- Lifepoint Health (Louisburg, NC)
- Description Registered Nurse (RN) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound ... an employee but as a person. As a registered nurse (RN) joining our team, you're embracing a vital...of those we serve. Connect with our RN recruiting specialist . Do you need more time to complete an… more
- SUNSHINE ENTERPRISE USA LLC (Orange, CA)
- Job Description Grievance & Appeals Nurse Specialist At Sunshine Enterprise USA, we're not just a company; we're a community of dedicated professionals committed ... explore our current job opportunities below. Job Title: Grievance & Appeals Nurse Specialist Department(s): Grievance and Appeals Resolution Services (GARS)… more
- State of Florida (Clearwater, FL)
- …Agency: Agency for Health Care Administration Working Title: 68064198 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service Position Number: 68064198 Salary: ... You Will Do: The primary function of the Registered Nurse Specialist is to conduct inspections utilizing...individual, team member or team leader. As assigned by management , this position is required to successfully complete the… more
- Kaiser Permanente (San Diego, CA)
- …in a Labor/ Management Partnership environment. Preferred Qualifications: Clinical Nurse Specialist experience preferred. Notes: Adult Services Primary ... Description: Job Summary: The Clinical Nurse Specialist role at Kaiser Permanente...other health care providers. Participates as a part of management in providing 24 hour clinical leadership by developing… more
- Sheltering Arms Institute (Richmond, VA)
- Care Management Specialist PRN Sheltering Arms and VCU Health have come together to create Sheltering Arms Institute, a non-profit, state-of-the-science ... beyond limits. Sheltering Arms Institute is seeking a Care Management Specialist PRN to join our team...as a resource to other team members regarding prudent utilization practices and payer requirements. Qualifications and Skills Previous… more
- MedStar Health (Baltimore, MD)
- …timely patient care. Identifies process issues related to the concurrent Case Management system, including appropriate resource utilization and identification of ... of denials. Serves as a resource to all staff in areas of utilization review/ management . Utilizes and analyzes current medical/clinical information as well as… more
- Regency Integrated Health Services (Cuero, TX)
- …Care eligibility and benefit period through regular communications with Regional Care Management Specialist , Business Office and external Case Managers. Gathers ... in accordance with CMS Correction Policy and collaboration with Regional Care Management Specialist . Conducts regular audit of MDS process including validation… more
- Roper St Francis Healthcare (Charleston, SC)
- …(KPIs) and other outcome metrics relevant to unit/patient population. Assists Clinical Specialist with updating unit visual management boards each shift. ... following established standards and practices in accordance with the South Carolina Nurse Practice Act. Applies professional nursing theory and practice to assess,… more
- Mass General Brigham (Salem, MA)
- …care, tests, treatment, teaching and discharge planning activities. -Consults the Clinical Nurse Specialist and Health Care Coordinator for complex patient care ... part of Mass General Brigham. Job Summary The Registered Nurse manages all aspects of the nursing process and... management and discharge planning. -Identifies barriers to implementing the… more
- Conifer Health Solutions (Sherwood, AR)
- …including attending physicians, allied health practitioners, nursing, and case management . ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may ... to enable individuals with disabilities to perform the essential functions. CDI Specialist must display teamwork and commitment while performing daily duties Must… more
- CAMC Health System (Weston, WV)
- Job Summary Under the direction of the Nurse Director, the Nurse Manager is responsible for the direction and coordination of all functions in the unit to ... team to ensure consistency in provision of services, resource management 24hrs/day, service excellence to include all ICARE Values,...nursing staff to meet the needs of onboarding nurses, nurse graduates, and experienced nurses in a variety of… more
- Children's Mercy KC (Kansas City, MO)
- …and directs the work of Nurse Case Managers, Social Workers, and Utilization Review specialist team members and support staff Analyzes, evaluates, and ... planning, and oversight of daily operations of the case management department which includes utilization management...One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire One of… more
- Guidehealth (Chicago, IL)
- …Based clinical initiatives. This includes but is not limited to case management , transitions of care, care coordination and continuity, provider/staff education on ... maintain a network of community support. This individual must exhibit strong leadership, management , and interpersonal skills, as well as the ability to utilize both… more
- Generis Tek, Inc. (Kingwood, TX)
- …all capital equipment requests You will be responsible for the fiscal management of department; assures proper utilization of organization's financial resources ... To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Rajeshree Wankhade at email address ###@generistek.com can be reached on #… more
- Pair Team (Berkeley, CA)
- …Plan Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks Collaborates ... You'll Do Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and...on care issues with Enhanced Care Management team by participating in systematic case reviews and… more
- Kaweah Health (Visalia, CA)
- …experience must be as a Registered Nurse in acute care setting. CA Clinical Nurse Specialist (CNS) or Nurse Practitioner (NP) within three years of date ... is to provide ongoing assessment of staff member educational needs. Through utilization of adult learning principles, to strategically design, implement and evaluate… more
- Lutheran Services Florida (Tampa, FL)
- …communities are vibrant . LSF is looking for a talented Healthy Start Care Coordinator Specialist who wants to make an impact in the lives of others. The ideal ... families referred to the Health Start program in Hillsborough County. Our care management team will facilitate service delivery to clients who are pregnant or… more
- Generis Tek, Inc. (Fort Lauderdale, FL)
- …defend capital equipment requests You will be responsible for the fiscal management of department; assures proper utilization of organization's financial ... : To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Rajeshree Wankhade at email address ###@generistek.com can be reached on # ###.… more
- UF Health (Gainesville, FL)
- …required. Minimum 3 years of recent clinical experience in a hospital setting. Utilization Management , Case Management , Quality Improvement or Inpatient ... design, implementation, and oversight of UF Health Shands CDI Program and Denials Management Program. The CDI program aims to improve the overall quality and… more
- Small Door Veterinary (Washington, DC)
- …in invoicing Manage and optimize the appointment schedule, including surgery and specialist bookings, with an eye towards maximizing utilization of our ... status - meaning we abide by strict standards! What you'll do People Management and Leadership Manage, develop, and lead a high-performing team in providing… more
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