- A-Line Staffing Solutions (New York, NY)
- …Management , InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review , Utilization Management , Registered Nurse , MCO, RN, Nurse , ... , InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review , Utilization Management , Registered Nurse , MCO, RN, Nurse , Managed Care,… more
- VNS Health (Manhattan, NY)
- VNS Health is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Manhattan, New York.Job Description & RequirementsSpecialty: ... interdepartmental quality improvement activities such as development and engagement, clinical review , clinical risk management , and patient satisfaction. Serves… more
- Trusted Resource Associates (TRA) (Palm Springs, CA)
- Trusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Palm Springs, California.Job ... Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: 09/25/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type:… more
- GHR Healthcare (Atlanta, GA)
- …making critical decisions that impact patient care? Join us as a Care Management Coordinator and play a key role in evaluating and authorizing essential healthcare ... Pay Rate: 37.50 -40.00 Hourly (paid weekly) What You'll Do: Clinical Analysis: Review medical records to determine the necessity of patient services based on… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …team members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …to ensure appropriate feedback is received before product decisions are made. Utilization Review of necessity, quality, effectiveness and efficiency of medical ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health… more
- Protouch Staffing - Permanent (El Paso, TX)
- …and retrospective review of patient medical records for purposes of utilization review , compliance with requirements of external review agencies ... Protouch Staffing - Permanent is seeking a Registered Nurse (RN) Case Management for a nursing job in EL Paso, Texas.Job Description & RequirementsSpecialty:… 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 ... Center of Excellence in Minimally Invasive Surgery and Robotic Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with… more
- A-Line Staffing Solutions (Grand Rapids, MI)
- …delegating/coordinating staff assignments and promoting staff development. Responsible for the utilization and continued review of patient care protocols, ... 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 career… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …at all campuses operated by NGHS. Collaborates with the physicians, patients, families, nursing, utilization review and other members of the health care team to ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted...ensure patient management that efficiently and effectively aligns with patient needs… more
- VNS Health (Manhattan, NY)
- …understanding of the community's needs.Oversees the implementation and monitoring of utilization review and quality management procedures, while ... efficient manner.Engages in and contributes to the interdisciplinary team's utilization management activities and recommended interventions for… more
- Pacer Staffing (Atlanta, GA)
- … Utilization Review Certification or Certified Professional Utilization Management Certification Experience in UM policy writing, development, ... Job Description: Summary: This individual contributor position reports to the Directors of Utilization Management (UM) and Referral Management (RM) and… more
- Blanchard Valley Health System (Findlay, OH)
- …the Acute Care Transitions Team, including the disciplines of Social Work, Case Management , Utilization Review , and Emergency Department Care Navigation to ... during acute care stay. Duty 9: Maintains position as Utilization Review committee chair. Works in collaboration...staff, equipment, and services. Duty 12: Maintains computerized record management systems to store and process data to produce… more
- Pacer Staffing (Atlanta, GA)
- …description Job Summary This individual contributor position reports to the Directors of Utilization Management (UM) and Referral Management (RM) and ... Nurse , with current unrestricted license in appropriate state . 4+ years Utilization Management experience . Proficient at in-depth analysis of clinical… more
- Novo Nordisk Inc. (Atlanta, GA)
- …relationships include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, advocacy group leaders, pharmacists, blood bank staff, ... policies, legal, regulatory, and compliance requirements Ensures effective administrative management of regional business as well as operational budgets Maintains… more
- Pacer Staffing (Atlanta, GA)
- …regulatory requirements, and HIPAA privacy regulations. . Thorough knowledge of Case Management , Utilization Management , HIPAA Privacy and Security ... Job Summary . Provides Disease Management (DM) services to TRICARE beneficiaries. . The... (DM) services to TRICARE beneficiaries. . The DM nurse will collaboratively assess, plan, implement, coordinate, monitor and… 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 Care… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …administration identify areas of further savings.Assist Clinical Coordinator with FTE utilization and management .Serves as primary liaison between referral ... therapy skills Essential Tasks and ResponsibilitiesWorks with the Clinical Coordinator and Nurse Manager to develop patient schedules for inpatient, DPH and IOP… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of our communities. About the Role:Job SummaryResponsible for the systematic review of patient throughput including evaluating and implementing strategies and ... meet established metrics, improve handoffs, reduce daily crisis regarding bed management , improve overall flow and drive the throughput policies and procedures.… more
- CVS Health (Columbus, OH)
- …make health care more personal, convenient and affordable. **Position Summary** As a Utilization Management Nurse Consultant, you will utilize clinical ... of the team and business needs. **Preferred Qualifications** - 1+ years' experience Utilization Review experience - 1+ years' experience Managed Care - Strong… more
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