- Alameda Health System (Oakland, CA)
- …each individual in the classification. Lead and manage a team of utilization review professionals providing guidance, training, and performance evaluations. ... utilization reviews and determine program improvements. Develop and implement utilization review policies and procedures in accordance with industry… more
- Commonwealth Care Alliance (Boston, MA)
- …clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA ... CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- University of New Mexico - Hospitals (Corrales, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * TREATMENT ... outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease… more
- Lourdes Health (Pasco, WA)
- …fosters an environment that encourages professional growth. Initiates weekend case management, Utilization review screening, assists with D/C planning and swing ... Registered Nurse (RN), House Supervisor Job Type: Full-time Varied...an employee, but as a person. As a registered nurse (RN) joining our team, you're embracing a vital… more
- Lourdes Health (Pasco, WA)
- …fosters an environment that encourages professional growth. Initiates weekend case management, Utilization review screening, assists with D/C planning and swing ... Registered Nurse (RN), House Supervisor Job Type: Full Time...an employee, but as a person. As a registered nurse (RN) joining our team, you're embracing a vital… more
- Yale New Haven Health (West Haven, CT)
- …individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, ... Functions As A Preceptor To New Staff. Functions As A Charge Nurse . Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization ,… more
- Yale New Haven Health (Danbury, CT)
- …individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, ... Functions As A Preceptor To New Staff. Functions As A Charge Nurse . Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization ,… more
- Katmai (Fort Carson, CO)
- …as needed to provide direction in care management. + Plan and prioritize utilization review (UR) activities to ensure identified patient needs are addressed ... record data. + Facilitate the development and integration of utilization management (UM) review policies and procedures...last two (2) years as a practical or vocational nurse . + Current, full, active, and unrestricted license as… more
- Fresenius Medical Care (Ponca City, OK)
- …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 loss review . Responsible for all required network reporting and on-site state or… more
- Fresenius Medical Care (Fayetteville, NC)
- …all FMS manuals. Accountable for completion of the Annual Standing Order Review and ICD coding. Checks correspondence whether electronic, paper or voice mail, ... required supporting billing and collection activities. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- Battelle Memorial Institute (Norfolk, VA)
- …within legal and professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report actual or potential ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support...programs for equal treatment of all staff and full utilization of all qualified employees at all levels within… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a **Licensed Vocational / Practical Nurse ** for a full-time position supporting the **Branch Health Clinics** at ... manuals, reports and actively engages patients in their health care. + Review details and expectations regarding referrals with patients. + Provide support to… more
- Christian Park Healthcare Center (Escanaba, MI)
- Are you an experienced MDS nurse interested in the next step? The MDS Coordinator provides oversight of the RAI process and conducts assessments and care plan ... coordination for guests. The MDS Coordinator supervises the Care Management Nurse , MDS Nurse . At Ciena Healthcare, we take care of you too, with an attractive… more
- The Laurels of Fulton (Perrinton, MI)
- Are you an experienced MDS nurse interested in the next step? The MDS Coordinator provides oversight of the RAI process and conducts assessments and care plan ... for guests. The MDS Coordinator supervises the Care Management Nurse , MDS Nurse . The Laurels of Fulton...team Assesses resident through physical assessment, interview and chart review . Discusses resident care needs with care givers, including… more
- University Health (San Antonio, TX)
- …recent, full time hospital experience preferred. Work experience in case management, utilization review , or hospital quality assurance experience is preferred. ... and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to… more
- ERP International (San Diego, CA)
- **Overview** ERP International is seeking a full-time **Registered Nurse (RN) Health Educator** supporting **Naval Medical Center San Diego, CA ... of other individuals performing similar services. ? Participate in peer review and performance improvement activities. ? Practice aseptic techniques as necessary.… more
- University Health (San Antonio, TX)
- …recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. ... hire date. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice...the State of Texas to practice as a registered nurse is required. National certification in related field is… more
- Christian Park Healthcare Center (Escanaba, MI)
- Are you an experienced MDS nurse interested in the next step? The MDS Coordinator provides oversight of the RAI process and conducts assessments and care plan ... for guests. The MDS Coordinator supervises the Care Management Nurse , MDS Nurse . At Ciena Healthcare, we...* Assesses resident through physical assessment, interview and chart review . * Discusses resident care needs with care givers,… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... to experience, education, and other business and organizational considerations. Department: Utilization Management - UH FTE: 1.00 Full Time Shift: Days Position… more
- The Laurels of Fulton (St. Johns, MI)
- Are you an experienced MDS nurse interested in the next step? The MDS Coordinator provides oversight of the RAI process and conducts assessments and care plan ... for guests. The MDS Coordinator supervises the Care Management Nurse , MDS Nurse . The Laurels of Fulton...* Assesses resident through physical assessment, interview and chart review . * Discusses resident care needs with care givers,… more
