- Tenet Healthcare (Detroit, MI)
- … Review for the designated Market. Will support the advancement of Centralized Utilization Review as a leader, mentor, and consultant . Will execute on ... Group Utilization Review Director - 2506000536 Description : The...skills including ability to use PowerPoint. · Accredited Case Manager (ACM) or Certified Public Accountant (CPA) preferred, Six… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of… more
- McLaren Health Care (Lansing, MI)
- …Under the direction of the Patient Care Coordinator or Patient Care Manager , the Certified Lactation Consultant independently provides consultations to ... or Practical Nurse by State of Michigan. * Certified Lactation Consultant (IBCLC) by the International Board of Lactation Consultant Examiners. * American… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager to work the Directorate of Healthcare Operations (DHO) ... with decision-making and process improvement. + Report to the Nurse Manager , and take direction from the...(RN-NCM) + National Academy of Certified Care Managers: Care Manager Certified (CMC) + Experience: + Referral Management/ Utilization… more
- MyFlorida (Orlando, FL)
- HUMAN SERVICES PROGRAM CONSULTANT II - 64006362 Date: Apr 7, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Agency: Department of Health Working Title: HUMAN SERVICES PROGRAM CONSULTANT II - 64006362 Pay Plan: Career Service Position...Orange County. The incumbent serves as the Intensive Case Manager for clients accessing services directly at the SCC… more
- Baystate Health (Palmer, MA)
- …and legal parameters of nursing. **Job Responsibilities:** **1)** Quality: The Assistant Nurse Manager monitors and ensures excellence in the clinical practice ... a resource to other staff members. Acts as a consultant to colleagues and other health team members on...agencies and critical care standards. **2)** Engagement: The Assistant Nurse Manager monitors and ensures excellence in… more
- ERP International (Port Hueneme, CA)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with social work case… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Nurse Manager is a registered nurse who has expertise in psychiatric nursing practice and has demonstrated leadership and management skills. The Nurse ... intensive care, general care units, and clinics as appropriate. The Nurse Manager works with Nursing Administration, Hospital Administration, Behavioral… more
- Trinity Health (Mishawaka, IN)
- … nurse responsible for the patient, unit based resource nurses and the Nurse Manager of each unit. The CWOCN Consultant will also serve as a resource to ... for quality care. **JOB SUMMARY:** The inpatient **Certified Wound Ostomy Continency Consultant (CWOCN Consultant ), Registered Nurse ** will provide clinical… more
- University of Utah (Salt Lake City, UT)
- …care planning based on current clinical and research information. 8. Collaborates with Nurse Manager in orientation of new employees and provides feedback ... **Open Date** 04/03/2025 **Requisition Number** PRN41558B **Job Title** PS Clinical Nurse Specialist **Working Title** Clinical Research Nurse **Job Grade**… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Nurse Scientist position is responsible for leading the development, coordination, implementation, evaluation, and dissemination of nursing ... research activities. This position works closely with the Director and Manager for Nursing Science to strategically plan, and outline priority initiatives based on… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Nurse Scientist position is responsible for leading the development, coordination, implementation, evaluation, and dissemination of nursing ... research activities. This position works closely with the Director and Manager for Nursing Science to strategically plan, and outline priority initiatives based on… more
- Bon Secours Mercy Health (Lorain, OH)
- …worker, care coordinators, therapists, and nursing. Collaborates with PM&R physician, and nurse manager on all acute rehab referrals to establish eligibility ... excellence. **Primary Function/General Purpose of Position** The Admissions Coordinator Registered Nurse (RN) is responsible for the coordination of all Acute… more
- Defense Health Agency (Honolulu, HI)
- …the military and civilian facilities is informed of these guidelines. l. Acts as Nurse Consultant through holistic approach to address health care needs in ... visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/ **Responsibilities** Serves as a Nurse Case Manager in order to provide… more
- CenterLight Health System (NY)
- …or complex mental health needs impacting overall health outcomes and care utilization . This role provides psychiatric expertise to behavioral health care managers, ... who are identified in discussion with the patient's behavioral health care manager and/or primary care provider. + The target population are generally participants… more
- Hartford HealthCare (Hartford, CT)
- …Residents, social worker, Nutritionist, Pharmacy Liaison, APRNs, RNs, MA/MAAs, a Case Manager and a Data Manager who provides compassionate care, excellence ... the framework for professional nursing practice, the Community Care Nurse Navigator is a registered nurse experienced...protocols and guidelines. This position reports to a Practice Manager . *Job Responsibilities:* * Functions as a member of… more
- CareFirst (Baltimore, MD)
- …- Certified Case Manager Upon Hire Preferred. + LNCC - Legal Nurse Consultant Certified Upon Hire Preferred. **Experience:** 2 years' medical-surgical or ... **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding… more
- Trinity Health (Syracuse, NY)
- …Night Shift **Description:** This leadership role works alongside the unit manager with our fast-paced Emergency Department team of interdisciplinary professionals ... are looking for an exciting career, this is your opportunity. The Registered Nurse Coordinator is a dynamic leadership role that contributes to the operational… more
- Bon Secours Mercy Health (Toledo, OH)
- …area. **KNOWLEDGE, SKILLS AND ABILITIES:** + Must possess current license as a registered nurse in the state where practice setting is located. + BSN from an ... collaboration with healthcare team members. + Demonstrates knowledge and appropriate utilization of community resources and agencies to promote ongoing support for… more
- Ellis Medicine (Schenectady, NY)
- …psychosocial needs and coordinate transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or discharge planning ... and covered services. Support services provided by the Case Manager include, but are not limited to, utilization...plan of care, discussing concerns with the involved physician, nurse or ancillary staff member. Make appropriate referral to… more
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