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. ...
RN Case Manager
RN Case Managers will provide nursing care to the Endless Journey, LLC terminally ill client in all settings. At Endless Journey we encompass the holistic philosophy in that the client and their family will be nourished physically, emotionally, and spiritually as they prepare for end of life and bey...
Telephonic Case Manager RN
A company is looking for a Telephonic Case Manager RN in Transplant Medicine to provide care coordination and support to members. ...
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 ...
RN Case Manager - Med Surg
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. Current and valid Nebraska RN l...
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 Hospice
Overview Full Time Days Are you a highly skilled and compassionate registered nurse (RN) looking for a rewarding career in hospice as a case manager? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U. Regularly communica...
Case Manager RN
This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients. Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus...
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...
Case Manager (RN) - Psych RN - NEBRASKA ONLY
RNs provide consultation, recommendations and education as appropriate to non-RN case managers. Opportunity for a Nebraska licensed RN with a background in Behavioral Health to join our health plan as a Case Manager. Completes comprehensive assessments of members per regulated timelines and determin...