- Molina Healthcare (Temecula, CA)
- …we are seeking a Nurse with previous experience in Prior Auth Utilization Management and knowledge of Interqual or MCG guidelines. CALIFORNIA LICENSURE IS ... 3-5 years clinical practice with managed care, hospital nursing or utilization management experience. **Preferred License, Certification, Association** Active,… more
- Providence (Everett, WA)
- …services across multiple units and serves as the site administrator at PRMCE Pacific Campus. Assures that the provision of nursing services are integrated and in ... a focus on highly reliable care, performance improvement and appropriate utilization of resources. Assumes an active leadership role inter-professionally and works… more
- Molina Healthcare (Sacramento, CA)
- …to a 3 day/12 hour shift from then on._** **_Previous experience with Emergency Room Utilization Management / Utilization Review is preferred for this role. ... **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_PERMANENT SHIFT WILL BE :_** **_12 hour...or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current… more
- Molina Healthcare (Houston, TX)
- … Nurse with previous experience in Hospital Acute Care, Concurrent Review/ Utilization Review / Utilization Management and knowledge of Interqual ... 8:00AM or 9:00AM._** **_Candidates who do not live in Pacific or Central, must work Pacific or...**JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or… more
- Hawaii Pacific Health (Honolulu, HI)
- …care, or related field. **Preferred Qualifications:** Current Case Management or Utilization Management certification. Hawai'i Pacific Health offers a ... internal medicine, vascular and urology. Straub is home to the Pacific Region's only multidisciplinary burn treatment center. The hospital consistently brings… more
- Pacific Medical Centers (Seattle, WA)
- …Registered Nurse License. + 5 years Clinical experience. + Utilization review/case management . **Preferred Qualifications:** + Bachelor's Degree Nursing. + ... Medical Centers' Managed Care patient in order to assure cost effective, appropriate utilization of health care resource. Nurse Case Manager manages, directs,… more
- Hawaii Pacific Health (Aiea, HI)
- …or long term care, or related field. **Preferred Qualifications:** Current Case Management or Utilization Management certification. Case Management ... are promptly evaluated by an emergency physician. The Case Management team puts great emphasis on helping each patient...of medical, financial or social interventions. As the Registered Nurse Case Manager, you would ensure the considerate and… more
- Hawaii Pacific Health (Aiea, HI)
- …(CDI) certification. Experience with InterQual, Milliman or other nationally recognized Utilization Management criteria. Experience with DRGs or inpatient ... through extensive interaction with physicians, nursing, other patient caregivers, Case Management and Health Information Management staff. You will also… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …are now united to build the future of patient-centered care across the Pacific Northwest. That means a seamlessly connected system offering quality care close to ... admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is...hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year… more
- Defense Health Agency (Tacoma, WA)
- **Overview** Nurse (Clinical/Ambulatory) Tacoma, WA Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord ... to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty...and face-to-face care, to include care coordination and transition management , triage, invasive and non-invasive procedures, nurse … more
- Providence (Everett, WA)
- **Description** Under the direct supervision of the Nurse Manager, provides direct nursing service supervision on the unit ensuring comprehensive nursing services ... and quality patient care. Assists with day-to-day management of unit operations. Assists with oversight of clinical and resource utilization , patient throughput,… more
- Veterans Affairs, Veterans Health Administration (Portland, OR)
- …EDRP participants ineligible to apply. Responsibilities Portland is a port city in the Pacific Northwest and the most populous city in the US state of Oregon. ... and in the nearby Columbia River Gorge. The Critical Care Registered Nurse (RN) is responsible for providing competent, evidence-based care to assigned patients… more
- Sutter Health (San Francisco, CA)
- …Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The ... We are so glad you are interested in joining Sutter Health! **Organization:** CPMC-California Pacific Med Center Van Ness **Position Overview:** The RN Case… more
- Sutter Health (San Francisco, CA)
- …Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The ... management or related field. **CERTIFICATION & LICENSURE** RN-Registered Nurse of California CCM-Certified Case Manager (optional) **PREFERRED EXPERIENCE AS… more
- Providence (Walla Walla, WA)
- …supervision on the unit ensuring comprehensive and quality patient care. The Assistant Nurse Manager assists with day-to-day management of unit operations. This ... **Description** Under supervision of the Nurse Manager (s) and/or Director, provides direct nursing… more
- Boys Town (Omaha, NE)
- …the region. In this role, you will coordinate and facilitate the clinical management for an assigned population to enhance quality care and promote cost-effective ... utilization of healthcare resources, in the outpatient setting. Schedule:...to work from home 1 day a week Location: Pacific Street Clinic MAJOR RESPONSIBILITIES & DUTIES: + Facilitates… more
- University of Washington (Seattle, WA)
- …Medicine** **Harborview Medical Center** has an outstanding opportunity for a **Registered Nurse (RN)** to join our **Outpatient Behavioral Health Clinic** . **WORK ... include crisis intervention, psychiatric evaluation, psychotherapy, group treatment, case management , and geriatric psychiatry services, as well as treatment for… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …are now united to build the future of patient-centered care across the Pacific Northwest. That means a seamlessly connected system offering quality care close to ... (EBP) through standards, resources, and data, and in the efficient utilization of staff/resources. Work involves continuous contact with physicians, patients,… more
- Sutter Health (San Francisco, CA)
- …glad you are interested in joining Sutter Health! **Organization:** CPMC-California Pacific Med Center Van Ness **Position Overview:** Manages and provides ... manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid… more
- Sutter Health (San Francisco, CA)
- …glad you are interested in joining Sutter Health! **Organization:** CPMC-California Pacific Med Center Davies **Position Overview:** Manages and provides overall ... manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid… more