Responsibilities of the Case Manager, RN:. Work on a collaborative Health Care team to monitor utilization patterns to identify and facilitate appropiate health care delivery for selected members. Qualifications of the Case Manager, RN:. RN or LPN- North Carolina license required. ...
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. ...
Identify related risk management quality concerns and report these scenarios to the appropriate resources. Interqual, NCCN) and government sponsored managed care programs. ...
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. ...
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team.Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.Supervise the day to d...
You will organize, plan, perform and supervise compliance internal audits and reviews. Bachelor's degree in Nursing, or obtained within five (5) years from the initial date of hire; RN with 15+ years of service may be considered in lieu of education agreement. Advanced degree in Nursing (MSN, PhD, D...
Identify related risk management quality concerns and report these scenarios to the appropriate resources. ...
CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. The Triage Nurse is respons...
One year of RN experience or nursing student clinical rotation experience may be considered. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. ...
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. ...
The Quality Program Manager RN is responsible to develop and implement the Quality and Performance Improvement Program for the assigned services and location. Bachelor's degree in Nursing, or obtained within five (5) years from the initial date of hire; RN with 15+ years of service may be considered...
Utilize the online learning platform to enrich the learning experience. Be available within 48 hours (excluding weekends and holidays) by phone, email, and in the courseroom to ensure learners receive quality feedback in a timely manner to support their academic success. Establish high standards and...
Advanced Degree in Nursing (MSN, PhD, DNP, ARNP) preferred. Washington state's largest community-based, locally governed health system. Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn. ...
Care Manager II (RN) - Field/Remote - McAllen, TXUSA TX. Care Manager II (RN) - Field/Remote - McAllen, TX in USA TX. Centene Corporation have an immediate need for Care Manager II (RN) - Field/Remote - McAllen, TX. If you happen to live in or around USA, TX or have the freedom to relocate yourself ...
Working collaboratively with all healthcare team members, internally and externally. Strong communication (written/verbal), interpersonal, organizational, and time management skills with a strong focus on customer service, including building and maintaining relationships with internal/external custo...
Nurse Case managers are healthcare professionals, who serve as customer advocates to coordinate, support, and guide care for our customers, families, and caregivers to assist with navigating through the healthcare journey. I learn and adapt to meet evolving business needs. Active unrestricted Regist...
This includes meeting scheduling best practices and turnaround time requirements. Supply and support their own internet services. Maintaining an uninterrupted internet connection is a requirement of all work from home position. ...
Strategic Staffing Solutions is currently looking for an RN Case Manager for a contract opportunity with one of our largest healthcare clients!. The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health pl...
The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to provide individualized nursing care to residents. Provides adequate assistance and support to delegates to ensure safe, reliable administration of r...
Teaches and counsels patients and families concerning heath assessment and care including prevention of disease and health maintenance. Skill at finding and providing solutions that are customized to meet customers’ needs and concerns. Ability to readily learn and apply information technology applic...
Registered Nurse (RN) license in good standing in the state of residence. BSN degree, plus 2+ years of relevant RN experience; or. ASN degree, plus 5+ years of relevant RN experience; or. Nursing Diploma, plus 8+ years of relevant RN experience. ...
Current RN licensure required and required to be maintained throughout length of assignment. ...
Matches these needs to a service site location or, if not available, look up and provide alternative services. Assist with clinical eligibility review for alternate services. RN license in a compact state is required. Ability to learn and master information related to locations and services of clien...
RN or MD degree with strong clinical knowledge - Active unrestricted clinical license in at least one state within the United States. ...
Registered Nurse (RN) license in good standing in the state of residence. BSN degree, plus 2+ years of relevant RN experience; or. ASN degree, plus 5+ years of relevant RN experience; or. Nursing Diploma, plus 8+ years of relevant RN experience. ...