Quality Assurance Nurse, Rn - Behavioral Health (Remote)
By Inland Empire Health Plan At , Rancho Cucamonga, Ca $79 a day
Possess an understanding of and sensitivity to multi-cultural community. Prefer knowledge of Medi-Cal/Medicare managed care environment.
Major Functions (Duties and Responsibilities)
Knowledge of Medi-Cal, CMS, DMHC and NCQA preferred.
Pay rate will commensurate with experience
Case Manager Behavioral Health (Remote)
By Independence Blue Cross At , Philadelphia, 19103, Pa
Strong computer skills and experience with Microsoft Office Suite.
Excellent assessment and engagement skills and ability to adapt clinical skills while using telephonic and virtual means.
Exceptional problem-solving and organizational skills required.
Provides appropriate clinical assessment, intervention and support to members who actively seek behavioral health support via inbound calls.
Active PA Registered Nurse (B.S.N. Preferred) LCSW, LSW or LPC required
Ability to work independently using critical thinking to resolve complex behavioral, medical, and psychosocial issues with our members.
Behavioral Health Compliance Specialist (Remote)
By Independence Blue Cross At , Philadelphia, 19103, Pa
Knowledge of utilization review processes and utilization management systems, moderate to strong knowledge of InterQual required.
Assures that clinical staff are documenting appropriately in medical management system so that member letters are clear and understandable.
Familiar with all aspects of operations in the Utilization Management Department.
Strong problem-solving abilities, organizational and planning skills.
Selects specific transactions and processes to be reviewed for compliance audits on a monthly basis and reports findings to Manager/supervisors.
Assists the director/ manager in identifying training needs and assists in departmental training and the onboarding of new hires.
Case Manager \ Health Coach (Remote)
By SPECTRAFORCE At North Carolina, United States
Utilization and Quality Management/Outcomes experience preferred.
Prior experience in case management, home health, discharge planning, or concurrent review is preferred.
Previous work experience with a managed care organization or provider is preferred.
For Commercial Care Management: Multi-State Licensure preferred
Certified Case Manager (CCM) or Certified Health Coach (CHC) certification is preferred at time of hire.
Assessment: Perform a comprehensive assessment of the member’s health status, educational, and level of support needs.
Rn Field Nurse Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Sioux Falls, SD, United States

Are you an experienced Worker's Compensation RN looking for a rewarding and fulfilling career? Look no further! We are a dynamic and compassionate team in the healthcare industry, dedicated to helping ...

Hospice Rn Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Hackettstown, NJ, United States

We are seeking a dedicated and empathetic Registered Nurse to fulfill a rewarding role in providing supportive care to patients and their loved ones/caregivers. As a key member of our team, you'll ...

Hi-Rn Behavioral Health- $2166 /Wk - 13 Week
By Lighthouse Medical Staffing At Hilo, HI, United States

Any traveler not currently in possession of an active State of HI license must apply upon acceptance of offer. Candidate must have Hawaii License by start of assignment.Coordinates nursing care for ...

Hi - Behavioral Health Rn - $2420 /Wk - 13 Weeks
By Lighthouse Medical Staffing At Kealakekua, HI, United States

Behavioral Health RN with minimum 2 years experience working in acute psych to work with adult and geriatric psychiatric patients in an 11 bed locked, psychiatric unit. HI RN license and CPI or ...

Rn-Practice Manager – Behavioral Health (Rancho Mirage)
By Eisenhower Health At Rancho Mirage, CA, United States
Preferred: 3+ years of management experience; Management or Supervisory experience in Ambulatory Care Clinic or applicable clinic setting
Selects, develops and counsels employees consistent with Human Resources management practices.
Required: 3+ years RN experience which includes acute care settings
Ensures compliance with regulatory requirements and with EMC policies and procedures.
Job Objective expand_more Job Objective: A brief overview of the position.
Clinic office employees (clinical and non-clinical)
Pa-Behavioral Health Rn-Days/Eve - $2420/Weekly
By Lighthouse Medical Staffing At Danville, PA, United States

28 bed Inpatient psychiatric unit acute care crisis stabilization Caring for adult patients ages 18 years of age and older Care is provided to the following patients: with chronic mental illness, ...

Case Manager (Rn) - Remote
By Acentra Health At Nashville, TN, United States
1+ years of case management experience
Are you an experienced Case Manager looking for a new challenge?
Do you value care management and quality improvement?
Foster caring philosophy in all aspects of case management and equip beneficiaries to demonstrate self-advocacy when possible.
Communicate medication education and adherence support in a patient-friendly manner to beneficiaries and/or caregivers with varied levels of health literacy.
Access to consistent internet for remote work
Behavioral Health Case Manager
By The Hartford At Sunrise, FL, United States
Preference for case management and discharge experience
Organizational and Change Management Skills
Leverages resources such as vocational rehabilitation, risk management unit, physician reviews, home assessments, etc.
Collaborates with Ability Benefits Manager and other key players (Vocational Rehabilitation, Consultants, Medical Nurse
Preference for managed care/utilization review/insurance experience
This is a 100% remote, work from home opportunity.
Case Manager Rn -Remote
By Florida Blue At United States
Provide education and tools to promote self-management.
Experience Working With Managed Care Products, Benefits, And Services
Income protection benefits: life insurance, Short- and long-term disability programs;
Additional voluntary benefits available; and
What are your key responsibilities?
Facilitate access to care and resources to meet the member’s health care needs.
Permanent Rn - Behavioral Health
By Vivian Health At Jacksonville, FL, United States
$5000 Bonus for Full Time
Tuition Reimbursement up to $1200/year
Challenging and rewarding work environment
Excellent Medical, Dental, Vision, and Prescription Drug Plan
401(K) with company match and discounted stock plan
Career development opportunities within UHS and its Subsidiaries
Medical Case Manager (Rn) - Remote
By Synectics Inc. At United States
National certification in case management or related field preferred
Solicits the employee's interest and consent, if necessary, for participation in case management activities and documents oral and/or written consent
The Medical Case Manager role does require an active RN license in the state they live in.
3+ years of clinical experience as a Registered Nurse
Experience in Behavioral Health Chronic Medical Conditions or Oncology preferred,
Bachelors in Science Nursing or Associate in Nursing (ASN) or Nursing Diploma.
Rn Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Orlando, FL, United States

Join our dynamic team as a Shining Star in the field of DaVita IKC Registered Nursing! We are passionate about creating an extraordinary healthcare community and are seeking talented individuals who ...

Behavioral Health Rn Okc
By Interim HealthCare Inc. At Oklahoma City, OK, United States

Paid Mileage or Company Car

Simple IRA with company match up to 3%

Behavioral Health Case Manager
By Marimn Health At Spokane, WA, United States
Maintains current knowledge of in-patient treatment facilities admission requirements.
Engages in case management staffing to represent and support patient needs appropriately.
Engages case management model appropriately with patients in all settings.
Maintains current knowledge in ASAM criteria for treatment as well as any other applicable tools identified and utilized in clinical judgment.
Medical, Dental, Prescription, and Vision for employee and all legal dependents.
401(k) plan with 5% employer match after 1 year of employment.
Rn Manager Behavioral Health
By Clinical Management Consultants At Cheyenne, WY, United States

A Top 100 Rural Community Hospital is looking for a RN Manager Behavioral Health to complete its high caliber Inpatient Behavioral Health Unit. Apply today to join this team of Daisy Award winning ...

Behavioral Health Rn Jobs
By UNC Health Blue Ridge At Morganton, NC, United States
Higher education facilities located nearby
Behavioral Health RN Experience Required.
Teammate satisfaction 90% or above year after year
Multidisciplinary teams work together to ensure our patients are receiving outstanding holistic care
Recruiting bonus for teammate who refers someone to be hired because we value your opinion
Numerous recreational activities including hiking (two state parks and numerous other parks and greenways), boating, kayaking and more