A company is looking for a Clinical Financial Case Manager-RN.Key ResponsibilitiesConduct denial case reviews and validate in-patient accountsSupport Utilization Management and manage clinical appeals and denialsInterpret medical necessity guidelines and collaborate with multidisciplinary teamsRequired QualificationsBachelor's degree in nursing with a current licenseMinimum of 3 years of clinical care experienceExperience collaborating with physicians and their designeesExtensive knowledge of clinical operations and patient flowProficiency in Microsoft Office products and various technology applications
Telephonic Case Manager - RN Licensed
A company is looking for a Telephonic Case Manager to assist injured individuals in their recovery process. CCM, CDMS, CRC)Reliable internet access for remote work. ...
Case Manager (RN) (Must Reside In NE)
RNs provide consultation, recommendations and education as appropriate to non-RN case managers. Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellnes...
RN Case Manager - IN Licensed
A company is looking for a Nurse Case Manager responsible for Complex Case Management, Disease Management, and Transitional Case Management. ...
RN Case Manager - Casual/PRN
Ensures and provides handoffs to internal and external healthcare providers, personnel, and/or community agencies to coordinate services and assist with continuity of care. Provides educational consults, programs, and presentations internally and externally as needed. Casual/PRN - Mon-Fri 8:00-4:00 ...
Telephonic Medical Case Manager - CA RN
A company is looking for a Telephonic Medical Case Manager in a remote setting to coordinate resources and treatment plans in a workers' compensation environment. ...
RN Case Manager-Endocrinology
The RN Case Manager acts in an expanded health care role to collaborate across the continuum with their assigned SPC care team, inpatient case management, social work, primary care, members of community health care teams, and patients/families to ensure the delivery of quality, cost-effective health...
Case Manager (RN) (Must Reside In NE)
RNs provide consultation, recommendations and education as appropriate to non-RN case managers. Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, a...
RN Case Manager
As an RN Case Manager, you will play a crucial role in coordinating and providing top-quality care to our clients. If you're ready to join a team that values your skills, compassion, and dedication, we encourage you to apply for the RN Case Manager position at BrightStar Care of Omaha. Current and v...
RN - Case Manager - Full Time
Acts as Case Manager when assigned and assumes responsibility to coordinate Senior/client care for assigned caseload. The Hospice RN is responsible for planning, organizing, directing and delivering hospice care for Tabitha Hospice Senior’s/resident’s/client’s (hereinafter, “Senior’s/client’s”). Suf...
Complex Case Manager RN - Oncology (Remote)
In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in...