- Katmai (Fort Carson, CO)
- …access to care standards for appropriate utilization of services. Perform utilization management /review for medical necessity for specialty referrals and ... within the last four (4) years as a registered nurse in utilization management . +...Working knowledge of EHR Genesis desirable. + Knowledge of Medical Terminology. **WORK** **SCHEDULE** Full-time. May be required to… 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 ... the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer...employs clinical expertise to interpret clinical criteria to determine medical necessity of services + Communicates results of reviews… more
- Alameda Health System (Oakland, CA)
- …plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic ... adapting to ad hoc duties as needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care. DUTIES & ESSENTIAL JOB… more
- ERP International (Macdill AFB, FL)
- …is seeking a **Registered** ** Nurse (RN)** for a Full-Time position in ** Utilization Management ** at MacDill AFB, FL. Apply online today and discover more ... Paid Vacation, Paid Sick Time, Plus 11 Paid Federal Holidays!** Medical /Dental/Vision, STD/LTD/Life, and Health Savings Account available!** Annual CME Stipend and… more
- Luke Staffing (Yigo, GU)
- …of clinical nursing experience is required. One year of previous experience in Utilization Management is required. Full time employment in a nursing field ... ** NURSE - REFERRAL MANAGEMENT ** **SITE OF...of this position, it must be directly related to referral/ utilization management . + **Licensure:** Current, full, active,… more
- ERP International (Luke AFB, AZ)
- …ERP International is seeking a full time **Registered Nurse - Case Management ** in support of the56th Medical Group at Luke AFB, AZ ... algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with… more
- Christus Health (Dallas, TX)
- …detailed below, do not wait to send your CV. Summary: The Registered Nurse Navigator Population Health Senior is accountable for coordinating and managing a ... care, and ensuring patients receive appropriate and timely interventions. Registered Nurse Navigator Population Health Senior will work collaboratively with ACO and… 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
- Yale New Haven Health (Fairfield, 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
- Fresenius Medical Care (Albany, OR)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, ... of three years of Interventional Radiology, scrub experience preferred. Supervisory or management experience within a medical or vascular access environment… more
- Alameda Health System (Oakland, CA)
- Clinical Nurse V + Oakland, CA + Highland General Hospital...MCH/OB Clinic (K6) + Full Time - Day + Management + $64.00- $96.00 + Req #:42878-31844 + FTE:1 + ... on each nursing unit for which responsible. Promotes effective and economic utilization of personnel and supplies. Monitors utilization of personnel and… more
- Battelle Memorial Institute (Colorado Springs, CO)
- …as a case manager by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center + At least two ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support...self-care + Possess knowledge of patient education principles and management of complex medical , psychosocial, and financial… more
- Katmai (Fort Carson, CO)
- …analyze, update and record data. + Facilitate the development and integration of utilization management (UM) review policies and procedures into operations. + ... case manager as needed to provide direction in care management . + Plan and prioritize utilization review...last two (2) years as a practical or vocational nurse . + Current, full, active, and unrestricted license as… more
- Somatus (Fairfax, VA)
- …be the best version of themselves, including: + Subsidized, personal healthcare coverage ( medical , dental vision) + Accrual of 3 weeks' Vacation (PTO) + Professional ... well-being + Community engagement opportunities + And more! The Nurse Navigator is a critical member of the Somatus...a patient advocate and a strategic partner to case management teams and hospital staff. This role collaborates with… more
- Fresenius Medical Care (Atlanta, GA)
- About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As ... a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in...of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Fresenius Medical Care (Fayetteville, NC)
- …communicated to and implemented by the facility staff. Maintains integrity of medical records and other FMS administrative and operational records. Complies with all ... and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely… more
- ERP International (Hurlburt Field, FL)
- …algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with ... **Overview** ERP International is seeking a full time **Registered Nurse (RN) Case Manager** in support of the 1st...Case Manager** in support of the 1st Special Operations Medical Group at Hurlburt Field, FL. **Be the Best!**… more
- Katmai (Usaf Academy, CO)
- …all levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. ... same duties as those required of any military or government civil service nurse of similar experience and in similar duty assignments. **ESSENTIAL DUTIES &… more
- Moses/Weitzman Health System (Meriden, CT)
- …groups of Community Health Center clients according to established professional and medical standards. Works collaboratively with other health care team members to ... licensure as appropriate. Fully established practice standards for productivity and appropriate utilization of care. Position is designed to support evening and or… more
- ERP International (Twentynine Palms, CA)
- …algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with ... **Overview** ERP International is seeking **Registered Nurse (RN) Case Managers** for full-time positions in...Vacation, Paid Sick Time, Plus 11 Paid Federal Holidays!** Medical /Dental/Vision, STD, LTD and Life Insurance, Health Savings Account… more
