- EXL Service (Albuquerque, NM)
- …get the right treatment to the right patient at the right time. Utilization Management & Complex Case Manager, Registered Nurse This is a remote , ... need? Join our team as a Utilization Management & Complex Case Management Nurse...Friday 5 days x 8 hours Shift time for remote telephonic work is aligned to state of residence… more
- J Edward Staffing LLC (Aurora, CO)
- NOW HIRING: Registered Nurse - Utilization Management Location: Buckley AFB & Peterson AFB, Colorado Military Health System Compensation: $1,600 - ... Experience: *36+ months RN experience in direct patient care *12 consecutive months in Utilization Management , Utilization Review, or Case Management ?… more
- University of Iowa Hospitals & Clinics (Iowa City, IA)
- …Position Responsibilities Perform a variety of admission, concurrent and retrospective utilization management -related reviews and functions to ensure that ... regarding patient needs and/or newly identified issues, specifically working with the Utilization Management team. Serve as clinical resource to social services… more
- University Hospitals (Beachwood, OH)
- …communication, awareness and adherence to regulatory requirements associated with utilization *Support for inappropriate level of care and decreased inpatient ... care setting (Required) and 3+ years Of experience in managed care or utilization review (Preferred) and Experience and training on Interqual or MCG criteria… more
- Temple University (Philadelphia, PA)
- …from qualification visits to close-out visits. The position will require knowledge and utilization of various systems for clinical trial management . Grade: T26 ... Clinical Research Nurse Manager The Lewis Katz School of Medicine...IRB submissions and follow-ups; and overseeing data collection and management in accordance with trial protocol. Perform nursing assessments… more
- Hebrew SeniorLife (Boston, MA)
- …health and wellness, identify areas of need/risk and provide intensive, individualized case management and support as needed and desired by the resident. The ... Nurse Care Manager is a key member of the...triage resident issues, provide a wide variety of case management tasks including coordinating care for residents returning home… more
- Veterans Health Administration (Lyons, NJ)
- Summary The Domiciliary Mental Health (MH) Registered Nurse (RN) is responsible for providing and leading the provision of competent, evidence-based care to assigned ... of nursing education, orientation, competencies and providing quality improvement and outcomes utilization consultation. This job is open to The public US Citizens,… more
- Pair Team (Oakland, 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
- UHS (Palmdale, CA)
- …www.swhealthcaresystem.com . Job Summary: Southwest Healthcare is seeking a Full-Time Remote RN Clinical Documentation Integrity Specialist. Duties include but not ... and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services.Responsible for improving the overall… more
- Trinity Health (Mishawaka, IN)
- …is NOT a remote position. About the job: The licensed Registered Nurse (RN) plans & provides professional nursing services & standards of practice in accordance ... & Stewardship: Incorporates caring process (Caritas), advocacy & appropriate resource utilization as an essential component of nursing practice through concrete… more
- Veterans Health Administration (Chesapeake, VA)
- …Our Team! North Battlefield VA Health Care System is seeking a Registered Nurse Manger in Mental Health Community Outpatient Clinic. Responsible and accountable for ... care. The coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....owe allegiance to the US Videos Duties The Registered Nurse Inpatient Nurse Manager (NM) is the… more
- Sentara Healthcare (Norfolk, VA)
- …Sentara Norfolk General Hospital in Norfolk, Virginia is hiring a Registered Nurse for the Oncology Unit. Hours: Flexi Overview: The Registered Nursing (RN) ... education, evidence- based practice /nursing research, quality, evaluation, resource utilization , and environmental health) encompass the actions and foundation of… more
- Veterans Health Administration (Nashville, TN)
- …by following proper infection control procedures. Communicates regularly with nurse managers, physicians, nursing supervisors, charge nurses, transfer coordinators, ... family members regarding veteran's care. May be responsible for charge nurse duties Managing follow-up care. Complete comprehensive assessments, provide referrals to… more
- Magellan Health, Inc. (Somerset, PA)
- …Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community ... Seeking PA licensed candidates for this remote position in Bedford/Somerset areas, candidates need to...other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided… more
- CVS Health (Sparta, NJ)
- …the development and implementation of health service strategies. This includes utilization management , quality improvement, and coordination of physical, ... each and every day. Position Summary: Case Manager Registered Nurse - Field in Sussex County, NJ This is...- Field in Sussex County, NJ This is a remote Case Manager role with 50-75% field travel in… more
- UnitedHealth Group (Fort Myers, FL)
- …regarding inpatient cases and participates in departmental huddles Demonstrate knowledge of utilization management processes and current standards of care as a ... discharge planning, transition of care needs and outpatient patient management through the care continuum. Nurse Case...disease conditions. 3+ years of managed care and/or case management experience Knowledge of utilization management… more
- Strive Health (Louisville, KY)
- …new enrollments/appointments. Provides health coaching to patients on disease and symptom management . Partners closely with the Strive Nurse Practitioner to ... outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization . Our high-touch care model integrates with local providers and uses… more
- Carilion Clinic (Roanoke, VA)
- …leadership and assumes accountability for appropriate patient placement and resource utilization through collaboration with Carilion Management , Clinical Staff, ... throughput by ensuring proper patient placement through collaboration with Carilion's management and patient care teams. Ensures and facilitates communication to… more
- Veterans Health Administration (Murfreesboro, TN)
- …TN ensuring assistance to Veterans by providing a smooth process for management of outpatient appointments as well as providing administrative support to the ... employees whose agencies follow the US Office of Personnel Management 's hiring rules and pay scales. Federal employees -...review the clinics appointment schedule to ensure that clinic utilization is optimized and effectively supports the needs of… more
- Veterans Health Administration (East Orange, NJ)
- …management of programs including accreditation and regulatory affairs, patient safety, risk management , utilization management , bed management , system ... of the NJ VA Healthcare System. Videos Duties The Nurse IV QSV Chief functions as an advisor, administrator,...redesign, high reliability organization (HRO), quality data management and overall quality systems. In the role, the… more
