Nurse Jobs in Rhode Island

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

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 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 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 Care Manager, Telephonic Registered Nurse, (RN) 2 in Newport Rhode Island Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..

Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general questions ..

Grand Islander is now hiring for a Weekend DON - 7p Friday to 7a Monday Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care ..

Case Manager Safe Haven Outpatient (Full Time) Location: Woonsocket, RI Case Manager Safe Haven Outpatient (Full Time) Location: Woonsocket, RI Safe Haven offers a set of supportive services for individuals who ..

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

Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..

... Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic..

Make a difference in the lives of patients/residents in their personal journey with dementia as our Memory Support Director. In this role, you will develop and maintain a quality memory support ..

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 facilitate ..

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Newport Rhode Island Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and ..

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..

Early Intervention Clinical Supervisor/Team Leader (Full Time) Location: Woonsocket, RI POSITION SUMMARY: Promote and implement high standards of family-centered practice and service provision within the Early Intervention Program. Communicates effectively in ..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Newport Rhode Island Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..

Job Information Humana Manager, Utilization Management RN - Remote in Newport Rhode Island Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..

Case Manager IHH (Full Time) (Full Time) Location: Woonsocket, RI Case Manager IHH (Full Time) Community Care Alliance, located only 15 miles from Providence, RI, is seeking compassionate individuals who want ..

Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls ... The NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about ... and work independently. Responsibilities The Nurse..

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 Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..

Case Manager Complex Care IHH (Full Time) Location: Woonsocket, RI POSITION SUMMARY: This is a grant-funded position intended to provide enhanced care coordination and appointment attendance support to a specialized population ..