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Nursing Insurance Jobs

17 jobs

REGISTERED NURSE / TELEHEALTH / SOCIAL WORKER A-Line Staffing Solutions is seeking experienced Registered Nurse and /or Social Worker professionals with managed care / case management experience to work with a BRAND NEW health insurance provider based in Omaha, NE. This is a full-time, DIRECT HIRE opportunity. Must have at least 3+ years of experience in utilization management, psychiatric and/or...
Position Title: Case Manager/Discharge Planner/Utilization Review Department: Quality Management Supervisor’s Title: Quality Manager Position Summary : Coordinates care of the patient from pre-hospitalization through discharge. Assesses, plans, implements and evaluates the needs of patients to develop and facilitate an appropriate plan of care and discharge plan. Responsible for authorization o...
Position Title: Case Manager/Discharge Planner/Utilization Review Nurse Department: Quality Management Supervisor’s Title: Quality Manager Position Summary : Coordinates care of the patient from pre-hospitalization through discharge. Assesses, plans, implements and evaluates the needs of patients to develop and facilitate an appropriate plan of care and discharge plan. Responsible for authoriza...
REGISTERED NURSE / CASE MANAGER/ BEHAVIORAL HEALTH A-Line Staffing Solutions is seeking experienced Registered Nurses to perform travel case management with a reputable healthcare organization in Brooklynn, NY. Seeking bi-lingual candidates who speak English and also Spanish, Russian, or Chinese: Cantonese or Mandarin. The selected nurses will travel to Brooklyn, Queens, The Bronx, Manhattan, an...
REGISTERED NURSE / CASE MANAGER / LICENSED PRACTICAL NURSE A-Line Staffing Solutions is seeking an experienced Registered Nurse or Licensed Practical Nurse to perform telephonic case management with a reputable managed care organization in Doral, FL. Must have more than 3 years of experience in Mental Health and Utilization Review. JOB SUMMARY: Provide telephonic case review, authorization, and...
LICENSED PRACTICAL NURSE - LPN Join Kelly Healthcare Resources and our team of compassionate, “put people first” individuals to fulfill an immediate opening for an LPN in Roseville, MN today! In this role, you will be working with Synagis patients, looking at clinical criteria, calling parents and doing data entry. This is an office based, non-clinical position. This is a temp position that will...
Join a clinical team at its best! Piedmont Healthcare – It's Time to Get Better. We care about our employees so you can care for our patients. Piedmont Healthcare. RESPONSIBLE FOR: The Case Manager is responsible for coordination, progression of care and resource utilization across the continuum. MINIMUM EDUCATION REQUIRED: Graduate of Nursing Program or Master's Social Work (LMSW). MINIMUM E...
LICENSED MEDICAL INSURANCE ENROLLER Kelly Healthcare Resources has an immediate need for a Medical Insurance Enroller to come join our wonderful client based out of Newton, MA. State specific Health and Life Insurance Required - no exceptions GREAT COMPANY! The primary function of the Enroller is to: Conduct “world class” enrollment events that differentiate our client from their competitors ...
LICENSED MEDICAL INSURANCE ENROLLER Kelly Healthcare Resources has an immediate need for a Medical Insurance Enroller to come join our wonderful client based out of Rochester, NY State specific Health and Life Insurance Required - no exceptions GREAT COMPANY! The primary function of the Enroller is to: Conduct “world class” enrollment events that differentiate our client from their competitor...
MEMBER ADVOCATE/BEHAVIORAL HEALTH Join Kelly Healthcare Resources and our team of compassionate, “put people first” individuals to fulfill immediate openings for a Care Senior Associate in Eden Prairie, MN today! In this role, you are responsible for handling inbound calls from behavioral health care professionals and their support staff. Don’t miss this opportunity to build your career in the ...
Description: Job Summary: This position is accountable for the activities of project planning, development and implementation, and the establishment of policies and procedures pertaining to Health Services. Also provides research and support to the Chief Medical Officer on a variety of issues. Responsibilities: * Develop project initiatives and strategies to include goals, objectives and timel...
Join a clinical team at its best! Piedmont Healthcare – It’s Time to Get Better. We care about our employees so you can care for our patients. Piedmont Healthcare. JOB PURPOSE: The Case Manager is responsible for coordination, progression of care and resource utilization across the continuum. MINIMUM EDUCATION REQUIRED: Graduate of Nursing Program or Master’s Social Work (LMSW). MINIMUM EXPERIE...
JOB PURPOSE: The purpose of this position is to ensure that acute hospital admission have the appropriate level of care, patient status, plan of care and meet medical necessity for an acute hospitalization. This roles monitors that the patient is progressing in their plan of care and meet medical necessity for continued stay. This role ensures that the patient’s payer has the clinical information...
Join a clinical team at its best! Piedmont Healthcare – It’s Time to Get Better. We care about our employees so you can care for our patients. Piedmont Healthcare. RESPONSIBLE FOR: The Case Manager is responsible for coordination, progression of care and resource utilization across the continuum. MINIMUM EDUCATION REQUIRED: Graduate of Nursing Program or Master's Social Work (LMSW) MINIMUM E...
MINIMUM EDUCATION REQUIRED: Graduate of a nursing program MINIMUM EXPERIENCE REQUIRED: Two (2) years of experience in the medical setting (hospital nursing, insurance company, worker's compensation or hospital case management/UR). MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: Current License in the State of Georgia as a Registered Nurse ADDITIONAL QUALIFICATIONS: Master's degree p...
High School Diploma/GED American Heart Association (AHA) Basic Life Support (BLS) GENERAL SUMMARY AND PURPOSE: Works in a team environment to promote a positive patient experience, working in conjunction with clinical care teams, SAMG Quality, nursing, insurance providers, and providers to take care of patients from a population health perspective. Responsibilities include assisting care teams w...
Position Title: Case Manager/Discharge Planner/Utilization Review Nurse Department: Quality Management Supervisor’s Title: Quality Manager Position Summary : Coordinates care of the patient from pre-hospitalization through discharge. Assesses, plans, implements and evaluates the needs of patients to develop and facilitate an appropriate plan of care and discharge plan. Responsible for authoriza...