Professional Growth - internal and external learning and development opportunities. The RN Care Manager (RN CM), as part of an interdisciplinary team (IDT) with a Care Manager, serves Lakeland Care's (LCI) members, the frail elderly, adults with physical disabilities, and adults with intellectual/de...
RN - Registered Nurse - State Licensure and/or Compact State Licensure required. ...
Responsibilities of the Case Manager, RN:. Work on a collaborative Health Care team to monitor utilization patterns to identify and facilitate appropiate health care delivery for selected members. Qualifications of the Case Manager, RN:. RN or LPN- North Carolina license required. ...
Mental and Behavioral Health RN / VA Reviewer - Remote. Mental and Behavioral Health RN / VA Reviewer. Mental and Behavioral Health RN / VA Reviewer. Mental and Behavioral Health RN / VA Reviewer. ...
Ability to work independently and effectively communicate to internal and external customers in a telephonic environment. Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained. RN and c...
RN - Registered Nurse - State Licensure and/or Compact State Licensure required. ...
Dane Street is seeking highly motivated candidates to join our team as a Lead Clinical (RN) QA Specialist, specializing in Long Term Disability (LTD). As a Lead Clinical (RN) QA - Long Term Disability Specialist, you will leverage your expertise in long-term disability claims to review and ensure to...
RN - Registered Nurse - State Licensure and/or Compact State Licensure required. ...
Home Infusion Nurse RN (Accredo)- Part time, 32 hours a week. For RNs who want to grow their skills with new/specialty infusion therapies, while having greater flexibility, ownership, and serenity than what is experienced in more high-impact, high-stress environments, we encourage you to rethink wha...
Consult and coordinate with internal and external team members to assess, plan, implement and evaluate patient care plans, make appropriate referrals, and provide follow-up. Care Managers will assess symptoms/concerns of callers to determine the urgency and type of care needed, refer to or schedule ...
Meet/exceed department Turn Around time, daily established productivity goals, and service levels. Current RN license – Multi-State License Preferred. ...
MUST have or be willing to obtain a Compact RN license. You’re required to use your own high-speed internet. You’ll access EMRs for charting and utilize our internal applications to perform job functions. MUST have or be willing to obtain a Compact RN license. ...
An unrestricted Registered Nurse (RN) license with a minimum of 4 years RN experience. Alerts and collaborates with appropriate leadership concerning patients who do not meet medical appropriateness criteria. Support members in understanding diagnostic tests and treatments, including costs, risks, a...
HEDIS RN/abstraction, Legal RN, Utilization Review/Utilization Management experience (Preferred). The RN Reviewer position is a crucial role in our organization in this role you are responsible for performing a full range of activities that will positively impact the organization and contribute to ...
This position offers a unique opportunity to be the first steppingstone in their career journey, overseeing their onboarding, training curriculum, and professional development as they progress over time. Provide constructive feedback via review calls, individual case notes, and internal team trackin...
Proven success and enjoyment in building relationships with a variety of stakeholders, such as care managers at hospitals and care coordinators at large PCP groupsThe ability to learn quickly from past experiences and implement changes for improvement. An unrestricted, compact RN license and willing...
Dane Street is seeking highly motivated candidates to join our team as a Clinical (RN) QA Specialist, specializing in Long Term Disability (LTD). As a Clinical (RN) QA - Long Term Disability Specialist, you will leverage your expertise in long-term disability claims to review and ensure to accuracy ...
Strategic Staffing Solutions is currently looking for an RN Case Manager for a contract opportunity with one of our largest healthcare clients!. The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health pl...
An unrestricted Registered Nurse (RN) license with a minimum of 4 years RN experience. Alerts and collaborates with appropriate leadership concerning patients who do not meet medical appropriateness criteria. Support members in understanding diagnostic tests and treatments, including costs, risks, a...
This position provides financial data and analysis for internal and external reporting and ensures the hospital is prepared for audits and responds to all audit requests. ...
Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Willing and able to obtain multi state RN licenses if needed, company will provide. ...
Maintains professional relationships with provider community and internal and external customers while identifying opportunities for improvement. We are seeking a RN candidate with UM knowledge and supervisor experience. Active, unrestricted State Registered Nursing (RN) in good standing. Molina Hea...
RN or MD degree with strong clinical knowledge - Active unrestricted clinical license in at least one state within the United States. ...
The Good Samaritan Society is seeking to hire a compassionate and adaptable Registered Nurse to join our team as a Travel RN This opportunity allows a RN to travel locally by working in various GSS locations within a -mile radius from home address providing care with competitive pay, mileage reimbur...
RN or MD degree with strong clinical knowledge - Active unrestricted clinical license in at least one state within the United States. ...