Behavioral Health Specialist II 1
Riverside, Rhode Island
SUMMARY: Under the direction of Clinical Nurse Manager (Inpatient)/Program Director (Partial) and Unit Charge RN, the Behavioral Health Specialist II (BHS II) is responsible for providing care and safety to children and adolescents as a mem...
1d
| Job Type | Full Time |
RN Utilization Management Reviewer
Hingham, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. The Role The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing medically necessary s...
1d
| Job Type | Full Time |
Columbus, Ohio
Position Title: Care Manager (RN) Work Location: Montgomery, Greene, Clark Assignment Duration: 6 Months with a potential of extension or conversion Work Schedule: Training Monday-Friday 8a-5p - 4 weeks training - classroom & 1on1 - virtual...
1d
| Job Type | Full Time |
Care Manager II - Case Management
Alamogordo, New Mexico
Description Summary: The Care Manager (CM) II works in collaboration with the patient/family, physicians and multidisciplinary team members to ensure patient progression through the continuum of care and to develop a plan of care for each a...
1d
| Job Type | Full Time |
Clinical Evaluation Manager, Bilingual Mandarin/Cantonese preferred
New York, New York
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determ...
1d
| Job Type | Full Time |
Boston, Massachusetts
Massachusetts General Hospital
Summary Responsible for developing educational programs, clinical decision-making, management of quality outcomes, and participation in research activities. Provide patient care in the clinical environment, health promotion, disease prevent...
1d
| Job Type | Full Time |
Nurse Manager - General Pediatric/Adolescent Unit
King of Prussia, Pennsylvania
Children's Hospital of Philadelphia
SHIFT:Any (United States of America) The 6th Floor Adolescent and Behavioral Health team at King of Prussia is seeking a strong, experienced leader to guide and support a growing team in a dynamic and rewarding environment. Following a peri...
1d
| Job Type | Full Time |
Nursing Professional Development Specialist
Richmond, Virginia
Virginia Commonwealth University Health Systems
A Nursing Professional Development Specialist influences professional role competence and professional growth of learners in a variety of settings: supports lifelong learners in an interprofessional environment that facilitates continuous d...
1d
| Job Type | Full Time |
RN Clinical Review Prior Authorization UM Specialist
Bloomington, Minnesota
HealthPartners is hiring a RN Clinical Review Prior Authorization UM Specialist. POSITION PURPOSE: Accurate application of HealthPartners evidence-based coverage criteria in alignment with member benefit plan Appropriate management of Healt...
1d
| Job Type | Full Time |
Assistant Clinical Manager-I1 Observation-Full Time-Days-Detroit
Detroit, Michigan
Would you like to speak with a Nurse Recruiter? At Henry Ford Hospital, all nurses strive to provide exceptional patient care every day. They are encouraged to participate in quality assurance activities, research and shared governance to m...
1d
| Job Type | Full Time |