Clinical Nurse I

Department/Unit: Emergency DepartmentWork Shift: Night (United States of America)The Clinical Nurse assesses, coordinates, plans, directs, implements and manages the needs of assigned patients throughout the episode of care with a focus on progress toward discharge, including during transitions within the acute care stay. The Clinical Nurse is responsible...

Job Summary:As a Nurse Case Manager I at Elevance Health, you will play a critical role in ensuring our members receive the highest quality care and support. This position requires a strong clinical background, excellent communication skills, and the ability to work collaboratively with various stakeholders. Key Responsibilities: Conduct thorough assessments...

Job Summary: We are seeking a skilled Nurse Case Manager I to join our team at Elevance Health. As a key member of our care management team, you will be responsible for performing care management within the scope of licensure for members with complex and chronic care needs. Key Responsibilities: Conduct assessments to identify individual needs and develop...

Care Management RoleThe Nurse Case Manager I is a critical position at Elevance Health, responsible for delivering high-quality care management services to members with complex and chronic care needs. This role involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member healthcare across the care...

Job SummaryWe are seeking a skilled Utilization Management Representative I to join our team at Elevance Health. As a key member of our healthcare team, you will play a vital role in coordinating cases for precertification and prior authorization review.Key ResponsibilitiesManage incoming calls and post-service claims work, determining contract and benefit...

Department/Unit:Elective Orthopedics - B3WWork Shift:Day (United States of America) B3W Elective Orthopedics: B3West is a 24-bed unit, private rooms in the post-surgical services. The primary population is elective orthopedic surgery & Total Joint surgery. The nursing staff cares for post-surgical patients as well as orthopedic trauma and general...

Anticipated End Date: 2024-11-22 Position Title: Utilization Management Rep I (US) Job Description: Title: Utilization Management Representative I Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. The Utilization Management Representative I will be responsible...

Department/Unit:Operating RoomWork Shift:Evening (United States of America)Registered Nurse (RN) Operating Room (Main Campus) Albany, NY Position Summary: The Registered Professional Nurse assesses, coordinates, plans, directs, implements and manages the needs of surgical patients throughout the episode of care with a focus on progress toward discharge,...

Job SummaryWe are seeking a skilled Licensed Practical Nurse to support our clinical operations at Summit Foot and Ankle. The ideal candidate will have a strong background in patient care and be able to work effectively in a fast-paced environment.Key Responsibilities:Assist with patient care activities, including taking vital signs and preparing treatment...

Job SummaryWe are seeking a skilled Nurse Case Manager to join our team at Elevance Health. As a key member of our healthcare team, you will be responsible for providing high-quality care management services to our members with complex and chronic care needs.Key ResponsibilitiesAssess and develop individualized care plans to optimize member health...

The Clinical Support Specialist will provide clinical support to the organization as part of a centralized clinical team, based on the ever-changing needs of CCPs clinical practices.The main concentration of this position will be to provide direct clinical care either in office or via telemedicine to cover leaves of absence throughout the organization as...

Job SummaryWe are seeking a skilled Nurse Case Manager to join our team at Elevance Health. As a key member of our healthcare team, you will be responsible for providing high-quality care management services to our members with complex and chronic care needs.Key ResponsibilitiesAssess, develop, implement, coordinate, monitor, and evaluate care plans to...

Prior Authorization Reviewer RoleAs a Prior Authorization Reviewer with Centene Corporation, you will play a critical role in ensuring that our members receive the necessary care and services. Your primary responsibility will be to analyze all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance...

Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) st Clinical, Clinician, Appeals, Medical Director, Practical Nurse, Vocational Nurse, Healthcare

Job Summary: We are seeking a skilled Clinical Care Specialist to provide clinical support to our organization as part of a centralized clinical team. The ideal candidate will have experience in Primary Care and be able to provide direct provision of clinical care to cover leaves of absence throughout the organization.Key Responsibilities:Provide clinical...

The Department of Clinical Services at Community Care Physicians is seeking a qualified candidate to provide clinical support to the organization as part of a centralized clinical team. This role will involve providing direct clinical care to patients in office or via telemedicine, covering leaves of absence throughout the organization as...

About the RoleDialysis Clinic, Inc. is seeking a skilled Dialysis Nurse Manager to oversee the daily operations of our dialysis facilities. As a key member of our team, you will be responsible for ensuring the delivery of high-quality patient care and services.The ideal candidate will have experience in dialysis facility management and nursing personnel...

Department/Unit: Orthopedics & Spine Unit-M2 Work Shift: Day (United States of America) The clinical Nurse contributes to the creation of a compassionate and caring environment for patients, families and colleagues through displays of kindness and active listening. Recognizes and appreciates that each employee’s work is valuable and contributes to the...

Department/Unit:Post Cardiothoracic Surgery - C8Work Shift:Day (United States of America)An opportunity to join a high-functioning, dedicated team committed to excellent quality patient care. The post cardiothoracic surgical unit is a specialty unit consisting of patients receiving cardiac surgery, thoracic surgery, cardiac catheterization, structural heart...

Department/Unit:Vascular Surgery - M5Work Shift:Night (United States of America)The Clinical Nurse assesses, coordinates, plans, directs, implements and manages the needs of assigned patients throughout the episode of care with a focus on progress toward discharge, including during transitions within the acute care stay. The Clinical Nurse is responsible for...