• Geisinger (Scranton, PA)
    …and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 04/29/2025 Job ID: R-77850 ... skills focused on the specialized practice setting * Free Princeton NCLEX Review Questions (on-line, self paced)! * Temporary Practice Permit reimbursement + ability… more
    Get It 2025 (11/22/25)
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  • Geisinger (Wilkes-Barre, PA)
    …and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 04/29/2025 Job ID: R-77853 ... skills focused on the specialized practice setting * Free Princeton NCLEX Review Questions (on-line, self paced)! * Temporary Practice Permit (TPP) reimbursement +… more
    Get It 2025 (11/22/25)
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  • The Laurels of Pender (Burgaw, NC)
    …Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator * Remains ... team that values communication and strong teamwork abilities. Responsibilities: The Care Management Nurse, MDS Nurse works the RAI process and conducts assessments… more
    Get It 2025 (11/22/25)
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  • The Laurels of University Park (Richmond, VA)
    …Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator * Remains ... loan forgiveness * Zero cost uniforms Responsibilities: The Care Management Nurse, MDS Nurse works the RAI process and...* Assesses resident through physical assessment, interview and chart review * Discusses resident care needs with care givers,… more
    Get It 2025 (11/22/25)
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  • Centene Corporation (New York, NY)
    …New York * Board certified in Internal Medicine or Family Medicine * Utilization Management experience and knowledge of quality accreditation standards. * ... functions for the business unit. * Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. *… more
    Get It 2025 (11/21/25)
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  • ERP International (Camp Pendleton, CA)
    **Overview** ERP International, LLC is seeking a ** Licensed Vocational / Practical Nurse** for a full-time position supporting the **Branch Health Clinics** at ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
    DirectEmployers Association (11/05/25)
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  • Battelle Memorial Institute (Oceanside, CA)
    …Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Licensed Clinical Social Worker (LCSW)** to join our team in support of our ... and their families, ensuring comprehensive support for those who serve. As a Licensed Clinical Social Worker (LCSW), you will contribute to impactful research and… more
    DirectEmployers Association (11/05/25)
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  • Fresenius Medical Care (Dallas, PA)
    …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
    Get It 2025 (11/21/25)
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  • VitalCore Health Strategies (Augusta, GA)
    …Event Committee, Performance Improvement, Electronic Medical Records (EMR), Utilization Management and other process improvement committees/initiatives ... and reviews minutes on a regular basis for MAC meetings, Disease Management /Case Review and other healthcare-related site meetings. Reinforces and strengthens… more
    Get It 2025 (11/21/25)
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  • Saint Vincent Hospital (Worcester, MA)
    …clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions. Together as an enterprise, we work to ... to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and right to… more
    Get It 2025 (11/21/25)
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  • Stanford Health Care (Palo Alto, CA)
    …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... other interdisciplinary team members; arranges follow up care as appropriate. + Utilization Review -- Reviews prospectively, concurrently and retrospectively all… more
    DirectEmployers Association (11/11/25)
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  • Stanford Health Care (Palo Alto, CA)
    …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... provide requested clinical and psychosocial information to assurereimbursement. + Utilization Review -- Reviews prospectively, concurrently and retrospectively… more
    DirectEmployers Association (11/11/25)
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  • Battelle Memorial Institute (Columbus, OH)
    …patient care, and leading therapeutic sessions under the supervision of licensed professionals. The Psychological/Mental Health Technician will require performing a ... operations and high-quality patient care. **Responsibilities** + Assist with the management and treatment of outpatient behavioral health activities + Under the… more
    DirectEmployers Association (11/05/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …Work collaboratively with internal departments-including Clinical Operations, Contracting, Network Management , Utilization Management , and Business ... Knowledge, Skills, Abilities & Language (nice to have):** + Familiarity with care management and utilization management systems and workflows for populations… more
    DirectEmployers Association (10/17/25)
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  • Luke Staffing (Agana Heights, GU)
    …professional clinical standards and clinical protocols. . Participate in Utilization Management /Case Management meetings to review and identify . ... **INDEPENDENT LICENSED SOCIAL WORKER CASE MANAGER** **SITE OF SERVICE:**...of newly assigned unit personnel. . Collaborate in the review of unit standing operating procedures. . If directed,… more
    DirectEmployers Association (11/13/25)
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  • ERP International (Luke AFB, AZ)
    …including a one hour lunch **Core Duties:** - Participate in Utilization Management /Case Management meetings to review and identify opportunities to ... **Overview** ERP International is seeking a ** Licensed Clinical Social Worker/Case Manager** for a Full-Time position in support of the **56th Medical Group, Luke… more
    DirectEmployers Association (10/24/25)
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  • Stanford Health Care (Palo Alto, CA)
    …States of America) The Lead Advanced Practice Provider provides supervision and management of advanced practice providers (APPs) in a distinct clincial service line. ... and ethical treatment, safety and security of physical environemnts, emergency management , teamwork, respect for others, participiation in ongoing education and… more
    DirectEmployers Association (11/13/25)
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  • Stony Brook University (Stony Brook, NY)
    …the use of UHIS (Cerner) and LIS (Clinisys & CoPath) order entry and result review screens, new tests additions to the test menu, upgrades to current systems, and ... assigned. + Responsible for daily and monthly monitoring (including documenting monthly review ) of the Rees Temperature Monitoring System for Immunology or Flow… more
    DirectEmployers Association (10/28/25)
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  • Stanford Health Care (Palo Alto, CA)
    …is a Stanford Health Care job.** **A Brief Overview** Provides supervision and management of advanced practice providers (APPs) in a distinct clinical service line. ... of the service line Medical Director and unit nursing management team. + Conduct regularly scheduled meetings with the...and adherence to policy through practice analysis and case review of APPs with physicians. + Investigate and respond… more
    DirectEmployers Association (11/04/25)
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  • Stanford Health Care (Palo Alto, CA)
    …Operations Manager is responsible for the administrative and technical management of Technical Services Testing Operations, which includes: Testing/Processing, ... volume, testing results, analysis, adverse trends, conclusions or recommendations for management and other hospital personnel.- Ensure completion of special projects… more
    DirectEmployers Association (10/08/25)
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