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Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job in Woodland Hills, California. License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional Requirements: Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management.
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Qualifications POSITION REQUIREMENTS Registered Nurse, BSN required Current licensure in the District of Columbia required 2-3 years of recent acute care experience Case Management Certification preferred Nursing at GWUH : Nurses at GWUH identify as essential partners with providers, ancillary, and support staff in an academic medical center, that is Defining Medicine.
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Registered Nurse or LCSW/LMSW license; or relevant experience as approved by VP of Case Management required. Includes integration of national standards for Case Management scope of services, including utilization management supporting medical necessity and denial prevention, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction.
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Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member’s case assignment.
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George Washington University Hospital is seeking a Registered Nurse (RN) Case Management for a nursing job in Mount Rainier, Maryland. The Case Manager utilizes clinical knowledge, critical thinking skills, and the principles of case management to coordinate and implement a discharge plan that meets the patient’s needs and ensures a seamless, effective and efficient transition of care across the continuum.
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Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
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VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York. Develops and maintains current knowledge of state and federal regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care, managed long term care as well as contractual requirements.
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Memorial Hermann Health System is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas. Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management.
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Preferred experience as a Family Nurse Practitioner, Primary Care Nurse Practitioner, Hospitalist or experience in internal medicine, cardiology, Nephrology or Case Management.
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Detroit Medical Center is seeking a Registered Nurse (RN) Case Management for a nursing job in Detroit, Michigan. Posted job title: Case Management Manager FT Days About Detroit Medical Center The Detroit Medical Center (DMC) is the leading academically–integrated hospital system in Metro Detroit, and one of the largest health care providers in Southeast Michigan.
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Atrium Health Charlotte is seeking a Registered Nurse (RN) Clinic Case Manager, Acute Care Case Management for a nursing job in Charlotte, North Carolina. Experience includes case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office or Managed Care company.
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Maintain accurate and organized clinical charts to ensure compliance with OASAS and Managed Care standards. Provide individual case management and group counseling to adults with substance use diagnoses (and their families.
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Care Coordination, Case Management, Case Manager, Care Manger, Utilization Manager, Utilization Management, Nursing Resource Management, Utilization Review, Nurse Navigator, Outpatient Case Management, Care Coordinator.
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The MDS Coordinator supervises the Care Management Nurse, MDS Nurse. Registered Nurse (RN) or Licensed Practical Nurse (LPN) licensure. Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
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Ciena Healthcare is Michigan’s largest provider of skilled nursing and rehabilitation care services. Are you an experienced MDS nurse interested in the next step? Experience as an MDS Nurse.
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care management managed case registered nurse jobs Title: management Company: Metasense Inc in Rogers, Arkansas
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