- Commonwealth Care Alliance (Boston, MA)
- …including nurse reviewers and support personnel. - Act as liaison with medical director , provider relations, case management and quality teams to support ... responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting… more
- Executive Care (Leesburg, VA)
- …the scheduler coordination of services, and the supervisory process. Role Description As the Registered Nurse and Director of Nursing , you will: Oversee and ... home care team. The role also serves as the Director of Nursing (DN), where applicable per...care plans for patients. Coordinate client care services, including case assignments and management . Maintain records and… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …(PV) service providers responsible for Call Center, individual safety case processing, and aggregate reporting for DSI products, both investigational ... and marketed. Maintains compliance with Global PV regulations for individual case safety and periodic reporting. Serves as the key DSI contact for PV service… more
- Luke Staffing (Yigo, GU)
- …peers, and other health team members. + Submits all concerns through Utilization Management Director ; be able to identify, analyze, and make recommendations to ... ** NURSE - REFERRAL MANAGEMENT ** **SITE OF...Guam + Full Time **POSITION QUALIFICATION/REQUIREMENTS:** + **Education:** Vocational Nurse Program OR Baccalaureate of Science in Nursing… more
- Kanabec County (Mora, MN)
- …Health Aides, Health Educators, and LPN's in the area of case management techniques, current medical and nursing technologies, current public health trends, ... will also include the provision of care coordination and case management to members in the community...as assigned. Qualifications: Current Minnesota licensure as a Registered Nurse BSN in nursing but would consider… more
- Aurora Mental Health & Recovery (Aurora, CO)
- …the treatment team. Administer injections and medications, as required. Provide medical case management and other clinical interventions, as appropriate. Act as ... performance review. Monitor and guide performance indicators. Support Clinical Manager/Clinical Director to articulate, communicate, and hold nursing staff… more
- DESC (Seattle, WA)
- …clinics. Work is done under the supervision of the ORCA Nurse Supervisor, Senior Nurse Manager, Director of Nursing , and Medical Director . **MAJOR ... Registered Nurse (RN) - ORCA Center, Night Shift Seattle,...DUTIES AND RESPONSIBILITIES:** + Provide clinical assessments, RN case management , medical monitoring, wound care and… more
- JENAVALVE TECHNOLOGY INC (Irvine, CA)
- …Range $120000.00 - $130000.00 Salary Description Job Title : Manager, Clinical Affairs ( Case Review Board) Manager Title: Senior Director , Clinical Affairs Job ... Description Summary: Reporting to the Director of Clinical Affairs, the Manager, Clinical Affairs (CRB)...years of relevant professional experience in clinical operations, site management , case planning, patient screening, etc. is… more
- Home Care Evolution (Ellicott City, MD)
- …patient care records as outlined in the policy documents. The Delegating Nurse will schedule assessments, negotiate client agreements within the parameters set by ... complete and update Plans of Care. Role: The Delegating Nurse supervises personal care cases when it requires a...to do so. Report to: Reports to the Owner/CEO/Executive Director / Director of Business Operation Knowledge, Skills, and… more
- Boost Home Health (Frisco, TX)
- …independence in the comfort of their own homes. The Clinical Manager is a Registered Nurse (RN) licensed in Texas and a graduate of an accredited nursing ... individualized care plans, ensuring the highest standard of care. All skilled nursing and therapeutic services operate under the Clinical Manager's supervision and… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …guidelines, and member contracts. In addition, they will support clinical programs (disease and case management ), as well as the review and adoption of health ... denial determination and collect additional clinical history in each case . + Consult with nursing and other...for members enrolled in clinical programs such as disease management , case management , and care… more
- Commonwealth Care Alliance (Boston, MA)
- …experience, including a minimum five (5) years of leadership experience in Utilization Management (UM) or nursing leadership to include a minimum of two ... with responsibility for managing the effective utilization of healthcare services, case / disease management , program development/ management /evaluation and… more
- Alameda Health System (San Leandro, CA)
- …and volunteers. 8. Assures that the facility complies with all utilization review and case management requirements of Alameda County, AHS, and all payers. 9. ... Physicians JGP ER + Full Time - Day + Management + $96.70 - $161.16 / Hour + Req...and collaborates regularly with the Department Chair, administrator, the director of nursing , on strategic and clinical… more
- Creekview Health and Rehabilitation (Knoxville, TN)
- …ongoing competency Coordinates rehab admissions and distribution of caseload Assists in the case management /tracking of Medicare A rehab cases under the PDPM ... Come join our team and start making a difference! DIRECTOR OF REHABILITATION - FULL TIME - CREEKVIEW -...& Rehabilitation in Knoxville, TN, is an incredible skilled nursing facility with a wonderful staff. We are seeking… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …+ RN license for the state of Texas or compact license + 3+ years Nursing experience + 1+ years Utilization Management and Appeals experience + Excellent verbal, ... the category of denial + Develop: Creates training materials and examples for nursing staff to enhance understanding of criteria application, benefit use, and the… more
- Home Care Evolution (Vienna, VA)
- …care coordination. Monitor patient progress and promptly report clinical changes to the RN Case Manager or Director of Nursing . Support and participate in ... Type: Full-Time Agency: VIRGINIA HOME CARE SERVICES Are you a Licensed Practical Nurse (LPN) with a passion for patient care, coordination, and quality assurance in… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …etc) preferred Experience Level: A minimum of 3 years of patient safety, case management , market access, and/or other related roles required. Pharmaceutical, ... independently in order to accomplish objectives. Relationship Reports to the Director , Patient Safety Data Acquisition and Support. Interacts with colleagues within… more
- Somatus (Phoenix, AZ)
- …training in the market. + After training, show proficiency in the Somatus care management and RenalIQ applications. + Supports the Director of Operations in ... to policies. This role ensures staff productivity and provides support for performance management and staffing needs. This role is a fully remote position with… more
- Argonne National Laboratory (Lemont, IL)
- …practice within a well-established clinic alongside an experienced physician medical director and two seasoned nurse practitioners, delivering injury/illness ... and confidential medical records in the clinic EMR/occupational health management system. + Contribute to policy/protocol development, quality improvement, and… more
- Rebekah Childrens Service (Gilroy, CA)
- …POSITION SUMMARY Provides individual, group, and family therapy as well as crisis and case management to clients ages 6-21 and their families. Reports to the ... assigned, including maintaining authority for the clinical aspects of the treatment, case management , and adjunctive services. Performance of the typical… more
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