- GIBSON AREA HOSPITAL (Gibson City, IL)
- …Position Type Full Time Salary Range $32.00 - $48.00 Hourly Description JOB TITLE: UTILIZATION REVIEW /CASE MANAGEMENT - Nurse DEPARTMENT: CASE MANAGEMENT ... GENERAL SUMMARY The Utilization Review /Case Management Nurse is directly responsible for review ...fiscal accountability as it relates to appropriate application of Utilization Management program. 7. Provides concurrent reviews… more
- InterDent (Amboy, WA)
- …Develop, implement, and monitor clinical guidelines, quality improvement initiatives, and utilization management processes to enhance patient outcomes and ... and best practices Lead hiring, onboarding, training, mentoring, and performance management of dentists and hygienists Evaluate clinical performance and ensure high… more
- HireMaster (Lincoln, NE)
- …to appropriate provider. *Maintains awareness of financial reimbursement methodology, utilization management , payer/reimbursement practices and regulations and ... (2) years recent clinical experience required. Prior care coordination and/or utilization management experience preferred. Basic Life Support (CPR) certification… more
- Providence Little Company of Mary Medical Center San Pedro-… (San Pedro, CA)
- …License Certifications: BLS - AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates ... ensure timely, efficient, and effective discharge planning and transitions. Supports utilization management and ensures compliance with payer guidelines.… more
- CoxHealth (Branson, MO)
- …to other team members. Excellent communication skills, leadership ability, time management , and problem solving skills required. * Job Requirements ◦ Education ... the institution. ▪ Working knowledge in human relations, customer service, inventory management . ▪ Ability to work with multiple people while meeting numerous… more
- PharmaCord (Jeffersonville, IN)
- …Bachelor's degree required; Master's degree is preferred Nurse line triage, Call Center Utilization Management , Call Center Case Management a plus Case ... include, but are not limited to the following: Operational Program Management Understands client objectives and incorporates objectives into program service goals… more
- CoxHealth (Lake Spring, MO)
- …physician documentation in the medical record through concurrent chart review . Interdisciplinary communication and collaboration with physicians, nursing, and ... ancillary staff including Health Information Management coders is key to the success of this...regarding proper clinical documentation utilizing approved guidelines. Understand and utilization of ICD-10-CM and PCS coding assignment and follow… more
- ONSLOW MEMORIAL HOSPITAL (Jacksonville, NC)
- …of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. Collaborates with the ... plans of care to reduce risk. The Inpatient Case Management Social Worker must be highly organized professional with...in Clinical Social Work preferred. Experience: Two (2) years of medical care management experience as a Social Worker… more
- Geisinger (Wilkes-Barre, PA)
- …and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 04/29/2025Job ID: R-77849Job ... new skills focused on the specialized practice settingFree Princeton NCLEX Review Questions (on-line, self paced)!Temporary Practice Permit (TPP) reimbursement +… more
- Geisinger (Scranton, PA)
- …and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 04/29/2025Job ID: R-77850Job ... new skills focused on the specialized practice settingFree Princeton NCLEX Review Questions (on-line, self paced)!Temporary Practice Permit reimbursement + ability… more
- SR International, Inc. (Phoenix, AZ)
- …Skills Required: *Medical nursing practice, medical case management protocols, quality management and utilization review protocols as related to all ... pertaining to the AHCCCS program *Good written and communication skills *Computer skills * Utilization Review skills *Medical Claims Review skills *Producing… more
- Appcast (Randallstown, MD)
- …schools. This requirement will be lifted for LBH candidates employed as a Utilization Review Nurse, Clinical Care Coordinator, Patient Care Integrator or RN ... Sign On Bonus Potential: 10,000 Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Full-time w/Weekend Commitment - Day/Evening Shift - 8:30am-7:00pm RN Other… more
- JobElephant (Bowling Green, OH)
- …and leading the operational and logistical functions for BGSU Firelands Events Management activities. This position acts as project manager for external clients to ... Space; Set-up; Dates/Times). All records must be entered into the event management system for all event information and contracts, R25 for space reservations,… more
- Gentle Dental (Oregon City, OR)
- Director of Project Management InterDent is a well-established and growing organization supporting 2,100 employees and 170 dental offices across 8 western states ... Overview We are seeking a dynamic and experienced Director of Project Management to oversee our project initiatives across our multisite healthcare model. The… more
- Plante Moran (Denver, CO)
- …the office/region and department Collaborate with office leadership to achieve office utilization goals of staff and meet recommended industry group mix requirements ... Assist Talent Deployment Manager in reporting on and evaluating tax/assurance utilization (firmwide) Closely monitor assurance/tax staff hours and schedules Assist… more
- Pinnacle Specialty Group, Inc (Oak Ridge, TN)
- …and maintainability. The RE has a critical role in optimizing asset management processes through utilization of proactive maintenance strategies to minimize ... and operated small business specializing in providing project and contract management for Professional, Technical, Engineering, IT and Support Services. We offer… more
- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …to perform discharge planning and utilize interqual criteria - Experience in utilization review and concurrent reviews Description: This position requires ... Company of Mary Medical Center San Pedro - Case Management Weekly Pay $2440.0 Shift Details Shift Day -...Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day 5x8-Hour Hours per… more
- Office of the Secretary of Defense (Arlington, VA)
- …systems with program initiatives and utilizes advanced technology for effective data management , ensuring the department remains at the forefront of financial ... management practices. Provide expert advice, oversee budget policy, and...oversee budget policy, and recommend efficient and effective fund utilization strategies. Develop and managing long-term budget plans and… more
- Express Employment (Tualatin, OR)
- …Swing Schedule: Monday-Friday 2pm-11:30pm Grave: Sunday-Thursday 11pm-7:30am Pay: $25/hr. to start. Review after 90 days. If all is going well, increase to $25.50. ... Review at six months; if all is going well,...metal materials within the warehouse or distribution center. Inventory Management : Assist in inventory counts, cycle counts, and stock… more
- Aveanna Healthcare (Birmingham, AL)
- …the plan of care and patient needs. Participates in quality improvement, utilization review , and infection control activities as requested. Attends appropriate ... Sign-On Bonus Position Overview: The Hospice Registered Nurse is responsible for pain management , symptom control in the delivery of care to hospice patients, as… more
