- Jooble (Caddo County, LA)
- …to set a baseline for comparison * Discovers opportunities to improve resource utilization * Implements changes in role consistent with scope of practice * ... recommends improvement plans * Coaches others on operating personnel management systems and their processes Standard III. Relationship Management and Influencing… more
- Jooble (Alexandria, LA)
- …to set a baseline for comparison Discovers opportunities to improve resource utilization Implements changes in role consistent with scope of practice Anticipates and ... and recommends improvement plans Coaches others on operating personnel management systems and their processes Standard III. Relationship Management and Influencing… more
- Alameda Health System (Oakland, CA)
- …off plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational ... Director , Utilization Management + Oakland, CA...background. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
- Texas Health Resources (Arlington, TX)
- … Management required 3 years previous leadership experience required Licenses and Certifications RN - Registered Nurse Current license to practice ... Director Utilization Management-Clinical Review _Are you...and required meetings onsite throughout the year. Summary The Director will be the department leader for system… more
- Tufts Medicine (Burlington, MA)
- …**Minimum Qualifications:** 1. Bachelor of Science in Nursing (BSN). 2.Massachusetts RN Licensure. 3. Current certification in case/ utilization management (ACM, ... MA. **About Tufts Medicine:** Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver… more
- Molina Healthcare (GA)
- …education and experience. * At least 3 years health care management/leadership required. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
- UTMB Health (Galveston, TX)
- …resource utilization to Director /Assistant Director of Utilization Management. + Maintains a documentation system of all review activities ... Utilization Review Case Mgr - Galv. Campus ...nursing and current Texas Nursing licensure as a professional registered nurse . Minimum of three years of… more
- Prime Healthcare (Inglewood, CA)
- …outcomes and reducing readmissions. #LI-CC2 Qualifications Required qualifications: 1. CA Registered Nurse 2. Bachelor's of Science in Nursing3. Grandfathered ... As a member of Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital Medical Center...part-time. Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case… more
- BrightSpring Health Services (Sacramento, CA)
- …Education: Degree from an accredited school of nursing Qualifications:* Must be a Licensed Registered Nurse ( RN ) in good standing and currently licensed by ... performance reviews* Responsible to ensure that there is a nurse on call after hours for all homes (and...to State Health Services Director and Assigned Director , Clinical Practice* Review utilization report at… more
- RWJBarnabas Health (Newark, NJ)
- Asst Director Patient Care Registered Nurse ( RN ) Full Time Days CTICUReq #:0000204650 Category:Nursing Manager Status:Full-Time Shift:Day Facility:Newark ... Location: 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Title:Asst Director Patient Care Location:Newark Beth Israel Medical Ctr Department...you need. Required Certifications and Licenses: + Active NJ RN License or Multistate RN License with… more
- UCLA Health (Los Angeles, CA)
- …Under the direction of the Assistant Director , the ICM Medicare Advantage Utilization Review Nurse performs utilization review of medical necessity and ... Medicare Advantage population enrolled under UCLA Medical Group. The ICM Medicare Advantage Utilization Review Nurse ensures that home health and durable medical… more
- Banner Health (Sterling, CO)
- …or admiring unique public art. Sterling Regional MedCenter is looking for a full-time Registered Nurse Associate Director to lead the Emergency Department in ... unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and evaluating quality and process… more
- Banner Health (Susanville, CA)
- …area. (https://youtu.be/sTPoc9EbJ\_Y) Banner Lassen Medical Center is looking for a full-time Registered Nurse Associate Director to lead the emergency ... unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and evaluating quality and process… more
- St. Luke's University Health Network (Quakertown, PA)
- …including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director . . Facilitates communication among all ... we serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the… more
- St. Luke's University Health Network (Orwigsburg, PA)
- …including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director . + Facilitates communication among all ... we serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the… more
- Banner Health (Torrington, WY)
- …of recreational opportunities. Torrington Community Hospital is looking for a full-time RN Associate Director to lead the Emergency department in Torrington, ... a state-of-the-art emergency department, electronic medical records and a computerized OB system designed to reduce the chances of complications during labor and… more
- Community Health Systems (Gadsden, AL)
- **Job Summary** The Registered Nurse ( RN ), Charge Nights, oversees the operations of a nursing unit during assigned shifts, ensuring effective and efficient ... Monitors patient flow, manages bed assignments, and optimizes resource utilization within the unit. + Conducts employee and patient...addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse -… more
- AdventHealth (Killeen, TX)
- …Higher Required + 2 years Registered Nurse Work Experience Required + Registered Nurse ( RN ) License Required **Preferred qualifications:** + 5 years ... Facilities, Rehabilitation Services and Facilities and Community-based Organizations. The RN Care Manager adheres to departmental and system...Registered Nurse Work Experience Preferred + Certified Case Manager (CCM)… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …policy and procedure, identifies and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques ... and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with...is required to know multiple functional areas and supporting systems . + Expert in Utilization Management and… more
- AdventHealth (Tampa, FL)
- …Qualifications The expertise and experiences you'll need to succeed: .Associate Degree Nursing or RN Diploma degree. .Florida Registered Nurse ( RN ) ... License. .Two (2 ) years of medical/hospital Registered Nurse experience This facility is an equal opportunity employer and complies with federal, state and… more
