- Appcast (Randallstown, MD)
- …activities as required by payor. Monitors and identifies patterns or trends in utilization management . Monitors potential and actual denials and coordinates with ... Utilization Review Nurse RN Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Full-time - Day shift - 8:00am-4:30pm RN Other 92327 $38. 20 -$59.21… more
- Daiichi Sankyo, Inc. (Phoenix, AZ)
- …With more than 125 years of scientific expertise and a presence in more than 20 countries, Daiichi Sankyo and its 18,000 employees around the world draw upon a rich ... nurses working under the general direction of the Regional Director of Clinical Nurse Managers. The OCE is responsible for educating HCPs/clinics with infusion and… more
- Kaiser (Lanham-Seabrook, MD)
- …decrease inappropriate utilization of medical services.In close collaboration with the nurse case manager and other members of the health care team, develops and ... This role is eligible for a $ 20 ,000 sign-on bonus!Job Summary:For members of a defined...and timely manner.Ensures consistent and reliable documentation of case management activities in compliance with all organization and department… more
- Omaha Children's Hospital (Omaha, NE)
- …equal opportunity employer including veterans and people with disabilities. **A Brief Overview** Utilization Management (UM) is a specialty area of Nursing Case ... Days - 20 hours per week At Children's, the region's...settings. + Skills in negotiation and problem solving with utilization management . + Should be a creative,… more
- Ascension Health (Baltimore, MD)
- …for post-discharge care. **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date or job transfer date required. + ... of hire. **Additional Preferences** + One year of **recent** experience in Case Management required. + Local and national travel options are available depending on… more
- Albany Medical Center (Albany, NY)
- …Work Work Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999. 20 Responsible for Utilization Management , Quality Screening and Delay ... Management for assigned patients. * Completes Utilization Management and Quality Screening for assigned patients.* Applies MCG criteria to monitor… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II...review or input and presents for second level review ( 20 %) Performs other duties as assigned. (10%) Duties Continued… more
- Hackensack Meridian Health (Edison, NJ)
- …to transform healthcare and serve as a leader of positive change. The **Care Management , Care Coordinator, Utilization Management ** is a member of the ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of… more
- Prime Healthcare (Inglewood, CA)
- …Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination to ensure patients ... leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and … more
- Prime Healthcare (Chino, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/226811/case-manager-%28rn%29 utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... preferred, and community focused. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the… more
- Mount Sinai Health System (New York, NY)
- …Excel and Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front...EOW** To maintain front end operations of the Case Management Department by monitoring all incoming correspondence and ensuring… more
- Prime Healthcare (Reno, NV)
- …and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and ... 5. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, coding staff and hospital management staff. 6.… more
- Dartmouth Health (Lebanon, NH)
- …shifts) onsite in Lebanon Triages, coordinates and facilitates the clinical management for an assigned population. Develops, monitors and reinforces care standards ... and protocols designed to enhance quality and promote cost-effective utilization of healthcare resources. Responsibilities * Facilitates the development of a plan of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title : Nurse Practitioner- Cardiothoracic- Mount Sinai Hospital - Full Time - Night** A nurse practitioner (NP) as described in Title ... clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for… more
- Mount Sinai Health System (New York, NY)
- **Job Description** A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate ... clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for… more
- Commonwealth of Pennsylvania (PA)
- Registered Nurse Supervisor (2nd Shift) - Selinsgrove Center Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5095157) Apply Registered ... Nurse Supervisor (2nd Shift) - Selinsgrove Center Salary $96,225.00...City Selinsgrove, Pennsylvania Zip Code 17870 Contact Name Talent Management Division Contact Email ###@pa.gov + Description + Benefits… more
- Alameda Health System (Oakland, CA)
- Clinical Nurse V + Oakland, CA + Highland General Hospital...MCH/OB Clinic (K6) + Full Time - Day + Management + $64.00- $96.00 + Req #:42878-31844 + FTE:1 + ... on each nursing unit for which responsible. Promotes effective and economic utilization of personnel and supplies. Monitors utilization of personnel and… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Assistant Nurse ManagerDepartment: Acute Stroke Location: RGH Hours Per Week: 40Schedule: M-F Days, with flexibility to work night/off shift SUMMARY:The ... Assistant Nurse Manager (ANM) is responsible for the clinical care...for a variety of nursing functions in support of management and staff. Serves as a resource for clinical… more
- The County of Los Angeles (Los Angeles, CA)
- NURSE PRACTITIONER Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1814364) Apply NURSE PRACTITIONER Salary $137,323.92 - $205,556.40 ... assigned principal responsibility for the primary health care of patients. The Nurse Practitioner is assigned full-time to this role and receives professional… more
- The County of Los Angeles (Los Angeles, CA)
- NURSE PRACTITIONER - CORRECTIONAL HEALTH Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1814414) Apply NURSE PRACTITIONER - CORRECTIONAL ... REQUIRED: + A license to practice as a Registered Nurse and a certificate to practice as a ...Administration + Nursing Education + Health Science + Healthcare Management + Healthcare Education + Healthcare Administration + Public… more
