- Elevance Health (Tampa, FL)
- …with health plans for people enrolled in Medicaid and/or Medicare programs in Florida. ** Licensed Utilization Review II ** **Location:** This is a ... or days may be required based on operational needs (holiday rotation). The ** Licensed Utilization Review II ** is responsible for working primarily with… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... to provide requested clinical and psychosocial information to assure reimbursement. UTILIZATION REVIEW + Reviews prospectively, concurrently and retrospectively… more
- LA Care Health Plan (Los Angeles, CA)
- …and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required ... Requirements Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), … more
- LA Care Health Plan (Los Angeles, CA)
- …patient care, such as ambulatory care, home care, or case management. OR experience in Utilization Review or Care Management will be considered in lieu of direct ... and/or disabilities in a case/care management environment. Preferred: Experience in utilization review , skilled nursing, home health, discharge planning,… more
- Covenant Health Inc. (Oak Ridge, TN)
- Overview Registered Nurse, Care Manager II Full time, 80 hours per pay period, Day shift With more than 30 specialties from Cardiology and Neurosurgery to ... joints, sudden heart failure, and non-healing wounds. + 283 licensed beds + 25 ICU beds + 12 intermediate...Over 800 employees Position Summary: The RN Care Manager II is responsible for integrating evidenced based clinical practice… more
- VRX, Inc. (El Paso, TX)
- …inspection. General Description The General Description for a Construction Inspector II to CI IV include: Inspects construction methods and workmanship to ... inspection activities for ongoing airport improvement projects. Responsible to a licensed professional engineer who has full authority for approval of all… more
- Bassett Healthcare (Cobleskill, NY)
- …the best quality of life possible. What you'll do The Registered Professional Nurse II , Acute Care is accountable for the delivery of safe patient care utilizing the ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. Analyzes assessment data to… more
- The County of Los Angeles (Los Angeles, CA)
- PSYCHIATRIC SOCIAL WORKER II /SS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1163129) Apply PSYCHIATRIC SOCIAL WORKER II /SS Salary ... and students in the allied health fields. Instructs community agencies regarding the utilization of mental health principles to identify and to treat mental health… more
- Billings Clinic (Billings, MT)
- …and reporting information as required by department and other programs. * Provides utilization review functions as required by the department. * Identifies ... starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Case Manager II or Therapist (.01) - Inpatient Psych I/P PSYCH… more
- The County of Los Angeles (Los Angeles, CA)
- CHIEF PHYSICIAN II (VARIOUS SPECIALTIES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2915002) CHIEF PHYSICIAN II (VARIOUS SPECIALTIES) ... communities by providing extraordinary care. DEFINITION: Incumbents in these positions are licensed physicians that direct the programs and activities of a large… more
- AmeriHealth Caritas (Myrtle Beach, SC)
- **REMOTE | Care Manager II Registered Nurse (BSN) - Foster Care Program -SC** Location: Myrtle Beach, SC Primary Job Function: Medical Management ID**: 34390 **Job ... Brief** Remote to qualified licensed BSN/RN living in South Carolina w/prior experience in...about us at www.amerihealthcaritas.com. **Responsibilities:** As a Care Manager II , **you'll be empowered to lead the charge** in… more
- YesCare Corp (Atmore, AL)
- …measures including sentinel event review + Actively participant of the Utilization Review process and follow proper procedures. **YesCare Benefits** (only ... + Graduate of an accredited medical school. + Fully licensed to practice medicine in the state of employment....list of your responsibilities as a **Site** **Medical Director II ** with **YesCare at Holman in Atmore, AL.** **Administrative**… more
- Sea Mar Community Health Centers (Puyallup, WA)
- …Patient-Centered Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization indicators ... COVID-19 and flu vaccine organization Care Coordinator I or II - Posting #26857 Hourly Rate: $21.88 - $22.63...have to have an active license; this is a non- licensed position. + This position must obtain CPR within… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …correct patient * Assesses patient risk via patient interviews and chart review ; alerts nurses and/or physicians to possible contraindications for procedure (labs, ... allergy pre-medication) * Demonstrates extensive understanding of procurement, storage, utilization , documentation, and billing requirements for catheters, stents, and… more
- CAMBA (Brooklyn, NY)
- …challenges faced by nearly 1.7 million New Yorkers today. CAMBA GARDENS Phase II is a 293 unit supportive/affordable housing development located in the East Flatbush ... a disabling clinical condition. 24 units are for Population II chronically homeless families, in which the head of...goals (dates achieved) and document via progress notes. + Review all documentation related to clients' progress for accuracy,… more
- Hartford HealthCare (Norwalk, CT)
- …clinicians through clinical supervision, weekly clinical team meetings to review cases and interact with colleagues, professional development opportunities, ... a supportive treatment team lead by staff psychiatrists and peers. * The Licensed Clinician provides individual, group, couples, and family therapy. Utilization … more
- Sea Mar Community Health Centers (Lynnwood, WA)
- …Patient-Centered Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization indicators ... a mandatory COVID-19 and flu vaccine organization Care Coordinator II - Posting #26043 Hourly Rate: $22.63 Position Summary:...have to have an active license; this is a non- licensed position. + This position must obtain Basic Life… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …and American Elm Regions. This role will encompass all duties related to the CSM II with emphasis on training and development of client services team as well as the ... regarding payer mix. Participate in weekly financial and quarterly budget report review , with guidance of director. Demonstrate understanding of key drivers for… more
- Sharp HealthCare (La Mesa, CA)
- …required within 90 days of hire. **Essential Functions** + Verification and review of medication orders-Reviews all medication orders for appropriate dose, duration, ... protocols and consultation with the interdisciplinary team.-Completion of a daily profile review for each patient consisting of the following elements:* Age, sex,… more