Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the... Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team...
in Nursing preferred License/Certification: RN - Registered Nurse - State Licensure and/or Compact State Licensure... required or NP - Nurse Practitioner - Current State's Nurse Licensure required Resource Utilization Group (RUG) certification...
(Urbana, IL) with the potential to be remote after that time period*** The Transfer Center RN Specialist is dedicated... and provider. Qualifications: Certifications: Licensed Registered Professional Nurse (RN) - Illinois Department of Financial...
’s preferred Knowledge with Utilization management processes preferred Current NY RN license and registration required CCM...Pre-Authorization RN Remote after training which is a hybrid schedule 2 days onsite, 3 remote until training complete...
in Nursing preferred License/Certification: RN - Registered Nurse - State Licensure and/or Compact State Licensure... required or NP - Nurse Practitioner - Current State's Nurse Licensure required For Superior: Resource Utilization Group (RUG...
License/Certification: RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse... Practitioner - Current State's Nurse Licensure required For Superior: Resource Utilization Group (RUG) certification...
Type PRN Hours/Pay Period 0 Remote No Category Staff Nurse Travel No Weekly Schedule weekends and PRN Shift Day... clinical experience with ADN or a Master's degree in Case Management, or Master's Degree Nursing TX RN License Licensure...
utilization. Handles day-to-day patient satisfaction concerns. Works as a registered nurse, providing direct patient care... Type Full Time Hours/Pay Period 80 Remote No Category Nursing Leadership Travel No Weekly Schedule M-F 8am-5pm Shift Day...
be interested in. Required Qualifications: Associate’s degree (or higher) Unrestricted RN (Registered Nurse) license CCS/CIC... Experience working with Utilization Management Experience with readmission reviews of claims Experience with DRG encoder tools...
be interested in. Required Qualifications: Associate’s degree (or higher) Unrestricted RN (Registered Nurse) license CCS/CIC... Experience working with Utilization Management Experience with readmission reviews of claims Experience with DRG encoder tools...
in Nursing preferred License/Certification: RN - Registered Nurse - State Licensure and/or Compact State Licensure... required or NP - Nurse Practitioner - Current State's Nurse Licensure required Resource Utilization Group (RUG) certification...
Type Full Time Hours/Pay Period 72 Remote No Category Staff Nurse Weekly Schedule 1900-0700 Shift Night... of suggestions. Finally, click “Add” to create your job alert. Job Category Location Remote Job Type + Add Staff Nurse...
/Certification: RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner... - Current State's Nurse Licensure required For Superior: Resource Utilization Group (RUG) certification must be obtained...
experience in discharge planning, case management or utilization review. Certifications Required - Current registered nurse... a review of the appropriate utilization of resources, balanced with the patient’s right to self-determination. Reviews patient...
to the Health Plan Manager of Utilization Review, the Appeals Nurse, will be an integral member of the health plan’s medical... management team. The Appeals Nurse will investigate and process medical necessity requests from both members and providers. The...
Collaborating with medical care teams to ensure health care quality measures are met and use utilization management tools to meet...% remote work from home. Salary Range: $65,000 - $75,000 Responsibilities: As a Care Coordinator, you will manage member...
delivery of patient care. Preferred - Experience in case management or utilization review. Certifications... Utilization Review (CPUR), Certified Professional in Utilization Management (CPUM) or Certified Professional in Healthcare...
delivery of patient care. Preferred - Experience in case management or utilization review. Certifications... Utilization Review (CPUR), Certified Professional in Utilization Management (CPUM) or Certified Professional in Healthcare...
Active, unrestricted Registered Nurse license through the State of California 1+ years of experience in case management... Thursday 6:30am-5pm Consideration for remote after 90 day on-site training This position follows a hybrid schedule...
Active, unrestricted Registered Nurse license through the State of California 1+ years of experience in case management... Thursday 6:30am-5pm Consideration for remote after 90 day on-site training This position follows a hybrid schedule...