- Northeast Georgia Health System, Inc (Braselton, GA)
- …Excellence in Minimally Invasive Surgery and Robotic Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with ... 24-hour accountability for care delivery including budget of a nursing unit(s). The Nurse Manager must be able to navigate proficiently within the EHR.… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …organizational standardization. Participates in identifying expanded use of and improvement management utilization of NGHS continuum. Participates in identifying ... Job Category: Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast...Services. Eligibility requirements for certification: 12 months full-time case management experience supervised by a certified case manager… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category: Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... evaluation of individual patient needs; Works collaborate with the Physicians, patient/family, nursing , utilization review and other members of the healthcare… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category: Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our ... operated by NGHS. Collaborates with the physicians, patients, families, nursing , utilization review and other members of...members of the health care team to ensure patient management that efficiently and effectively aligns with patient needs… more
- Cambia Health Solutions, Inc (Lewiston, ID)
- …or Bachelor's Degree in Nursing or related field3 years of case management , utilization management , disease management , or behavioral health ... Care Management Nurse (Future Opportunities)Work from home...least one of the following: Certification as a case manager from the URAC-approved list of certifications; or Bachelor's… more
- Sourcing Square US (Philadelphia, PA)
- …implementation, evaluation and outcomes management of reimbursement priorities in nursing centers to assure proper utilization of services to maximize ... a difference.Join the Genesis team as a Clinical Reimbursement Manager where you will maximize revenue through the evaluation...*Must be a graduate of an approved school of nursing with a license as a Registered Nurse… more
- Blanchard Valley Hospital (Findlay, OH)
- …utilization of health care resources. REQUIRED QUALIFICATIONS Licensed by the Ohio Board of Nursing as a Registered Nurse . Four (4) years clinical nursing ... The purpose of the role of the RN Case Manager is to develop, implement and evaluate an organized...to develop, implement and evaluate an organized inpatient case management service for pediatric and adult hospitalized patients under… more
- Blanchard Valley Health System (Findlay, OH)
- …procedures for service area. REQUIRED QUALIFICATIONS Current Ohio Licensure as a Registered Nurse Nursing experience 5+ years, 2-4 years in Care Coordination and ... Acute Care Transitions Team, including the disciplines of Social Work, Case Management , Utilization Review, and Emergency Department Care Navigation to support… more
- Pacer Staffing (Atlanta, GA)
- …regulatory requirements, and HIPAA privacy regulations. . Thorough knowledge of Case Management , Utilization Management , HIPAA Privacy and Security ... Job Summary . Provides Disease Management (DM) services to TRICARE beneficiaries. . The... (DM) services to TRICARE beneficiaries. . The DM nurse will collaboratively assess, plan, implement, coordinate, monitor and… more
- Accounting Now (Carson City, NV)
- …(ABA) services only, and there is licensed staff supervisionPrevious experience in case management / utilization management with a broad range of experience ... work counseling or a related behavioral health field or a degree in nursing , and minimum of 3 years of experience with facility-based and/or outpatient psychiatric… more
- Staffing Now (Carson City, NV)
- …services only, and there is licensed staff supervision. Previous experience in case management / utilization management with a broad range of experience with ... work counseling or a related behavioral health field or a degree in nursing , and minimum of 3 years of experience with facility-based and/or outpatient psychiatric… more
- Northeast Georgia Health System, Inc (Demorest, GA)
- …designs proactive discharge plans utilizing a team approach as demonstrated by cost management of patient stay and utilization for outside resources. Contributes ... and exceeds department productivity standards (monthly average). Demonstrates good time management and organizational skills to minimize patient waiting time, and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …therapy skills Essential Tasks and ResponsibilitiesWorks with the Clinical Coordinator and Nurse Manager to develop patient schedules for inpatient, DPH and ... help management determine long term focus.Meets routinely with Clinical Coordinator, Nurse Manager , House Coordinators, Medical Director and Manager of… more
- UCLA Health (Los Angeles, CA)
- …the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management ... RN licensure in CA required + Bachelors of Science, Nursing (BSN) degree required + Five or more years...(BSN) degree required + Five or more years of utilization management required + Four or more… more
- Prime Healthcare (National City, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/174432/case- manager utilization - management ... degree in a related field. At least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within 6 months of… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing /health care ... nature, level and purpose of the job. Case Managers are licensed nursing professionals responsible for coordinating continuum of care and discharge planning… more
- Cedars-Sinai (Los Angeles, CA)
- …thereafter as a condition of continued employment. **Req ID** : 4300 **Working Title** : Utilization Management Case Manager - 8 Hour Days Per Diem ... **Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category** : Patient Services **Job Specialty** : Case … more
- Prime Healthcare (North Las Vegas, NV)
- …computer skills. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/174491/case- manager -%28rn%29 utilization - management ... years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse ...experience preferred. At least one year experience in case management , discharge planning or nursing management… more
- Prime Healthcare (Montclair, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/170680/case- manager -%28rn%29 utilization - management ... years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse ...experience preferred. At least one year experience in case management , discharge planning or nursing management… more
- Molina Healthcare (NV)
- …not a compact state at this time.** **Prior experience with managed care (Medicaid, Medicare) Utilization Management processes and 3 + years in management / ... performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),… more
