Serves as a resource to internal and external staff on issues related to utilization management. Insurance Managed Care RN - UR/CM. The Managed Care RN Utilization/Case Manager, under the direction of the Director of Managed Care serves a key role in coordinating the patient's/enrollees interdiscipl...
Key Responsibilities:Supervise daily activities of direct reports and provide coaching and developmentIdentify training needs and development opportunities for direct reportsEvaluate job performance of direct reports and recommend appropriate personnel actionRequired Qualifications:Current RN Licens...
REMOTE POSITION HOWEVER MUST RESIDE IN SOUTHEASTERN LAKE COUNTY, DES PLAINES // NORTH OF CHICAGO & DOWNTOWN WILL BE ACCEPTED . ...
A company is looking for an RN Case Manager for Telehealth-Remote position. ...
Seek first to understand – must be intellectually curious, an active learner and listener, an innovative and resourceful problem solver. Live, Learn, Laugh, Love – We are seeking authentic individuals with good intentions, a positive and friendly disposition, who engage their soul, body ...
Nursing Diploma or Associates degree in nursing required.Bachelor's degree in nursing strongly preferred.Experience managing patients telephonically and via digital channels (mobile applications and messaging) preferred.CERTIFICATES, LICENSES, REGISTRATIONS.Current, active, and unrestricted Mich...
Fosters positive and professional relationships and acts as liaison with internal and external customers to ensure effective working relationships and team building in order to facilitate the review process. Acentra Health is seeking RN Utilization management reviewerr statewide in West Virginia for...
We build local partnerships with shelters, food pantries, and other community-based organizations to turn them into a site of care. We help each other to learn and provide feedback using candor and kindness. Consult with Enhanced Care Management team about clinical concerns or questions, provide edu...
Active, valid, and unrestricted California RN license. Education and Support: Provide remote education and self-management support tailored to the member's unique learning style. ...
Upon hire: California Registered Nurse License Or. Three years: Teaching research processes to/for RNs. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Orego...
Under the direction of the Manager, Quality Management Nurses, Quality Program Nurse (QPN), RN is responsible for the implementation of Quality Management policies, procedures, and activities. Quality Program Nurse, RN enforce DHCS regulatory requirements as pertaining to Facility Site Review (FSR) ...
Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversations. Oncology, Behavioral Health/Substance Abuse, Maternity, Transplant or Medical/Surgical. ...
Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government ...
Actalent is currently hiring for a Remote RN Case Manager!. ...
Learn why nurses choose to work at Providence by visiting our Nursing Institute page. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washi...
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 (states with pending or future implement...
What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. Current, unrestricted RN license in Washington. Computer / typing proficiency to enter / retrieve data in ele...
Assesses for barriers to care, provides care coordination and assistance to member to address psycho/social, financial, and medical obstacles concerns. Provides consultation, recommendations and education as appropriate to non-RN case managers. Active, unrestricted State Registered Nursing license (...
This program aims to develop RN-to-BSN students to be ready for the real world. All of our RNs have exceptional clinical skills and have worked hard to become experts in the specialty skills required to treat infusion patients in their own homes. You must be enrolled in an RN-to-BSN program that has...
Job Title: RN Case Manager (WFH & FIELD). ...
The Field Care Manager Nurse 2/RN Care Navigator assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The RN Care Naviga...
Ability and willingness to travel locally, within South Florida to attend meetings and trainings up to 10% of the time; Depending on the assigned schedule required availability to work evenings/overnights and/or weekends. ...
Must have active, current and unrestricted RN licensure in the state of Oklahoma. Compact RN licensure preferred. ...
Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Licensed Registered Nurse (RN) with compact license with no disciplinary action. Must have the ability to provide a high-speed DSL or...