The Utilization Review RN, Case Manager (PRN) collaborates with social workers, case managers, physicians, peers, and third-party payers to facilitate placement of patients in the appropriate level of care related to medical necessity. Responsible for timely provision/flow of specific clinical information to third-party payers to ensure authorization of stay. Position Highlights: Shift Schedule: PRN (Variable Schedule) Department: Care Coordination - Utilization Review

Apply for Clinical RN Trainer & Health Center Support Nurse - Evernorth - Remote job with The Cigna Group in Remote, US. Medical & Pharmacy at The Cigna Group

The Personal Health Nurse (PHN) works within a team to move the member through the continuum of medical management with the goals of facilitating quality health care through the most cost effective means. The PHN performs the Personal Health Management process: assess the member; work with the member, family and physician to identify problems; establish goals and develop plans of care; coordinate services; educate members; and empower members to independently self-manage and to make knowledgeable health care decisions.

Apply for Conduit - Registered Nurse (RN) Triage Specialist - Remote job with Mercy Health in Work at Home - Any State, Any City, OH 45237, United States of America. Nursing at Mercy Health

Job Details: As a Telehealth Registered Nurse you will provide patient assessments and triage patients virtually by telephone