- Geisinger (Danville, PA)
- Job Title: RN - Registered Nurse Per Diem - Advanced Acute Care Orthopaedics Location: Danville, Pennsylvania Job Category: Inpatient RN - Registered Nurse , ... now! To learn more about Geisinger opportunities, please contact Katy Baralt, Nurse Recruiter, at ###@geisinger.edu. Job Description The Registered Nurse … more
- Blue Shield of California (El Dorado Hills, CA)
- …our Shared Services department including concurrent review, transplant and NICU/HROB. The Manager, Utilization Management Nurse Management will report to ... Job Description Your Role The Utilization Management team reviews inpatient stays...work environment is conducive to their success and well-being. On- Site : Work from a business unit-approved office an average… more
- MedStar Health (Fairfax, VA)
- …skills.* Maintains current knowledge of clinical improvement strategies and outcomes management through self-study, literature reviews, site visits, educational ... skills. Maintains current knowledge of clinical improvement strategies and outcomes management through self-study, literature reviews, site visits, educational… more
- Community Counseling Centers of Chicago (Chicago, IL)
- Title: Psychiatric Nurse Practitioner Position Type: Full Time Who we are: C4 was founded in 1972 to help people released from psychiatric hospitals into the Uptown ... health populations. In addition, this professional will provide support, as needed, on site at our shared Collaborative Bridges Wellness Center in West Garfield Park… more
- Alameda Alliance For Health (Alameda, CA)
- …case management will include key departments at the health plan, including Utilization Management and Pharmacy, which may provide clinical expertise and data ... CA, AZ, NV, TX, WA, OR; remote and on site in Alameda County. Available for Full-Time Work Schedule...care coordination programs and processes. The Complex Case Manager, Nurse will provide case management services for… more
- Maine Medical Center (Westbrook, ME)
- …level of care due to the severity of their psychiatric symptoms. The Registered Nurse collaborates as a member of the interdisciplinary team to develop and deliver ... Unit treatment and programming includes comprehensive psychiatric evaluation, medication management , individual and family therapy, occupational therapy interventions, and… more
- CNS Healthcare (Waterford, MI)
- …serve the people of our communities. The Assertive Community Treatment (ACT) Registered Nurse serves as a member of a community-based mental health team that ... services for individuals experiencing serious mental illness. The ACT Registered Nurse provides integrated behavioral and physical healthcare including medication … more
- Tennessee Oncology (Nashville, TN)
- …community oncologists and the patients we serve. Job Description: The Triage Nurse monitors and returns calls/communications related to Tennessee Oncology (TN ONC) ... patients consulting with physicians/APPs when appropriate. The Triage Nurse must recognize physical, psychological, and spiritual aspects of care. The Triage … more
- One Medical (Hawthorne, CA)
- …employers and health networks. Our seamless in-office and 24/7 virtual care services, on- site labs, and programs for preventive care, chronic care management , ... teammates via daily huddles, as well as with virtual clinical teams Utilization of your specific clinical training and opportunities to perform in-office procedures… more
- George Mason University (Fairfax, VA)
- …by providers. Additionally, the nurse participates in peer review, CQI, risk management and utilization review, and provides input for policy and procedure ... Health Promotion Nurse Job no: 10002684 Work type: Classified Staff...10002684 Work type: Classified Staff Location: Fairfax, VA, On Site Required Categories: Default Department: University Life - Student… more
- Ochsner Health (New Orleans, LA)
- …Health and discover your future today! This job works with organizational management to implement and maintain a nationally recognized Diabetes Self- Management ... are subject to change at the company's discretion. Education Required - Registered nurse diploma or bachelor's degree in related field Preferred - Master's degree in… more
- Adventist Health (Los Angeles, CA)
- …Bachelor's Degree in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in ... in the collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family, nurse… more
- Children's Health (Dallas, TX)
- …review process. The Prospective Review Nurse will work collaboratively with Utilization Management Nurses to monitor and resolve quality opportunities for ... Job Title & Specialty Area: Prospective Review RN Department: Utilization Management Location: Dallas Shift: Day Job...and healthier future for all. Summary: The Prospective Review Nurse is responsible for conducting utilization review… more
- UnitedHealth Group (Phoenix, AZ)
- …oversight meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal managers Maintain proficiency in all ... Growing together. We are currently seeking an Inpatient Care Management Medical Director to join our Optum team. This...of nurses and support staff to manage inpatient care utilization at a hospital, market, regional or national level.… more
- CenterWell Primary Care (Decatur, GA)
- …Valid driver's license, auto insurance and reliable transportation. Two years as a Registered Nurse with at least one-year of management experience in a home ... Exempt Work Schedule : Full-time/40 Hours Position Type : On- site Branch Location : Tucker, GA This is not...clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates… more
- Amberwell Health (Atchison, KS)
- …a clinician in an acute care nursing unit or experience in a Health Information Management field with Utilization Review job duties necessary. At least two years ... Shift Day Job Category Nursing - Hospital Description The Utilization Review/Case Manager will assure maximum coverage by third...scanner, photocopier, Microsoft Office applications and email. If a nurse holds this position, it may be necessary to… more
- DHR Health (Edinburg, TX)
- …and Spanish language. JOB KNOWLEDGE/EXPERIENCE : Knowledge in the areas of case management and utilization management , experience with Managed Care and ... management of patient care. The case manager is on- site and available seven days a week, as well... utilization management as it relates to third-party payers preferred. Three… more
- Wealthy Group of Companies LLC (Overland Park, KS)
- …Management : Demonstrate strong fluency in utilizationreview and utilization management processes, including medicalnecessity documentation, concurrent ... (notMedicare/Medicaid) with a deep understanding of addiction treatmentoperations, including utilization review and management . Skills :Exceptional financial… more
- CVCH (Chelan, WA)
- …and meeting Access, Quality, and Citizenship Goals) Job Summary The Nurse Practitioner or Physician Assistant Certified (Advanced Practice Provider-APP) primary job ... and makes appropriate referrals for service. 5. Participates in development and utilization of CVCH practice guidelines and procedures. 6. Participates in audits and… 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 ... with Healthcare Facility Regulation Division. This position will document and conduct on- site surveys and require regional travel. Regional travel may require up to… more
