Nursing Jobs

Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization ..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

... assigned caseload, develops and implements nursing care plans in collaboration with ... medical record maintenance. Administers direct nursing care for persons served. Advises ... the Pharmacy. * Complete Quarterly/Monthly..

Job Information Humana Utilization Management Registered Nurse - Remote in Lancaster South Carolina Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..

Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care Manager, ..

Job Information Kindred at Home Registered Nurse Home Health PRN in Lancaster South Carolina As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing ..

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..

Job Information Kindred at Home Registered Nurse Home Health PRN in Lancaster Pennsylvania As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing visits ..

Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities The Intern - Care Manager, Registered ..

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization ..

Registered Nurse (RN) Full-Time - Day and Night Shiftrn36 hours/week   7a-7:30p or 7:30p-7a / $5000 sign on bonusrn rnrnA valid State of Pennsylvania Nursing (RN) (Registered Nurse) License is required.rnPrevious psychiatric, ..

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

Job Information Humana Utilization Management Registered Nurse, RN 2 in Lancaster South Carolina Description The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical ..

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Lancaster South Carolina Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..

PrimeCare Medical is looking for enthusiastic and hard-workingu00a0Registered Nurses (RN)u00a0to work Full Time Second Shift in the medical department at the Lancaster County Youth Intervention Center in Lancaster, PA.nJob Responsibilities:nIn correctional ..

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..

Job Information Kindred at Home Registered Nurse Home Health Full Time in Lancaster South Carolina SIGN ON BONUS AVAILABLE As a Home Health Registered Nurse , you will: Provide admission, case ..

... (RN)u00a0to work as theu00a0Director of Nursing (DON) in the medical department ... the DON manages and evaluates nursing care delivery in accordance with ... The DON also ensures that..

Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

... RN will monitor and evaluate nursing care in accordance with PrimeCare ... responsible for ensuring that the nursing practice complies with established nursing standards. In addition, the Registered .....