• A-Line Staffing Solutions (Haverhill, FL)
    …Case Manager, Medical Coding, BSN, Medical Management , Utilization Review, Utilization Management , Registered Nurse , MCO, RN, HMO, Concurrent Review, ... Public Admin, Social Science, Social Work, Sociology) 2+ years of Care Management experience Experience with electronic medical health records, and Microsoft office… more
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  • A-Line Staffing Solutions (Tampa, FL)
    …Case Manager, Medical Coding, BSN, Medical Management , Utilization Review, Utilization Management , Registered Nurse , MCO, RN, HMO, Concurrent Review, ... Public Admin, Social Science, Social Work, Sociology) 2+ years of Care Management experience Experience with electronic medical health records, and Microsoft office… more
    JobGet (06/09/24)
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  • The University of Vermont Health Network (Plattsburgh, NY)
    Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall ... and promotes the efficient and effective use of patient services. The Utilization Review Team's role in data collection, analysis and summarization supports the… more
    JobGet (06/01/24)
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  • University Hospital New Jersey (Newark, NJ)
    Responsibilities The Director Utilization and Case Management will be responsible for the strategic direction setting, management , continuous improvement, ... and maintenance of the Utilization and Case Management Services Unit. This role evaluates the efficiency, appropriateness, necessity of the use of medical… more
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  • Cambia Health Solutions, Inc (Lewiston, ID)
    Integrated Care Management Nurse or ClinicianWork from home within Oregon, Washington, Idaho, or UtahBuild a career with purpose. Join our Cause to create a ... may be the perfect fit.What You Bring to Cambia: Qualifications:Integrated Care Management Nurse :Associate or Bachelor's Degree in NursingRegistered nurse more
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  • UNC Health (Chapel Hill, NC)
    …stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is ... appropriate case management referrals. Initiates appropriate social work referrals.3. Utilization Management Process - Performs utilization management more
    JobGet (06/06/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure patients ... 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 healthcare team… more
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  • University Hospital New Jersey (Newark, NJ)
    Responsibilities The position of Chief Nurse Anesthetist is responsible and accountable to the overall operations and management of the CRNA staff, including ... activities to assure established quality patient services and plans appropriate utilization of staff time and capabilities. Coordinates these activities with other… more
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  • UNC Health (Chapel Hill, NC)
    …of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. The Care Manager must be ... UNC Health is seeking a Registered Nurse (RN) Care Manager for a nursing job...Refer administrative tasks (eg, faxing, form processing) to Care Management Assistant. Consult Social Worker and/or Utilization more
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  • Northeast Georgia Health System, Inc (Gainesville, 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 our communities. About the Role:Job SummaryThe Nurse Manager (NM) functions as the first-line administrative ...and is required to frequently apply a set of management principles to ensure smooth operations of the department.… more
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  • A-Line Staffing Solutions (Harrisburg, PA)
    …inside and outside of the Department of Human Services on critical incident management . Hybrid Auditor Review Registered Nurse Requirements Licensed Registered ... Healthcare Specialist, case manager, long term care. MDS, Clinical experience, hospital, nurse auditor, Utilization review, medical fraud, Research Nurse ,… more
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  • A-Line Staffing Solutions (Spring City, PA)
    …or night shift. Charge nurses make assessments and decisions regarding staff utilization and supplies and equipment needs. Charge nurse supervises ... A-Line Staffing is now hiring a Registered Nurse in Spring City, PA . If you...care area such as infection control or quality assurance/improvement/risk management activities. Work assignments are received in the form… more
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  • 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
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  • A-Line Staffing Solutions (Morristown, NJ)
    …care hospitalization . Manages all aspects of discharge planning/transition process . Performs utilization management and quality screenings . In- Patient Case ... Management is required Nurse Case Manager Requirements . Licensed RN in NJ...management or managed care If you think this Nurse Case Manager Position is a good fit for… more
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  • Aequor (New York, NY)
    …an occupational nursing professional Minimum experience of 1-3 years in case management , utilization review and/or quality assurance Experience in episodic care, ... services to employees within regulated scope of practice and disability case management . Experience/Education: MS/NP in nursing degree and current NP license in New… more
    HireLifeScience (05/16/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Morning - EveningNortheast Georgia Health System is rooted in a foundation of improving the health ... Following admission, ensures smooth transition of new patients to primary nurse and other team members. Minimum Job QualificationsLicensure or other certifications:… more
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  • CHRISTUS Health (Alamogordo, NM)
    …screening, monitoring, and reporting individual cases and/or trends to the infection control nurse . Performs utilization management functions as required by ... payer source. Complies with the Utilization Management Plan. Requirements Education Required: Associate of Science Licenses & Certifications Required: L-RN… more
    JobGet (06/08/24)
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  • Dana-Farber Cancer Institute (Worcester, MA)
    …the highest quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and ... responsible for the planning, implementation and evaluation of clinical operations and personnel management of the assigned patient care unit. - He/she acts as a… more
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  • GHR Healthcare (Philadelphia, PA)
    Immediate Opening: Urgent Care Nurse Practitioner Needed in Philadelphia, PA Description: We provide concierge health services using a PCP-driven care model for the ... ER visits are not always necessary. This role supports long-term chronic condition management and collaborates with the PCP and Integrated Care Team to reduce ER… more
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  • Spectraforce Technologies Inc (Branchburg, NJ)
    …on an acute/critical care unit, organ donation/transplant unit, in tissue/blood banking, utilization review and/or case management with critical care skillset ... Job Title: Registered Nurse Location: Branchburg, NJ 08876 Duration: 06 months Work Schedule - 7:30am-4:00pm M-F JOB SUMMARY: * Responsible for maintaining… more
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