- Mercy (St. Louis, MO)
- …Certifications: BLS CPR Certification through American Heart Association is required. Other: A home health nurse manages a caseload of patients experiencing a ... setting which includes, but is not limited to: case management and total care of multiple patients with different...wide range of health conditions. The home health nurse provides pertinent patient education,… more
- Houston Methodist Baytown Hospital (New Orleans, LA)
- At Houston Methodist, the Director Nursing position is responsible for the 24/7 management of the assigned nursing units and departments in terms of the quality of ... work teams to enable the effective and efficient completion of objectives. Oversees management of and ensures development for staff to meet overall objectives in… more
- Carle Health (Urbana, IL)
- … issues in appropriate locations, including but not limited to: case management / utilization review software and the multidisciplinary plan of care document ... Overview Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for… more
- ChristianaCare (Elkton, MD)
- …years of experience as a Registered Nurse (RN) and relevant work experience in Utilization Management , Case Management , or Home Care is preferred. ... MD ChristianaCare Union Hospital is seeking an RN Case Manager with experience in Utilization Management and Acute Care Case Management . The role involves… more
- ChristianaCare (Newark, DE)
- …plan. Social Worker - Resolves psycho-social barriers and supports discharge needs. Utilization Management - Reviews patient status for appropriateness and ... throughout the care continuum and discharge planning. The Care Management Model: Our Care Management Triad Team...patients with post-acute care needs, collaborating with the physician, nurse , and other health care providers, the patient, their… more
- Fresenius Medical Care (Albany, OR)
- Home Therapies Program Paid one on one training and education provided Empower, engage and train dialysis patients on peritoneal and home hemodialysis using ... programs and equipment Primarily works in the clinic setting and conducts initial home visits with another staff member present Position functions as an onsite… more
- Fresenius Medical Care (Georgetown, KY)
- …and acting on adverse events and action thresholds. Oversees facility's Home Therapies Program if applicable. Accountable for compliance with all applicable ... and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely… more
- Fresenius Medical Care (Noblesville, IN)
- …Quality, and Technical Services departments. Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies ... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.… more
- Highland Springs by Erickson Senior Living (Dallas, TX)
- …or working toward. Minimum 5 years clinical experience (medical/surgical, community health nursing, home health care) and/or 3 years case management and/or UR ... patient-specific outcomes. Researches and selects care options as appropriate. The nurse care coordinator may utilize a range of alternative, non-medical services… more
- Novo Nordisk Inc. (Los Angeles, CA)
- …include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, diabetes educators, pharmacists, blood bank staff, organized ... policies, legal, regulatory, and compliance requirements Ensures effective administrative management of regional business as well as operational budgets Maintains… more
- Yale New Haven Health (Waterford, CT)
- …professionals, every day. Provides clinical services and leadership in the coordination and management of patients. The staff nurse assesses , plans, implements, ... care 6. Reassesses patient and works with physicians to provide satisfactory management of treatment -related side effects. 7. In conjunction with social work… more
- Kaiser Permanente (Everett, WA)
- Description: CASE MANAGER LIAISON NURSE - OUTPATIENT - COMPLEX CASE MANAGEMENT 40 HRS/WEEK - 4/10'S - MON/WED/THURS/FRI - 7:30AM - 6PM ONSITE (3) DAYS - REMOTE ... management . Education Bachelors degree License, Certification, Registration Registered Nurse License (Washington) required at hire OR Compact License: Registered… more
- University Health (Seguin, TX)
- …Three years recent, full-time hospital experience preferred. Work experience in case management , utilization review or hospital quality assurance experience is ... status determinations, and the coordination of appropriate diversions to home or other level of care more appropriate for...hire date. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice… more
- MVP Health Care (Tarrytown, NY)
- …in every interaction Your key responsibilities: Utilize the essentials of an integrated utilization management and case management model that includes ... York Qualifications you'll bring: Current New York State Licensure as a Registered Nurse required. Certification in Case Management required within 24 months… more
- Humana (Little Rock, AR)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
- CVS Health (Austin, TX)
- …the department.** **Rotational late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical ... Clinical Social Worker (LCSW) preferred. + Requisition Job Description **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100%… more
- CVS Health (Albany, NY)
- …Must have active current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include ... + 2 + years of experience as a Registered Nurse in adult acute care, critical care, Emergency or...or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- Summary The Patient Flow - Utilization Management Coordinator Registered Nurse (RN) considers all characteristics of the individual, in order to assist each ... to: The primary purpose of the Patient Flow - Utilization Management Coordinator RN position is to...RN. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,… more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day ... timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in… more
