- Humana (Columbus, OH)
- …put health first** The UM Administration Coordinator 2 contributes to administration of utilization management . The UM Administration ... on semi-routine assignments. **Achieve your best at Humana. Join Us!** The UM Administration Coordinator 2 provides non-clinical support for the policies and… more
- Veterans Affairs, Veterans Health Administration (Biloxi, MS)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... regulations, and Veterans Health Administration (VHA) standards and guidelines. The Community Care Coordinator uses nursing knowledge and systems theory to… more
- Baptist Memorial (Jackson, MS)
- …management , medical necessity reviews, verification of authorization, resource utilization , and denial prevention. Responsibilities + Completes and enters ... Summary The Utilization Review Nurse is responsible for evaluating the...in the electronic medical record + Communicates with authorization coordinator + Communicates in-house high dollar case information Completes… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- …COMPACT care and navigates between varying levels of care coordination and case management to ensure effective and efficient care to meet Veteran needs. Conducts ... as indicated and needed. Monitors and tracks data related to COMPACT Act utilization and outcomes, as well as any associated performance measures or metrics that… more
- Veterans Affairs, Veterans Health Administration (Balcones Heights, TX)
- …EBP certified Clinical care coordination Quality or utilization management experience Prior Veterans Healthcare administration experience Licensed to ... Summary The Suicide Prevention Coordinator (SPC) facilitates implementation of suicide prevention strategies at the local level through education, monitoring, &… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- Summary The Program Analyst (Patient Centered Management Module (PCMM) Coordinator ) ensures that data input in primary care systems is accurate to properly ... improve the effectiveness of work methods and procedures, organization, manpower utilization , information, and documentation systems; Project Management and… more
- Veterans Affairs, Veterans Health Administration (Canandaigua, NY)
- …orientation, competencies and providing quality improvement and outcomes utilization consultation. Demonstrates leadership in delivering and improving holistic ... This position will be a hybrid of a clinical nurse and RN Care Coordinator . The position demands flexibility to meet unit needs. Duties may include however are… more
- Veterans Affairs, Veterans Health Administration (Charleston, SC)
- …track service activities including visits, referrals, patent demographics, equipment utilization , an patient satisfaction. Supervise program staff completion of ... , reports for CRRC/HCHV/GPD housing Progress Report, Admission and Case Management . Progress Report and other evaluation instruments as assigned for… more
- Veterans Affairs, Veterans Health Administration (Biloxi, MS)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... regulations, and Veterans Health Administration (VHA) standards and guidelines. The CC ...of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- Summary The Registered Nurse Women's Health Quality Coordinator position is located within Ambulatory Care Services at the Phoenix VA Healthcare System (PVHCS) in ... about the main campus at the Phoenix VA: Carl T. Hayden Veterans' Administration Medical Center | VA Phoenix Health Care | Veterans Affairs Responsibilities The… more
- Veterans Affairs, Veterans Health Administration (Coatesville, PA)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... Summary The Nurse Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing...regulations, and Veterans Health Administration (VHA) standards and guidelines. Responsibilities The Nurse Community… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... Summary As the Community Care (CC) Coordinator Registered Nurse (RN) you will be responsible...regulations, and Veterans Health Administration (VHA) standards and guidelines. Use nursing knowledge and… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …report generation. Provide regular and timely reports on workload capture, resource utilization , and information management utilizing platforms such as SAIL and ... Summary The SAIL Coordinator , Registered Nurse is responsible and accountable for...and analysis of programmatic outcomes and makes recommendations to management . Knowledgeable about Strategic Analytics for Improvement and Learning… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- …care, and utilization at the local VA using Veterans Health Administration (VHA) databases. Participates in outreach events for women Veterans The MFCC ensures ... Summary The Maternity and Fertility Care Coordinator (MFCC) Registered Nurse (RN) executes position responsibilities that demonstrate expert leadership, experience,… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- Summary This Registered Nurse - SCI/D Off-Tour Clinical Coordinator (Unit 1W) position is located at the Richmond Veterans Affairs Medical Center in Richmond, ... the duties. Responsibilities The Registered Nurse - SCI/D Off-Tour Clinical Coordinator (Unit 1W) delivers fundamental knowledge-based care to assigned clients while… more
- Veterans Affairs, Veterans Health Administration (Marion, IL)
- …The Marion Illinois, VMAC is seeking a full-time Mental Health Treatment Coordinator Registered Nurse to Extended Care Behavioral Health. The Mental Health Treatment ... Coordinator (MHTC) Registered Nurse (RN) is responsible and accountable...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care.… more
- Veterans Affairs, Veterans Health Administration (Salem, VA)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... Center is looking for a Registered Nurse (RN) Referral Coordinator . RN influences care outcomes by collaborating with members...regulations, and Veterans Health Administration (VHA) standards and guidelines. Duties listed below but… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... York. Responsibilities The Community Care Skilled and Home Infusion Coordinator Registered Nurse (RN) duties include, but are not...regulations, and Veterans Health Administration (VHA) standards and guidelines uses nursing knowledge and… more
- Veterans Affairs, Veterans Health Administration (Glendale, CO)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... rewards package: VA Nurse Total Rewards The Community Care Coordinator Registered Nurse (RN) is responsible for executing a...regulations, and Veteran Health Administration (VHA) standards and guidelines. The RN uses nursing… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …Mexico VA Health Care System is seeing Registered Nurses (Admissions/Transfer/Discharge Coordinator ) to join the team! Responsibilities VA offers a comprehensive ... with peers and professionals within the community as related to case management . Coordinates and collaborates with other VA and non-VA departments, community… more
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