- University of Southern California (Los Angeles, CA)
- …Manager of Utilization Review provides direct supervision to the Utilization Review Specialists, Utilization Management Specialists, Authorization ... & Supervision: Manage and mentor a team of RN Utilization Review Specialists, LVN Utilization Management...Utilizes advanced theoretical knowledge and skills to act as consultant to the staff and to the administrative team.… more
- Accede Solutions, Inc. (Glendale, CA)
- Registered Nurse - Case Management Duration:13 Weeks Start:03/10/2025 Job Type: Travel Minimum Guaranteed Hours: 40 Jobs Notes: Day Shift, inpatient RN CM Acute ... Bachelor's Degree in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in… more
- Mount Sinai Hospital (New York, NY)
- Job Description Job Title: Clinical Nurse -WoundCare-WOCN-Mount Sinai Hospital-FT/Days The Nurse Clinician is a registered professional nurse who demonstrates ... skills in an area of clinical nursing specialization. The nurse clinician is able to guide and promote the...Patient/Family education 3) D/C planning and follow-up 4) Case management 5) Research Maintains clinical expertise in area of… more
- MedStar Health (Washington, DC)
- …timeframe. ADMINISTRATIVE: Assumes formally designated resource role for colleagues in unit management . ADMINISTRATIVE: Acts as a consultant for nursing staff in ... needs range from uncomplicated to highly complex. Receives supervision from the Nurse Leader and functional supervision from the clinical coach/designee. May at… more
- Duke University (Durham, NC)
- …of patients seen within vascular, diabetic, dysvascular and orthopedic trauma. Utilization of clinical expertise to provide preoperative and postoperative care, ... to ensure knowledge and competency in basic wound and lower extremity management ; and working collaboratively with the multidisciplinary team to plan and coordinate… 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
- Advocate Aurora Health (Park Ridge, IL)
- …Conditions of Participation for Discharge Planning. Knowledge of requirement elements of Utilization Management program, including support of the UM Plan. ... Operations, site leadership and other key stakeholders. Serves as an internal consultant on Care Management opportunities. Acts as an expert resource for… more
- University of Iowa Hospitals & Clinics (Iowa City, IA)
- …direct patient care programs in area of specialization collaborating with unit-based nurse management team(s). Participate in the ongoing implementation of ... Description This requisition represents multiple Nurse Clinician openings within the department. By applying...on the plan of care recommendations and guiding the utilization of cost-effective resources. This position will manage a… more
- Renown Health (Reno, NV)
- …Nevada Registered Nurse license Certification(s): National Certification (ie Case Management (CCM), Professional Utilization Reviewer (CPUR), or Managed Care ... post-acute needs. The Case Manager works closely with the Utilization Management RN who performs admission and...interdisciplinary team approach, the Case Manager acts as a consultant and educator on matters referring to alternative levels… more
- Edgerton Hospital And Health Services (Edgerton, WI)
- …Respect. Excellence. Our Emergency Department & Urgent Care Manager is a registered nurse who has expertise in the emergency and quick care/urgent care nursing ... practice and demonstrated leadership and management skills. This leader will use a high degree...care, acting as a clinical resource to staff and consultant to other departments. Analyze clinical practice and identify… more
- MedStar Health (Baltimore, MD)
- …9hr shifts with hours varying. Serves as a member of the Case Management Team. Facilitates the delivery of quality, cost effective, patient-centered care from ... the plan of care. Communicates daily with direct care givers and case management triad regarding patient and family responses to plan of care, identification of… more
- Bronson Healthcare (Kalamazoo, MI)
- …is to function as leader and clinical liaison with staff, physicians and management , providing continuity of leadership day to day. The unit coordinator acts as ... 1 Year of Neonatal Intensive Care Unit (NICU) experience as a Registered Nurse preferred Bachelor's degree in Nursing and 2 years of clinical experience required… more
- Ecumen (Sartell, MN)
- …regulatory bodies. Collaborates with the clinical team and Senior Living Consultant (s) to facilitate resident admissions. Promotes utilization of supportive ... expectations are achieved. This position is responsible for the management and supervision of all licensed nurses and unlicensed...Degree in Nursing Must be licensed as a Registered Nurse within the state in which working and must… more
- Premier Health Consultants (Pineville, LA)
- …participate in and oversee the quality assurance, compliance, and peer utilization review programs. The Medical Director provides high quality, patient-focused ... for patient age and condition. Refers patients to medical specialist, consultant services or emergency department when necessary for patient's well-being.… more
- Adventist Health (Willits, CA)
- …One year of professional nursing experience: Required Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in ... assisting in collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family, … more
- Southern Illinois University School of Medicine (Springfield, IL)
- …patients. Utilizing advanced knowledge and clinical expertise, the Physician Assistant/Certified Nurse Practitioner acts as a clinician, coordinator, consultant , ... Days ExemptorNon_Exempt: Exempt SMS/SWS#: 3706 Description The Physician Assistant/Certified Nurse Practitioner is a member of a multidisciplinary team responsible… more
- CVS Health (Harrisburg, PA)
- …all with heart, each and every day. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical experience in acute… more
- CVS Health (Baton Rouge, LA)
- …Schedule is Monday-Friday, 8AM-5PM CST with weekend/holiday coverage required (as needed). As a Utilization Management Nurse Consultant , you will utilize ... to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience...Qualifications** + 3+ years of experience as a Registered Nurse in a clinical setting. + Must have active… more
- CVS Health (Madison, WI)
- …of time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all ... aspects of the utilization /benefit management program. Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care and… more
- CVS Health (Albany, NY)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in XXX zones **Education**… more
