- A-Line Staffing Solutions (San Antonio, TX)
- …InterQual, ICD-10, Medical Coding, BSN, Medical Management , Utilization Review, Utilization Management , Registered Nurse , MCO, RN, Nurse , Managed ... Full time Case Manager Nurse RN openings in the San Antonio, TX... experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care.… more
- A-Line Staffing Solutions (Dallas, TX)
- …InterQual, ICD-10, Medical Coding, BSN, Medical Management , Utilization Review, Utilization Management , Registered Nurse , MCO, RN, Nurse , Managed ... Full time Case Manager Nurse RN openings in the Dallas, TX 75244...Management , Home Healthcare, Homecare, Home Health, Home Health Nurse , Home Health Case Manager, RN Case Manager, RN… more
- Aequor (New York, NY)
- …New York State Prefer minimum of 1-3 years relevant experience in case management , utilization review and/or quality assurance Experience in acute episodic care, ... Position Purpose:Provide case management and clinical services to employees within their...transitional (modified) or full return to work assignments. Assist nurse practitioner as needed with patient care activities such… more
- A-Line Staffing Solutions (Shaker Heights, OH)
- …Case Manager, Medical Coding, BSN, Medical Management , Utilization Review, Utilization Management , Waiver Program, Registered Nurse , MCO, RN, ... Manager, Medical Coding, BSN, Medical Management , Utilization Review, Utilization Management , Registered Nurse , MCO, RN, Nurse , Managed Care,… more
- Careerbuilder-US (Atlanta, GA)
- …have a VA or compact state RN license . . Must have requirement: Utilization Management experience . Day-to-day: Review cases for medical necessity Summary: . ... Job Title: Utilization Review Nurse I Location: 100% Remote...Works with the Utilization Management team primarily responsible for inpatient medical… more
- A-Line Staffing Solutions (Tampa, FL)
- …Case Manager, Medical Coding, BSN, Medical Management , Utilization Review, Utilization Management , Registered Nurse , MCO, RN, HMO, Concurrent Review, ... Public Admin, Social Science, Social Work, Sociology) 2+ years of Care Management experience Experience with electronic medical health records, and Microsoft office… more
- A-Line Staffing Solutions (Haverhill, FL)
- …Case Manager, Medical Coding, BSN, Medical Management , Utilization Review, Utilization Management , Registered Nurse , MCO, RN, HMO, Concurrent Review, ... Public Admin, Social Science, Social Work, Sociology) 2+ years of Care Management experience Experience with electronic medical health records, and Microsoft office… more
- University Hospital New Jersey (Newark, NJ)
- Responsibilities The position of Chief Nurse Anesthetist is responsible and accountable to the overall operations and management of the CRNA staff, including ... activities to assure established quality patient services and plans appropriate utilization of staff time and capabilities. Coordinates these activities with other… more
- TalentBurst, Inc (Irving, TX)
- …criteria in order to determine appropriate level of care * Resource/ Utilization Management appropriateness: Assess assigned patient population for medical ... with tax-free stipend amount to be determined. Posted job title: Registered Nurse Utilization Review \ 1366About TalentBurst, IncTalentBurst Health & Life… more
- US Tech Solutions, Inc. (Columbia, SC)
- …. Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits ... Job Title: Licensed Practical Nurse Location: Columbia, SC 29219 Duration: 06 months...sets/qualities: I would love to have someone with prior insurance/ utilization review experience but I know that is not… more
- Legend Biotech USA, Inc. (Fort Worth, TX)
- …to: enhance proper administration, and educate on appropriate adverse identification and management . This is a field-based role that works closely with sales, ... Conducts peer-to-peer in-person and virtual educational programs through 1:1 APP/ Nurse and group presentations; Meet with identified customers in each… more
- Spectraforce Technologies Inc (Branchburg, NJ)
- …on an acute/critical care unit, organ donation/transplant unit, in tissue/blood banking, utilization review and/or case management with critical care skillset ... Job Title: Registered Nurse Location: Branchburg, NJ 08876 Duration: 06 months Work Schedule - 7:30am-4:00pm M-F JOB SUMMARY: * Responsible for maintaining… more
- GHR Healthcare (Philadelphia, PA)
- Immediate Opening: Urgent Care Nurse Practitioner Needed in Philadelphia, PA Description: We provide concierge health services using a PCP-driven care model for the ... ER visits are not always necessary. This role supports long-term chronic condition management and collaborates with the PCP and Integrated Care Team to reduce ER… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure patients ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team… 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 Georgia Health System is rooted...day operations of the department by supporting the case management and interdisciplinary healthcare team in facilitating patient care… more
- A-Line Staffing Solutions (Houston, TX)
- …Manager, Case Management , Utilization Review, Utilization Management , LPN, ADN, Clinical Service, Clinical Coordinator, Nurse , Mail Order ... Full time Case Manager Nurse LVN openings in Houston, TX 77027 area...Ensure supportive services are in place to reduce inappropriate utilization patterns and condition exacerbation. Assist members with accessing… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health ... Center of Excellence in Minimally Invasive Surgery and Robotic Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …programs to support care management , patient education and self- management activities. Demonstrates reduced emergent/urgent care utilization and acute ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...The RN Lead Care Manager will participate in care management committees and work on special projects related to… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …programs to support care management , patient education and self- management activities. Demonstrates reduced emergent/urgent care utilization and acute ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...RN Care Manager will provide telephonic care and case management to members as part of a multidisciplinary care… more
- Trusted Resource Associates (TRA) (Modesto, CA)
- Trusted Resource Associates (TRA) is seeking a local contract nurse RN Case Management for a local contract nursing job in Modesto, California.Job Description & ... to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources. This position manages… more
