18 manager registered nurse jobs found

Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (1 to 5 years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities This Assistant Nurse Manager is accountable to the Nurse Manager 29-1/4S. The ANM has 24-hour, 7-days/week shared accountability for the provision and evaluation of patient care in the Inpatient Behavioral Health/Residential Rehab Treatment Program and for the management and supervision of staff. This includes the authority to accept, amend or reject the work of subordinates. This position requires both clinical/ direct patient care as well as supervisory...

Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (1 to 5 years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities This Assistant Nurse Manager is accountable to the Nurse Manager CLC. The ANM has 24-hour, 7-days/week shared accountability for the provision and evaluation of patient care in the area/unit and for the management and supervision of staff. This includes the authority to accept, amend, or reject the work of subordinates in the CLC and Small Homes. Duties include but are not limited to: (1) Planning work to be accomplished by subordinates, setting priorities and...

Medical Management Clinician Senior Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work Schedule: Monday - Friday 8a - 5p EST (with weekend rotation) The Medical Management Clinician Senior is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or medical policies. May collaborate with healthcare providers. Focuses on relatively complex case types that do not...

Summary The Robley Rex VA Medical Center, Louisville, KY is currently recruiting for a Licensed Practical Nurse - Geri Pact. The primary purpose to perform assigned duties in a manner that promotes quality health care, positive customer service and the maintenance of an environment committed to serving the veterans. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from the agency NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. Duties VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional The LPN is expected to exercise independent technical judgment. The LPN GS7 is directly responsible to the Registered Nurse...

Become a part of our caring community and help us put health first The Compact licensed telephonic Care Manager works from home in a call center environment. They assess and evaluate members' needs and requirements to achieve or maintain optimal wellness by providing care coordination and facilitating member or family interaction with resources appropriate for the care and wellbeing of the member. Job Description Humana Care Support is a division of Humana dedicated to helping adults remain independent in their homes. Our nurses are called Care Managers, because our case management services are centered on the person rather than the condition. The Care Manager uses a range of strategies and techniques to manage a member's physical, environmental, and psycho-social health issues. They identify and resolve barriers to effective care and continuously monitor progress through assessments and evaluations to ensure members achieve their desired health outcomes. Role...

Summary Robley Rex VA Healthcare System, Louisville, Kentucky is currently recruiting for a Licensed Practical Nurse-Med-Surg/Tele 6S Louisville, Kentucky 603. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from the agency NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens. Duties VA Careers - Licensed Practical Nurse: https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient...

Become a part of our caring community and help us put health first The Compact licensed telephonic Care Manager works from home in a call center environment. They assess and evaluate members' needs and requirements to achieve or maintain optimal wellness by providing care coordination and facilitating member or family interaction with resources appropriate for the care and wellbeing of the member. Job Description Humana Care Support is a division of Humana dedicated to helping adults remain independent in their homes. Our nurses are called Care Managers, because our case management services are centered on the person rather than the condition. The Care Manager uses a range of strategies and techniques to manage a member's physical, environmental, and psycho-social health issues. They identify and resolve barriers to effective care and continuously monitor progress through assessments and evaluations to ensure members achieve their desired health outcomes. Role...

Job Description As a Senior Clinical Consultant, you will collaborate with customer stakeholders and leaders to build relationships and positively impact clinical performance, satisfaction, and outcomes during projects involving the Oracle Health Workforce and Workload Solution Suite, formerly known as Clairvia, in Acute and Outpatient care. Drawing on your clinical expertise, you will guide customers and internal teams, help design effective clinical workflows, and analyze current and future states to identify gaps and recommend strategies for change adoption to achieve workforce and workload goals. You will own the customer's value measurement plan, support the engagement management team in meeting deliverables and timelines, lead customer meetings to align clinical goals with technology, and foster relationships to drive business outcomes. This role focuses on Oracle Health Workforce and Workload solutions like scheduling, caregiver assignments, acuity-based outcomes, and...

Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Clinical Fraud...

Summary The Licensed Practical Nurse (LPN) is directly responsible to the Registered Nurse and/or preceptor for providing direct care within his/her scope of practice. This vacancy is in the Out-patient Specialty Clinics located at the Bowling Campus of the Lexington VA Health Care System. The LPN must be able to carry out patient care duties, technically proficient in performing and completing assigned duties. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from the agency NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. Duties VA Careers - Licensed Clinical Social Worker : https://youtube.com/embed/U_xC25QsN0w Total Rewards of a Allied Health Professional Licensed Practical...

Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse utilizes clinical nursing skills to support the coordination, documentation, and communication of medical services and/or benefit administration. The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Associate will be expected to participate in weekend rotation a minimum of one hour each on Saturday and Sunday once every 17 weeks. Work schedule can be between 8am-6:30pm EST. The Care Manager Telephonic Nurse uses clinical knowledge, communication skills, and independent critical thinking skills to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their...

Summary Join our team as a Registered Nurse in the Emergency Department at Lexington VA Health Care System. Provide exceptional care to Veterans, ensuring quality nursing services and positive patient outcomes. Collaborate with an interdisciplinary team in a fast-paced environment. If you are passionate about making a difference, apply now and contribute to our mission of outstanding healthcare for those who have served our country. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from the agency NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below Duties Responsible and accountable for all elements of the nursing process in direct patient care supervision. Coordinates care focused on patient...

Summary We are seeking a dedicated and innovative nurse to join our team as the Resuscitation Quality Improvement (RQI) and Simulation Training Coordinator. This role is pivotal in ensuring excellence in nursing education, fostering the development of clinical staff and enhancing patient care outcomes. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from the agency NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below Duties The Resuscitation Quality Improvement (RQI) and Simulation Training Coordinator will be responsible for managing the nursing process when providing and/or supervising staff education. The role demands a fundamental understanding of adult learning principles and the capacity...

Unit Secretary - ED FT Nights This position has the responsibility of receiving patients in a courteous accommodating manner. The ED Unit Secretary is responsible for performing a combination of registration and clerical duties to include the following: Registration/ Business Office Duties: Register patient into the ED per Business Office protocols. Obtaining identifying information needed for any ED, In-patient, Observation and Swing-Bed admissions as well as other outpatient admissions. Obtaining the most up-to-date demographic information. Obtains necessary signatures, records, and all patient information regarding insurance as well as completing ER Logs. Responsible for collecting co-pay and payments when determined. Distributes Disproportionate Share Hospital Program (DSH) application to qualified patients and assist in completing application with patient and allocates appropriate paperwork to appropriate departments. Responsible for preparing Inpatient...

Position Overview The Clinical Consultant, MI - I shall be responsible for providing clinical consulting for the project, report configuration (CV), workflow analysis, end-to-end testing, remote or onsite training as well as go-live support to Synapse PACS/MI projects. In addition, provide clinical support for sales and company team members with respect to the use of the company's products and serve as a consultant on behalf of customers and company personnel in compliance with the company's quality procedures. Assist with TAC Support. Company Overview At FUJIFILM Healthcare Americas Corporation, we're on a mission to innovate for a healthier world, and we need passionate, driven people like you to help us get there. Our cutting-edge healthcare solutions span diagnostic imaging, enterprise imaging, endoscopic and surgical imaging, as well as in-vitro diagnostics. But we don't stop at healthcare; our Non-Destructive Testing (NDT) team harnesses advanced radiography...

Our Company Starting Point Nursing Services Overview Part-Time RN Tele-Triage (Fully Remote) *Must have compact state RN licensure *Remote Triage & Home Health RN experience highly preferred *Potential Start Date: 1/19/2026 *Openings: 1 PT position available immediately NEW Available PART TIME Schedule: Tuesday, Wednesday, Thursday, Friday, 4p-9p CST (5p-10p EST) This Registered Nurse provides On-Call and Triage for the assigned population in accordance with triage protocols. This position remotely develops/implements care plans for persons served in the area of responsibility. The Tele-Triage RN assesses health status, identifies problems and needs of person(s) served in their assigned caseload, develops nursing care plans in collaboration with operations RN's. You will complete chart reviews and monthly host home reviews and perform On-Bound calling to assigned populations/locations. This RN performs data analysis in multiple systems. Responsibilities...

Become a part of our caring community and help us put health first Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all benefits authorized meet medical necessity and other Medicare and/or Medicaid criteria if applicable, to promote cost-effective delivery of health care services. Share your talents and develop your skills all while doing your part to improve the lives of others. Essential Duties and Responsibilities: Review PA requests for home health services, durable medical equipment, outpatient therapies, skilled nursing facility therapies, and all outpatient procedures pursuant to applicable Medicare and Medicaid criteria, iCare guidelines, and PA Department policies and procedures. Review PA requests for inpatient medical stays, skilled nursing facility stays, long term acute hospital stays, inpatient...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Molina Healthcare. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Job Description Job Summary The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely turn around. This position ensures adherence to state and federal policies, CPT guidelines,...