- Ascension Health (Minooka, IL)
- …and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification ... specifics._ **Responsibilities** Provide health care services regarding admissions, case management , discharge planning, and utilization review. +.../ Registration: + Registered Nurse credentialed from the Illinois Board of Nursing obtained… more
- Ascension Health (Saginaw, MI)
- …and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification ... specifics._ **Responsibilities** Provide health care services regarding admissions, case management , discharge planning and utilization review. + Review… more
- BayCare Health System (Cotton Plant, AR)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior ** to join our outstanding and ... compassionate team. **The Utilization Review Specialist Senior responsibilities include:** +...Nursing RN. **Certifications and Licensures:** + Required RN (Registered Nurse ) + Preferred ACM (Case Management ) +… more
- Centene Corporation (Olympia, WA)
- …industry best practices related to utilization management + Works with utilization management team and senior management to identify ... ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks...applicable guidelines, policies, and procedures + Works with the senior management to develop and implement UM… more
- State of Michigan (Lansing, MI)
- Medicaid Utilization Analyst 9-P11 - BPHASA Medical Equipment and Services Section Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4533727) ... Apply Medicaid Utilization Analyst 9-P11 - BPHASA Medical Equipment and Services...coverage. This position may rely on consultation with more senior staff for reviews of higher-than-normal complexity and will… more
- Ascension Health (Austin, TX)
- …Provide strategic direction and oversight of the day-to-day operations of utilization management function within the insurance plan. + Ensure ... integration of utilization management functions with network strategy and...clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Texas Board of Nursing obtained… more
- Ascension Health (Baltimore, MD)
- **Details** + **Department:** Case Management & Utilization Management + **Schedule:** Monday - Friday. 40 hours a week. + **Hospital:** Ascension Saint ... is seeking a dynamic and experienced Director of Case Management & Utilization Management . In... experience required. + 5 years of leadership or management experience preferred. **Additional Preferences** + Registered Nurse… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000086...Care Plans and MDS as required. Will ensure economical utilization of supplies and proper charging of items to ... . Requisition No: 819687 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000086 1 Pay Plan: Career Service Position Number:… more
- MyFlorida (Gainesville, FL)
- SENIOR COMMUNITY HEALTH NURSE - 64058647 Date: Jun 13, 2024 Location: GAINESVILLE, FL, US, 32641 The State Personnel System is an E-Verify employer. For more ... . Requisition No: 817845 Agency: Department of Health Working Title: SENIOR COMMUNITY HEALTH NURSE - 64058647 Pay Plan: Career… more
- Ventura County (Ventura, CA)
- Senior Registered Nurse - Ambulatory Care Operations (Bilingual Preferred) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4520146) Apply ... Senior Registered Nurse - Ambulatory Care Operations...staff; + Oversees functional operations, clinic workflows, layout and management system, productivity measurement, and monitoring; + Maintains current… more
- MyFlorida (Port Charlotte, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50009051...the scope of practice as defined by the Florida Nurse Practice Act. Ensure economical utilization of ... . Requisition No: 825152 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50009051 Pay Plan: Career Service Position Number: 50009051… more
- MyFlorida (Pembroke Pines, FL)
- OPS SENIOR LICENSED PRACTICAL NURSE - 50509241...the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization ... . Requisition No: 830929 Agency: Veterans Affairs Working Title: OPS SENIOR LICENSED PRACTICAL NURSE - 50509241 Pay Plan: Health Care Practice Position Number:… more
- MyFlorida (Port Saint Lucie, FL)
- SENIOR LICENSED PRACTICAL NURSE Date: Jun 7,...the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization of ... . Requisition No: 815336 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE Position Number: 50326645 Salary:… more
- MyFlorida (Daytona Beach, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50001801 Date:...the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization of ... . Requisition No: 824487 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50001801 Pay Plan: Career Service Position Number: 50001801… more
- MyFlorida (St. Augustine, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50950067 Date:...the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization of ... . Requisition No: 828306 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50950067 Pay Plan: Career Service Position Number: 50950067… more
- MyFlorida (Macclenny, FL)
- SENIOR REGISTERED NURSE SUPV - 60022045 Date: May 28, 2024 Location: MACCLENNY, FL, US, 32063 The State Personnel System is an E-Verify employer. For more ... . Requisition No: 807710 Agency: Children and Families Working Title: SENIOR REGISTERED NURSE SUPV - 60022045 Position Number: 60022045… more
- MyFlorida (Port Saint Lucie, FL)
- OPS SENIOR LICENSED PRACTICAL NURSE (WEEKEND WARRIOR) Date: May 26, 2024 Location: PORT SAINT LUCIE, FL, US, 34987 The State Personnel System is an E-Verify ... Requisition No: 824153 Agency: Veterans Affairs Working Title: OPS SENIOR LICENSED PRACTICAL NURSE (WEEKEND WARRIOR) Position...the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization … more
- MyFlorida (Orlando, FL)
- OPS SENIOR LICENSED PRACTICAL NURSE Date: Jun 8,...the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization of ... Requisition No: 829073 Agency: Veterans Affairs Working Title: OPS SENIOR LICENSED PRACTICAL NURSE Pay Plan: Health...Affairs Working Title: OPS SENIOR LICENSED PRACTICAL NURSE Pay Plan: Health Care Practice Position Number: 50601491… more
- MyFlorida (Marianna, FL)
- SENIOR REGISTERED NURSE SUPERVISOR - 67044164 (SUNLAND) Date: Jun 8, 2024 Location: MARIANNA, FL, US, 32446 MARIANNA, FL, US, 32447 MARIANNA, FL, US, 32448 The ... . Requisition No: 825496 Agency: Agency for Persons with Disabilities Working Title: SENIOR REGISTERED NURSE SUPERVISOR - 67044164 (SUNLAND) Pay Plan: Career… more
- The Cigna Group (Harlingen, TX)
- …Nursing * Three to Five (3-5) years recent experience in an acute-care environment, case- management or utilization management position (experience can be a ... provider practices * Identifies high-risk/high-cost patients for possible case management intervention. * Interfaces with providers of medical services and… more