- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …budget, staffing, and training needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse (RN) with a Texas ... review, and transitions to prevent readmissions. Liaise with medical staff, utilization review, social services, payors, and community providers. Track and report… more
- COPE Health Solutions (Riverside, CA)
- Description The ECM Care Manager - Licensed Vocational Nurse (LVN) facilitates patient continuity of care with the ECM healthcare team and managed care plan. ... the clinical direction and oversight of the Primary Care Physician and Registered Nurse , the LVN coordinates care for patients needing support by collaborating with… more
- University of Southern California (Los Angeles, CA)
- The Manager of Utilization Review provides administrative and operational support to the Director of Case Management. The Manager of Utilization Review ... review. Req 2 years Consecutive years' experience in Utilization Review leadership in a manager or...software and data analysis tools. Required Licenses/Certifications: Req Registered Nurse - RN (CA Board of Registered Nursing) Req… more
- Henry Ford Health System (Detroit, MI)
- …organizational and time management skills. Proficiency with computers, electronic health records (EHR), database systems, and utilization review/case management ... GENERAL SUMMARY: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient care, ensuring seamless transitions between care levels. This… more
- Kaiser Permanente (Oakland, CA)
- …resources in assigned clinical areas to ensure appropriate assignment and utilization ; supervising the use and maintenance of equipment, supplies and medications; ... consideration compliance timelines and financial commitments; facilitating and maintaining utilization and productivity to achieve performance targets; maintaining and… more
- Kaiser Permanente (San Leandro, CA)
- …resource needs in several clinical areas to ensure appropriate assignment and utilization ; managing the use and maintenance of equipment, supplies and medications; ... managing resources in hospital areas to ensure appropriate assignment and utilization ; leading multidisciplinary hospital team(s) and holding team(s) accountable for… more
- Pennsylvania Medicine (Plainsboro, NJ)
- …accordance with the NJ Board of Nursing Statutes and Regulations. Responsibilities: 1. The Nurse Manager follows the standards of the Registered Nurse (Job ... of care with attention to continuity across shifts and settings. The Registered Nurse will assure communication between patients, families and all members of the… more
- Roper St Francis Healthcare (Summerville, SC)
- …following established standards and practices in accordance with the South Carolina Nurse Practice Act. Applies professional nursing theory and practice to assess, ... and collaborative working relationships within and among disciplines. Charge Nurse role has 2 tiers: Primary Charge Nurse...ED and as designated by specialty standards and/or clinical manager and should be obtained within 6 months of… more
- Baystate Health (Springfield, MA)
- RN, ACO Nurse Care Manager , Community Health Center The ACO Nurse Care Manager is responsible for the management of care for a defined group of patients ... and other end-of-life care coordination. Appropriate documentation in patient medical records and/or care management application is required and is vital. Assumes… more
- CVS Health (Hoboken, NJ)
- … is responsible for documenting accurately and timely in the member's electronic health record . This position requires the case manager to use critical thinking ... is responsible for documenting accurately and timely in the member's electronic health record . This position requires the case manager to use critical thinking… more
- Signature Healthcare (Brockton, MA)
- …independently within established department policies and goals. Refers problems to nurse manager or appropriate supervisor. Supervisory Responsibilities: Direct ... Details of these competencies will be provided by the Nurse Manager of that unit/dept. and/or Staff...progress toward attaining expected outcomes in the patient medical record . Provide nursing care to assigned patients. Administers prescribed… more
- Bon Secours Mercy Health (Norfolk, VA)
- …States of America) Summary of Primary Function In the capacity of a Registered Nurse , the Ambulatory Care Manager will provide clinical care management services ... patient outreach according to established protocols and document in electronic medical record . Identify, execute, and track needed referrals to care and community… more
- Kaiser Permanente (Downey, CA)
- …patient care which meet or exceed cost, quality, and clinical and utilization standards and performance measures. Establishes, implements, and maintains patient care ... certified or desire CCS certification. License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional Requirements: *… more
- Gillette Children's Specialty Healthcare (St. Paul, MN)
- We are currently hiring for a Charge Nurse at our Inpatient, St. Paul location. 0.8 FTE. Monday-Thursday, straight evening shift. No weekends. The Charge Nurse ... to assure consistency in practice and operations, clinical excellence, wise resource utilization , a safe and welcoming environment of care, and excellent customer… more
- Connecticut Children's (Hartford, CT)
- …& procedures, Joint Commission, and State & federal regulations. Reports to Nurse Manager . Responsibilities Clinical Practice- On a daily basis, demonstrates ... to the leadership of the unit by functioning as the Resource Nurse and/or by participating in the professional development of others through preceptor/mentor… more
- WVU Medicine (Uniontown, PA)
- …and recruitment of staff. 2. Initiates and maintains appropriate personnel records . 3. Assists in the development and implementation of on-going educational ... the Director to assure cost effective operations. 7. Assures the most economical utilization of time, materials and resources through the review of workflow and… more
- Advocate Aurora Health (Kenosha, WI)
- …critical thinking and timely decision making. Ability to navigate the Electronic Health Record . Basic utilization of MS Office products. Knowledge of Medicare A ... acuity required for facilitating review of written documents/computer screens, medical records , and to record information accurately. Clear verbal communications… more
- Team Select Home Care (Boston, MA)
- …Infection Control Plan, EMS Plan, and the Compliance Plan Participates in clinical record / utilization review of medical records and quality assurance and ... The Case Manager is a qualified registered nurse ...performance improvement (QAPI) quarterly and as assigned. Reports/ records all applicable infections, occurrences, and complaints Submits documentation… more
- Greater Baltimore Medical Center Healthcare (Towson, MD)
- The Hospice RN Weekender reports to the Team Manager . He/she is responsible for identifying patient/family care needs, and for providing nursing and supportive care ... institution Licensures/Certifications: *Current Maryland State license as a Registered Nurse Experience: One to two years of nursing. Home...focused *Skill in the use of EMR (Electronic Medical Record ) and/or ability to learn *Skill in the use… more
- PAM Health Rehabilitation Hospital of Greeley (Greeley, CO)
- …population. The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of ... manager may include occupational therapist, physical therapist, registered nurse , respiratory therapist, speech therapist, or (licensed) social worker. Current… more
