- Community Health Systems (Birmingham, AL)
- …management skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** The Care Manager - RN is responsible for coordinating and overseeing discharge...assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services. + Collaborates with interdisciplinary teams… more
- Aveanna Healthcare (Bessemer, AL)
- Hospice Registered Nurse RN Part Time Weekdays ApplyRefer a FriendBack Job Details Requisition #: 205740 Location: Bessemer, AL 35022 Category: Nursing ... care and patient needs. + Participates in quality improvement, utilization review , and infection control activities as...takes corrective action. Qualifications: + Current license as a Registered Nurse in the State of Alabama… more
- CVS Health (Montgomery, AL)
- …- Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting - A Registered Nurse that holds an active, unrestricted...lower levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC… more
- CVS Health (Montgomery, AL)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Diversicare Healthcare Services & Diversicare Ther (Birmingham, AL)
- …patient management and satisfaction, promote continuity of care and cost effectiveness, utilization review and management as well as discharge planning. ... Residents' Lives!** Diversicare Healthcare Services is seeking an outstanding RN Case Manager that has a passion for providing...care plan. * The case manager provides center case management/ utilization review and discharge planning to assure… more
- CenterWell (Clanton, AL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Fresenius Medical Center (Thomasville, AL)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Sharecare (Montgomery, AL)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals and… more
- NHS Management, LLC (Mobile, AL)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... medical plan! We are in search of a qualified RN Unit Manager : + Assists in maintaining resident...documentation of treatment and nursing observations. Qualifications: + Current RN license by State required with experience in the… more
- NHS Management, LLC (Huntsville, AL)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... your life! We are in search of a qualified RN Shift Supervisor + Assists in maintaining resident care...documentation of treatment and nursing observations. Qualifications: + Current RN license by State required with experience in the… more
- NHS Management, LLC (Vestavia Hills, AL)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... the way. We are in search of a qualified RN Clinical Services Manager: + Assists in maintaining resident...documentation of treatment and nursing observations. Qualifications: + Current RN license by State required with experience in the… more
- Sedgwick (Montgomery, AL)
- …to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple business lines; and to ... provide expertise in client specific case management and utilization review requirements and ensure customer satisfaction through the provision of these… more
- Highmark Health (Montgomery, AL)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... care services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/case management,… more
- Healthfirst (AL)
- …as assigned **Minimum Qualifications:** + Associates degree + New York State Registered Nurse + Work experience demonstrating verbal and written communication ... **Duties/Responsibilities:** + Oversees utilization management functions which include timely authorizations related to pre-certification, concurrent review ,… more
- Community Health Systems (Dothan, AL)
- …management skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... dialysis, nursing home, and home oxygen. Discharge planning includes daily review of the medical record, communication between nursing, physician, and therapy… more
- Evolent (Montgomery, AL)
- …Required and Preferred:** + Current, unrestricted state licensure as a Registered Nurse - **Required** + **California or Oregon License Required** ... , you will be a key member of the utilization management team. We can offer you a meaningful...+ Associate or Bachelors in Nursing (Must be a Registered Nurse ) - **Required** + You must… more
- Fresenius Medical Center (Montgomery, AL)
- …state regulations, and accrediting agency standards where applicable. + Participate in review business and finances of the site, including financial reports, market ... the security and integrity of facility + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply… more