- Humana (Cheyenne, WY)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Humana (Cheyenne, WY)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Humana (Cheyenne, WY)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- CVS Health (Cheyenne, WY)
- …clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- CVS Health (Cheyenne, WY)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years post… more
- Sharecare (Cheyenne, WY)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
- Veterans Affairs, Veterans Health Administration (Sheridan, WY)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... Summary The Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a streamlined...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care.… more
- Veterans Affairs, Veterans Health Administration (Sheridan, WY)
- …to assist with direct patient care during times of staffing gaps. Registered Nurse (Minimum Data Set (MDS)) (Inpatient Community Living Center) located at the ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers… more
- CVS Health (Cheyenne, WY)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
- Veterans Affairs, Veterans Health Administration (Sheridan, WY)
- …responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Follows ... education, orientation, competencies and providing quality improvement and outcomes utilization consultation providing patient-centered and recovery-oriented care and maintains… more
- Veterans Affairs, Veterans Health Administration (Cheyenne, WY)
- …in the veteran's home. Responsibilities Domiciliary Mental Health (MH) Registered Nurse (RN) is responsible for providing competent, evidence-based care to patients. ... orientation, competencies and providing quality improvement and enhance outcomes utilization . The domiciliary RN provides patient-centered and recovery oriented care… more
- STG International (Yellowstone National Park, WY)
- …to ensure compliance and patient safety. * Participate in quality improvement, care management , risk management , peer review, utilization review, clinical ... FUTURE OPENING. STGI is currently seeking a Primary Care Provider (Physician Assistant or Nurse Practitioner) to join our team. JOB SUMMARY: The general duty of the… more
- Banner Health (WY)
- … management process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process ... including remote and hybrid opportunities. As a **Licensed Practical Nurse (LPN)** for **Banner Health Plans** , you will...be an integral part of the **Health Plan Medical Management Team** . This assignment-based role focuses on independent… more
- Banner Health (Casper, WY)
- …networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the ... pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. 6. Educates internal members of...completion of a bachelor's degree in case management or health care. Requires current Registered … more
- Evolent (Cheyenne, WY)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are ... quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on call… more
- Banner Health (Casper, WY)
- … management process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process ... care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the...Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing assessment data and… more
- Banner Health (Torrington, WY)
- … management process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process ... care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the...Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing assessment data and… more
- Banner Health (Torrington, WY)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... and clinical support to patients and staff. Uses depth and breadth of clinical management knowledge to ensure the provision of high quality, safe, and cost effective… more
- Banner Health (WY)
- …staff relations, and the charging/billing is required. A working knowledge of utilization management and patient services is required. A working knowledge ... best place to work and receive care. As an Associate Manager of RN Denials Management , you will be an integral part of leadership within the team. During your… more
- Sharecare (Cheyenne, WY)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more