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 Summary The Clinical Specialist II is an advanced level position with a primary focus in large hospital systems. The Clinical Specialist II is responsible for supporting Masimo Products and maintaining customer relationships with a variety of clinicians and other key stakeholders. The Clin...
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...
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...
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Nurse Case Manager II (NCM) is responsible for patient case management for longi...
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...
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...
There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(s...
Position Description : Penn Medicine at Home is seeking a full time registered nurse to join our home care team in West Philadelphia. Penn Medicine At Home provides patients with necessary treatment and care in the comfort of their own home, which can lead to more flexibility and independence in...
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 : The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively...
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...
Position Description : The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively...
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...
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...
Overview Halifax Health-Care at Home is seeking a Registered Nurse . Summary The Registered Nurse plans, organizes, and directs home care services and is experienced in nursing with emphasis on community health education/experience. The professional nurse builds from the sources ...
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...
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...
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The...
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...
Non-profit healthcare network is looking for a registered nurse case manager to join their team on a contract basis! Opportunity to gain experience with Medi-Cal and work REMOTELY in a fast-paced environment.REQUIREMENTS:+ CA RN license+ Flexible to work a 6-month contract+ At least 6 months of case...
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. ...
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...
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. ...
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. ...
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...
We’re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but als...
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...
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...
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...
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...
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care da...
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...
SummaryHome Based Primary Care (HBPC) has a one vacancy for a motivated and highly qualified Registered Nurse. (HBPC) Telecare Registered Nurse is responsible for providing competent, evidence-based care to Veterans of the HPBC program. Care is provided through an interactive process between the nur...
Summary Demonstrates leadership in delivering and improving holistic care utilizing collaborative strategies with patients, family members/significant others, and members of the interdisciplinary team. Practice settings include home health areas within the community, the patients residential setting...
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). ...
Summary The Registered Nurse HBPC (Home Based Primary Care) provides care for Veterans with complex, longitudinal, mixed chronic medical and/or psychiatric conditions, cognitive impairments, and Veterans with terminal illness. Responsibilities This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain ...
Responsibilities: Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings 75-90% local travel Assesses and evaluates member's needs and requirements in order to establish a member specific care plan Ensures members are receivi...
Responsibilities: Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings 75-90% local travel Assesses and evaluates member's needs and requirements in order to establish a member specific care plan Ensures members are recei...
Responsibilities: Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings 75-90% local travel Assesses and evaluates member's needs and requirements in order to establish a member specific care plan Ensures members are receiv...