- JobAdX (Green Bay, WI)
- …all direct reports.Partners with internal Human Resources, Quality, and Technical Services departments.Collaborates with or functions as the Home Therapies Program ... and auditing activities.Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding.Manages clinic financials… more
- NCH Healthcare System (Estero, FL)
- …improvement activities relevant to identified opportunities. . Actively collaborates with utilization review team to facilitate and meet organizational and ... patient's plan of care and facilitating efficient throughput, ensuring appropriate utilization of resources, identifying needs, and establishing safe and appropriate… more
- University Health (San Antonio, TX)
- …recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. ... patients, promoting the achievement of optimal clinical and resource utilization allocation; facilitates transitions to facilitate appropriate lengths of stay… more
- TrackFive (Pittsburgh, PA)
- …by a Registered Nurse Supervisor, physician or dentist through observation, review of reports and conferences for quality and adherence to established standards ... Possession of a current license to practice as a registered nurse issued by the Pennsylvania State Board of...or an assessment coordinator providing nursing care and treatment services in a Commonwealth facility for individuals with a… more
- TrackFive (San Jose, CA)
- …patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services , third party payers and review agencies, claims and ... care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely… more
- TrackFive (Hilo, HI)
- …with the patient s clinical course, continuing care needs and covered services by monitoring diagnostic testing, treatments and procedures, and other aspects of ... for acute care.Discusses with physicians, the appropriateness of resource utilization , consultations, treatment plan, estimated length of stay and discharge… more
- TrackFive (Augusta, GA)
- …is seeking its next amazing RN ( Registered Nurse) to work in Case Management ( Utilization Review ). Read on if this sounds like your perfect fit! Nurses and ... workforce. Hit the road with Medical Solutions and you’ll experience the best service the travel nursing industry has to offer, plus the adventure, compensation, and… more
- TrackFive (Roseville, CA)
- …delivery and case management within a managed care environment.Comprehensive knowledge of Utilization Review , levels of care, and observation status.Awareness of ... school of nursing Bachelor's in Nursing preferred. CERTIFICATION & LICENSURE: Registered Nurse of California BLS TYPICAL EXPERIENCE: 2 years recent relevant… more
- Vivian (Fort Myers, FL)
- …criteria to promote high-quality, cost-effective care.Take the lead on discharge planning, utilization review , and coordination of services that support ... Lee Health is seeking a Registered Nurse (RN) Case Management for a nursing...independence.Act as a vital link between patients and the services they needconnecting them to the resources that help… more
- TrackFive (Green Bay, WI)
- …53948!About The PositionID: 54332466 Shift: Nights, Full Time Description: General title: Registered Nurse - Acute CareSchedule: Full-time, 72 hours per pay period; ... Every 4th weekendWeekend shift differential availableHoliday rotation: Paid HolidaysPosition Registered Nurse position provides quality, professional, general nursing care… more
- Health eCareers (St. Charles, MO)
- …system for practitioner-specific performance data, including trend analysis and peer review conclusions, in collaboration with the Information Services ... surveys, and compliance reviews related to physician performance and peer review activities.Collaborates with risk management, medical staff services , and… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- … review , and transitions to prevent readmissions. Liaise with medical staff, utilization review , social services , payors, and community providers. Track ... department budget, staffing, and training needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered Nurse (RN) with a… more
- AmeriHealth Caritas Health Plan (Wilmington, DE)
- …to efficiently document and assess patient cases Strong understanding of utilization review processes, including medical necessity criteria, care coordination, ... compliance Demonstrated ability to meet productivity standards in a fast-paced, high-volume utilization review environment Your career starts now. We are looking… more
- Vivian (Cambridge, MA)
- …hours per weekShift: 8 hours, daysEmployment Type: TravelPrimary Responsibilities:1. Performs utilization review and discharge planning to inpatient admissions ... Inpatient criteria approved by the MACIPA (risk) and MAH (non-risk) Utilization Management Committees to accurately determine appropriateness for inpatient and… more
- Sonder Health Plans, Inc. (Atlanta, GA)
- …for a full-time Utilization Management Nurse to make sure our health services are administered efficiently and effectively. The main goal of this position is to ... on the initial review *Works collaboratively with the Director of Health Services to achieve all UM targets on a monthly basis *Participates in and supports… more
- Life Care Center of Kirkland (Kirkland, WA)
- …clinical experience in post acute care setting preferred Prior case management, utilization review , and discharge planning experience preferred Certified Case ... Manager is responsible for the coordination of the patient's care and services . Promotes quality care using a collaborative process that coordinates, monitors, and… more
- TrackFive (Portland, OR)
- …physical therapy and social services . The role does not involve utilization review , although knowledge of this aspect is beneficial. Weekend coverage ... Information$2,538 per weekAbout The PositionJob Title: Case Manager RN Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day… more
- TrackFive (Knoxville, TN)
- …a professional behavior in attitude, demeanor, interactions to achieve organization's mission. Review , delegate and evaluate plans for appropriate utilization of ... on what you do best: helping others. Hospice RN - Traveler Position: Registered Nurse Specialty: Hospice Lic/Certs: BLS, State License 13 week Hospice RN travel… more
- Team Select Home Care (Salem, NH)
- …Control Plan, EMS Plan and the Compliance Plan Participates in clinical record/ utilization review of medical records and quality assurance and performance ... heart, more flexibility, and more purpose? Join Team Select Home Care as a Registered Nurse (RN), where you'll bring comfort and confidence to families by delivering… more
- Compu-Vision Consulting, Inc. (Lawrenceville, GA)
- …exists. ATTITUDES AND BEHAVIORS 1. Please refer to Northside Employee Handbook SERVICE EXCELLENCE BEHAVIORS The professional registered nurses at Northside ... OCCUPATIONAL SUMMARY The Registered Professional Nurse at Northside Hospital independently plans and provides professional nursing care to patients in accordance… more
