- 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
- Humana (Montgomery, AL)
- …of our caring community and help us put health first** The Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent ... the daily management and operations of the department. Oversees utilization management functions which include timely authorizations related to… 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
- 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
- …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
- Marriott (Montgomery, AL)
- …with Claims department regarding case management . + Collaborate with UNM on utilization review issues. + Refer catastrophic cases in coordination with claims ... claims most likely to benefit from case management to meet jurisdictional needs. ** Utilization Review ** + Provide initial clinical review in order to… 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 (Birmingham, 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