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CAREERBUILDER APPLY

Full-Time

CASE MANAGER REGISTERED NURSE Via telephone , Case Managers are responsible for assessing, planning, implementing and coordinating all case management activities associated with the member. Develop care plans based upon assessment with specific goals and...

Detroit, MI

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CAREERBUILDER APPLY

Full-Time

CONCURRENT REVIEW REGISTERED NURSE Appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate medical director with recommendations for other determinations Complete medical necessity and l...

Detroit, MI

CAREERBUILDER APPLY

Full-Time | Pay: $50k - $65k/year

Day Shift The Staff Registered Nurse, under the direction of the Clinical Coordinator and/or Nurse Manager, is responsible for providing and/or promoting quality patient care based on the individual needs of the patient populations served. Utilizing the n...

Portsmouth, VA

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CAREERBUILDER APPLY

Full-Time

Job Number: 449923 Utilization Review Registered Nurse (RN) Description: Advanced Resources is recruiting for one of our top clients in the Western Suburbs of Chicago! We are looking for a Utilization Review Registered Nurse with Interqual, EPIC and AllSc...

Maywood, IL

CAREERBUILDER APPLY

Full-Time | Pay: $85k - $90k/year

Field Assessment RN Overview: Determines patient eligibility, plans, provides, delivers or supervises coordination of services. Maintains and adheres to governmental regulations. Ensures optimum quality of care consistent with Agency practice in relation...

Babylon, NY

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CAREERBUILDER APPLY

Full-Time | Pay: $80k - $90k/year

Community Health RN Overview: Determines patient eligibility, plans, provides, delivers or supervises coordination of services. Maintains and adheres to governmental regulations. Ensures optimum quality of care consistent with Agency practice in relation...

Queens, NY

Full-Time

Med-Scribe, Inc. is searching for an excellent RN for a Utilization Management team that is devoted to serving the under-served. This non-profit managed care firm is accomplishing great things in our community! Be part of the change you want to see in the...

Rochester, NY

CAREERBUILDER APPLY

Full-Time

Registered Nurse - RN MDS Coordinator A Leading Long Term Care provider in the St. Louis, MO area is currently seeking a Registered Nurse interested in using his/her MDS knowledge in the position of RN MDS Coordinator. Qualified candidates must have a val...

Confidential

St. Louis, MO

Full-Time

Position: RN - MDS Nurse - Clinical Reimbursement Specialist Category: MDS Shift: -not applicable- Education Level: Associate's Degree Location Name: Baltimore Region Regional MDS Director – Registered Nurse - Baltimore Region CommuniCare Health Services...

Baltimore, MD

CAREERBUILDER APPLY

Full-Time | Pay: $32.00 - $35.00/hour

HEDIS RN Key Duties and Responsibilities: Collects data for ambulatory medical record reviews and compliance with provider preventive health and chronic disease outcome improvement interventions. Prepares reports and quality improvement studies in an accu...

Newark, NJ

CAREERBUILDER APPLY

Seasonal/Temp

We are seeking experienced Registered Nurses (RN) with case management experience in care planning and coordination of services. The Case Manager (CM) is skillful in transition of care for health plan members throughout the health delivery system and acts...

San Diego, CA

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Full-Time

CCM – Personal Registered Nurse – RN – Case Manager – Work At Home Attention RegisteredNurses! Would you enjoy an opportunity to Work at Home? Humana wants YOU tojoin our growing team of Personal Registered Nurses. We have multiple openings for Personal...

Humana

WORK FROM HOME!

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CAREERBUILDER APPLY

Seasonal/Temp

We are actively seeking highly motivated Registered Nurses (RNs) with strong Utilization Review(UR) experience. The Utilization Review Registered Nurses (RNs) will perform comprehensive reviews to determine medical necessity including quality issues and a...

Sacramento, CA

Full-Time

Ready to jumpstart your career and a join a dynamic organization? Can you bring a fresh perspective to a forward-thinking Fortune 500 company? Come join Unum, the marketplace leader in disability-based products and return to work services. Unum is a compa...

Worcester, MA

CAREERBUILDER APPLY

Full-Time

If you are a Registered Nurse with clinical and leadership experience, take a look at this exciting opportunity. We are offering a Director level position to the qualified candidate capable of providing leadership and guidance for case management, care co...

Sacramento, CA

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CAREERBUILDER APPLY

Full-Time | Pay: $70k - $80k/year

Position Purpose: Perform duties to conduct and manage the day to day operations of the case management functions communicating with departmental and plan administrative staff to facilitate daily department functions. Review analyzes of activities, costs,...

San Antonio, TX

CAREERBUILDER APPLY

Full-Time | Pay: $110k - $115k/year

Compass Healthcare Consulting & Placement is conducting a search for an experienced Registered Nurse, RN Supervisor of Care Management to work for our client an established and growing Managed Long Term Care Plan located in at the border of Queens and Nas...

Queens, NY

CAREERBUILDER APPLY

Seasonal/Temp

This is a full time temporary position with the expectation of direct hire after 90-120 days of successful performance. Partial telecommute opportunity is available as well. On behalf of our client, we are seeking an experienced RN Case Manager with manag...

San Diego, CA

Full-Time

Working At Aetna -- the Value To You What does it mean to work at Aetna? A lot. From programs and benefits that support your financial, physical and emotional health to opportunities to build your knowledge and expand your career, the company makes workin...

Richmond, VA

CAREERBUILDER APPLY

Full-Time

On behalf of our client, a large managed health care plan, we are seeking an experienced Registered Nurse to provide supervision and coordination of day-to-day operations within the Disease Management Department. Reporting to the Manager of Disease Manage...

Sacramento, CA

Full-Time

Position: RN - MDS Nurse - Clinical Reimbursement Specialist Category: MDS Shift: Days Education Level: Associate's Degree Location Name: Forestville Health & Rehabilitation Center RN - MDS / Reimbursement Assessment Coordinator - Registered Nurse Forestv...

Forestville, MD

CAREERBUILDER APPLY

Full-Time | Pay: $70k - $77k/year

Job Number: 441778 Registered Nurse - Care Coordination Description: Advanced Resources is recruiting for one of our top clients in Chicago! We are looking for a Indefinite Contract Nurse Care Coordinator for a managed care organization in the loop. Under...

Chicago, IL

Full-Time

Working At Aetna -- the Value To You What does it mean to work at Aetna? A lot. From programs and benefits that support your financial, physical and emotional health to opportunities to build your knowledge and expand your career, the company makes workin...

Princeton, NJ

Full-Time | Pay: $30.00/hour

Med-Scribe, Inc. recruits top performers for great opportunities in health care! Multiple opportunities available for Long Term Care Surveyors, this will be a long term contract opportunity in newly formed interdisciplinary teams who will be conducting lo...

Med-Scribe, Inc.

Syracuse, NY

CAREERBUILDER APPLY

Full-Time | Pay: $80k - $81k/year

Conducts home/facility visits to perform a comprehensive health re-assessment regarding clinical, behavioral and home safety requirements on existing members in the community as required by the state for the Managed Long Term Care program. Duties include:...

Newark, NJ

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