- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) ... timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring… 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 ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Christus Health (San Antonio, TX)
- …Medicare GMLOS by managing per Milliman/Interqual Care Guidelines. Resource/ Utilization Management/appropriateness: Assess assigned patient population for medical ... is highly preferred. Licenses, Registrations, or Certifications Currently licensed as RN in the State of Texas required. CPR optional. xrbllit Certification… more
- Christus Health (Dallas, TX)
- …role as detailed below, do not wait to send your CV. Summary: The Registered Nurse Navigator Population Health Senior is accountable for coordinating and ... preventive care, and ensuring patients receive appropriate and timely interventions. Registered Nurse Navigator Population Health Senior will work… 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 Certification: Certified Rehabilitation Counselor (CRC) American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) National Academy of… more
- ERP International (Twentynine Palms, CA)
- **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case Managers** for full-time positions in support of the **Naval Hospital Twentynine ... Counselor Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) o National Academy of… more
- VitalCore Health Strategies (Ogden, UT)
- …in Correctional 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...make a difference in this field! HEALTH SERVICES ADMINISTRATOR ( RN ) BENEFITS PACKAGE: Holiday Pay: New Year's Day, Martin… 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 ... Evaluation Unit (THMEU) in San Antonio, Tx. The Case Manager will be required to attend a 1 (one)...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...of interventions, treatment delivery and timeliness of care; and utilization of resources. Monitors and evaluates the facility's case… more
- Swedish Health Services (Renton, WA)
- …make sure you read the following details carefully before making any applications. Care Manager RN - Emergency Department @ Swedish First Hill Full time Night ... focus on what really matters - our patients. The nurse case manager coordinates the care and...contingent upon attaining the BSN degree Upon hire: Washington Registered Nurse License 3 years Registered… more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity...include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for… 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
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN ... Stony Brook Medicine, a ** RN Case Manager ** is a valuable member of our team, who...the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity… more
- Somatus (Tucson, AZ)
- …utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management ... Adheres to departmental policies and procedures. Qualifications Required Qualifications: - Active RN license in current state of residence with the ability to… 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 within MTF ... United States or jurisdiction, be able to practice using a nurse compact state license or Enhanced Nurse Licensure Compact (eNLC) or have a license from any… 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)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness… 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 ... and any qualifications that applicants are expected to have. The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team,… more
- University Health (Pleasanton, TX)
- … review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners ... details pertaining to this job in the description below. The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the… more
- Battelle Memorial Institute (Tampa, FL)
- …two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any US State, the District of Columbia, Guam, Puerto ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager ** to join our team...professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report actual or… more
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