risk/high-cost patients for possible case management intervention. * Interfaces with providers of medical services and… more
- US Tech Solutions (Columbia, SC)
- …enrollment in care management programs and/or health and disease management programs. Provides telephonic support for members with chronic conditions, ... established clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to… more
- The Arora Group (Coronado, CA)
- …algorithms, CM software, and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case management with ... Registered Nurse Case Manager Nurse Currently recruiting...specialists. + Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets… more
- Elevance Health (Denver, CO)
- ** Telephonic Nurse Case Manager II** **Sign-on Bonus: $2000.** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, Inc. ... - Friday 10 am - 6:30 pm EST.** The ** Telephonic ** ** Nurse Case Manager II** is responsible...or service issues. + Assists with the development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- The Arora Group (Annapolis, MD)
- …algorithms, CM software, databases for community resources, etc. + Integrate CM and utilization management (UM) and integrate nursing case management with ... Registered Nurse Case Manager Nurse Currently recruiting...INCLUDE: + Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets… 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+02215) * Nursing Job Type...to the care team with primary responsibilities for disease management , care coordination, and advice/triage needs for the care… more