- AmeriHealth Caritas Health Plan (Wilmington, DE)
- …to efficiently document and assess patient cases Strong understanding of utilization review processes, including medical necessity criteria, care coordination, ... Role Overview Under the direction of a supervisor , the Clinical Care Reviewer - Utilization...ability to meet productivity standards in a fast-paced, high-volume utilization review environment Your career starts now.… more
- Team Select Home Care (Salem, NH)
- …Control Plan, EMS Plan and the Compliance Plan Participates in clinical record/ utilization review of medical records and quality assurance and performance ... purpose? Join Team Select Home Care as a Registered Nurse (RN), where you'll bring comfort and confidence to...easy-to-use EMR (electronic charting system) Collaborate with your clinical supervisor and participate in case conferences Be a trusted… more
- CenCal Health (Santa Barbara, CA)
- …to regulatory timelines for processing, reviewing, and completing reviews. Apply utilization review principles, practices, and guidelines as appropriate for ... $84,877 - $123,072 Annually Job Summary The Health Plan Nurse Coordinator - Adult Utilization Management (HPNC...the role of medical management activities. Understanding of basic utilization review principles and practices. Education and… more
- Compu-Vision Consulting, Inc. (Lawrenceville, GA)
- OCCUPATIONAL SUMMARY The Registered Professional Nurse at Northside Hospital independently plans and provides professional nursing care to patients in accordance ... and in accordance with the scope of practice as defined by the Georgia Nurse Practice Act. The American Nurses Association's (ANA) Nursing: Scope and Standards of… more
- Texas Health and Human Services Commission (Austin, TX)
- …Collaborates with Nurse Coordinator, other charge nurses, and Mental Health Supervisor /Specialist to ensure 24-hour continuity of care. May assume duties of the ... more. Explore more details on the Benefits of Working at HHS webpage. Functional Title: Nurse III Job Title: Nurse III/ Nurse Manager Agency: Health & Human… more
- State of Colorado (Denver, CO)
- …with hospital-wide mandatory training, (ie, CPR, infection control, safety, medication review , and seclusion/restraint), attending Code Blue events and drills, fire ... staff training needs and provides in-the-moment training as needed. Coordinates with Nurse Managers to provide employee orientation to new staff. Provide direct… more
- TulaRay (Dallas, PA)
- …practices. Work is reviewed and evaluated by a Registered Nurse Supervisor , physician or dentist through observation, review of reports and conferences ... shift. Charge nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse supervises paraprofessional… more
- Vensure Employer Services (Humble, TX)
- …while promoting and ensuring optimal client care. The position of Registered Nurse shall be a criteria-based position with well- defined responsibility and ... Performs any and all tasks as instructed by the supervisor . Works any and all overtime when requested. Reports...interface with physicians, third party payers. Maintains cost effective utilization of client supplies and soft goods and durable… more
- Skyelia (North Chicago, IL)
- …participates in office staff meetings, patient care conferences, record audits, utilization review , performance improvement, in services, workshops, and ... patients, and visitors. Respects patient rights, and property. Contacts the Nurse Supervisor to inform him/her of alternate schedule for patient visits during… more
- UHS (Washington, DC)
- Responsibilities Job Title: Clinical Supervisor - Labor & Delivery Status: Full Time Schedule: 7pm-7am Night Shift *You will be considered for any openings for which ... shift oversight for clinical practice, staffing, patient flow, safety, service, and utilization of resources for daily operations. Maintains the environment of care.… more
- OrthoAlliance (Cincinnati, OH)
- OPERATING ROOM REGISTERED NURSE Take your nursing career up another level with Beacon Orthopaedics and Sports Medicine! In our state of the art facilities, you are ... Location Complete Job Description Below Position Purpose : The Registered Nurse is responsible for assessing, planning, implementing and coordinating patient care… more
- Banner Health (Sun City West, AZ)
- …and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the completion of a ... satisfaction, wellbeing and fulfilment of their employees. As a RN Registered Nurse Case Manager of Care Coordination, you will contribute your expertise and… more
- Staff Today (Selinsgrove, PA)
- …practices. Work is reviewed and evaluated by a Registered Nurse Supervisor , physician or dentist through observation, review of reports and conferences ... shift. Charge nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse supervises paraprofessional… more
- Integritus Healthcar (Greenfield, MA)
- …and administer hospice care for patients, families and caregivers through the utilization of hospice services and resources. The hospice RN is responsible for ... *Provides and maintains a safe environment for the patient. *Keeps supervisor informed of potentially problematic patient/family issues and significant changes in… more
- Veterans Health Administration (Hampton, VA)
- …and record relevant] patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... and referrals. Completes assignments in a timely manner with constructive utilization of remining time. Initiates, administer, assess, monitor, and report IV… more
- Team Select Home Care (Portsmouth, NH)
- …skills according to established procedures before performing new skills Participates in peer review , utilization review and QAPI activities as assigned ... Time, Full Time *Flexible Hours *Weekly Pay Are you a compassionate Licensed Practical Nurse (LPN) ready to make a real difference in the lives of families? Join… more
- Marion County, OR (Salem, OR)
- …records on consumers, according to DEA, federal and state laws. Perform quality review of client records for ongoing utilization . Monitor methadone inventory for ... any time without further notice. Are you a registered nurse who is looking to work in a fast...Works under the general supervision of the Health Clinical Supervisor 2 or Medical Director, who assigns duties, establishes… more
- Cumberland Heights Foundation, Inc. (Nashville, TN)
- …supervision, according to organizational policy and license requirements Collaborates with internal utilization review specialists and case manager, as well as ... education, training, and license, coordinating closely with physicians and psychiatric nurse practitioners as needed. Collaboratively creates a patient centered plan… more
- Telecare (Long Beach, CA)
- …persons with serious mental illness. POSITION OBJECTIVE The Licensed Vocational Nurse /Licensed Psychiatric Technician provides services related to the safe and ... an acute hospital is preferred. Graduation from an accredited Licensed Vocational Nurse or Licensed Psychiatric Technician program and current license by the State… more
- Kaiser Permanente (Washington, DC)
- …PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utilization review and other members of the healthcare team to ... (CWD) rounds reporting on patient progression towards the established discharge plan. Review and document discharge plan in accordance with KP discharge planning… more
