- Novo Nordisk Inc. (Milwaukee, WI)
- …include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, diabetes educators, pharmacists, blood bank staff, organized ... providers and IHNs; c) develops appropriate use of NNI products and greater utilization of its services d) supports and assists representatives and managers in… more
- Integrated Resources, Inc (New York, NY)
- …Coordinate with Utilization Management (UM) department on concurrent and retrospective review . . Follow up with assigned nurses for clinical updates to care ... Using the assessments and interview done by the Assessment Nurse , the Care Manager identifies the risk factors, strengths,...community setting. . Product of Role & Responsibilities: . Review and evaluate the assessment and UAS information for… more
- Adventist Health (Glendale, CA)
- Adventist Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Glendale, California.Job Description & RequirementsSpecialty: Care ... management program. Acts as a liaison between the patient, family, nurse , physicians, multidisciplinary team and patient's healthcare benefactor to optimize… more
- Sutter Health (Alameda, CA)
- …and assists in meeting financial targets by effectively managing utilization , productivity, personnel and supplies. Participates as necessary in referral ... Description:EDUCATION:Graduate of an accredited school of nursing.CERTIFICATION & LICENSURE:RN-Registered Nurse of CaliforniaBLS-Basic Life Support Healthcare ProviderTYPICAL EXPERIENCE:1 Year… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR...largest municipal health system in the nation. Through its integrated system of 25 health centers and four (4) ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 -… more
- Children's Mercy Kansas City (Kansas City, MO)
- …beyond the walls of our hospital. Overview The Manager of Utilization Review will provide leadership to integrated inpatient teams and assist the Director ... as well as training/oversight of programs and services. Responsible for effective utilization review and proper resource management, including patient statusing… more
- Billings Clinic (Billings, MT)
- …starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN CARE MANAGEMENT ... eligible for tuition loan reimbursement Under the direction of department leadership, the Utilization Review / Management RN. This position is to conduct initial,… more
- CVS Health (Columbus, OH)
- …in New Albany OH, Chandler AZ or High Point NC Precertification Nurse Case Manager is responsible for telephonically assessing, planning, implementing and ... solutions for our customers and members. The model is a fully integrated population health and customer service solution for large plan sponsors high-touch,… more
- CVS Health (Raleigh, NC)
- …office locations in New Albany OH, or High Point NC. Precertification Nurse Case Manager is responsible for telephonically assessing, planning, implementing and ... solutions for our customers and members. The model is a fully integrated population health and customer service solution for large plan sponsors high-touch,… more
- Dignity Health (Bakersfield, CA)
- …is remote with a clear and current CA LVN license.** **Position Summary:** The Utilization Review LVN uses clinical judgement in providing utilization ... Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a… more
- Centene Corporation (Salem, OR)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse.… more
- Sharp HealthCare (San Diego, CA)
- …out opportunities to grow individual competency and skillset in the area of utilization review , integrated care management and transition planning.Seeks out ... and internal transfer requests and direct admission requests. This position supports utilization review functions to ensure appropriate patient status and… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …performance and facilitates educational training for medical staff on issues related to utilization management. 1. Implements utilization review policies and ... coaching, mentoring, training and development. Educates and trains staff on utilization review processes and guidelines. 3. Promotes collaborative practice… more
- InnovaCare (San Juan, PR)
- …MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization of healthcare ... review admissions and continued stay to determine appropriate Utilization , Quality Assurance, Risk Management and Discharge Planning Needs.2. Validates all… more
- Covenant Health (Lubbock, TX)
- …**Job Schedule:** Full time **Job Shift:** **Career Track:** Nursing **Department:** 8000 UTILIZATION REVIEW **Address:** TX Lubbock 3615 19th St **Work ... for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels… more
- Veterans Affairs, Veterans Health Administration (White City, OR)
- Summary The Care Coordination Integrated Case Management framework is a specialized, collaborative practice among multiple healthcare professions which provides ... support inter-professional collaboration throughout the continuum of care and optimal utilization of healthcare resources. CCICM serves a highly complex Veteran… more
- Billings Clinic (MT)
- …provide effective communication to patient and families regarding disease process, treatment plan review , next steps in care. Gyn Oncology Nurse Navigator will ... 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed… more
- Dayton Children's Hospital (Dayton, OH)
- …functions as a member of a multidisciplinary health care team with guidance of the nurse case managers, utilization review , and social workers, assisting in ... facilitating patient post-acute placement needs; utilizes hospital and community resources for continuity of patient care; functions as a hospital liaison with external third-party payors for denials prevention; collaborates with medical staff, patient… more
- State of Colorado (Denver, CO)
- …diagnostic equipment, medication formulary, quality assurance program, and hospitalization utilization review . This position works collaboratively with Agency ... Youth Corrections Medical Operations Coordinator ( Nurse V) - $7,000 Sign on Incentive! Print...management, staffing patterns and assignments, training and quality assurance review . This position collaborates closely with the Mental Health… more
- Baystate Health (Springfield, MA)
- **Position** Licensed Practitioner Nurse **SCHEDULE:** + Full tim + Monday - Friday + No weekends no holidays **LOCATION** : + Springfield, MA The Licensed Practical ... Nurse (LPN) functions under the supervision and guidance of...support to the patient's primary care team regarding patients' utilization management needs. The Clinical Utilization Reviewer… more
