- A-Line Staffing Solutions (Cleveland, OH)
- … Management , Utilization Review, Utilization Management , Registered Nurse , MCO, RN, Nurse , Managed Care , Medical Claims, Appeals, Mail Order ... Medical Coding, BSN, Medical Management , Utilization Review, Utilization Management , Registered Nurse , MCO, RN, Nurse , Managed Care , Medical… more
- The University of Vermont Health Network (Colchester, VT)
- …stays, including psychiatry; affirming compliance with CMS' Conditions of Participation regarding Utilization Management with annual review of the UM Plan and ... assisting with the coordination of the Utilization Management Committee; Knowledge of CMS policy,...and criteria as well as those of various managed care insurance plans.MINIMUM REQUIREMENTSState of Vermont Registered Nurse… more
- Medical Solutions (Glendale, CA)
- Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.Job Description & ... with tax-free stipend amount to be determined. Posted job title: Case Management ( Utilization Review)About Medical SolutionsAt Medical Solutions, we're people… more
- The University of Vermont Health Network (Plattsburgh, NY)
- …Review RN monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall quality of care based on benchmarked ... achievement of an acceptable outcome.QUALIFICATIONS:1. Current New York State Registered Nurse license required.2. CCM Preferred. Utilization review and… more
- Cambia Health Solutions, Inc (Vancouver, WA)
- Care Management Nurse - Hybrid WA...in Nursing or related field and 3 years of case management , utilization management , disease management ... or OR - Vancouver ClinicPrimary Job Purpose The Care Management Nurse provides clinical care management (such as case management , disease … more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …2 wound care clinics that provide hyperbaric oxygen therapy. The Nurse Manager (NM) functions as the first-line administrative nursing leader, with 24-hour ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...recognized as having excellent follow through on issues impacting care deliveryComputer literacy-advanced computer and data management … more
- UNC Health (Chapel Hill, NC)
- …plan. Refer administrative tasks (eg, faxing, form processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established ... UNC Health is seeking a Registered Nurse (RN) Care Manager for a...the integrating and functions of case management , utilization review and discharge planning. The Care … more
- Southeast Georgia Health System (Brunswick, GA)
- …or reassigning staff to ensure adequate staffing levels and collaborating with nurse management team and staffing coordinator. Trains and/or assists in ... care and assures that effective quality nursing care is delivered through utilization of the...are recognized. Critiques and takes responsibility for evaluating nursing care delivered. Utilizes the expertise of nurse … more
- RestoraCare Staffing (Houston, TX)
- …to efficient delivery of care in the appropriate setting. Completes Utilization Management and Quality Screening for assigned patients. Applies approved ... (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge...improvement in both areas. Refers cases and issues to Care Management Medical Director in compliance with… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of expected patient outcomes with appropriate transitions to the next level of care ; Responsible for length of stay management , regulatory compliance, and ... to five (5) years of experience in direct patient care and/or case management . Financial and discharge...to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent… more
- Adventist Health (Lodi, CA)
- …Bachelor's Degree in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in the ... religious exemptions may apply. Adventist Health Job ID #22984. Posted job title: nurse care manager, full time, daysAbout Adventist HealthAdventist Health is a… more
- Adventist Health (Glendale, CA)
- …Bachelor's Degree in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in the ... exemptions may apply. Adventist Health Job ID #3294. Posted job title: field nurse care manager, hospice, part timeAbout Adventist HealthAdventist Health is a… more
- A-Line Staffing Solutions (Harrisburg, PA)
- … care setting behavioral health setting drug and alcohol setting managed care quality management / utilization review or other related clinical experience ... A-Line Staffing is now hiring a Nurse Auditor Hybrid / Remote in Harrisburg PA...health care services human services long term care utilization review or knowledge of home… more
- Blue Shield of California (El Dorado Hills, CA)
- …experience in nursing, healthcare or related field Comprehensive knowledge of case management , discharge planning, utilization management , disease ... including clinical nurses and treating physicians . The Registered Nurse Case Manager will report to the FEP Department...with quality department to determine and address gaps in care , make suggestions to Management if the… more
- TulaRay (Frackville, PA)
- Correctional Registered Nurse Correctional nurse will provide nursing care and treatment for inmates and other detainees in correctional institutions ... Resource performs as a charge nurse , staff nurse or an assessment coordinator providing nursing care...nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse… more
- Signet Health (Greensboro, NC)
- …health unit. ESSENTIAL DUTIES: Directs development and implementation of quality and utilization standards across the continuum of care to ensure coordinated ... Behavioral Health Services Greensboro, NC Signet Health, a national behavioral health management company, is currently recruiting for a full-time seasoned Nurse … more
- Blue Shield of California (El Dorado Hills, CA)
- … with specialists, community resources. Care Managers perform a blended function of utilization management (UM) and care management (CM) activities ... Your Role The Care Management team will serve to...Your Role The Care Management team will serve to support the mission...Care Manager will report to the Manager of Care Management . In this role you will… more
- Eagle's Trace by Erickson Senior Living (Houston, TX)
- …leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review, and Performance Improvement/Risk Management /Safety (PI/RM/S) ... nursing, long-term care , assisted living, or hospital) is required.Current Registered Nurse license for the state in which they operate.Has and/or obtains AANAC… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Morning - EveningNortheast Georgia Health System is rooted in a foundation of improving the health ... referrals consistent with agency policies and procedures. Coordinates continuity of care and discharge planning from hospital settings. Following admission, ensures… more
- Inova Health System (Fairfax, VA)
- … NavigatorDiscipline: RNStart Date: ASAPDuration: OngoingShift: daysEmployment Type: StaffThe Oncology Nurse Navigator provides safe therapeutic care in a ... Inova Health System is seeking a Registered Nurse (RN) Nurse Navigator for a...systematic way across the health system and continuum of care and in the community for past, current and… more
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