- LCMC Health (New Orleans, LA)
- …amend and change responsibilities to meet organizational needs as necessary. GENERAL DUTIES Utilization of the Nursing Process as it relates to Lactation: - Performs ... lactating and breastfeeding patients. - Plans, organizes and delivers lactation management services to all breastfeeding mothers. - Communicates with the physicians… more
- Duke Health (Raleigh, NC)
- …draining wounds, or incontinence, throughout the organization. This includes the utilization of clinical expertise to provide preoperative and postoperative ... within and across departments that promote patient safety, culturally competent care, and clinical excellence Serves as a resource and consultant to nursing… more
- Duke University (Durham, NC)
- …stomas, draining wounds, or incontinence, throughout the organization. This includes utilization of clinical expertise to provide preoperative and postoperative ... within and across departments that promote patient safety, culturally competent care, and clinical excellence Serves as a resource and consultant to nursing… more
- Legend Biotech USA, Inc. (Baton Rouge, LA)
- …Affairs team. Direct education for healthcare professionals treating oncology patients on clinical data, adverse event management , and mechanism of action for ... between investigators and members of the Legend Biotech Medical Affairs and Clinical Development teams; Addressing AE management and education as… more
- Kaiser Permanente (Redwood City, CA)
- …to review financial results for their areas; and acting as an internal consultant to Kaiser Management team on reading and interpreting financial results, ... responsible for serving as an experienced finance leader and operational consultant for a portfolio of medical center administrative, ancillary, inpatient, primary… more
- University of Iowa Hospitals & Clinics (Iowa City, IA)
- …up visit appointment, provides medication, rehabilitation teaching, etc. Serve as a clinical resource or consultant for specific patient population. Participate ... is seeking a Nurse Clinician to function as a clinical nurse expert within the Medical Surgical Services Units...on the plan of care recommendations and guiding the utilization of cost-effective resources. This position will manage a… more
- Duke University (Durham, NC)
- …Health System, organization and profession. Job Duties and Responsibilities Clinical Expert In collaboration with attending(s) and/or fellow/residents, round daily ... the effectiveness and cost efficiency of patient care. Provide and coordinate clinical care for service specific patients through established protocols and under the… more
- The Denver Hospice (Denver, CO)
- …operational and administrative functions of hospice and palliative care services. Ensures clinical protocols, utilization review, case management , quality ... pain and symptom management of patient. Collaborates with the Director of Clinical Services in establishing clinical protocols and processes that meet all… more
- Connecticut Children's (Hartford, CT)
- …for meeting the psychosocial needs of patients and families through clinical assessment, crisis intervention, supportive counseling, case consultation with the ... families which include social, psychological, cultural and financial information. Utilize clinical judgment in determining the level of assistance and support needed… more
- Adventist Health (Los Angeles, CA)
- …in the collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family, nurse, ... team and patient's healthcare benefactor to optimize outcomes. Serves as a consultant to the healthcare team on specific patient items. Coordinates a continuum… more
- Kaiser Permanente (Walnut Creek, CA)
- …opportunities, resources, technology tools, and customer performance data (eg, cost utilization , financial, clinical ) to inform account planning, and gain ... products, benefits/services offerings, and pricing models to address customer, consultant , broker, and/or channel needs with minimal guidance. Demonstrates… more
- Natera (Albuquerque, NM)
- …identify relapse earlier than standard of care tools. Serial usage (Signatera test utilization across multiple timepoints) is at the core of the Signatera test and ... its clinical utility. We are looking for a specialist to...in our systems. This includes customer portals, lab information management system, Qlik, Salesforce, G-Sheets Patient renewals: patients deceased… more
- CVS Health (Charleston, WV)
- …and more compassionate. And we do it all with heart, each and every day. ** Utilization Management Clinical Consultant ** **Remote - West Virginia** ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is knowledgeable… more
- CVS Health (Phoenix, AZ)
- …the lives of children and adolescents? Join Mercy Care as a Behavioral Health Utilization Management Clinician and become part of a mission-driven team that's ... Child Safety (DCS). + Knowledge of Behavioral Health Outpatient Services. + Utilization Management (UM) Experience. **Education** + Master's degree required for… more
- CVS Health (Baton Rouge, LA)
- …coverage required (as needed). As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... aspects of the utilization /benefit management program. + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
- CVS Health (Madison, WI)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all aspects… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …care healthcare settings. Knowledge and ability to apply InterQual criteria, utilization management process, clinical documentation requirements, current ... Summary The Registered Nurse Utilization Management Registered Nurse delivers fundamental...criteria to perform basis review while developing technical and clinical competencies. The Nurse is a novice with limited… more
- CVS Health (Harrisburg, PA)
- …with heart, each and every day. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- CVS Health (Richmond, VA)
- …And we do it all with heart, each and every day. **Position Summary** The Utilization Management (UM) Nurse Consultant is a remote, full-time role ... external stakeholders. The position also involves coaching healthcare staff on utilization management principles and contributing to policy development.… more
- CVS Health (Columbus, OH)
- …Friday, 8:00am to 5:00pm EST with a late shift rotation 10:30am to 7pm EST. Utilization management is a 24/7 operation. Work schedules may include weekends and ... review experience + Medicare experience + Managed Care experience especially Utilization Management + Proficiency with computer skills which includes navigating… more
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