Nurse Manager Jobs in Rhode Island

... WA RN LICENSE The Care Manager, Telephonic Nurse 2 , in a telephonic ... being of members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... of..

Job Information Humana Manager, Behavioral Provider Contracting - Remote in Newport Rhode Island Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers ..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Newport Rhode Island Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..

Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..

Description Humana's Claims Cost Management (CCM) organization is seeking a Manager, Fraud & Waste to join the Provider Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud ..

Treatment Assistant/CNA (Per Diem) Location: Woonsocket, RI If you are interested in gaining experience working in the mental health and substance abuse substance abuse field, we have the perfect position for ..

Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... action. Responsibilities The RN..

Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... of action. Responsibilities The..

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, ..

Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..

Masters Level Clinician/Assistant Team Manager -ACT (Full Time) Location: Woonsocket, RI C urrently seeking an experienced and motivated Assistant Team Leader for our  ACT  Team. This position  shares in a leadership ..

Adult Community Case Manager (Full Time) Location: Woonsocket, RI Case Manager-General Outpatient Program  (Full Time) Location: Woonsocket, RI Community Care Alliance is seeking to add a motivated, task oriented, enthusiastic case ..

Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..

Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... of action. Responsibilities The..

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Newport Rhode Island Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with ..

Description The Senior Nursing Educator plans, directs, coordinates, evaluates, develops, and/or delivers training and education programs for professional nursing personnel. The Senior Nursing Educator work assignments involve moderately complex to complex ..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... Humana is seeking a Care Manager, Telephonic Behavioral..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care Manager will assist beneficiaries as they ... Military TRICARE - PDC Care..

Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... action. Responsibilities The RN..