Nuwest Group is seeking a Registered Nurse for the Neonatal Intensive Care Unit (NICU) for a travel assignment in Bellevue, WA. This position involves working 3x12 hour night shifts at a great facility. The role includes providing critical care to newborns in the NICU, with a focus on ensuring the health and well-being of these vulnerable patients.

RN - NICU

Registered Nurse - Neonatal Intensive Care Unit

The Telephonic Nurse Case Manager I is responsible for telephonic care management within the scope of licensure for members with complex and chronic care needs. This role involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health care across the care continuum. The position is virtual, requiring residency in the State of Georgia and multistate licensure.

Telephonic Nurse Case Manager I

Maxim Healthcare Services in Culpeper, VA is seeking a Registered Nurse to work with Pediatric and/or Adult patients in their homes. The role involves utilizing the nursing process to plan, implement, and evaluate patient care, administering medications and treatments, and ensuring effective intervention. Open availability is required for days 7a-6p and nights 9p-7a with a pediatric patient who has a feeding tube, tracheostomy, and ventilator.

RN Homecare

Registered Nurse

The Registered Nurse - Review Analyst at W3R Consulting will perform prospective, concurrent, and retrospective review of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service, and level of care, including appeal requests initiated by providers, facilities, and members. This role may also involve establishing care plans and coordinating care through the healthcare continuum, including member outreach assessments.

Registered Nurse - Review Analyst

The Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs. This role involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health care across the care continuum. The position is virtual, requiring candidates to reside within 50 miles of an Elevance Health Pulse Point location and will service members in different states, necessitating Multi-State Licensure.

Telephonic Nurse Case Manager II

A large healthcare insurance company local to the Philadelphia area is seeking a fully remote Case Management RN to join their Care management team. The role involves telephonic or onsite review of hospital admissions, determining alternative settings when appropriate, promoting efficient and high-quality use of the healthcare delivery system, and facilitating timely and dynamic discharge planning. The RN will collaborate with the hospital utilization review department, attending physicians, and members/families as appropriate.

Utilization Management RN - REMOTE (PA, NJ, DE)

Utilization Management Registered Nurse

The RN Care Manager at UNC Health Alliance plays a crucial role in providing comprehensive and coordinated care to patients. This position involves utilizing a variety of skills, including risk segmentation, patient assessments, patient-centered care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare providers, patients, and their families to ensure patients receive the highest quality of care and support throughout their healthcare journey.

RN Care Manager - Health Alliance

RN Care Manager

The Behavioral Health Case Manager, RN at Health Plans, Inc. is responsible for the coordination of services and cost-effective management of health care resources to meet individual members' health care needs and promote positive health outcomes. This role involves communication with members, physicians, and other health care professionals, telephonic assessment for discharge outreach, determination of case management outcomes, advocacy for health benefit plan options, and ensuring excellent communication among the member, family, and health care team.

Behavioral Health Case Manager, RN (Remote)

Behavioral Health Case Manager, RN

Molina Healthcare Services (HCS) is seeking a Registered Nurse Case Manager to support our Washington State Medicare plan. This remote position involves working with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate integrated delivery of care across the continuum, including behavioral health and long-term care. The role requires proficiency in MS Suite, the ability to work in a high-volume environment, and 25-40% local travel.

Registered Nurse Case Manager Remote with Field Travel in Spokane Whitman or Stevens WA

Registered Nurse Case Manager

The Registered Nurse for the Minimum Data Set at Ascension Living is responsible for collecting data for use in determining care plans, ensuring the accuracy of patient charts and medical data, and participating in the CMS survey process. This role is part of an interdisciplinary team and requires current knowledge of federal, state, and local standards and regulations for long-term care. The position is remote and offers a variety of benefits, including paid time off, health insurance options, retirement benefits, and more.

RN-Minimum Data Set

Registered Nurse - Minimum Data Set

IntellaTriage is seeking part-time Hospice Triage Registered Nurses to join their team, offering a remote work setting with a focus on end-of-life care. Nurses will provide compassionate care through nurse triage, utilizing high-speed internet and tech-savvy skills. The role involves working a minimum of one evening shift weekly, every other weekend, and may include additional shifts as needed. Training is provided remotely, and nurses will use their own laptop and high-speed internet for work.

Remote Hospice Triage RN- PT 1 shift 6p-12a+ rotating Sat & Sun

Hospice Triage Registered Nurse

UC Health is seeking a Registered Nurse (RN) for Denials/Charge Audits in the Perioperative department. This remote position involves supporting data analysis, data mining, and quality monitoring to improve quality of care, service levels, revenue realization, and cost effectiveness. The role offers a work-from-home schedule and a culture that values success and growth.

Registered Nurse (RN), Denials/Charge Audits, Perioperative, First Shift

Registered Nurse, Denials/Charge Audits

The Registered Nurse - Utilization Review at Ascension St. Vincent's Birmingham is responsible for providing health care services regarding admissions, case management, discharge planning, and utilization review. This role involves reviewing admissions and service requests for medical necessity, providing case management for complex cases, assisting staff with coding, documentation, and reimbursement issues, and overseeing compliance with utilization management rules. The position requires at least 3 years of acute care experience and utilization management experience.

Registered Nurse RN - Utilization Review  PRN

Registered Nurse - Utilization Review

As a Quality Management Nurse Consultant at CVS Health, you will be responsible for the review and evaluation of clinical information and documentation. This role involves interpreting data from clinical records or systems, applying clinical criteria and policies in line with regulatory and accreditation requirements, and coordinating clinical resolution. The position is full-time, remote, and requires adherence to company policies regarding confidentiality.

Quality Management Nurse Consultant

The Care Manager, RN at Zillion Technologies Inc. is responsible for ensuring that members with complex medical and/or psychosocial needs have access to high-quality, cost-effective healthcare. This role involves holistic assessment, planning, arranging, coordinating, monitoring, and evaluation of outcomes related to members' healthcare. The position requires clinical judgment, collaboration with internal and external stakeholders, and adherence to regulatory guidelines and policies.

Care Manager, RN

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Registered Nurse - Case Management Jobs in Culpeper, VA Hiring Now