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CareNational Healthcare Services Jobs & Careers

18 jobs

CareNational
CONTRACT Case Management RN – Managed Care Tucson, AZ *** This urgent need is open to RNs experienced in Case Management! *** ** This is a full-time, benefits available, Contract opportunity, expected to last 4-5 months, or longer! ** Your Job Summary: As a member of the medical management team, the Nurse Case Manager plays an integral part in the coordination of care assessing the member’s c...
CareNational Healthcare Services, LLC
Complex Case Management Nurse (RN) - Outpatient Clinic Springfield, MA Your Job Summary: As a member of the medical management team, the Complex Case Manager works with members, providers and caregivers to provide intensive, comprehensive case management and increase efficient utilization of services; identifies chronic or catastrophic cases through the case management process and initiates int...
CareNational
RN, CPHQ Manager of Quality Improvement Initiatives (HEDIS/STARS/CAHPS) - Managed Care Sacramento, CA *** Generous Relocation Package available to attract Top Talent from around the Nation! *** Your Job Summary: The Manager of of Clinical Quality Improvement Initiatives (HEDIS/STARS/CAHPS) is responsible for strategically developing and coordinating Quality Improvement Program-related activiti...
CareNational
Customer Service Representative - Managed Care Boston, MA *** This is a full-time, benefits available CONTRACT-TO-HIRE opportunity, expected to convert to a permanent position after approximately 5 months! *** Your Job Summary: Customer Service Representatives are the front-lines of providing excellence in customer care to both internal and external clients. The position has direct contact wi...
CareNational
RN Case Manager - Obstetrics / Maternal & Child Health Phoenix Job Summary: As a member of the medical management team, the Maternal Health Nurse Case Manager plays an integral part in the coordination of care assessing the member’s condition and providing them the necessary resources, options, and coordination for a healthy care outcome. The primary responsibility of the Nurse Case Manager is ...
CareNational
CONTRACT Case Management RN – Managed Care Phoenix, AZ *** This urgent need is open to RNs experienced in Case Management! *** ** This is a full-time, benefits available, Contract opportunity, expected to last 4-5 months, or longer! ** Your Job Summary: As a member of the medical management team, the Nurse Case Manager plays an integral part in the coordination of care assessing the member’s ...
CareNational
RN Manager of Outpatient Case Management - Hospital Long Beach, CA Your Job Summary: The Manager of Case Management provides clinical leadership for all Case Management and Utilization Management programs by serving as an educator, role model, member advocate, and change agent to enhance patient care and staff competency. Responsible for the programmatic development, planning, organization, and...
CareNational
RN Manager of Case Management - Managed Care Baltimore, MD Your Job Summary: Manager of Case Management provides clinical leadership for all Health Care Services programs by serving as an educator, role model, member advocate, and change agent to enhance member care and staff competency. The Manager collaborates with other departments (including Clinical Staff, Administration, Directors, Manage...
CareNational
Supervisor of Utilization Management (RN or LPN) - Managed Care Overland Park, KS (Greater Kansas City Area) Your Job Summary: The Utilization Management Nurse Supervisor supports the Manager in overseeing the day-to day operations of the UM staff to ensure all contract requirements and business initiatives are completed successfully and timely. The role of Utilization Management Supervisor is ...
CareNational
Case Management (RN) - Managed Long Term Care Manchester, NH Your Job Summary: As a member of the medical management team, the Case Manager plays an integral part in the coordination of care assessing the member’s condition and providing them the necessary resources, options, and coordination for a healthy care outcome. The primary responsibility of the Case Manager is to coordinate and monitor...
CareNational
Prior Authorization Case Manager (RN) - Managed Care Modesto, CA Your Job Summary: The role of the Prior Authorization Case Manager is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty referral requests. The Prior Authorizations Nurse ensures that pre-certification...
CareNational
Utilization Review Nurse (RN) - Managed Care Rochester, NY Your Job Summary: The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. The UR Nurse will performs reviews of current inpatient services, and determine medical appropriateness of inpatient and outpatient services following evaluation of medical...
CareNational
Prior Authorizations Nurse (RN or LVN) - Managed Care Oakland, CA Your Job Summary: The role of the Prior Authorization Nurse is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty referral requests. Under the direction of the Prior Authorizations Supervisor, the Pri...
CareNational
Transitional Case Management RN - Managed Care Bethesda, MD Your Job Summary: Responsible for safely and effectively transitioning members from acute or inpatient care to lower levels of care, or return to their home, in a cost efficient manner. Provides assessment, planning, implementation, coordination, monitoring, and evaluation of services for members as they transition care and follows the...
CareNational
Risk Management RN - Hospital Phoenix, AZ (Downtown) *RN Road Warrior Needed! * ** Travel position (mileage reimbursed) for multi-facility health system throughout Phoenix Metro area! ** *** Full Time, Benefits Available, CONTRACT position - expected to last 3-4 months or longer! *** Your Job Summary: The Risk Management RN is responsible for assisting with developing, coordinating, and impl...
CareNational
Field Case Management Nurse (RN) - Managed Care Rochester, NY * Offers 50/50 mix of telephonic & field Case Management! * ** Great for expert nurses who love variety and area travel (mileage reimbursed)!! ** Your Job Summary: As a member of the medical management team, the Nurse Case Manager plays an integral part in the coordination of care assessing the member’s condition and providing them...
CareNational
Prior Authorizations Nurse (RN or LVN) - Managed Care Orange, CA Your Job Summary: The role of the Prior Authorization Nurse is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty referral requests. Under the direction of the Prior Authorizations Supervisor, the Prio...
CareNational
RN Complex Case Manager - Managed Care San Diego, CA Job Summary: As a member of the medical management team, Complex Case Manager works with members, providers and caregivers to provide intensive, comprehensive case management and increase efficient utilization of services; identifies chronic or catastrophic cases through the case management process and initiates intensive case management acco...