- Valley Health System Consolidated Services (Las Vegas, NV)
- …A minimum three years experience in varied clinical settings. Two years experience in Utilization Review , Utilization Management or Case Management ... establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum...License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada.… more
- ChristianaCare (Newark, DE)
- …plan. Social Worker - Resolves psycho-social barriers and supports discharge needs. Utilization Management - Reviews patient status for appropriateness and ... RN Case Manager - Weekender - Day Shift...throughout the care continuum and discharge planning. The Care Management Model: Our Care Management Triad Team… more
- Valley Health System Consolidated Services (Las Vegas, NV)
- …A minimum three years experience in varied clinical settings. Two years experience in Utilization Review , Utilization Management or Case Management ... establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum...License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada.… more
- University of New Mexico - Hospitals (Alameda, NM)
- …limited to experience, education, and other business and organizational considerations. Department: Utilization Management - UH FTE: 1.00 Full Time Shift: Days ... patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE… more
- Greenspring Village by Erickson Senior Living (Springfield, VA)
- …clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management /Safety ... by Erickson Senior Living Join our team as the Nurse Manager, RN also known as the...term care, assisted living or hospital) is required. Current Registered Nurse license for the state in… more
- University Health (Boerne, TX)
- …Three years recent, full time hospital experience preferred. Work experience in case management , utilization review , or hospital quality assurance experience ... clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF...of the State of Texas to practice as a registered nurse is required. National certification in… more
- Seabrook Village by Erickson Senior Living (Tinton Falls, NJ)
- …weight loss, and dehydration. Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management /Safety ... Salary based on experience** What you will need Current RN nursing license with no restrictions for the state...3 years' experience in a healthcare leadership role (Charge Nurse , Unit Manager, etc.). Experience with an electronic medical… more
- University Health (Pleasanton, TX)
- …Three years recent, full-time hospital experience preferred. Work experience in case management , utilization review or hospital quality assurance experience ... Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred....of the State of Texas to practice as a registered nurse is required. National certification in… more
- University Health (Pleasanton, TX)
- …(as a Staff nurse II or above). Work experience in case management , utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS ... Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or… more
- Houston Methodist Hospital (Houston, TX)
- …Previous transplant acute care and/or ICU experience preferred LICENSES AND CERTIFICATIONS - REQUIRED RN - Registered Nurse - Texas State Licensure -- ... At Houston Methodist, the Pre-Transplant Coordinator position a registered nurse , responsible for participating in department initiatives, facilitating, and… more
- Houston Methodist Baytown Hospital (New Orleans, LA)
- …of those years with people management experience LICENSES AND CERTIFICATIONS - REQUIRED RN - Registered Nurse - Texas State Licensure -- Compact ... At Houston Methodist, the Director Nursing position is responsible for the 24/7 management of the assigned nursing units and departments in terms of the quality of… more
- Houston Methodist Specialty Physician Group (Webster, TX)
- …assigned patient population, under the direct supervision of a Physician, APP and/or Registered Nurse . This position oversees appropriate scope of practice, (ie ... patients visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. Complete pre-visit planning workflow… more
- Houston Methodist Specialty Physician Group (Houston, TX)
- …medical assistant level tasks under the direct supervision of a Physician and/or Registered Nurse for assigned patient populations, for providing high quality ... patients visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. Complete pre-visit planning workflow… more
- Bluestone Child & Adolescent Psychiatric Hospital (University Heights, OH)
- …as a psychiatric nurse . 1-2 years-experience in behavioral health utilization review preferred. AGENCY SUMMARY: Bluestone is seeking dynamic healthcare ... timely response to emails and other communications relating to utilization review . Prepare and submit appeals utilizing...tracking as needed. Perform all duties of the Psychiatric Nurse ( RN /LPN) role as needed or when… more
- Greenspring Village by Erickson Senior Living (Springfield, VA)
- …weight loss, and dehydration. Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management /Safety ... of up to 8%. What you will need Current RN nursing license with no restrictions for the state...3 years' experience in a healthcare leadership role (Charge Nurse , Unit Manager, etc.). Experience with an electronic medical… more
- Houston Methodist West Hospital (Houston, TX)
- …at a Cath Lab Radiologic Technologist II level. Serves as the liaison between management , staff and physicians for routine matters as the primary point of contact ... may include many of the following: organize work schedules, make work assignments, review and edit time cards for accuracy, conduct quality assurance audits of staff… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
- Katmai (Fort Carson, CO)
- …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 and ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
- Centene Corporation (Sacramento, CA)
- …degree and 4+ years of related experience. Knowledge of utilization management principles preferred. Must have a CA RN License **License/Certification:** + ... ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks... RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- UNC Health Care (Morrisville, NC)
- …the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and operational leader responsible ... for designing, implementing, and standardizing utilization management functions across a large healthcare...Operational oversight of centralized and site-specific UM teams, including utilization review nurses and support staff. Cultivate… more
