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...
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...
This position includes responsibility for conducting research and analysis of published medical literature in order to respond to internal and external inquiries and the development of Cigna Medical Coverage Policies. Presents proposals to the TMC committee for consideration; once a project is recom...
CPT, HCPCS, ICD-10, CMS,), 3+ years Certified Professional Coder (AAPC or AHIMA), 3+ years Active unrestricted 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...
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. ...
Bachelor's degree in Nursing, or obtained within five (5) years from the initial date of hire; RN with 15+ years of service may be considered in lieu of education agreement. Advanced Degree in Nursing (MSN, PhD, DNP, ARNP) preferred. Washington state's largest community-based, locally governed healt...
Meet/exceed department Turn Around time, daily established productivity goals, and service levels. Current RN license – Multi-State License Preferred. ...
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 - Registered Nurse - State Licensure and/or Compact State Licensure required. ...
Apply alternative training mediums and engagement methods to increase training effectiveness of remote training and accommodate distance learning and various learning styles. RN Case Management Clinical Trainer | Remote. For the past 20 years, EXL has worked as a strategic partner and won awards in ...
Works with senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns. RN - Registered Nurse - State Licensure and/or Compact State Licensure required. ...
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...
Senior LTSS RN Case Manager - position provides flexibly to work from home and travel to conduct IN-PERSON medically approved Medicaid assessments. May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness fo...
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...
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...
With excellent coaching and support, you'll be part of a collaborative team of RNs across the country. Carenet Healthcare Services is seeking RNs (Registered Nurses) to join our team of talented professionals who provide telehealth and virtual care clinical triage assessments, health education and o...
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...
Manage an assigned caseload of members while remaining in compliance with all internal and regulatory requirements. Current RN License in good standing in the state of practice required. ...
By providing clinical advice and triaging clinical concerns when members call Devoted, you can help members achieve better health outcomes. A compact RN license and willingness to obtain additional licenses as needed (for non-compact states). A minimum of 4 years of RN patient care experience. Eager...
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...
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...
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. ...