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...
Meet/exceed department Turn Around time, daily established productivity goals, and service levels. Current RN license – Multi-State License Preferred. ...
RN, LPN, remote, hybrid, wfh, primary care, clinic. ...
The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to provide individualized nursing care to residents. Provides adequate assistance and support to delegates to ensure safe, reliable administration of r...
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...
To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click. The RN Utilization Management Nurse performs clinical review of prior approvals, network exceptions, benefit inquiries, inpatient medical/surgical admissions and outpatient procedures for providers, and all other ...
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. ...
Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. ...
RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Licensure required. ...
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. ...
We are seeking a candidate with a RN license and managed care UM experience. Weekend and Holiday on-call rotation ( Spot check) ensures requests are processed and remain compliant with turnaround times. Must be able to travel within applicable state or locality with reliable transportation as requir...
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. ...
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...
RN or MD degree with strong clinical knowledge - Active unrestricted clinical license in at least one state within the United States. ...
Registered Nurse (RN) license in good standing in the state of residence. BSN degree, plus 2+ years of relevant RN experience; or. ASN degree, plus 5+ years of relevant RN experience; or. Nursing Diploma, plus 8+ years of relevant RN experience. ...
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...
Active and unrestricted RN license for the State(s) of employment. Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. ...
RN or MD degree with strong clinical knowledge - Active unrestricted clinical license in at least one state within the United States. ...
Join our dynamic team and take on an exciting role as the RN Senior Manager Case Management (CM) Operations, where you will make a significant impact on our case management operations! The Senior Manager provides overall management and administrative oversight of case management activities performed...
We are seeking dedicated and qualified RNs to join our team as Remote Contingent Hurricane Response Inbound Phone Agents. As a Remote RN Contingent Hurricane Response Agent, you will play a critical role in assisting individuals who have been impacted by hurricanes and are seeking insurance claim as...
RN Clinical Quality Analyst - Case Management | Remote. For the past 20 years, EXL has worked as a strategic partner and won awards in its approach to helping its clients solve business challenges such as digital transformation, improving customer experience, streamlining business operations, taking...
CANDIDATE MUST HAVE EITHER RN OR CPC**. CANDIDATE THAT HAS RN AND CPC STRONGLY PREFERRED***. Presents draft document at the Health Net, Inc Medical Director Forum and the Health Net of California Medical Policy Committee. Must have and maintain current, valid and unrestricted RN or CPC license. ...
The RN Clinical Abstractor reviews clinical documentation, inputs data from the clinical documentation into the appropriate registry, makes judgments regarding the completeness of that documentation as it relates to UW Medical Center compliance with regulatory and registry requirements, and submits ...
Matches these needs to a service site location or, if not available, look up and provide alternative services. Assist with clinical eligibility review for alternate services. RN license in a compact state is required. Ability to learn and master information related to locations and services of clien...
Active RN Compact State license. RN experience (any environment as long as they have a solid work history). ...