- CHRISTUS Health (San Antonio, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Luke Staffing (Yigo, GU)
- …of clinical nursing experience is required. One year of previous experience in Utilization Management is required. Full time employment in a nursing field ... of this position, it must be directly related to referral/ utilization management . + **Licensure:** Current, full, active,...and unrestricted license to practice as a Practical OR Registered Nurse in any one of the… more
- Katmai (Fort Carson, CO)
- …all levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. ... and employ safe work habits. + Utilize available information management systems in daily practice for patient...**Job Requirements:** **MINIMUM QUALIFICATIONS** + Associates Degree of Nursing. Registered nurse shall be a graduate from… more
- Luke Staffing (Glendale, CO)
- …holidays) **Will consider Part Time and Full Time Applicants** **POSITION OVERVIEW:** The Registered Nurse ( RN ) will provide on-site professional nursing ... ** REGISTERED NURSE ** **SITE OF SERVICE:** Department...of the Department of Veterans Affairs' Eastern Colorado Healthcare System (ECHCS). The RN will serve in… more
- Commonwealth Care Alliance (Springfield, MA)
- …& Language (nice to have):** + Familiarity with care management and utilization management systems and workflows for populations with complex medical, ... Work collaboratively with internal departments-including Clinical Operations, Contracting, Network Management , Utilization Management , and Business… more
- ERP International (San Diego, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Health Educator** supporting **Naval Medical Center San Diego, CA ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. - Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... manager, and performance partner - using data, provider feedback, and system collaboration to enhance provider engagement, improve outcomes, and strengthen… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …this position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state ... sickle cell, brain injuries, oncology\-related needs\)\. **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine… more
- Commonwealth Care Alliance (Boston, MA)
- …& Language (nice to have): - Familiarity with care management and utilization management systems and workflows. - Experience managing delegated provider ... programs, working with clinical community partners responsible for care management and utilization management across...MS Office - Must have ability to learn new systems and databases that CCA implements. - Working knowledge… more
- Commonwealth Care Alliance (Boston, MA)
- …- Familiarity with CRM systems (eg, Salesforce) and provider relationship management tools. - Understanding of claims operations, utilization management , ... engagement, delegation partnerships, provider services, contracting, quality, compliance, medical management , and analytics teams to advance provider network operations,… more
- Somatus (Honolulu, HI)
- …and Care Management Plan in Electronic Health Record and Care Management Systems as appropriate. + Coordinates care with larger interdisciplinary team ... utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management… more
- CoxHealth (Branson, MO)
- …and utilization of Aseptic Technique. ◦ Licensure/Certification/Registration ▪ Required:Missouri State Registered Nurse AND Certified as a Registered ... and utilization of Aseptic Technique. ◦ Licensure/Certification/Registration ▪ Required:Missouri State Registered Nurse AND Certified as a Registered … more
- Alameda Health System (Oakland, CA)
- …in Nursing preferred. Required License/Certifications: CCRN - Critical Care Registered Nurse is desirable. Required Licenses/CertificationsTPM: ACLS, TNCC, ... must be in the employee file and/or AHS's learning management system (LMS) (for certain positions). Required...department). Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
- Alameda Health System (Oakland, CA)
- …of the required experience.) Required License/Certifications:CCRN - Critical Care Registered Nurse is desirable. Required Licenses/Certifications:ACLS - Advanced ... competency must be in the employee file and/or AHS's learning management system (LMS) (for certain positions). Required Licenses/Certifications:Coronary Care… more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... influence and direct the delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure the most appropriate… more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... influence and direct the delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure the most appropriate… more
- Alameda Health System (Oakland, CA)
- …or related fields. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State ofCalifornia RequiredExperience:Seven years of ... MCH/OB Clinic (K6) + Full Time - Day + Management + $85.55 - $142.40/ Hour + Req #:42908-31868...development, revenue generation, and expenditure control to optimize the utilization of resource at greatest value. + Represents the… more
- Conifer Revenue Cycle Solutions (Frisco, TX)
- …(2) years supervisory experience CERTIFICATES, LICENSES, REGISTRATIONS Preferred: Active state Registered Nurse license or Certified Coding Specialist credential ... drug utilization Knowledge of MS-DRG classification and reimbursement structures PC/ Systems literate including the Internet and MS office skills Ability to apply… more
- Battelle Memorial Institute (Fort Benning, GA)
- …two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any US State, the District of Columbia, Guam, Puerto ... as a case manager by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center + At least… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Please note this position aligns to PST business hours.** The **Manager, Case Management ** Team is a Supervisor for Case Managers. This position is responsible for ... oversees the effective integration and continuous improvement of processes and systems to meet Premera's current and future business goals. Responsibilities also… more
