- Humana (Montgomery, AL)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Humana (Montgomery, AL)
- …a part of our caring community and help us put health first** The Weekend Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Humana (Montgomery, AL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Cognizant (Montgomery, AL)
- …background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience ... Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Lincoln Financial (Montgomery, AL)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... 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
- Veterans Affairs, Veterans Health Administration (Tuscaloosa, AL)
- …practice based on conscious and deliberate planning in the care and management of patients/residents with acute and chronic wounds across clinical practice settings. ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers… more
- CVS Health (Montgomery, AL)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
- Fresenius Medical Center (Mobile, AL)
- **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the Inpatient Services RN, for a limited period of time, and ... duties, as assigned by the Program Manager. The Inpatient Services Charge Nurse ensures appropriate provision of Acute Dialysis Services and treatments within… more
- Community Health Systems (Birmingham, AL)
- Join us as a **Charge Nurse - Stepdown, Full-time Days 7am-7pm, Grandview Medical Center.** + **Unit:** Stepdown + **Shift:** Days, 7am-7pm + **Sign On Bonus:** ... huddles. + Monitors patient flow, manages bed assignments, and optimizes resource utilization within the unit. + Conducts employee and patient rounding to evaluate… more
- Highmark Health (Montgomery, AL)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... within the first 6 months of employment. **Preferred** + Certification in utilization management or a related field + Certification in Case Management … more
- Evolent (Montgomery, AL)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... **What You Will Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company policies and… more
- Aveanna Healthcare (Greenville, AL)
- Hospice Registered Nurse RN Part Time ApplyRefer a FriendBack Job Details Requisition #: 207171 Location: Greenville, AL 36037 Category: Nursing Salary: $31.00 - ... Position Details Position Overview: The Hopsice Registered Nurseis responsible for pain management , symptom control in the delivery of care to hospice patients, as… more
- Aveanna Healthcare (Pelham, AL)
- Hospice Registered Nurse RN Full Time 10K Sign On Bonus ApplyRefer a FriendBack Job Details Requisition #: 204778 Location: Pelham, AL 35124 Category: Nursing ... hour Position Details Position Overview: TheHospiceRegistered Nurseis responsible for pain management , symptom control in the delivery of care to hospice patients,… more
- Fresenius Medical Center (Mobile, AL)
- …direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in optimum ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Fresenius Medical Center (Montgomery, AL)
- …procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in optimum ... acting on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other FVC administrative and… more
- Fresenius Medical Center (Fairfield, AL)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
- Community Health Systems (Gadsden, AL)
- …Part-Time role **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities ... under the supervision of a Registered Nurse or physician. This role involves reviewing medical records...escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee. + Identifies avoidable… more
- Highmark Health (Montgomery, AL)
- …timeframes and notification requirements are met. + Communicate effectively with Utilization Management Staff, providers, other internal and external customers ... Documents, processes and routes requests for services to the nurse reviewer and other departments based on documentation procedures,...and management . + Route Cases Based on Established Guidelines. +… more
- CenterWell (Prattville, AL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts ... problems, identifies and evaluates alternative courses of action through the utilization of Performance Improvement principles. + Responsible for review of the… more
- Southeast Health (Dothan, AL)
- …+ Demonstrates appropriate utilization of the skills of the License Practical Nurse as approved by the Alabama Board of Nursing. + Demonstrates the ability to ... provides appropriate care based on these needs. + Demonstrates effective time management techniques. + Demonstrates appropriate utilization of supplies. +… more