- 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
- Christus Health (Irving, TX)
- …years of clinical nursing experience required 5 years of case management experience required Experience working in primary care value-based care organization is ... Description Summary: The Registered Nurse Navigator Population Health Senior is accountable for...Senior will manage the length of service, promote efficient utilization of resources, and ensure that a well-organized and… more
- Christus Health (San Antonio, TX)
- …Medicare GMLOS by managing per Milliman/Interqual Care Guidelines. Resource/ Utilization Management /appropriateness: Assess assigned patient population for ... care and cost effectiveness by integrating the functions of case management , resource management , clinical documentation management , and discharge… more
- Rochester Regional Health (Rochester, NY)
- …ongoing evaluations and updates documentation appropriately. * Completes at least one clinical research utilization (CRU) form for submission to Nursing Research ... Job Title: Registered Nurse I Department: Orthopedic Surgery Location: RGH Hours...on 3800 provide direct bedside care, patient education, pain management , post-op recovery support, and discharge planning. The unit… more
- Yale New Haven Health (Danbury, CT)
- …as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/ Clinical Coordinator. The Registered Nurse (Rn) Assesses, ... 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 (West Haven, CT)
- …as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/ Clinical Coordinator. The Registered Nurse (Rn) Assesses, ... Functions As A Preceptor To New Staff. Functions As A Charge Nurse . Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization ,… more
- Lourdes Health (Pasco, WA)
- …and fosters an environment that encourages professional growth. Initiates weekend case management , Utilization review screening, assists with D/C planning and ... 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)
- …and fosters an environment that encourages professional growth. Initiates weekend case management , Utilization review screening, assists with D/C planning and ... 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
- Fresenius Medical Care (Fayetteville, NC)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions...the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member… more
- CenterWell Home Health (Pittsfield, MA)
- …Valid driver's license, auto insurance and reliable transportation. Two years as a Registered Nurse with at least one-year of management experience in a home ... requires you to sit on-site at our Pittsfield, MA branch location. The RN Clinical Manager coordinates and oversees all direct care patient services provided by … more
- Fresenius Medical Care (Ponca City, OK)
- About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... or chronic kidney disease. Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Novo Nordisk Inc. (Minneapolis, MN)
- About the Department The Clinical , Medical and Regulatory (CMR) department at Novo Nordisk is one of the most diverse and collaborative groups within the ... The Position Territory: (IA, MN, WI) Builds relationships and demonstrates the clinical outcome and benefits of NNI products. Educates and demonstrates the benefits… more
- University of New Mexico - Hospitals (Corrales, NM)
- …patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease ... management protocols, determine and manage outcomes, ensure continuity of...manage outcomes, ensure continuity of care through discharge planning, utilization of resources and analysis of variances. Function as… more
- Kaiser Permanente (Clackamas, OR)
- …telephone as in person. Basic Qualifications: Experience Three (3) years of Registered Nurse experience, one year in clinical specialty. Education High school ... Description: Job Summary: The Charge Nurse , under the direct and indirect supervision of...care unit and helps to monitor day-to-day staffing and utilization of nursing resources. Coordinate staff meetings under the… more
- University Health (San Antonio, TX)
- …years recent, full time hospital experience preferred. Work experience in case management , utilization review, or hospital quality assurance experience is ... and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to… more
- University of New Mexico - Hospitals (Corrales, NM)
- …and facilitate communication, problem solving, decision-making, crisis intervention, resource utilization , and conflict management * SUPERVISION - Develop ... assignments, call in staff, send staff home and monitor attendance. Provide clinical leadership for nursing and technician staff. Ensure adequate staff to meet… more
- University Health (San Antonio, TX)
- …Three years recent, full-time hospital experience preferred. Work experience in case management , utilization review or hospital quality assurance experience is ... services needed to be rendered. This position requires assertive clinical acumen and communication skills for serving in the...hire date. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice… more
- Humana (Jackson, MS)
- …of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent… more
- CVS Health (Austin, TX)
- …9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and ... of healthcare resources. Applies clinical expertise and knowledge of utilization management principles to influence stakeholders and networks of healthcare… more
- Houston Methodist (Houston, TX)
- …of hospital clinical nursing experience, which includes three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position...to physicians, nurses, and other health care providers on utilization management topics. + Initiates improvement of… more
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