- New Season (Gastonia, NC)
- …team members are engaged in medication-assisted treatment, counseling, support, and care management of individuals living with OUD. We treat the whole person and, ... and establishes the nursing schedule; overseeing the administering of all take- home medication; and documents and evaluates Diversion Control procedures (patient… 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
- 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 (Wilmington, DE)
- …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
- University of New Mexico - Hospitals (Albuquerque, NM)
- …limited to experience, education, and other business and organizational considerations. Department: Utilization Management - UH FTE: 1.00 Full Time Shift: ... patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease … more
- Aveanna Healthcare (Birmingham, AL)
- Position Overview: The Hospice Registered Nurse is responsible for pain management , symptom control in the delivery of care to hospice patients, as established ... needs of the patient/family during regularly scheduled and after hour home visits; Documents: assessment, identified problems, nursing interventions, goals, and… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …limited to experience, education, and other business and organizational considerations. Department: Utilization Management - UH FTE: 1.00 Full Time Shift: Days ... Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable * IDENTIFICATION - Identify… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …and facilitate communication, problem solving, decision-making, crisis intervention, resource utilization , and conflict management * SUPERVISION - Develop ... patients. Designate shift and schedule assignments, call in staff, send staff home and monitor attendance. Provide clinical leadership for nursing and technician… 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
- 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
- VNS Health (Bronx, NY)
- …in relation to VNS Health goals and objectives and improves hospice utilization for hospice eligible patients. Works under general supervision. * Provides advanced ... care and treatment to hospice patients in both the home and via telephonic visits, which includes assessment, diagnosis,...practice agreement and within scope of practice of a nurse practitioner. * Documents patient care services in accordance… 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
- CenterWell Home Health (Pittsfield, MA)
- …transportation. Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment. Home ... : On-site Branch Location : Pittsfield, MA This is not a remote or work-from- home position. This position requires you to sit on-site at our Pittsfield, MA branch… more
- University Health (Boerne, 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
- Kaiser Permanente (Clackamas, OR)
- … Health Skilled Nursing Facilities Hospice Long Term Acute Care Inpatient Rehab Utilization Management Education Successful completion of an RN program by date ... home health, hospice, and Durable Medical Equipment (DME). Knowledge of utilization management principles and tools. Demonstrated clinical judgment and… more
- Kaiser Permanente (Salem, OR)
- … Health Skilled Nursing Facilities Hospice Long Term Acute Care Inpatient Rehab Utilization Management Education Successful completion of an RN program by date ... home health, hospice, and Durable Medical Equipment (DME). Knowledge of utilization management principles and tools. Demonstrated clinical judgment and… 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
- 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
