Description Are you a registered nurse with a background in utilization management? Are you interested in the opportunity to work from home? UPMC Health Plan is looking for you! We are hiring temporary full-time Utilization Management Care Managers to support the Utilization Management Clinic...
About this job Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and ...
Currently seeking a qualified RN to staff a remote position for Utilization Review in Indianapolis.Must be Indiana Resident.It is a 3 month position, hours being Monday-Friday 8A-5P EST.High speed internet connection is required, along with the ability to connect to a router.Pay is $35/hour.Benefits...
The Utilization Review Nurse is responsible for the development, implementation, coordination, and follow-up of projects related to Mercy Care Management. This includes the validation, assimilation, and integration of information derived from projects, focus studies, in network and out of network pr...
Job Summary The Triage Registered Nurse will be part of a multidisciplinary team supporting general care processes, providers, and patients in an ambulatory community-based setting. The RN is responsible for evaluating and assessing patient’s health care needs based on telephonic evaluation and asse...
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...
Do you want to work for a company that Forbes’ named one of the best employers of 2021? Do you want to fast-track your career by working for one of LinkedIn’s top companies in the US? If so, keep reading!Title of Job: Registered Nurse – Remote Triage Location: REMOTE (anywher...
RN (Registered Nurse) Home Health Full-Time positions include a $12,000 Sign-On Bonus! The Registered Nurse (RN) in Home Health provides and directs provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations and a...
Description POSITION SUMMARY: Responsibilities include but are not limited to: Concurrent and retroactive chart review, performed for medical necessity as well as for effectiveness and appropriateness of admission, length of stay, and utilization of hospital resources. Knowledge of state an...
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare? As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned cas...
Overview This position is Sign-on Bonus eligible. Experienced RNs are eligible for a bonus up to $10K for Full Time positions and up to $5,000 for Part Time positions based on experience. In addition to the sign-on bonus, new teammates at Atrium Health are eligible for robust benefits package...
Only show: Hot Hot Jobs New New Jobs Location All Detroit, Michigan (552) Jackson, Michigan (486) Clinton Township, Michigan (210) West Bloomfield, Michigan (185) Wyandotte, Michigan (183) View More Category All Clinical/Allied Health (712) Nursing (664) Admin Support (Non-Clinical) (136) Facility...
Job Description **REMOTE** Manage the operations and support team within Health Care Services including the Call Center, Utilization Management or Care Management intake & review functions which includes but is not limited to prior authorization, concurrent review (CCR), Claims, skilled nurs...
Job Summary Serves a case management role, responsible for an assigned group of patients, typically geographically related and accountable for the oversight and overall management of the post-acute services in the home setting. Provides direct patient care and supervision of LPNs and HHAs in accorda...
Job Summary Serves a case management role, responsible for an assigned group of patients, typically geographically related and accountable for the oversight and overall management of the post-acute services in the home setting. Provides direct patient care and supervision of LPNs and HHAs in accorda...
Overview This position is eligible for a sign-on bonus! Experienced RNs are eligible for a bonus up to $10K for Full Time positions and up to $5,000 for Part Time positions based on experience. In addition to the sign-on bonus, new teammates at Atrium Health are eligible for robust benefits p...
Overview This position is Sign-on Bonus eligible. Experienced RNs are eligible for a bonus up to $10K for Full Time positions and up to $5,000 for Part Time positions based on experience. In addition to the sign-on bonus, new teammates at Atrium Health are eligible for robust benefits package...
DaVita IKC allows Registered Nurse RN Case Managers to collaborate with accomplished experts in the field and make an impact the quality of life for our patients. DaVita strives to give our employees more knowledge, and more time with the patients to provide excellent patient centered care. Job I...
Essential Functions: Leads the coordination of patient care with other disciplines within the care team, monitoring the appropriateness and timeliness of care. Ensures the interdisciplinary care plan is consistent with the patient's clinical course, continuing care needs and covered services...
Position Description Job Description Job Summary The Care Connections NPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most re...
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...
Position Description JOB DESCRIPTION Job Summary The Nurse Practitioner Psychiatric-Mental Health (PMHNP) will work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs may focus on specific populations (e.g., adult and geriatric, pediatr...
The position is primarily accountable for performing initial clinical appropriateness review of requests for services that require prior authorization or retrospective review. The review process is performed in accordance with established Client (health plan) protocols/guidelines, benefits, and c...
The position is primarily accountable for performing initial clinical appropriateness review of requests for services that require prior authorization or retrospective review. The review process is performed in accordance with established Client (health plan) protocols/guidelines, benefits, and c...
The position is primarily accountable for performing initial clinical appropriateness review of requests for services that require prior authorization or retrospective review. The review process is performed in accordance with established Client (health plan) protocols/guidelines, benefits, and c...
The position is primarily accountable for performing initial clinical appropriateness review of requests for services that require prior authorization or retrospective review. The review process is performed in accordance with established Client (health plan) protocols/guidelines, benefits, and c...
Description At UPMC, we’re all here for the same reason – to make Life Changing Medicine happen. Join our team and you will play a unique and important role in our mission to change healthcare for the better. UPMC is hiring a full-time Precert Care Manager to support the Pre-certification te...
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Positi...
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ** ...
Job DescriptionThis is a telework role. Applicants should reside within a commutable distance to Tampa or Miami.This is a remote based role, however there is 10%-20% travel on a monthly basis to visit members.Schedule is Monday-Friday, Standard business hours. Position Summary :The Case Manager is ...
RN Clinical Manager Hybrid Office/Remote and $10K Sign on Bonus Our Care Matters. When you join the Kindred at Home team, you become part of something bigger. We are the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services. Our team delivers co...
Job Description Job Summary The Nurse Practitioner Psychiatric-Mental Health (PMHNP) will work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs may focus on specific populations (e.g., adult and geriatric, pediatric, and women’s health). ...
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...
Job Description Job Summary The Nurse Practitioner Psychiatric-Mental Health (PMHNP) will work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs may focus on specific populations (e.g., adult and geriatric, pediatric, and women’s health). ...
Responsibilities I. JOB SUMMARY/RESPONSIBILITIES:• Provides clinical consultation as a Registered Nurse (RN) to patients upon discharge through the Transitional Case Management Program (TCMP).• Key responsibilities include, but are not limited to, assessment and development of transitional care plan...
Job Description Job Summary The Care Connections NPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nu...
Job Description Job Summary The Care Connections NPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nu...
Are you ready for your next challenge? Discover it here at UnitedHealth Group and help us reinvent the health system. We're going beyond basic care, providing integrated health programs with a member-centric focus. The challenge is ensuring we deliver the right care at the right time. When you join...
Description Atrius Health is a nonprofit healthcare leader delivering a system of connected care that enables us to know our patients better so that we can serve them well. Across 32 clinical locations, more than 50 specialties and 825 physicians, we provide proactive, customized care to mo...
DescriptionClinical ManagerAre you an experienced Clinical Manager looking for a new challenge? Do you value care management and quality improvement?Are you motivated, energetic, and excited to become part of the Kepro team?If so, you might be our next new team member!Candidates – please take note. ...
Job Summary Provides clinical direction for all aspects of patient care for the acute patient in the home care setting, fostering patient/family centered care. Demonstrates clinical competency utilizing evidence-based practices/research in all areas of the nursing process: assessment, planning,...
DaVita is looking for a Full-Time Nurse Practitioner (NP) Manager to join our Integrated Care team. The Nurse Practitioner Manager leads and manages our Integrated Kidney Care Nurse Practitioners remotely. Must live in Richmond, VA area. *MUST LIVE LOCALLY. Work from home and regional trave...
Overview Nice to meet you, we’re Vesta Healthcare.Vesta Healthcare is a startup with a simple mission: Delivering extraordinary outcomes by unlocking the power of caregivers. We enable people with personal assistance to thrive at home, in their community by assuring their caregivers have the resour...
Hi, we're Oscar. We’re hiring a Utilization/Clinical Review Nurse to join our Clinical team. Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simple, transparent, and human. We need you...
Hi, we're Oscar. We’re hiring a Utilization/Clinical Review Nurse to join our Clinical team. Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simple, transparent, and human. We need you...
Nice to meet you, we’re Vesta Healthcare. Vesta Healthcare is a startup with a simple mission: Delivering extraordinary outcomes by unlocking the power of caregivers. We enable people with personal assistance to thrive at home, in their community by assuring their caregivers have the resources, ...
This position is required to perform case management activities for health plan members. The activities will include assessing needs, developing a patient-centered care plan, monitoring outcomes, and coordinating interdisciplinary approaches and services. These functions may be performed onsite an...
This position is required to perform case management activities for health plan members. The activities will include assessing needs, developing a patient-centered care plan, monitoring outcomes, and coordinating interdisciplinary approaches and services. These functions may be performed onsite an...