- Northeast Georgia Health System, Inc (Gainesville, GA)
- …organizational standardization. Participates in identifying expanded use of and improvement management utilization of NGHS continuum. Participates in identifying ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is...Services. Eligibility requirements for certification: 12 months full-time case management experience supervised by a certified case manager… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …school of nursing. Eligibility requirements for certification: 12 months full-time case management experience supervised by a certified case manager , or 24 ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast...management experience not supervised by a certified case manager . Minimum Experience: Three (3) to five (5) years… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our ... all campuses operated by NGHS. Collaborates with the physicians, patients, families, nursing, utilization review and other members of the health care team to ensure… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health ... of system-wide opportunities as they relate to Value Analysis standardization, utilization and implementation. Facilitate Value Analysis Teams (VAT) to most… more
- VitalCore Health Strategies (Monroe, MI)
- …field. Licensed Registered Nurse. Minimum of two (2) years of management experience in a healthcare setting necessary. Subject to initial and ongoing security ... Correctional Health Care has an opening for aHealth Services Administrator / Registered Nurse atMonroe County Jail in Monroe, Michigan AtVitalCorewe pride ourselves… more
- A-Line Staffing Solutions (Grand Rapids, MI)
- …hiring Direct Hire Mental/Behavioral Health RNs in Grand Rapids, MI 49548. The Registered Nurse would be working DIRECTLY/PERM for a local organization and has ... hire opportunity, no temp/contract work Target start date: 09/09/2024 A Registered Nurse is responsible and accountable to perform the nursing process… more
- LHC Group (Reno, NV)
- LHC Group is seeking a Registered Nurse (RN) Home Health Clinic for a nursing job in Reno, Nevada.Job Description & RequirementsSpecialty: ClinicDiscipline: ... salary will be commensurate with experience. Summary We are hiring a Patient Care Manager /Clinical Manager (RN) with Home Health experience. At St Mary's Home… more
- Blanchard Valley Hospital (Findlay, OH)
- PURPOSE OF THIS POSITION The purpose of the role of the RN Case Manager is to develop, implement and evaluate an organized inpatient case management service for ... the direction of the attending provider. The RN Case Manager will assist in identifying and addressing the physical...meetings to contribute information regarding transitions of care and utilization of care resources for the purpose of improving… more
- Ascension (Columbia, MD)
- …including but not limited to: Access Authorization and pre-certification, utilization review and denial management , CareCoordination, Collaborative treatment ... of utilization criteria, appeal and review process, and case management system documentation.Develop staff schedule and revises assignments daily to assure… more
- Blanchard Valley Health System (Findlay, OH)
- …Acute Care Transitions Team, including the disciplines of Social Work, Case Management , Utilization Review, and Emergency Department Care Navigation to support ... of the interdisciplinary care transition team. The acute care transition manager fosters communication and collaboration across the health system, develop safe,… more
- Pacer Staffing (Atlanta, GA)
- …direction and build group engagement. Technical Skills: Thorough knowledge of Case Management , Utilization Management , TRICARE policies and procedures, HIPAA ... serious disabilities, physical disabilities.) Job Summary: The position provides case management services for TRICARE beneficiaries registered in the Extended… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health ... of Excellence in Minimally Invasive Surgery and Robotic Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with 24-hour… more
- A-Line Staffing Solutions (New York, NY)
- … Management , InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management , Registered Nurse, MCO, RN, Nurse, Managed ... CCM, BSN, ADN, ASN, Case Manager , Case Management , InterQual, Medicare, Medicaid, CMS Guidelines, Utilization ...InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management , Registered Nurse, MCO,… more
- Cambia Health Solutions, Inc (Lewiston, ID)
- …Associates or Bachelor's Degree in Nursing or related field3 years of case management , utilization management , disease management , or behavioral ... least one of the following: Certification as a case manager from the URAC-approved list of certifications; or Bachelor's...degree in Behavioral Health preferred for behavioral health care management ); or Registered nurse (RN) license (must… 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 ... staff, newcomers, as appropriate. * Participate in all phases of the Utilization Management Program (UMP) and ensure that the UMP meets established … more
- Sutter Health (Burlingame, CA)
- **Organization:** Bay Administration **Position Overview:** Responsible for Utilization Management and accurate bed placement for patients coming in from the ED. ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the… more
- Cedars-Sinai (Los Angeles, CA)
- …thereafter as a condition of continued employment. **Req ID** : 4870 **Working Title** : Registered Nurse - Utilization Management 8 Hour Days Per Diem ... Hospitals! **What You Will Do in This Role:** The Utilization Review Case Manager validates the patient's...**Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category**… more
- Humana (Louisville, KY)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work assignments are varied and… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness ... of services as well as appropriate utilization of services; and ensuring optimum use of resources,...delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure… more
- Molina Healthcare (NV)
- …not a compact state at this time.** **Prior experience with managed care (Medicaid, Medicare) Utilization Management processes and 3 + years in management / ... performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),… more
