- Commonwealth Care Alliance (Boston, MA)
- …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...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- Christus Health (Schertz, TX)
- …and operations for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- ERP International (Hurlburt Field, FL)
- …algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with ... **Overview** ERP International is seeking a full time **Registered Nurse (RN) Case Manager ** in support of...Commission for Case Manager Certification Certified Case Manager (CCM) Certification of Disability Management Specialists… more
- Battelle Memorial Institute (Tampa, FL)
- …Health Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager ** to join our team in support of our government ... ensuring comprehensive support for those who serve. As a Nurse Case Manager , you will contribute to...by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center… more
- ERP International (Twentynine Palms, CA)
- …algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with ... employment.) o Commission for Case Manager Certification Certified Case Manager (CCM) o Certification of Disability Management Specialists Commission:… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …years nursing experience with advanced level pediatric clinical experience and utilization management and/or discharge planning experience. Thorough knowledge of ... **It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning...managed care, utilization management , discharges planning, and continuous quality… more
- Luke Staffing (Yigo, GU)
- …of clinical nursing experience is required. One year of previous experience in Utilization Management is required. Full time employment in a nursing field ... ** NURSE - REFERRAL MANAGEMENT ** **SITE OF...of this position, it must be directly related to referral/ utilization management . + **Licensure:** Current, full, active,… more
- ERP International (Tinker AFB, OK)
- …algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with ... **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a...children, families, seniors, and groups. * **Certification** :Certified Case Manager by Commission for Case Management (CCM)… more
- ERP International (Luke AFB, AZ)
- …as a Registered Nurse , any state. Clinical Certification:** Certified Case Manager by Commission for Case Management (CCM) **or** American Nurses ... **Overview** ERP International is seeking a full time **Registered Nurse - Case Management ** in support of...and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case… more
- Yale New Haven Health (Shelton, CT)
- …as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager /Clinical Coordinator. The Registered Nurse (Rn) Assesses, ... 6. Functions As A Preceptor To New Staff. 7. Functions As A Charge Nurse . 8. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization ,… more
- Alameda Health System (Oakland, CA)
- …to practice as a Registered Nurse in the State of California. Trauma Program Manager (TPM) minimum experience: Four years as a trauma nurse (ED or ICU) in ... Clinical Nurse V + Oakland, CA + Highland General Hospital...MCH/OB Clinic (K6) + Full Time - Day + Management + $64.00- $96.00 + Req #:42878-31844 + FTE:1 +… more
- Katmai (Fort Carson, CO)
- …and involve the case manager as needed to provide direction in care management . + Plan and prioritize utilization review (UR) activities to ensure identified ... record data. + Facilitate the development and integration of utilization management (UM) review policies and procedures...last two (2) years as a practical or vocational nurse . + Current, full, active, and unrestricted license as… more
- Moses/Weitzman Health System (Meriden, CT)
- …licensure as appropriate. Fully established practice standards for productivity and appropriate utilization of care. Position is designed to support evening and or ... Meets hospital medical staff requirements as necessary. Collaborate with office manager and clerical/clinical staff to promote the smooth functioning of the… more
- Stanford Health Care (Palo Alto, CA)
- …at Stanford Medicine | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity to work with the Timely Discharge Department at its ... You can put your bedside RN experience to great use in case management working in conjunction with the medical teams, third-party companies, and patients with… more
- Stanford Health Care (Palo Alto, CA)
- …include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness ... of services as well as appropriate utilization of services; and ensuring optimum use of resources,...delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure… more
- Stanford Health Care (Newark, CA)
- …Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse Anesthetist) + Management experience Preferred **Required Knowledge, Skills ... Day - 08 Hour (United States of America) The Advanced Practice Provider (APP) Manager for Clinical Advice Services (CAS) will be supporting a team comprised of… more
- Christus Health (Somerset, TX)
- …read on for more details, and make sure to apply today. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation of ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Baptist Memorial Health (Southaven, MS)
- …3284 - RN-Case Manager Facility: BMH - Desoto Hospital Department: DC Case Management Admin BMH Desoto Category: Nurse RN Type: Clinical Work Type: Full Time ... of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal...RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting Minimum… more
- Stony Brook University (Stony Brook, NY)
- …skills while adhering to our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the following but are not ... RN Case Manager **Position Summary** At Stony Brook Medicine, a...limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity… more
- Katmai (Usaf Academy, CO)
- …with military and civilian healthcare providers and staff and uses Utilization Management (UM) systems support to identify high-risk/high-cost patients ... **SUMMARY:** Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions....States or jurisdiction, be able to practice using a nurse compact state license or Enhanced Nurse … more
