- University of New Mexico - Hospitals (Albuquerque, NM)
- Case Manager RN Sign-on Bonus and Relocation Reimbursement available! Receive 17% weekday nights, 26% weekend nights, or 15% weekend day shift differentials! Join ... the University of New Mexico Hospital as a Care Manager ! We are seeking passionate individuals who will work...seeking passionate individuals who will work in collaboration with clinical teams to achieve quality outcomes for patients within… more
- Greenspring Village by Erickson Senior Living (Springfield, VA)
- …by Erickson Senior Living Join our team as the Nurse Manager , RN also known as the Clinical Manager ! The Clinical Manager is an active member of the ... person-centered care of our 32-bed Rehab neighborhood . The Clinical Manager will also facilitate, precept, and... clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review, and Performance… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …to experience, education, and other business and organizational considerations. Department: Utilization Management - UH FTE: 1.00 Full Time Shift: Days Position ... members, employers, and others as appropriate * ASSESSMENT - Assess the patient's clinical , psychosocial status and current treatment plans * NEEDS - Assess the… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …Care Management Services FTE: 1.00 Full Time Shift: Days Position Summary: Supervise clinical therapy, social work, and case manager social work staff. ... of problems and opportunities for improvement, program planning, implementation, and evaluation * PERFORMANCE - Assist in developing standards of performance, … more
- Houston Methodist The Woodlands Hospital (The Woodlands, TX)
- …service area Demonstrates professional and technical competence in the selection, evaluation , utilization , and distribution of drugs and drug information ... At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced...Institute as applicable to primary work assignment (refer to manager for details) SUPPLEMENTAL REQUIREMENTS WORK ATTIRE Uniform No… more
- Luminis Health (Annapolis, MD)
- …high reliability. 2. Collaborate with the Surgeons, Charge Capture Coordinator, the Clinical Nursing Director, the Surgical Services Business Manager , Central ... the availability of supplies, instruments, and equipment; ensure appropriate utilization of these resources; and (to the extent possible)...evaluation , as well as address any behavioral or clinical issues in real time. At least two years… more
- 4527142 (Cambridge, MA)
- …provides everything from routine blood and urine tests to special tissue evaluation . Summary: Through the utilization of applied theories, principles, and ... testing in an accurate and timely manner *assists the manager in the development of new methods and evaluating...the next opportunity examination is offered. Keywords: Med Tech, Clinical Lab Scientist In keeping with federal, state and… more
- Huron Consulting Group (Chicago, IL)
- …our team as the expert you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, and ... and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient...directing implementation of the Utilization Review Plan and the… more
- State of Indiana (Indianapolis, IN)
- …of three (3) years of staff management and evaluation experience; clinical experience in managed care and accredited utilization management experience ... Utilization Management Manager Date Posted: Nov...provides the skills needed to conduct oversight of all utilization management practices and clinical criteria evaluations.They… more
- University of Rochester (Rochester, NY)
- …activities as defined by NYS Laws and Regulations. The Pharmacy Medication Utilization and Inventory Compliance Manager has direct supervision and management ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Using clinical judgment and available resources, develops and oversees medication… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- Summary The Hines VA Utilization Management (UM) RN reports to the UM Manager RN. The UM RN demonstrates a high level of clinical practice, knowledge, and ... improve patient access, flow, and positively impact the facility utilization of services. The UM RN will demonstrate leadership...and possess an ability to organize priorities. As a clinical reviewer he/she serves as the Quality and Patient… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Utilization Review Registered Nurse (RN) provides a clinical review of cases using medical necessity criteria to determine the medical ... of care. Provides ongoing communication with the health plan, provider utilization and/or care coordination departments regarding medical necessity for prospective,… more
- Veterans Affairs, Veterans Health Administration (Middleton, WI)
- …and collaboration to promote improvements in patient care through systematic evaluation and analytical review of clinical information. Responsibilities ... Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle… more
- CareFirst (Baltimore, MD)
- …(all benefits/incentives are subject to eligibility requirements). **Department** Clinical Utilization Management **Equal Employment Opportunity** CareFirst ... & Qualifications** **PURPOSE** : Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination of health… more
- Guthrie (Towanda, PA)
- …support staff, exhibiting the Core Values in all activities. Mentors under the Clinical Manager / Director and pursues management and leadership training within ... the Guthrie Robert Packer Hospital. May be assigned to special projects per Clinical Manager / Director consistent with strategic, fiscal, and operational… more
- CenterWell (Marietta, GA)
- **Become a part of our caring community and help us put health first** The Clinical Manager , Home Health Nursing enables patients to stay in their homes by ... providing health and personal services; supporting patients and their families. The Clinical Manager , Home Health Nursing works within specific guidelines and… more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **What You Will Do** The Clinical Case Manager 's (CCM) role is to be a patient advocate providing ... that there are multiple options for patients and are provided excellent care. The Clinical Case Manager will be responsible for collecting data regarding patient… more
- Northwell Health (New Hyde Park, NY)
- …responsible for the development, implementation, and maintenance of drug formularies, clinical utilization management (UM) criteria, and evidence-based drug ... claims adjudication to match formulary intent. This role involves critical evaluation of clinical literature, pharmacoeconomic data, and regulatory requirements… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** The Senior Manager , MN Clinical Ops is responsible for the planning, organizing and managing of assigned areas. Works closely with leadership ... and operations for a specific specialty, regional program or department. The Senior Manager , MN Clinical Ops plays an important role in coordinating the… more
- CenterWell (Hamden, CT)
- …you to sit on-site at our Brooklyn Park, MN branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by ... clinical personnel. This role is a focused on both...specific location. Responsible for the overall direction, coordination, and evaluation of the location. Carries out supervisory responsibilities in… more
