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Nursing Insurance Jobs

20 jobs

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...
LMSW / SOCIAL WORKER / LCSW A-Line Staffing Solutions is seeking an experienced Social Worker to perform telephonic case management with a reputable managed care organization in Columbia, MD. Must be a Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) with more than 3 years of experience in Mental Health and Utilization Review. JOB SUMMARY: Provide telephonic case r...
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 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 th...
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...
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 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 tha...
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...
POSITION PURPOSE The Clinical Pharmacist works in conjunction with a multi-disciplinary team to provide safe, high quality infusion therapy to patients in the alternate site. He or she is responsible for evaluating and monitoring drug therapy relative to the total needs/problems of the patient while collaborating with physicians, nurses, and other healthcare professionals in an effort to achieve ...
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 ...
CLINIC COORDINIATOR – LVN Join Kelly Healthcare Resources and our team of compassionate, “put people first” individuals to fulfill immediate opening for a Clinical Coordinator – LVN in Santa Fe Springs, CA today! In this role, the LVN Nursing Clinical Coordinator is responsible to assist the Nurse Manager and General Manager in the compliance of patients with prescribed drug therapies in accorda...
CLINICAL RESEARCH COORDINATOR / EDC DATA ENTRY Join Kelly Healthcare Resources and our team of compassionate, “put people first” individuals to fulfill immediate opening for a Clinical Research Coordinator in Minneapolis, MN today! In this role, the clinical research coordinator or a chart reviewer (or someone with similar experience) will assist a research site with patient data entry for a hyp...
CLINICAL RESEARCH COORDINATOR / CHART REVIEW NURSE Join Kelly Healthcare Resources and our team of compassionate, “put people first” individuals to fulfill an immediate opening for a Clinical Research Coordinator in Glen Burnie, MD today! In this role, the clinical research coordinator or a chart reviewer (or someone with similar experience) will assist a research site with chart review and foll...
CLINICAL RESEARCH COORDINATOR / CLINICAL RESEARCH NURSE Join Kelly Healthcare Resources and our team of compassionate, “put people first” individuals to fulfill immediate openings for a Clinical Research Coordinator/Clinical Research Nurse in Austin, TX today! In this role, the clinical research nurse or clinical research coordinator will perform as a Study Coordinator on a Staphylococcus Aureus...
CLINICAL RESEARCH COORDINATOR / CLINICAL RESEARCH NURSE Join Kelly Healthcare Resources and our team of compassionate, “put people first” individuals to fulfill immediate openings for a Clinical Research Coordinator/Clinical Research Nurse in Thornton, CO today! In this role, the clinical research nurse or clinical research coordinator will perform as a Study Coordinator on a Staphylococcus Aure...
POSITION PURPOSE The Clinical Pharmacist works in conjunction with a multi-disciplinary team to provide safe, high quality infusion therapy to patients in the alternate site. He or she is responsible for evaluating and monitoring drug therapy relative to the total needs/problems of the patient while collaborating with physicians, nurses, and other healthcare professionals in an effort to achieve ...
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...