A company is looking for a (RN) Managed Care Coordinator I - UM to review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria.
Key ResponsibilitiesPerform medical or behavioral review / authorization processes to ensure appropriate service coverageEvaluate outcomes of plans, eligibility, and medical necessity regarding requested servicesProvide patient education and promote enrollment in care management programsRequired Qualifications, Training, and EducationAssociates degree in a job-related field or two years of relevant work experienceTwo years of clinical experienceActive, unrestricted RN licensure or equivalent from the United StatesWorking knowledge of word processing software and Microsoft OfficeAbility to work independently and prioritize effectively
RN Managed Care Coordinator South Carolina
A company is looking for a (RN) Managed Care Coordinator I - UM to review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria. ...
Critical Care Physician Assistant Needed for Locum Tenens Coverage at Facility in Columbia, South Carolina
Grab a friend and go to a Columbia Fireflies game for good old-fashioned fun or take in the history and culture of this capital city by visiting the house & garden district with guided tours in Columbia, South Carolina. A larger health system is seeking a critical care physician assistant for locum ...
RN Unit Coordinator
The McGuire Group is a portfolio of six health care facilities in New York state, including: Autumn View Health Care Facility in Hamburg; Brookhaven Health Care Facility in East Patchogue; Garden Gate Health Care Facility in Cheektowaga; Harris Hill Nursing Facility in Williamsville; Northgate Healt...
Critical Care Nurse Practitioner Needed for Locum Tenens Coverage at Facility in Columbia, South Carolina
Grab a friend and go to a Columbia Fireflies game for good old-fashioned fun or take in the history and culture of this capital city by visiting the house & garden district with guided tours in Columbia, South Carolina. A larger health system is seeking a critical care nurse practitioner for locum t...
Home Care Coordinator-RN -FHW PACE all inclusive program
Fallon Health Weinberg offers a Program of All Inclusive Care for the Elderly (PACE) to serve the health needs of dual-eligible residents of the Western New York counties of Erie and Niagara. Delegates participants’ care responsibilities to other members of the health care team, when appropriate. C...
Staff - Registered Nurse (RN) - Clinical Coordinator, CCU - Coronary Care - $63 per hour
Montefiore Medical Center is seeking a Registered Nurse (RN) Clinical Coordinator, CCU - Coronary Care for a nursing job in Bronx, New York. The Patient Care Coordinator, in collaboration with and under the direction of the Administrative Nurse Manager participates in the coordination/implementation...
Staff - Registered Nurse (RN) - Clinical Coordinator, ICU - Intensive Care Unit - $63 per hour
Montefiore Medical Center is seeking a Registered Nurse (RN) Clinical Coordinator, ICU - Intensive Care Unit for a nursing job in Bronx, New York. The Patient Care Coordinator, in collaboration with and under the direction of the Administrative Nurse Manager participates in the coordination/implemen...
staff - Registered Nurse (RN) - Clinical Coordinator, ICU - Intensive Care Unit - $63 per hour
Montefiore Medical Center is seeking a Registered Nurse (RN) Clinical Coordinator, ICU - Intensive Care Unit for a nursing job in Bronx, New York. The Patient Care Coordinator, in collaboration with and under the direction of the Administrative Nurse Manager participates in the coordination/implemen...
Travel Nurse - Registered Nurse - ER - Emergency Room - $2517.44 / Week
Medical Solutions is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Buffalo, NY. This ER (Emergency Room) in RN (Registered Nurse) job in Buffalo, NY could be the next chapter in your story of personal and professional growth. This huge pool of opportuni...
Travel Nurse - Registered Nurse - ER - Emergency Room - $2462 / Week
THP Healthcare Staffing is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in West Seneca, NY. At Travel Healthcare Pros, we are committed to offering travel nurses and allied health professionals unparalleled support and opportunities. ...