- Adventist Health (Portland, OR)
- Adventist Health is seeking a Registered Nurse (RN) Home Health Care Manager for a nursing job in Portland, Oregon.Job Description & RequirementsSpecialty: ... may apply. Adventist Health Job ID #6563. Posted job title: field nurse care manager , home health, portland, part timeAbout Adventist HealthAdventist Health is… more
- Novo Nordisk Inc. (Minneapolis, MN)
- …people who need them most.At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as obesity, ... Are you ready to realize your potential?The Position The Manager - Pharmacy Execution will work with Regional Business...execution of local market pharmacy plans Ensures optimal resource utilization and ROI for key strategies aligned with the… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …part of the business assurance function for Commercial, Part D, & Managed Care contracts. This role is responsible for ensuring the validation of formulary ... all business assurance initiatives including but not limited to utilization management controls, 340B compliance, and contract compliance. Relationships This… more
- Novo Nordisk Inc. (Tacoma, WA)
- …Commercial team, you will have the opportunity to help people with obesity receive the care they deserve. The Novo Nordisk aspiration is to be a driving force in the ... providers, positioning Novo Nordisk as a leader in obesity care , understanding the local market and customer needs and...health. Internally, the OCS reports to the District Business Manager of the specific sales territory. The OCS also… more
- Marion County (Salem, OR)
- …& Human Services is looking for an adaptable, collaborative, and experienced Program Manager who will assist the department in achieving its mission: To create a ... opportunities. Model to supervisors and support supervisors to prioritize, assign, review , and give feedback to employees about their work; provide guidance… more
- RestoraCare Staffing (Houston, TX)
- …nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Completes Utilization Management and Quality ... in Case Management required within two (2) years of hire into the Case Manager position. Experience / Knowledge / Skills:Three (3) years of nursing or social work… more
- Catholic Health (Lockport, NY)
- …Weekend and Holiday Rotation Hours: 8:00a-4:00p, 9:00a-5:00p, 10:00a-6:00p, 11:00a-7:00p Summary: The RN Care Manager , Utilization Review / Transitions of ... member of the Care Management and interdisciplinary care team, provides comprehensive Utilization Review... review experience in the role of a Care Manager or Disease Manager ,… more
- Providence (Napa, CA)
- …patients and their families throughout the continuum of care . The RN Case Manager assists patients in the utilization of appropriate health care ... **Description** The RN Case Manager is responsible for carrying out effective case...time **Job Shift:** Day **Career Track:** Nursing **Department:** 7810 UTILIZATION REVIEW **Address:** CA Napa 1000 Trancas… more
- Providence (Missoula, MT)
- **Description** ** Care Manager RN in Utilization Review Unit at Providence St. Patrick Hospital Missoula, MT** The Nurse Case Manager (NCM) is ... Schedule:** Part time **Job Shift:** Variable **Career Track:** Nursing **Department:** 3500 UTILIZATION REVIEW **Address:** MT Missoula 500 W Broadway **Work… more
- UNC Health Care (Chapel Hill, NC)
- …of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, ... processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain knowledge of… more
- UNC Health Care (Morrisville, NC)
- …of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, ... processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain knowledge of… more
- UNC Health Care (Hendersonville, NC)
- … care management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, ... well-being of the unique communities we serve. Summary: The Care Manager - RN provides ongoing support...based on approved criteria and standards per the Hospital Utilization Review Plan. Directs delivery of notifications… more
- Children's Mercy Kansas City (Kansas City, MO)
- …improve the lives of children beyond the walls of our hospital. Overview The Manager of Utilization Review will provide leadership to integrated inpatient ... MCG screening guidelines, and oversight of clinical denials/appeals. The Manager of Utilization Review participates...Admission and Denials Care Managers, Observation/Extended Stay Care Managers, and Utilization Review … more
- Beth Israel Lahey Health (Burlington, MA)
- …The Inpatient Registered Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors ... Day (United States of America) Joint role of Case Manager and Utilization Review Nurse...care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ability to communicate… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... appropriate level of care based on nationally accepted admission criteria. The UR...**Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking Utilization Review Case Manager to ... reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates...services requiring prior authorization as well as timely concurrent review for continuation of care services +… more
- Actalent (Oklahoma City, OK)
- …Skills: Acute care , acute, nurse, clinical, healthcare, Case management, Utilization management, Utilization review , Insurance Top Skills Details: ... license required. * Case Manager , Discharge Planner, UR experience. * Utilization review experience in a facility Experience Level: Intermediate Level About… more
- UNC Health Care (Chapel Hill, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance… more
- Trinity Health (Fresno, CA)
- …Type:** Full time **Shift:** **Description:** **Are you an experience RN Manager , Utilization Review of Acute Care seeking your next adventure?** ... **Duration:** 13-week Assignment The Interim Utilization Management , RN Manager is responsible...Utilization Management will ensure the timely delivery of utilization review , discharge planning and support case… more
- Ascension Health (Indianapolis, IN)
- …with your Talent Advisor for additional specifics._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing ... review programs and key performance indicators for all utilization review activities. + Interact with medical,...experience is required. **Additional Preferences** + 3 years acute care clinical experience in Med-Surg, ER or Critical … more
