- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key...requirements are met + Additional duties as requested by supervisor + Maintains knowledge of CMS, State and NCQA… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …- Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including ... * Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …- Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including ... * Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as requiredDepartment: Registered Nurse more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …- Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including ... * Minor Hazard - physical risks, dirt, dust, fumes, noise * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …education, and other business and organizational considerations. Department: Care Management Services If the following job requirements and experience match ... Full Time Shift: Days Position Summary: Supervise clinical therapy, social work, and case manager social work staff. Responsible for the initial review, triage and… more
- Seattle Children's (Seattle, WA)
- …treated within the OIUC. + **Interdisciplinary Collaboration:** Direct or participate in case management and continuing care. Collaborate, refer, and consult ... in a pediatric or family focused clinical area. **Required Credentials:** **For Nurse Practitioners:** Active, unencumbered registered nurse and advanced… more
- Stanford Health Care (Palo Alto, CA)
- …from an accredited college or university. + Nurse Practitioners, Clinical Nurse Specialists, Certified Registered Nurse Anesthetist: Master's or ... licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse Anesthetist).… more
- Mohawk Valley Health System (Utica, NY)
- RN Supervisor Case Management - Full Time - Days Department: CARE MANAGEMENT SERVICES Job Summary The Supervisor Case Management - SNH is ... responsible for the oversight of the case management staff's authorization/coordination/utilization and provision of member services. Duties include the… more
- HCA Healthcare (Dallas, TX)
- **Description** **Introduction** Do you have the career opportunities as a Supervisor Case Management RN you want in your current role? We invest in what ... cases as needed. **What qualifications you will need:** + ( RN ) Registered Nurse license eligible...career path, we encourage you to apply for our Supervisor Case Management RN… more
- Prime Healthcare (Passaic, NJ)
- …System" by Truven Health Analytics. For information, visitwww.smh-nj.com. Responsibilities The working Supervisor of Case Management is responsible for ... https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236833/ supervisor %2c- case - management… more
- Mohawk Valley Health System (Utica, NY)
- Case Management Supervisor - Full Time...also in conjunction with HR. + If working as a Registered Nurse , practices in accordance with New York ... Days Department: CASE MGMT Job Summary The Case Management Supervisor is responsible...Performs related duties as assigned. Education/Experience Requirements Required: + Registered Nurse licensed in State of New… more
- St. Luke's Health System (Boise, ID)
- **Overview** At St. Luke's, our dedicated team of Case Managers are critical in providing exceptional, patient-centered care. We strive to foster an environment that ... the state of practice in one of the following: RN in Idaho **What's in it for you** At...City** _Boise_ **Category** _Nursing - Experienced_ **Work Unit** _Case Management Boise Hospital_ **Position Type** _Full-Time_ **Work Schedule** _DAY_… more
- University of Southern California (Glendale, CA)
- …or other specialty preferred Required License/Certification: California Registered Nurse LicenseCertification in clinical specialty or management desired * ... Title 22, CDPH regulations, DNV-GL/NIAHO standards, etc. Minimum Education:Graduation from Registered Nurse ProgramBSN desired (if not upon hire, will… more
- Sutter Health (Modesto, CA)
- … management OR Bachelor's in a related field **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California **TYPICAL EXPERIENCE:** 5 years of recent ... and State regulations and guidelines. Has frequent contact with Nurse Managers/ Directors, Risk and Ethics staff, Ancillary Services,...A broad knowledge base of health care delivery and case management within a managed care environment.… more
- Aveanna Healthcare (Worcester, MA)
- …+ Employee Relief Fund + Employee Resource Groups Responsibilities of the Nursing Supervisor + Internal case management , evaluation, education and ... per year Position Details Aveanna Healthcare is hiring a Nurse Supervisor in your area! Make a...administrative component of this job will consist of internal case management , completing patient intake and discharge… more
- Beth Israel Lahey Health (Cambridge, MA)
- …Inpatient Case Manager Guidelines and audit tool. Reports to Inpatient Case Management Supervisor . **Job Description:** **Essential Duties & ... 7. The Case Manager abides by MAH Case Management Standards as outlined in the...degree preferred. 2. Current Massachusetts state license as a Registered Nurse ( RN ). 3. Two… more
- Banner Health (Tucson, AZ)
- …and empowering work environments, and resources that promote a healthy work-life balance. As the Registered Nurse RN Case Manager Care Coordination, you ... through the completion of a bachelor's degree in case management or health care. Requires current Registered Nurse ( RN ) license in state worked. For… more
- Ascension Health (Wichita, KS)
- **Details** + **Department:** Case Management + **Schedule:** Full-time, Day Shift, 3 12 hour shifts per week, Friday-Sunday or Saturday-Monday + **Hospital:** ... care for patients from admission to discharge for the Case Management department. + Create plan for...resources. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board… more
- Elara Caring (Ardmore, OK)
- …Certificate, Diploma, Associate, or Baccalaureate School of Nursing + Current State License as a Registered Nurse RN + 1 year of experience in a clinical ... the Right Care, at the Right Time, in the Right Place. **Job Description:** Hospice Registered Nurse Salaried (JP518E) At Elara Caring, we care where you are and… more
- Banner Health (Sun City, AZ)
- …of a bachelor's degree in case management or health care. Requires current Registered Nurse ( RN ) license in state worked. For assignments in an acute ... lives, we want to hear from you. As the RN Case Manager in Care Coordination, you...Educates internal members of the health care team on case management and managed care concepts. Facilitates… more
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