- The University of Vermont Health Network (Plattsburgh, NY)
- Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall ... and promotes the efficient and effective use of patient services. The Utilization Review Team's role in data collection, analysis and summarization supports the… more
- Dana-Farber Cancer Institute (Boston, MA)
- …the highest quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and ... and direction, and promotes professional growth for self and staff. The Nurse Director acknowledges the inherent value of nursing collegiality to the advancement… more
- Dana-Farber Cancer Institute (South Boston, MA)
- …the highest quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and ... and direction, and promotes professional growth for self and staff. The Nurse Director acknowledges the inherent value of nursing collegiality to the advancement… more
- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized… more
- Harris Regional Hospital (Sylva, NC)
- …with Duke LifePoint Healthcare . And much more Position Summary: The Registered Nurse holds shift accountability to provide direct care to the patients by ... utilization of the nursing process in accordance with the...of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Maintains… more
- Harris Regional Hospital (Sylva, NC)
- …with Duke LifePoint Healthcare . And much more Position Summary: The Registered Nurse holds shift accountability to provide direct care to the patients by ... utilization of the nursing process in accordance with the...of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Maintains… more
- Wilson Medical Center (Wilson, NC)
- …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management, Case Management, and Discharge Planning. The Case Manager is ... 7. The Case Manager independently performs clinical reviews based on the Utilization Review Plan with follow-up actions identified for medical necessity and level… more
- UT Health Tyler (Tyler, TX)
- …The Manager of Case Management has overall responsibility for hospital utilization management, transition management and operational management of the Case ... Management Department to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient… more
- Hillcrest Hospital South (Tulsa, OK)
- …performs CNA duties as well as clerical duties under the direction of a registered nurse (RN) and the unit manager. Assists with patient care tasks such as obtaining ... patient arrival, pulls and prepares chart; Orders and monitors utilization of selected supplies: office, nutritional supplements, forms and...include at least one year of experience as a Unit Secretary with or without nurse assistant or CNA… more
- Hillcrest Hospital South (Tulsa, OK)
- …PCT duties as well as clerical duties under the direction of a registered nurse (RN) and the unit manager. Assist with patient care tasks such as obtaining ... staff to patient arrival, pull and prepares chart.Order and monitor utilization of selected supplies: office, nutritional supplements, forms and retrieval chart… more
- Hillcrest Hospital South (Tulsa, OK)
- …CNA duties as well as clerical duties under the direction of a registered nurse (RN) and the unit managerAssist with patient care tasks such as obtaining vital ... staff to patient arrival, pull and prepare chart; order and monitor utilization of selected supplies: office, nutritional supplements, forms and retrieval chart… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center,...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- WellSpan Health (York, PA)
- Utilization Management Nurse (RN) - Case Management - Day (Temporary) Location: WellSpan Health, York, PA Schedule: Full Time Sign-On Bonus Eligible ... geographic footprint. General Summary Performs a variety of reviews and applies utilization and case management techniques to determine the most efficient use of… more
- CVS Health (Raleigh, NC)
- …deliver solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and ... dedicated team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document… more
- CVS Health (Raleigh, NC)
- …deliver solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and ... state. There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve medically… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- Humana (Montgomery, AL)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- Martin's Point Health Care (Portland, ME)
- …Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of the Utilization Review ... requests for services requiring clinical review prior to payment. The Utilization Review Nurse will use appropriate governmental policies as well as specified… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically… more
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