- Kaiser Permanente (Panorama City, CA)
- …the interdisciplinary approach to providing continuity of care, including Utilization management , Transfer coordination, Discharge planning, and obtaining ... Affiliation: B21|AFSCME|SCNSC Job Level: Individual Contributor Department: Panorama City MOB #4 - Utilization Management - 0801 Pay Range: $60.79 - $74.4 / hour… more
- Elevance Health (Norfolk, VA)
- …RN license from the Commonwealth of Virginia is required. Preferred Qualifications Utilization Management ; discharge planning in an inpatient setting, home ... Anticipated End Date: 2025-07-28 Position Title: RN Nurse Case Manager I (Tidewater) Job Description: LOCATION:...I (Transition of Care) is responsible for performing care management within the scope of licensure for members with… more
- Kaiser Permanente (Redwood City, CA)
- …resource needs in clinical areas to ensure appropriate assignment and utilization ; evaluating the use and maintenance of equipment, supplies and medications; ... oversees the recruitment, selection, and development of talent; ensures performance management guidelines and expectations to achieve business needs. Stays up to… more
- Kaiser Permanente (Roseville, CA)
- …case managers, care managers, social workers, and/or internal/external resources as appropriate; utilization management for internal case management post ... related field AND minimum five (5) years of experience in nursing, case management , or a directly related field. Registered Nurse License (California) required… more
- BoulderCentre for Orthopedics and Spine (Broomfield, CO)
- …From general orthopedics to specialized areas like sports medicine and pain management , our services cover a wide range. Department: OR Reports to: Clinical ... Director Schedule/Type: PRN- onsite /hourly Wage: $51-53 /hr, commensurate with experience Bonus Eligibility:...surgical procedure. Performs surgical counts with the surgical tech/scrub nurse . Provides nursing care to a complex, high acuity… more
- Kaiser Permanente (Antioch, CA)
- …resources in assigned clinical areas to ensure appropriate assignment and utilization ; supervising the use and maintenance of equipment, supplies and medications; ... development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Implements, adapts, and stays up to date… more
- Nuvance Health (Poughkeepsie, NY)
- …case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within ... affiliates, Position Summary: Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support… more
- NR Consulting (Jersey Shore, PA)
- …to achieve patient goals and minimize re- Hospitalizations. Actively participates in Utilization Management or Interdisciplinary Care Management . Meeting to ... JOB DETAILS: Job Name- Registered Nurse REPORTS TO: RN Nurse Supervisor/Unit...license & 1+ year of RN experience. Work location- Onsite at 1008 Thompson St Jersey Shore PA 17740… more
- Kaiser Permanente (Arlington, VA)
- …Job Summary: The Patient Care Coordinator is responsible for overseeing the management and coordination of care for the acute inpatient population. The PCC ... collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …to be a part of this incredible work. What Will You Do? As a Registered Nurse at Pine Rest, you'll be part of tight-knit team that believes in the healing power ... in the teaching of persons' served families, and provides milieu management . Communicates with and educates persons' served families/significant others in… more
- Kaiser Permanente (San Francisco, CA)
- …best practice models of other agencies. Participates in program management , including licensing, budgeting, utilization and quality assessment/improvement ... activities of the home/health/hospice agency. Monitors quality, service and utilization standards. Supervises the day-to-day clinical operational activities. Ensures… more
- Hendricks Regional Health (Danville, IN)
- …The APRN works closely with sponsoring Physicians, Medical Staff, Management Council, Department Heads, Clinic Manager, Hospital Associates, defined customers, ... to, meaningful use and billing. Demonstrates effective time and supply management , supports leadership in implementation of scheduling, and participates in supply… more
- Kaiser Permanente (Seattle, WA)
- …a week, with opportunity to cover other day or night shifts as needed. Onsite Hospital Night Shift Supervisor for KPWA Capitol Hill growing hospital services that ... to four (4) hours. Communicates at Huddles and directly with Charge Nurse to: Review current patients. Identify pending/potential discharges. Determine capacity for… more
- Kaiser Permanente (Salem, OR)
- …Home Health Skilled Nursing Facilities Hospice Long Term Acute Care Inpatient Rehab Utilization Management Education Successful completion of an RN program by ... home health, hospice, and Durable Medical Equipment (DME). Knowledge of utilization management principles and tools. Demonstrated clinical judgment and… more
- Elevance Health (Grand Prairie, TX)
- …Job Level: Non- Management Non-Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation ... hands-on engagement. The LTSS Service Coordinator-RN is responsible for overall management of member's case within the scope of licensure; provides supervision… more
- Kaiser Permanente (Atlanta, GA)
- …in an acute care setting. Minimum two (2) years of experience in utilization review, case management , and discharge planning preferred. Bachelors Degree in ... and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve… more
- Strive Health (Nashville, TN)
- …outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization . Our high-touch care model integrates with local providers and uses ... the clinical and non-clinical needs of each patient. Conducts regular assessments onsite and virtually to detect undisclosed medical or social issues and changes… more
- Sanford Health (Sioux Falls, SD)
- …Range: $29.00 - $46.50 Union Position: No Department Details Looking for a registered nurse to join our Care Transitions Case Management Team. Day position with ... Education. Nursing: Will consider applicant with significant background in case management , transplant services and/or other utilization review experience.… more
- Georgia Department of Community Health (Atlanta, GA)
- …of clinical and treatment facilities, regulated entity operations and program management . Conducts utilization reviews, peer reviews, evaluation activities and ... regulated entity operations and other related programs. Coordinates the data management and quality assurance functions. Determines compliance with applicable state… more
- Kaiser Permanente (Redwood City, CA)
- …the primary contact between applicable government, regulatory, other organization, and management for onsite visits and evaluations; establishing the long-term ... initiatives; serving as a leader and expert on clinical quality management programs and initiatives; proactively monitoring performance metrics and performance… more
