- Humana (Montgomery, AL)
- …of action. The Utilization Management Nurse 2/Home Health Utilization Management : + Review cases using clinical knowledge, communication skills, ... part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- Lincoln Financial Group (Montgomery, AL)
- …Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
- The Cigna Group (Mobile, AL)
- …skills + Typing and computer knowledge- able to type 35WPM + Knowledge of utilization review requirements and procedures + Knowledge of current health care ... and metrics for customers and communicates to provider + Review STAR summary gap report (daily) by payor +...Five (3-5) years recent experience in an acute-care environment, case- management or utilization management position… more
- The Cigna Group (Birmingham, AL)
- …skills. + Typing and computer knowledge- able to type 35WPM. + Knowledge of utilization review requirements and procedures. + Knowledge of current health care ... Alabama **Experience** : + Current Licensure as a registered nurse , in the state of residence in good standing....Five (3-5) years recent experience in an acute-care environment, case- management , or utilization management position… more
- Aveanna (Pell City, AL)
- …the plan of care and patient needs. + Participates in quality improvement, utilization review , and infection control activities as requested. + Attends ... Hospice Registered Nurse RN Full Time 10K Sign on Bonus...Bonus** Position Overview: TheHospice Registered Nurseis responsible for pain management , symptom control in the delivery of care to… more
- Fresenius Medical Center (Gardendale, AL)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (Birmingham, AL)
- …Preparedness Plan; ensure maintenance of equipment + Ensure proper medical records management and HIPAA compliance + Oversees the continuous and data driven Quality ... and policies, and then developing and implementing an associated center specific management plan. + Ensure adverse events are reported, documented and necessary… more
- Aveanna (Jasper, AL)
- …physician. + Provides for regular interdisciplinary team meetings for the development, review and revision of the patient/family plan of care, including exchange of ... information, review of problems, assessing effectiveness of interventions and documentation...hospice patients. + Promotes quality oriented and cost effective utilization of hospice resources. + Makes visits to patients/families… more
- NHS Management, LLC (Madison, AL)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... way. We are in search of a qualified LPN Nurse Unit Coordinator: + Assists in maintaining resident care...nursing observations. Qualifications: + Must be a Licensed Practical Nurse + Working knowledge in medical terminology, and physician… more
- NHS Management, LLC (Double Springs, AL)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... along the way. We are in search of a qualified Registered Weekend Nurse Supervisor: + Assists in maintaining resident care standards by supervising and directing… more