- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …services. Discover more about us at www.amerihealthcaritas.com. Join a mission-driven Utilization Management team where your clinical expertise helps shape ... experience in ICU, ED, Med-Surg, pediatrics, behavioral health, or similar. Prior Utilization Management or managed care experience preferred. Strong analytical,… more
- Veterans Health Administration (Houston, TX)
- Summary The Registered Nurse Quality & Patient Safety Nurse Manager - Utilization Management functions as a clinical expert and is responsible and ... qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: 1-3 years Utilization Management , Nurse Case Manager/Caseworker,… more
- Guidehealth (Chicago, IL)
- …Based clinical initiatives. This includes but is not limited to case management , transitions of care, care coordination and continuity, provider/staff education on ... maintain a network of community support. This individual must exhibit strong leadership, management , and interpersonal skills, as well as the ability to utilize both… more
- Pair Team (Berkeley, CA)
- …of whole-health care that Pair Team can provide. This position primarily allows for remote work; however, it includes 1-2 times a month on-site visits in the ... home What You'll Do Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health… more
- Veterans Health Administration (Phoenix, AZ)
- …promotion, health education and coaching on wellness, disease prevention, and chronic care management . The nurse will assist in directing the provision of ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers… more
- Mass General Brigham (Salem, MA)
- …what it means to be part of Mass General Brigham. Job Summary The Registered Nurse manages all aspects of the nursing process and the delivery of patient and family ... centered care. The Registered Nurse has the responsibility and authority to request and...Specialist and Health Care Coordinator for complex patient care management and discharge planning. -Identifies barriers to implementing the… more
- Children's Mercy KC (Kansas City, MO)
- …leadership, strategic planning, and oversight of daily operations of the case management department which includes utilization management , care progression ... Partners with Revenue Cycle, Payor Relations, HIM and Risk Management in support of utilization management...and Workforce Engagement Oversees and directs the work of Nurse Case Managers, Social Workers, and Utilization … more
- Veterans Health Administration (Albany, NY)
- …education, orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities, and ... all of the public to apply! Videos Duties The Inpatient Staff Registered Nurse (RN) is responsible for providing competent, evidence-based care to patients with… more
- UnitedHealth Group (Eden Prairie, MN)
- …us to start Caring. Connecting. Growing together. The Advisory Director, Care Transformation - Remote will be a part of a team responsible for solving some of the ... clients seek transformational solutions to managing clinical operations - including Care Management , Workflow, and Clinical Variation Reduction - to reduce cost of… more
- Veterans Health Administration (Syracuse, NY)
- …education, orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities, and ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers… more
- Pyramid Consulting, Inc. (Rocky Mount, NC)
- …Key Requirements and Technology Experience: Key Skills: RN Long term care Case management Licensed Clinical Social Worker/Registered Nurse License and 2+ years ... Immediate need for a talented Travel Nurse /RN . This is a 06+months contract opportunity...Valid driver's license. RN and/or LCSW Physical Health, Care Management , Utilization Mgt, Home Health - all… more
- HEALTH FIRST CAREERS (Melbourne, FL)
- …and effective patient-centered care for wound, ostomy, and continence issues. The WOC Nurse and Clinical Educator provides the full scope of WOC nursing practice, ... case-finding strategies to identify at risk patients, such as unit rounds, utilization of computer reports, chart review, etc. Identifies educational needs of the… more
- Saint Francis Health System (Tulsa, OK)
- …patients including COPD, pneumonia, CHF, PEC (pre-exiting conditions), and cardiac monitoring Remote cardiac monitoring Work closely as a team with case ... management , social work, therapy, and physicians to maximize care...CTU units. All private rooms Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care,… more
- Veterans Health Administration (Bedford, MA)
- …include, but are not limited to: Supports clinics regarding clinic profile management . Collects and updates insurance information from Veterans, family members and ... the data into VISTA if applicable. Promotes Veterans registration for and utilization of MyHealthyVet (MHV) and kiosks usage. Follows procedures regarding Community… more
- Veterans Health Administration (Washington, DC)
- …Current federal employees whose agencies follow the US Office of Personnel Management 's hiring rules and pay scales. Federal employees - Excepted service Current ... Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules are closely monitored to effectively… more
- Veterans Health Administration (Manchester, NH)
- …include, but are not limited to: Supports clinics regarding clinic profile management . Collects and updates insurance information from Veterans, family members and ... the data into VISTA if applicable. Promotes Veterans registration for and utilization of MyHealthyVet (MHV) and kiosks usage. Follows procedures regarding Community… more
- TriWest Healthcare (Phoenix, AZ)
- …policies and procedures; Case Management , ECHO, Autism Care Demonstration, Referral Management , and Utilization Management principles; HIPAA Privacy and ... We offer remote work opportunities (AK, AR, AZ, CO, FL,...This leader will report to the Manager of Case Management Special Programs under the overall Case Management… more
- Theoria Medical (Livonia, MI)
- …country. In our national push for expansion, we're scouting for the brightest nurse practitioners and physicians eager to drive change and deliver superior care. ... Type : Full-time, exempt Compensation : Up to $130,000 annually Job Location: Remote with some site visits Job Highlights Flexible Work Environment : Enjoy a… more
- Corvel (Folsom, CA)
- CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Folsom, CA. Work from ... a defined jurisdiction. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides Medical Case Management to individuals through in person and telephonic communications with… more
- Strive Health (Toledo, OH)
- …outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization . Our high-touch care model integrates with local providers and uses ... in healthcare. Join us in making a real difference. Benefits & Perks Hybrid- Remote Flexibility -Work from home while fulfilling in-person needs at the office,… more
