- CVS Health (Austin, TX)
- …to make health care more personal, convenient and affordable. **Position Summary:** This Utilization Management (UM) Nurse Consultant role is fully remote ... both) per the needs of the team.** The UM Nurse Consultant job duties include (not all...medical necessity, applies clinical expertise to assure appropriate benefit utilization , facilitates safe and efficient discharge planning and works… more
- WellSpan Health (York, PA)
- Behavioral Health Consultant Registered Nurse - Administration - Days Location: York Hospital, York, PA Schedule: PRN/Per Diem PRN - 8 to 16 hours per week 8 am ... Behavioral Health. Performs a variety of reviews and applies Behavioral Health utilization and consultative services to determine the most efficient use of resources… more
- CVS Health (Tallahassee, FL)
- …and affordable. **Position Summary** This is a full-time remote Quality Management Nurse Consultant opportunity. Working schedule is Monday-Friday, 8am-5pm in ... position reports to the Potential Quality of Care (PQOC) nurse investigator team manager . This position is...Grievance cases + Appeals experience + Case Management or Utilization Management experience + Managed care experience + Medicaid… more
- Houston Methodist (Nassau Bay, TX)
- …childbearing family's educational needs. Maintains an open line of communication with Nurse Director, Clinical Manager and Charge Nurses regarding actual or ... At Houston Methodist, the Lactation Support Consultant position functions at the Proficient level according...breast feeding support under the general supervision of the Nurse Director. In addition to functioning as a staff… more
- CVS Health (Atlanta, GA)
- …care more personal, convenient and affordable. **The Onsite Sr Clinical Consultant , RN collaborates with Gwinnett County Board of Commissioners' onsite Employee ... programs as well as other vendor solutions within Gwinnett County. Analyze utilization data to develop recommendations for future employee wellness programs. The… more
- Corewell Health (Grand Rapids, MI)
- …Visit Registered Nurse with an IBCLC Certification International Board of Lactation Consultant Job Summary The Registered Nurse Lactation Consultant The ... focus is assisting mothers and babies to breastfeed successfully. The Lactation Consultant is a licensed health professional who has obtained International Board of… more
- Abbott (Knoxville, TN)
- …scientists. **The Opportunity** We currently have an opportunity for a **Technical Consultant ** within our Rapid Diagnostics, Infectious Disease division. This is a ... advising relationships with customers regarding technically relevant issues, product utilization , and optimizing technical processes. + Eloquently communicates Abbott's… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with social work case… more
- Beth Israel Lahey Health (Cambridge, MA)
- …emergency care needs throughout the spectrum of life from pediatrics to older adults. NURSE MANAGER Under the direction of the Director of Nursing for Emergency ... lives.** Join our team as a key Emergency Department nurse leader in our newly renovated and expanded department,...a high performing work environment for all staff. The manager is responsible for all staff related matters, and… more
- Trinity Health (Mishawaka, IN)
- … nurse responsible for the patient, unit based resource nurses and the Nurse Manager of each unit. The CWOCN Consultant will also serve as a resource to ... utilization and compliance with vendor contracts. + Collaborates with the clinical nurse manager of the Wound Healing Center to assure continuity of care… more
- Louisiana Department of State Civil Service (Monroe, LA)
- …unit or to help ensure quality of agency services. + Works directly with RN Nurse Manager in the training of new employees/nurses. + Participates in Continuous ... Registered Nurse 4 (RN4) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4736533) Apply Registered Nurse 4 (RN4) Salary $5,119.00 -… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Nurse Scientist position is responsible for leading the development, coordination, implementation, evaluation, and dissemination of nursing ... research activities. This position works closely with the Director and Manager for Nursing Science to strategically plan, and outline priority initiatives based on… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Nurse Scientist position is responsible for leading the development, coordination, implementation, evaluation, and dissemination of nursing ... research activities. This position works closely with the Director and Manager for Nursing Science to strategically plan, and outline priority initiatives based on… more
- UCLA Health (Los Angeles, CA)
- …in Nursing (Master's preferred) that includes the five components of the nurse educator role (educator, administrator/ manager , consultant , and researcher). ... clinical education, patient intervention and promote effective working relationships. The Clinical Nurse Educator is a highly nurse with educational preparation… more
- CareFirst (Baltimore, MD)
- …- Certified Case Manager Upon Hire Preferred + LNCC - Legal Nurse Consultant Certified Upon Hire Preferred **Experience:** 2 years medical-surgical or ... **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding… more
- RWJBarnabas Health (Somerset, NJ)
- Nurse Coordinator RNReq #:46572 Category:ICU/Critical Care Nursing Status:Per Diem Shift:Day Facility:RWJBarnabas Health Corporate Services Department:MH Patient ... communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. Provides outcome data with targeted audiences… more
- Bon Secours Mercy Health (Youngstown, OH)
- …patients whom they encounter. The RN Imaging Navigator reports to the manager of the Joanie Abdu Comprehensive Breast Care Center. **QUALIFICATIONS/EDUCATION:** + ... behaviors. + Conducts interviews with patients and/or family. + Serves as a consultant on clinical issues for staff. + Ensures continuity of care & support… more
- Alameda Health System (Oakland, CA)
- Manager , Care Management + Oakland, CA + Highland General Hospital + HGH Care Coordination + Full Time - Day + Management + Req #:38499-28188 + FTE:1 + ... paid time off plans **Role Overview:** Alameda Health System is hiring! The Manager of Care Management is responsible for the day-to-day operations of facility wide… more
- Alameda Health System (Oakland, CA)
- Manager , Care Management + Oakland, CA + Highland General Hospital + HGH Care Coordination + Full Time - Day + Management + Req #:38497-28187 + FTE:1 + ... Highland is responsible for the day-to-day operations of facility wide utilization , discharge planning and care coordination. **DUTIES & ESSENTIAL JOB FUNCTIONS:**… more
- Ellis Medicine (Schenectady, NY)
- …psychosocial needs and coordinate transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or discharge planning ... and covered services. Support services provided by the Case Manager include, but are not limited to, utilization...plan of care, discussing concerns with the involved physician, nurse or ancillary staff member. Make appropriate referral to… more