- Christus Health (San Antonio, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- SSM Health (Yukon, OK)
- …and communicates with patient/family/caregiver and appropriate nursing, physician, and care management staff. Utilizes research and other forms of evidence to ... issues. Participates in ministry and system-wide evaluation of resource utilization as it pertains to wound, ostomy, and continence...of the healthcare team as it relates to the management of wounds, ostomies, and continence. Works in a… more
- SSM Health (St. Charles, MO)
- …regarding opportunities for improvement in standard work. May also be responsible for: utilization management process, ED case management process, admission ... as described in the department's Scope of Service. As an SSM Health nurse , I will demonstrate the professional nursing standards defined in the professional practice… more
- SSM Health (Oklahoma City, OK)
- …and communicates with patient/family/caregiver and appropriate nursing, physician, and care management staff. Utilizes research and other forms of evidence to ... issues. Participates in ministry and system-wide evaluation of resource utilization as it pertains to wound, ostomy, and continence...of the healthcare team as it relates to the management of wounds, ostomies, and continence. Works in a… more
- Fresenius Medical Care (Olmito, TX)
- …Preparedness Plan; ensure maintenance of equipment . Ensure proper medical records management and HIPAA compliance . Oversees the continuous and data driven Quality ... and policies, and then developing and implementing an associated center specific management plan. . Ensure adverse events are reported, documented and necessary… more
- Irving Coppell Surgical Hospital (10819) (Irving, TX)
- …Perioperative Services is responsible for the strategic oversight and operational management of the surgical services department, including the operating room (OR), ... improvement and implement best practices to enhance operational efficiency. Team Management : * Lead, mentor, and develop a multidisciplinary team, including… more
- Irving Coppell Surgical Hospital (10819) (Irving, TX)
- …Perioperative Services is responsible for the strategic oversight and operational management of the surgical services department, including the operating room (OR), ... improvement and implement best practices to enhance operational efficiency. Team Management : - Lead, mentor, and develop a multidisciplinary team, including… more
- Memorial Hermann Health System (Humble, TX)
- …and when appropriate or requested when the hospitalist service is in the co- management or consultative role. Cover Code Blue and Rapid Responses in accordance with ... with the hospital on call schedule and patient assignment guidelines. Provide co- management services for subspecialty services when such services are within the… more
- CVS Health (Austin, TX)
- …the department.** **Rotational late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical ... Clinical Social Worker (LCSW) preferred. + Requisition Job Description **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100%… more
- CVS Health (Austin, TX)
- …the department.** **Rotational late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical ... we do it all with heart, each and every day. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate can… more
- CVS Health (Carson City, NV)
- …1 holiday per year). There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... we do it all with heart, each and every day. **Position Summary** **This Utilization Management (UM) Nurse Consultant role is fully remote but must reside in… more
- Rochester Regional Health (Rochester, NY)
- …class as needed. Responsibilities include concurrent (as needed) and retrospective reviews. The Utilization Management Nurse will act as a resource on ... Job Title: Registered Nurse I Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time) Schedule: Monday -… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
- CVS Health (Raleigh, NC)
- …all with heart, each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization ... with occasional holiday rotation.** **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience +… more
- CVS Health (Baton Rouge, LA)
- …we do it all with heart, each and every day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for Prior Authorization conducts ... * Participate in quality improvement, policy review, and education related to utilization management . * Serve as a clinical resource for internal and external… more
- CVS Health (Phoenix, AZ)
- …that promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. ... use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed, ensuring… more
- Katmai (Fort Carson, CO)
- …American Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management . + One (1) year of experience in UR/UM ... Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE...active, and unrestricted license to practice as a registered nurse . + Must be a graduate from a college… more
- CVS Health (Olympia, WA)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in PST zones **Education**… more
- Sanford Health (Rapid City, SD)
- …providing direct supervision of all departmental staff. Maintains a standardization of utilization management process to ensure all policies and procedures are ... Hours:** 40.00 **Department Details** Join our team as a Utilization Review and Case Management Manager and...medical necessity review preferred. Currently holds an unencumbered registered nurse (RN) license with the State Board of Nursing… more
- US Tech Solutions (Hopewell, NJ)
- …case/care management principles. - Prefers working knowledge of principles of utilization management . - Prefers basic knowledge of health care contracts and ... to the continuum of care. Performs duties and types of care management as assigned by management .** **Responsibilities:** 1. Assesses patient's clinical… more
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