Search Results: 12,228 vacancies
...Case Manager RN (RN)
Bring your heart to CVS Health. Every one of us... ...dual eligible populations by utilizing
best-in-class operating and... ...country.
Fundamental Components
* Nurse Care Manager is responsible... ...tools and information/data review to conduct an evaluation of...
Suggested
Hourly pay
Holiday work
Full time
Temporary work
Remote job
Monday to Friday
...Case Manager RN (Remote)
Bring your heart to CVS Health. Every one... ...dual eligible populations by utilizing
best-in-class operating and... ...country.
Fundamental Components
* Nurse Care Manager is responsible... ...tools and information/data review to conduct an evaluation of...
Suggested
Hourly pay
Holiday work
Full time
Temporary work
Remote job
Monday to Friday
...Case Manager RN - Field - Florida
Bring your heart to CVS Health Every one of us at CVS... ...of clinical tools and information/data review, conducts an evaluation of member's need... ...to benefit overall claim management.
- Utilizes case management processes in compliance...
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Hourly pay
Holiday work
Full time
Temporary work
Flexible hours
Shift work
Monday to Friday
...Case Manager RN (Bilingual - Mandarin)
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:... ...Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have...
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Hourly pay
Holiday work
Full time
Temporary work
Remote job
Monday to Friday
...prior to hospitalization utilizing medical necessity... ...working knowledge of care management, utilization review changes,... ...Current PA licensure as a RN
Nationally recognized... ...employed UR's)
2-3 years nursing experience with 1... ...~ Experience in case management, discharge...
Suggested
Full time
Contract work
Local area
Immediate start
$1,621 per week
...Job Description
We are seeking a Case Manager Registered Nurse for an assignment in Remote EST National.
A Registered Nurse (RN) primarily cares for patients by monitoring them, administering medications, consulting with health care providers, updating patient records...
Suggested
Remote job
Behavioral Health Utilization Review Representative Location Remote : JOB SUMMARY: The Utilization Review Representative position assists... ...to effectively communicate plan of care to insurance case managers while conducting initial, concurrent, and discharge reviews...
Suggested
Hourly pay
Full time
Remote job
$80k - $85k
...currently seeking a Case Manager, Oncology RN to join our team.... ...Management process by utilization of approved clinical... ...utilization management reviews, and review of... ...Accredited School of Nursing, college or university... ...unrestricted Compact Registered Nurse License or...
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Holiday work
Full time
Remote job
...Professional Area: Nursing Non Patient Care
Department... ...: 4750 NRS-Enterprise Utilization Mgmt-Nursing Institute... ....
As a Utilization Management (UM) Registered Nurse (RN) Reviewer NE PRN, you will play a... ...coordinate care with the Case Manager and providers to...
Suggested
Hourly pay
Full time
Work experience placement
Relief
Remote job
Flexible hours
Shift work
$80k - $90k
...a Behavioral Health RN Case Manager to join our team.... ...imagine360, drawing on nursing education, clinical experience... ..., and members. The Registered Nurse operates within... ...process by utilization Imagine360 approved clinical... ...all steps of review of medical necessity...
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Holiday work
Full time
Remote job
...JOB SUMMARY:
Managed Care Facility Services... ...SKILLS/ABILITIES:
The Utilization Manager, Healthcare... ...performing care review/utilization management, case management, transition... ...Required Education: RN, or equivalent LVN/... ...Bachelor's/Master’s in Nursing, Gerontology, Public...
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Remote job
...are looking for a dedicated RN-Finance Case Manager to work with clinical... ...completing retrospective reviews to ensure medical necessity... ...is someone who:
• Is a Registered Nurse with experience in Acute... ...medical necessity review and utilizes criteria tool (MCG and/or...
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Hourly pay
Full time
Work experience placement
Remote job
Shift work
...) HAS AN OPENING!
Strategic Staffing Solutions is currently looking for an RN Case Manager for a contract opportunity with one of our largest healthcare clients!
Title : Registered Nurse Case Manager
Duration : Contract (long term)
Location: Remote – Compact...
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Contract work
Remote job
...Job Description
Job Description Donor Concierge is seeking a highly motivated individual to join the case management team to work Full or Part Time. A Case Manager is responsible for helping Intended Parents find an egg donor, sperm donor, or surrogate. We are looking...
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Full time
Part time
Remote job
Flexible hours
...to provide your expertise in Endocrinology by conducting reviews in the Utilization Management/Peer Review process, just a couple hours per week? A... ...per week, however, there are no minimum expectations.
Cases typically take 20-60 minutes to complete.
ADDITIONAL...
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Permanent employment
For contractors
Freelance
Remote job
Work from home
...Target PR Range: 38-48/hr
*Depending one experience
Job Title: Sr. Manager, Medical Review
What hours and days will this person be working:
Flexible as long as all review activities are done on time; the team this person would support is split between US and...
Remote job
Contract work
Flexible hours
Early shift
...Medical Claims Review Nurse
Position is fully... ...along with 1 year of utilization review experience... ...denied cases, in which an appeal... ...for Utilization Management, Chief Medical Officers... ...peers and LVN, RN and
administrative... ...State Registered Nursing (RN) license...
Local area
Remote job
...We are seeking a Utilization Review Nurse (LVN/RN) with strong clinical judgment to join our team at a Managed Care Organization in New York. In this role, you will play a pivotal... ...disease management, and sales.
Handle cases in pre-authorization areas, skilled nursing...
Contract work
Remote job
...The Clinical Medical Review Nurse handles day to day review... ...descriptive or medical information utilizing the CPT and HCPCS manuals.... ...experience, previous case management, discharge planning or utilization... .../Certifications
RN - Registered Nurse - State Licensure...
Immediate start
...Target PR Range: 29-39/hr
*Depending on experience
JOB SUMMARY:
1. Will electronically review promotional materials and other materials and will provide medical expertise and expert review as described above. Including discussing and collaborating with appropriate...
Remote job
Contract work
