- CHRISTUS Health (Lake Charles, LA)
- Description Summary: The RN Supervisor is accountable for supervising the delivery of high-quality, cost-effective care to patients. Responsible in assisting the ... for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established… more
- Blue Shield of CA (Los Angeles, CA)
- Your RoleReporting to the Sr. Director, Utilization Management , the role of the Director, Commercial Utilization Management is critical to the success of ... Blue Shield of California and the Utilization Management department in realizing its goals... role will also provide direction and leadership in compliance to regulatory requirements and key operational metrics.Your WorkIn… more
- The Cigna Group (Bloomfield, CT)
- …duties as assigned. **Qualifications** + Education: Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) + 3-5 years' experience in Medicare Advantage ... include, but not limited to:** + Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part C + Ability to… more
- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: The expected pay… more
- Trinity Health (Hartford, CT)
- …**What you will do:** + Provide patient Centered Leadership while ensuring effective utilization management , compliance with Medicare requirements, and the ... Degree Preferred + **Licensure** : Current Licensure as a registered nurse ( RN ) in Connecticut...criteria, JCAHO and CMS requirements for discharge planning and utilization management **Position Highlights and Benefits** +… more
- Ascension Health (Manhattan, KS)
- …coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification / ... **Details** + **Department:** Utilization Management + **Schedule:** Full Time,...Registration: + Licensed Registered Nurse credentialed from the Kansas Board… more
- AdventHealth (Orlando, FL)
- …include but are not limited to performance of medical record review, utilization management , patient safety, compliance program, orientation program, ... use of comparative data, performance of specified audits and utilization management activities. + Serves as a...+ Associate's Degree and 3 years of experience + Registered Nurse License + Minimum 3 years… more
- RWJBarnabas Health (Livingston, NJ)
- Case Manager Registered Nurse ( RN ), Case...setting + Minimum of one year experience in Case Management / Utilization Management or Home Care ... Ctr, 94 Old Short Hills Road, Livingston, NJ 07039 Job Summary: The Case Manager Registered Nurse develops safe discharge plans in order to reduce the length of… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... registered nurse holds a current temporary practice permit.... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates...area or unit where the graduate registered nurse is practicing. + For Magnet designated RN… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates...area or unit where the graduate registered nurse is practicing. + For Magnet designated RN… more
- Banner Health (Fallon, NV)
- …of a bachelor's degree in case management or health care. Requires current Registered Nurse ( RN ) license in state worked. For assignments in an ... great dinner, and entertainment. Banner Churchill Community Hospital is looking for part-time Registered Nurse Case Manager to work in Fallon, Nevada. This… more
- AdventHealth (Celebration, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/...+ Health-related master's degree or MSN + Prior Care Management / Utilization Management experience +… more
- AdventHealth (Apopka, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/...+ Health-related master's degree or MSN + Prior Care Management / Utilization Management experience +… more
- CommuniCare Health Services Corporate (Dayton, OH)
- Registered Nurse ( RN ), Mobile MDS Coordinator CommuniCare Health Services is currently looking for a Registered Nurse to fill the key position of ... successful candidate for the position must have a valid RN license in Ohio, as well as previous Long...Responsibilities of the position will include: + Evaluate facility compliance to federal regulations and targets for utilization… more
- AdventHealth (Manchester, KY)
- ** Registered Nurse RN *Up to...care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management ... or Clay County depending on RN . **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse who… more
- Avera (Mitchell, SD)
- …combination of education and experience preferred. **Licensure/Certification/Registration** + License as a Registered Nurse ( RN ) in South Dakota and/or ... The Case Manager is responsible for the care planning, utilization of services, coordination of care, and the education...of Multi-state licensure is required. + Licensed as a Registered Nurse ( RN ) in the… more
- Banner Health (Gilbert, AZ)
- …include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice ... (HUC). Clinical Care Operations is the hub of patient management for the campus, including: bed assignment, unit staffing...require a minimum of one year experience as a Registered Nurse in a physician practice or… more
- Geisinger (Danville, PA)
- …Experience Minimum of 1 year-Nursing (Preferred) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life ... instruction to ensure patient's understanding of medical condition and compliance with treatment instructions. + Inserts, monitors, regulates and discontinues… more
- Fresenius Medical Center (San Diego, CA)
- …and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... **POSITION FEATURES:** This is a float per diem RN role with opportunites to work in our...values and customer service philosophy. Adheres to the FVC/FMCNA Compliance Program, including following all regulatory and FVC/FMS policy… more
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