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...
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 ...
RN - Registered Nurse - State Licensure and/or Compact State Licensure required. ...
We believe in our people and realize that our success is a direct result of creating a learning atmosphere, leadership opportunities, and promoting from within. Providing telephonic case-management in a Workers’ Compensation environment; focusing on medical appropriateness of care to injured worker ...
RN - Registered Nurse - State Licensure and/or Compact State Licensure required. ...
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...
Must reside within New York State and have an active NY State RN license. Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success. RN - Registered Nurse - State Licensure and/...
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...
Active RN Compact State license. RN experience (any environment as long as they have a solid work history). ...
Position Overview: The Home Health RN is responsible for overseeing and providing comprehensive nursing care to patients in their homes in the Tarrant County and surrounding areas. The RN develops individualized care plans and collaborates with other healthcare professionals to ensure the highest qu...
DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) to join us in. Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more. Registered Nurse (RN) Case Manager. Identify and address social determinan...
RN or MD degree with strong clinical knowledge - Active unrestricted clinical license in at least one state within the United States. ...
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...
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...
Prepare cases for Maximus Federal Services, Fair Hearing, and External Appeal through all levels of the appeal process. ...
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...
Home Infusion Nurse RN (Accredo)- Full time. 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 what’s most importan...
CPT, HCPCS, ICD-10, CMS,), 3+ years Certified Professional Coder (AAPC or AHIMA), 3+ years Active unrestricted RN license. ...
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...
Fosters positive and professional relationships and acts as liaison with internal and external customers to ensure effective working relationships and team building to facilitate the review process. Maintains current knowledge base related to review processes and clinical practices related to the re...
Ability to work independently and effectively communicate to internal and external customers in a telephonic environment. Active unrestricted Registered Nurse (RN) license in state or territory of the United States. Ability to learn new processes and systems quickly. Strong personal computer skills,...
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...
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. ...
Available Part-Time Schedules (Eastern Time ONLY). Resilient; willing to learn from others; patients, optimistic and adaptable. Technology experience - preferably with multiple EMR/EHR systems, familiar with Microsoft Office, GoogleSuite products and comfortable learning new softwares quickly. Posse...
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. ...