This job involves implementing effective complimentary utilization and case management strategies for an assigned member panel, providing oversight over a specified panel of members with varying health status and clinical needs, and assessing health management needs to identify the right clinical intervention for each member. The role includes conducting outreach to members enrolled in case management, developing care plans, encouraging behavior changes, identifying and addressing barriers, helping members coordinate care, and identifying various resources to assist members in achieving their personal health goals.

Transplant Care Nurse - Registered Nurse (Remote)

Transplant Care Nurse - Registered Nurse

The Registered Nurse - TeleHealth at Dartmouth Health provides professional nursing care and support via telephone/video camera to defined patient populations using telecommunications. This role involves critical thinking, communication skills, and the ability to assess, plan, implement, educate, and evaluate patient outcomes. The nurse works with physicians and multidisciplinary team members to develop care plans, monitors care, and identifies and resolves barriers to effective patient care.

Unit Base Per Diem Registered Nurse - TeleHealth

Registered Nurse - TeleHealth

The Registered Nurse Care Coordinator at Covenant Health Inc. functions as a liaison between patients, physicians, and referral sources to manage and improve the health conditions of each patient through education and coordination of additional services. This role involves guidance and supervision of Care Navigators, patient outreach, quality reporting, performance measurement, and acting as a key liaison between physician and patient. The position is remote with some onsite training and clinic meetings, under the direction of Quality Leadership.

RN CARE COORDINATOR

Registered Nurse Care Coordinator

The Nurse Practitioner PRN position at Houston Methodist is responsible for functioning as a licensed registered nurse and care provider, offering all aspects of patient care including diagnosis, treatment, and consultation. This role may work in both inpatient and outpatient settings, adhering to the nurse practice act of the State of Texas and as part of a treatment team. The position involves leadership, interprofessional consultation, patient advocacy, education on preventative care and treatments, conducting physicals, ordering tests, and prescribing medications as appropriate.

Nurse Practitioner PRN - Non Acute Care - Virtual Ambulatory (Telecommute)

Nurse Practitioner

As a Utilization Review Nurse at R1 RCM, you will perform initial admission and continued stay reviews utilizing InterQual or Milliman to identify and support the appropriate level of care. This role involves determining appropriate cases for review, ensuring appropriate orders and clinical documentation are in place, and adhering to established quality, timeliness, and productivity outputs. The position requires experience in a clinical inpatient environment and hospital-based utilization or case management, as well as proficiency in basic computer skills. This is a remote position with a flexed weekday schedule and some weekend requirement.

Utilization Review Author

Utilization Review Nurse

The Nurse-RN Telehealth at Baptist Memorial performs intake functions pertaining to the documentation of patient medical history, conducts assessment interviews using virtual technology, and inputs data into medical record software such as EPIC Admission Navigator. This role collaborates with bedside RNs to acquire and document data and develop a plan of care, coordinating and providing care utilizing the nursing process framework. The position blends caring, compassion, knowledge, and integrity to provide safe quality care that preserves patient autonomy, dignity, and rights.

Nurse-RN Telehealth - MG eICU

Nurse-RN Telehealth

The Registered Nurse Evidence Based Practice Specialist at Bon Secours Mercy Health is responsible for assisting in the development of infrastructure to support Evidence Based Practice (EBP), supporting the development of EBP ideas and projects, maintaining a repository and communication plan for EBP projects, and facilitating programming to support EBP capacity. This role involves working closely with organizational leaders to improve healthcare outcomes by translating nursing research/EBP and QI projects into practice, mentoring others in evidence-based decision making, and seeking collaborative publication and presentation opportunities.

Registered Nurse (RN) - Evidence Based Practice (EBP) Specialist  - Remote

Registered Nurse Evidence Based Practice Specialist

Molina Healthcare Services works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. This role supports the Senior Whole Health business, focusing on Managed Long-Term Care (MLTC) and Medicaid Advantage (MAP) plans, and involves comprehensive assessments, case management planning, and interdisciplinary care coordination. The position is remote within the Tri-state area and requires a New York RN licensure and experience with Long-Term Services and Supports (LTSS) is highly preferred.

Registered Nurse Case Manager LTSS Remote in NY NJ or CT

Registered Nurse Case Manager

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