- Pacer Staffing (Atlanta, GA)
- …legal and regulatory requirements, and HIPAA privacy regulations. . Thorough knowledge of Case Management , Utilization Management , HIPAA Privacy and ... (DM) services to TRICARE beneficiaries. . The DM nurse will collaboratively assess, plan, implement, coordinate, monitor and...Minimum of three years clinical experience . Experience in case management , care coordination or discharge planning… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our ... SummaryManages the day to day operations of the department by supporting the case management and interdisciplinary healthcare team in facilitating patient care… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …needed). Minimum Job QualificationsLicensure or other certifications: Licensed to practice as an RN in Georgia. CCM ( Case Management Certification) or ACM ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning...of nursing. Eligibility requirements for certification: 12 months full-time case management experience supervised by a certified… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our ... plan and modifies as necessary. Addresses patient's understanding and participation in the case management plan. Escalates issues to the Complex Transitions of… more
- Cambia Health Solutions, Inc (Lewiston, ID)
- …degree in Behavioral Health preferred for behavioral health care management ); or Registered nurse ( RN ) license (must have a current unrestricted ... Management RN 's provide clinical care management (such as case management ,...of creating a person-focused health care experience.Are you a Registered Nurse looking to transition out of… more
- ICONMA (Hoonah, AK)
- …cassettes, and documentation of all radiology studies both electronically and hard copy. Case management is another function of the nursing staff as occasionally ... practice and department protocol. Operates specialized equipment. Demonstrates correct utilization of computer-based health information system. Performs triage of… more
- Blanchard Valley Hospital (Findlay, OH)
- PURPOSE OF THIS POSITION The purpose of the role of the RN Case Manager is to develop, implement and evaluate an organized inpatient case management ... patients under the direction of the attending provider. The RN Case Manager will assist in identifying...Licensed by the Ohio Board of Nursing as a Registered Nurse . Four (4) years clinical nursing… more
- ICONMA (Santa Rosa, CA)
- …rather than popularity. Promotes, supports, encourages, and fosters maximum communication across case management with the purpose of making one accessible and ... policies and procedures required for success under the direction of the case management leadership. Leads special and audit projects independently with the end… more
- Blanchard Valley Health System (Findlay, OH)
- …to the Acute Care Transitions Team, including the disciplines of Social Work, Case Management , Utilization Review, and Emergency Department Care Navigation ... and procedures for service area. REQUIRED QUALIFICATIONS Current Ohio Licensure as a Registered Nurse Nursing experience 5+ years, 2-4 years in Care Coordination… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …situation, as well as disposition needs for each referred patient. Collaborates with RN Case Manager, patients, families, healthcare team members, and community ... services experience.Other: Preferred Job QualificationsPreferred Licensure or other certifications: CCM ( Case Management Certification) or ACM (American Case … more
- Accounting Now (Carson City, NV)
- …Analysis (ABA) services only, and there is licensed staff supervisionPrevious experience in case management / utilization management with a broad range ... and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to… more
- Staffing Now (Carson City, NV)
- …Analysis (ABA) services only, and there is licensed staff supervision. Previous experience in case management / utilization management with a broad range ... and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to… more
- Engage Partners, Inc. (Orange, CA)
- …substance abuse staff and others Education and Knowledge, Skills and Abilities Required: Registered Nurse , currently licensed in the State of California with a ... The Nurse Supervisor supervises and manages nursing staff to...informed, and culturally competent services. Ensure charts meet quality management standards per monthly utilization review and/or… more
- Equiliem (Orange, CA)
- …BHT services from behavioral health providers. They are also responsible for utilization management , quality reviews and monitoring activities of BHT services. ... by communicating the Medical Director's decision and documents follow-ups in the utilization management system. Completes required documentation for data entry… more
- Cambia Health Solutions, Inc (Renton, WA)
- …clinical strategies, formulary development, policy development, benefit design, and utilization management initiatives.Regularly assess and refine clinical ... residents as needed.Provide consultative expertise and coaching to internal RN and SW case managers, attend clinical... and SW case managers, attend clinical rounds when appropriate to support care management process and… more
- Cedars-Sinai (Los Angeles, CA)
- …thereafter as a condition of continued employment. **Req ID** : 4300 **Working Title** : Utilization Management Case Manager - 8 Hour Days Per Diem ... from an accredited nursing program required. Bachelors Degree in Nurse preferred. California RN License required. **Experience:**...required. **Experience:** + Minimum of 2 years experience in Case Management preferred + Minimum of 3… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN ) will be responsible for ensuring the efficient ... of transitions of care guidelines and utilization management principles. + Experience in case ...systems and other healthcare software. **Licenses and Certifications** + Nursing/ RN - Registered Nurse -… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- …System (VASTLHCS), St. Louis, Missouri. The Registered Nurse Case Manager ( Utilization Management ) demonstrates leadership, experience, and creative ... approaches in providing complex patient management in delivering and improving holistic care through collaborative...Nurse Total Rewards The primary purpose of this Registered Nurse Case Manager (RNCM)… more
- BronxCare Health System (Bronx, NY)
- …special projects and committees as determined by Director. Qualifications CERTIFICATION/LICENSURE : Registered Nurse or physician or a foreign medical graduate ... and implementation of educational programs for Denial Prevention and Management . Responsibilities - Establish and maintain positive relationships with patients,… more
- AmeriHealth Caritas (Dublin, OH)
- …+ Current and unrestricted RN license in OH. + 3+ years of utilization / case management experience in relevant scope preferred, one year required. + ... ** Utilization Management Plan Oversight Manager** Location: Dublin, OH Primary Job Function: Medical Management ID**: 37872 Your career starts now. We are… more
