- Highmark Health (Little Rock, AR)
- …and Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with established… more
- University of Rochester (Strong, AR)
- …of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Utilization Management Nurse role is a unique and ... Type: Full time Scheduled Weekly Hours: 40 Department: 500009 Utilization Management Work Shift: UR - Day...all UM customers. Other duties as assigned. **QUALIFICATIONS** + RN with Utilization Review experience… more
- Community Health Systems (Siloam Springs, AR)
- …**Qualifications** + 2-4 years of clinical nursing experience required + Experience in utilization review , case management , or discharge planning preferred ... **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating...coordinating patient care activities under the supervision of a Registered Nurse or physician. This role involves… more
- CVS Health (Little Rock, AR)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews **Required Qualifications** + 5+ years' experience as a Registered Nurse with hospital experience; preferably in...lower levels of care + 1+ years' experience in Utilization Review + CCM and/or other URAC… more
- Baptist Memorial (Jonesboro, AR)
- …and/or life situation. Performs other duties as assigned. Responsibilities + Utilization Review + Discharge planning + Readmission Reduction Participation ... Facility: BMH - NEA Hospital Department: JO Physical Therapy NEA Baptist Jonesboro Category: Nurse RN Type: Clinical Work Type: PRN Work Schedule: Days Location:… more
- Guardian Life (Little Rock, AR)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...issues, when possible, to enhance the customer experience. **Activity** Review and assess claimant subjective reports and objective medical… more
- NHS Management, LLC (Fort Smith, AR)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... medical plan! We are in search of a qualified RN Unit Manager : + Assists in maintaining resident...documentation of treatment and nursing observations. Qualifications: + Current RN license by State required with experience in the… more
- Catholic Health Initiatives (Little Rock, AR)
- …CCM or ACM Certification within 2 years of hire date + Previous case management , utilization management , or discharge planning experience strongly preferred ... **Overview** As a ** RN Case Manager** with CHI St Vincent Infirmary,...CHI St Vincent Infirmary, you'll work with physicians, other registered nurses, specialized departments, and community resources. This provides… more
- STG International (Jonesboro, AR)
- …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activities. ... Performance Improvement Team (QPIT) strategic initiatives. + Participate in review and improvement of clinical success in of areas...of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and… more
- Baptist Memorial (Jonesboro, AR)
- …the safe movement of patients through the continuum of care, ensures optimal utilization of resources, service delivery and compliance with external review ... the patient's health goals and coordinate services with the RN Case Manager for an effective transition plan. Meets...and revising a care plan to ensure good transition management and continuity of care (LOS, discharge delays), cost… more