- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Christus Health (San Antonio, TX)
- …and operations for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and ... patient care , patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically effective… more
- Christus Health (San Antonio, TX)
- …LOS ratioLOS: Impacts Medicare GMLOS by managing per Milliman/Interqual Care Guidelines. Resource/ Utilization Management/appropriateness: Assess assigned patient ... expertise and leadership to insure effective resource management for patient care delivery (Conditions of Participation COP 482.30). Case Managers enhance the… more
- Christus Health (Dallas, TX)
- …and safe plan of care is established for every patient. Registered Nurse Navigator Population Health Senior will provide leadership and guidance ... do not wait to send your CV. Summary: The Registered Nurse Navigator Population Health Senior is...and create action plans that will reduce acute and post- care utilization . Solicits/shares feedback with leaders on… more
- ERP International (Hurlburt Field, FL)
- **Overview** ERP International is seeking a full time ** Registered Nurse ( RN ) Case Manager ** in support of the 1st Special Operations Medical Group at ... Counselor (CRC) American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) National Academy of Certified Care Managers: Care Manager… more
- ERP International (Twentynine Palms, CA)
- …Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) o National Academy of Certified Care Managers: Care Manager ... **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case...**Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense… more
- VitalCore Health Strategies (Ogden, UT)
- …Health Care , has an opening for a Health Services Administrator / Registered Nurse at Weber County Correctional Facility in Ogden, Utah! This position ... will be filled by a Registered Nurse . VitalCore's Corporate Office is in...401K & Plan Matching PTO Annual Incentive Bonus Dependent Care Flexible Spending Account HEALTH SERVICES ADMINISTRATOR ( RN… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager ** for a full-time position supporting **SHG Clinic** in support of ... **Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- ERP International (Luke AFB, AZ)
- …full, active, and unrestricted license to practice as a Registered Nurse , any state. Clinical Certification:** Certified Case Manager by Commission for ... **Overview** ERP International is seeking a full time ** Registered Nurse - Case Management** in...measurements; results of interventions, treatment delivery and timeliness of care ; and utilization of resources. Monitors and… more
- Swedish Health Services (Renton, WA)
- …Please make sure you read the following details carefully before making any applications. Care Manager RN - Emergency Department @ Swedish First Hill ... focus on what really matters - our patients. The nurse case manager coordinates the care... Registered Nurse License 3 years Registered nursing experience in an acute care … more
- Stanford Health Care (Palo Alto, CA)
- …the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact State ... Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity...in collaboration with other interdisciplinary team members; arranges followup care as appropriate. + Utilization Review --… more
- Christus Health (San Antonio, TX)
- …read on for more details, and make sure to apply today. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation of ... patient care , patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically effective… more
- Stony Brook University (Stony Brook, NY)
- …communication skills while adhering to our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include ... RN Case Manager **Position Summary** At...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN… more
- Somatus (Tucson, AZ)
- …appropriate utilization of resources and patient quality outcomes. Performs care management functions on-site or telephonically as the need arises. **This is ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to… more
- Stanford Health Care (Pleasanton, CA)
- …work full-time. **Licenses and Certifications** + PA - Physician Assistant State Licensure or + RN - Registered Nurse - State Licensure And/Or Compact State ... and collaborates with a surgical team of surgeons. The manager also directly supervises RN Coordinators supporting...manages APPs ( Nurse Practitioners, Physician Assistants, Clinical Nurse Specialists, and Certified Registered Nurse… more
- Stanford Health Care (Palo Alto, CA)
- …the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact State ... outcomes. A Case Manager differs from other roles in professional nursing/health care practice in that it is not intended to provide direct patient care… more
- Katmai (Usaf Academy, CO)
- …**ESSENTIAL DUTIES & RESPONSIBILITIES:** + Ensures compliance with standards of care and practice (Accreditation Association for Joint Commission on Accreditation of ... Healthcare Organizations(JCAHO), Ambulatory Health Care (AAAHC) & Case Management Society of America (CMSA)). + Collaborates with military and civilian healthcare… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …always rewarding. **It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning ... degree in Nursing, Health Care Administration, or related field preferred. Current Registered Nurse licensure in the State of California and AHA CPR/BLS… more
- Commonwealth Care Alliance (Boston, MA)
- …supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an account manager , relationship manager , and ... teams to ensure a seamless provider experience and consistent delivery of quality care . The BH Provider Engagement Program Manager reports to the Director… more
- University Health (San Antonio, TX)
- … review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners ... any qualifications that applicants are expected to have. The nurse case manager coordinates, in collaboration with...with the patient and interdisciplinary team, the treatment/plan of care for a patient within the acute episode of… more
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