- CVS Health (Carson City, NV)
- …3 weeks training required 100% participation during 8:30am-5pm EST Monday-Friday As a UM Nurse Consultant you will work in a clinical telephone queue working ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience and skills in a… more
- ERP International (Corpus Christi, TX)
- **Overview** ERP International is seeking a **Registered Nurse (RN)** ** Utilization Manager ** for a full-time position in support of the **Naval Health ... collection. Analyzes data and prepares reports to describe resource utilization patterns. Briefs applicable data/slides to provider staff, executive staff,… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator Office/On-site Recruitment # 241015-5613FP-001 Location East Hartford, CT Date Opened 10/17/2024 12:00:00 AM Salary $86,261 ... Region - is accepting applications for one (1) full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=) position, located… more
- Elevance Health (Rancho Cordova, CA)
- **Wellness Nurse Consultant ** **Sign Bonus: $5000** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, Inc. family of ... as that is the territory/market that they will work in._ The **Wellness Nurse Consultant ** position is responsible for developing and recommending customized,… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of… more
- Houston Methodist (Sugar Land, TX)
- …childbearing family's educational needs. Maintains an open line of communication with Nurse Director, Clinical Manager and Charge Nurses regarding actual or ... At Houston Methodist, the Lactation Support Consultant position functions at the Proficient level according...breast feeding support under the general supervision of the Nurse Director. In addition to functioning as a staff… more
- CVS Health (Atlanta, GA)
- …care more personal, convenient and affordable. **The Onsite Sr Clinical Consultant , RN collaborates with Gwinnett County Board of Commissioners' onsite Employee ... programs as well as other vendor solutions within Gwinnett County. Analyze utilization data to develop recommendations for future employee wellness programs. The… more
- Abbott (Columbus, OH)
- …scientists. **The Opportunity** We currently have an opportunity for a **Technical Consultant ** within our Rapid Diagnostics, Infectious Disease division. This is a ... advising relationships with customers regarding technically relevant issues, product utilization , and optimizing technical processes. + Eloquently communicates Abbott's… more
- Albany Medical Center (Albany, NY)
- …a changing environment. + Basic knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure ... Rehab - E8 Work Shift: Day (United States of America) The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate, implement and… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with social work case… more
- Banner Health (AZ)
- …you to bring your experience and skills to BPN. In the role of Senior Manager of RN Case Management, you will oversee a team of five Registered Nurses responsible ... including members in nursing facilities and those with high needs or high utilization . You may also follow members to ensure adherence to quality measures like… more
- Trinity Health (Mishawaka, IN)
- … nurse responsible for the patient, unit based resource nurses and the Nurse Manager of each unit. The CWOCN Consultant will also serve as a resource to ... utilization and compliance with vendor contracts. + Collaborates with the clinical nurse manager of the Wound Healing Center to assure continuity of care… more
- Louisiana Department of State Civil Service (Leesville, LA)
- …other public health threats as they emerge. Administrative supervision is received from the Regional Nurse Manager . 70 % Serves as lead nurse and functions ... most optimal level. Collaborates all clinic activities with Regional Nurse Manager . Establishes short and long term...Unit. Monitors public health practice for quality and appropriate utilization of services. Serves as the Lead Nurse… more
- Houston Methodist (Cypress, TX)
- At Houston Methodist, the Lead Nurse Practitioner/Physician Assistant (NP/PA) position is responsible for functioning as a clinical leader and scholar at the Expert ... NP/PA position affects direct patient care according to the Nurse Practice Act of the state of Texas or...mentoring others regarding care of defined populations in resource utilization and time management. + Provides clinical guidance as… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Nurse Scientist position is responsible for leading the development, coordination, implementation, evaluation, and dissemination of nursing ... research activities. This position works closely with the Director and Manager for Nursing Science to strategically plan, and outline priority initiatives based on… more
- UCLA Health (Los Angeles, CA)
- …in Nursing (Master's preferred) that includes the five components of the nurse educator role (educator, administrator/ manager , consultant , and researcher). ... clinical education, patient intervention and promote effective working relationships. The Clinical Nurse Educator is a highly nurse with educational preparation… more
- RWJBarnabas Health (Somerset, NJ)
- Nurse Coordinator RNReq #:0000172931 Category:ICU/Critical Care Nursing Status:Part-Time Shift:Evening Facility:RWJBH Mobile Health (EMS) Department:MH Patient ... communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. Provides outcome data with targeted audiences… more
- Alameda Health System (Oakland, CA)
- Manager , Care Management + Oakland, CA + Highland General Hospital + HGH Care Coordination + Full Time - Day + Management + Req #:38499-28188 + FTE:1 + ... paid time off plans **Role Overview:** Alameda Health System is hiring! The Manager of Care Management is responsible for the day-to-day operations of facility wide… more
- Alameda Health System (Oakland, CA)
- Manager , Care Management + Oakland, CA + Highland General Hospital + HGH Care Coordination + Full Time - Day + Management + Req #:38497-28187 + FTE:1 + ... Highland is responsible for the day-to-day operations of facility wide utilization , discharge planning and care coordination. **DUTIES & ESSENTIAL JOB FUNCTIONS:**… more
- Ellis Medicine (Schenectady, NY)
- …psychosocial needs and coordinate transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or discharge planning ... and covered services. Support services provided by the Case Manager include, but are not limited to, utilization...plan of care, discussing concerns with the involved physician, nurse or ancillary staff member. Make appropriate referral to… more