A company is looking for a Manager, Clinical Finance Case Management-RN.Key ResponsibilitiesOversee daily operations of Clinical Pre-Certification, Peer to Peer Clinical Appeals, and Denial AnalysisUtilize clinical knowledge to interpret medical necessity guidelines and determine appropriate levels of careDevelop and implement policies, procedures, and workflows related to clinical financial case managementRequired QualificationsBachelor's degree in nursing with a current licenseMinimum of 5 years of clinical care experienceExperience collaborating with physicians and their designeesExtensive knowledge of clinical operations and patient flowProficient in Microsoft Office products and various technology applications
Travel Nurse RN - Case Manager - $2,636 to $2,923 per week in Oak Brook, IL
TravelNurseSource is working with LRS Healthcare to find a qualified Case Manager RN in Oak Brook, Illinois, 60523!. Ready to learn more? Apply today to start your Travel Adventure with LRS Healthcare!. LRS Healthcare has flexible travel RN jobs nationwide with top facilities. ...
Bilingual Telephonic Case Manager - CA Compact RN
A company is looking for a Bilingual Telephonic Case Manager with compact and CA RN licenses. ...
Registered Nurse (RN) - Home Health Case Manager - Southwest Suburbs
All medical needs will be coordinated by the RN who is case managing the patient and utilizing the resources of the team (i. Internal team members are not eligible for this sign on bonus at this time. FULL TIMEJOB and UNIT SUMMARY:The Home Health division of Advocate Health Care is the largest home ...
RN Case Manager
Full Time Inpatient RN Case Manager - weekday shifts with minimal weekend and holiday requirements. The Inpatient RN Care Manager works with the multidisciplinary team including physicians, staff, and payers to ensure patient's progress along the continuum of care in an efficient and cost-effective ...
Clinical Case Manager Behavioral Health
Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes. Through the use of care m...
Hospice RN Case Manager
We are looking for an outstanding nurse case manager (RN) to join our team. Our specially trained team includes doctors, nurses (NP, LPN and RN), social workers, certified nursing assistants, spiritual counselors, therapists and volunteers, just to name a few. Provide case management services. Assum...
Home Health Registered Nurse (RN) Field Case Manager
Our company is an established home healthcare company that has been servicing patients in Illinois seeking a high-energy, self-initiating, and caring RN who can work as a field nurse For the Chicago South/ South East Sub. As a Registered Nurse RN you will educate patients and their caregivers on th...
Bilingual Clinical Case Manager, Behavioral Health
The Clinical Case Manager, Behavioral Health, is responsible for driving and supporting care management and care coordination activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating). The CCM, BH, utilizes advanced clinical judgment and cr...
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...
Registered Nurse / RN Case Manager / RN
As an RN Case Manager at Moments Hospice, you will join a team that is dedicated to making our patients' final days, weeks, and months as comfortable as possible. Registered Nurse - RN Case Manager Overview:. Registered Nurse - RN Case Manager Qualifications:. Experienced team of Clinical Managers a...