- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) ... timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring… more
- Christus Health (San Antonio, TX)
- …and operations for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- ERP International (Hurlburt Field, FL)
- **Overview** ERP International is seeking a full time ** Registered Nurse (RN) Case Manager ** in support of the 1st Special Operations Medical Group at ... Management Specialist (CDMS) Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) American Board for Occupational Health… more
- ERP International (Twentynine Palms, CA)
- **Overview** ERP International is seeking ** Registered Nurse (RN) Case Managers** for full-time positions in support of the **Naval Hospital Twentynine Palms, ... Management Specialist (CDMS) o Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) o American Board for Occupational Health… more
- Christus Health (Dallas, TX)
- …role as detailed below, do not wait to send your CV. Summary: The Registered Nurse Navigator Population Health Senior is accountable for coordinating and ... preventive care, and ensuring patients receive appropriate and timely interventions. Registered Nurse Navigator Population Health Senior will work… more
- Christus Health (San Antonio, TX)
- …Medicare GMLOS by managing per Milliman/Interqual Care Guidelines. Resource/ Utilization Management/appropriateness: Assess assigned patient population for medical ... necessity, level of care and appropriateness of setting and services. Utilizes Milliman/Interqual Care Guidelines to track impact and variance. Discharge Planning: Collaborates with Social Worker proactively - arranges to meet facilities' target Discharge… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager ** for a full-time position supporting **SHG Clinic** in support of ... Evaluation Unit (THMEU) in San Antonio, Tx. The Case Manager will be required to attend a 1 (one)...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- Fresenius Medical Care (Atlanta, GA)
- About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Yale New Haven Health (West Haven, CT)
- …do, as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager /Clinical Coordinator. The Registered Nurse (Rn) ... Regarding Care For Patients. EXPERIENCE N/A LICENSURE Valid State Of Connecticut Registered Nurse License SPECIAL SKILLS BLS Required Additional Information… more
- ERP International (Luke AFB, AZ)
- …full, active, and unrestricted license to practice as a Registered Nurse , any state. Clinical Certification:** Certified Case Manager by Commission for ... **Overview** ERP International is seeking a full time ** Registered Nurse - Case Management** in...of interventions, treatment delivery and timeliness of care; and utilization of resources. Monitors and evaluates the facility's case… more
- Yale New Haven Health (Danbury, CT)
- …do, as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager /Clinical Coordinator. The Registered Nurse (Rn) ... Regarding Care For Patients. EXPERIENCE N/A LICENSURE Valid State Of Connecticut Registered Nurse License SPECIAL SKILLS BLS Required Additional Information… more
- Christus Health (Euless, TX)
- …care plans. The RN Navigator will manage the length of service, promote efficient utilization of resources, and ensure that a well-organized and safe plan of care is ... the following certifications is required within 2 years of hire Certified Case Manager (CCM) by CCMC Nursing Case Management Certification (CMGT-BC) by ANCC Work… more
- Fresenius Medical Care (Albany, OR)
- …staff member present Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours PURPOSE AND SCOPE: Works ... with the Facility Manager , facility staff and physician to coordinate the facility...ADMINISTRATIVE: Participates in cost control initiatives. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to… more
- University Health (Hondo, TX)
- … review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners ... and any qualifications that applicants are expected to have. The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team,… more
- University Health (Pleasanton, TX)
- … review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners ... details pertaining to this job in the description below. The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the… more
- Battelle Memorial Institute (Colorado Springs, CO)
- …two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any US State, the District of Columbia, Guam, Puerto ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager ** to join our team...professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report actual or… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …Master's degree in Nursing, Health Care Administration, or related field preferred. Current Registered Nurse licensure in the State of California and AHA CPR/BLS ... rewarding. **It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning for… more
- Luke Staffing (Yigo, GU)
- …+ **Licensure:** Current, full, active, and unrestricted license to practice as a Practical OR Registered Nurse in any one of the 50 States, the District of ... ** NURSE - REFERRAL MANAGEMENT** **SITE OF SERVICE:** +...experience is required. One year of previous experience in Utilization Management is required. Full time employment in a… more
- Alameda Health System (Oakland, CA)
- …in Nursing preferred. Required License/Certifications: CCRN - Critical Care Registered Nurse is desirable. Required Licenses/CertificationsTPM: ACLS, TNCC, ... department). Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California....Nurse in the State of California. Trauma Program Manager (TPM) minimum experience: Four years as a trauma… more
- Stanford Health Care (Palo Alto, CA)
- …and outcomes of patient health care **Licenses and Certifications** + Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure required . ... Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity to work with the...include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for… more
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