A company is looking for a Case Manager RN for a fully remote position.Key ResponsibilitiesReview and evaluate specialty injectable information and documentationCoordinate clinical resolutions with internal / external clinician supportEnsure compliance with clinical policy, regulatory, and accreditation guidelinesRequired QualificationsRN with an unrestricted active licenseExperience in Managed CareMedicare experience requiredPrior Authorization experience requiredPharmacy prior authorization experience required
Travel Nurse - RN - Case Manager - $2097.24 / Week - Hiring Now
Cynet Health is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in New York, NY. ...
Medical Case Manager I - RN
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Northern NY/NJ. Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred. In addit...
Travel Nurse - RN - Case Manager - $2097.24 / Week
Cynet Health is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in New York, NY. ...
Licensed Practical Nurse Care Manager / Case Management (LPN)
We are now offering a $2,000 sign-on bonus! Licensed Practical Nurses Northern Metropolitan Nursing Home is actively hiring an LPN Team Members for our long term care facility. NMT109 LOCATION: Monsey, NY ABOUT US: Northern Metropolitan Residential Healthcare Facility is located in Monsey, NY. North...
RN Case Manager | NJ, Newton
Maintains a caseload with productivity in compliance with agency standards. Licensed to practice as a Registered Nurse in the State of New Jersey; licensure in Pennsylvania if practicing in PA. ...
Case Manager RN - Field (Passaic County, NJ)
Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences• Utilizes case management processes in compliance with regulatory and company policies and procedures. Milea...
staff - Registered Nurse (RN) - Case Manager, Acute Care Case Management - $85K-106K per year
VNS Health is seeking a Registered Nurse (RN) Case Manager, Acute Care Case Management for a nursing job in Fairview, New Jersey. Provides telephonic case management to members, balancing clinical, social, and environmental concerns. Certified Case Manager preferred. Posted job title: Rn Care Manage...
Case Manager RN - Field (Passaic County, NJ) at CVS Health
Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences. Certified Case Manager is preferred. Our Integrated Care Management (ICM) Care Managers are frontline advoc...
RN- Financial Nurse Case Manager- PACE Team- Accredo- Remote
The Financial RN Case Management Lead Analyst role supports our PACE (Precision, Care, Agility and Engagement) program initiative by providing proactive prior authorization requests for specialized therapies. Handles more complex, high acuity cases, and/or account sensitive cases involving largest r...
Case Manager RN - Field (Hudson County, NJ) at CVS Health
Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences. Certified Case Manager is preferred. Our Integrated Care Management (ICM) Care Managers are frontline advoc...