- VNS Health (Manhattan, NY)
- OverviewSupervises and coordinates the day-to-day business operations of clinical and non clinical support activities, including monitoring internal processes, ... coordinating activities between the clinical and non- clinical staff, and supervising support functions to facilitate efficient clinical operations. Makes… more
- CareFirst (Baltimore, MD)
- …**PURPOSE:** Supervise the daily operations of the utilization management ( UM ) department functions to ensure appropriate coordination of health care ... that week. **ESSENTIAL FUNCTIONS:** + Supervise the daily operations of the UM staff. Recruits, retains and develops a high performing team. Evaluates performance… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …patient care by providing leadership and support to the unit staff for clinical , administrative, and bed placement functions. The NOD has delegated authority for the ... huddle which is attended by nurse managers/charge nurses from inpatient units, procedural area representatives (OR, Cardiology, etc.),transfer coordinator nurses,… more
- InnovaCare (San Juan, PR)
- …passion and customer focus to the business. MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the ... inpatient utilization of healthcare resources and develops, coordinates and...compliance with the Plan's SNP policies and MOC requirements. Clinical staff who do not complete the required annual… more
- WMCHealth (Valhalla, NY)
- …for Utilization Management and Documentation strategies and processes. Responsibilities: + Reviews inpatient cases when clinical determinations cannot be made by ... aggregate denials/appeals with the Medical Director, peer, or the Clinical Review Supervisor . + Provides continuous education...and accurate manner. .Functions as a resource for initial clinical reviewers. + Serves on UM Committee… more
- University of Michigan (Ann Arbor, MI)
- …nursing management ( supervisor or higher); case management; demonstrated advancement in clinical career ladder (advancement from level C to level D or higher) ... physician, social worker and all members of the interdisciplinary team in the inpatient and emergency department patient care areas. The position is unique in that… more
- University of Michigan (Ann Arbor, MI)
- …quality assurance, and administration of activities and personnel that span inpatient and outpatient clinical operations. Develops, implements, and monitors ... is responsible for the direct managerial oversight of a clinical advanced practice provider (APP) team to include Physician...or in any way modify the right of any supervisor to assign, direct, and control the work of… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …in daily huddles, MDR, planning, development, evaluation and revision of the UM Program activities. Utilizes knowledge of clinical practice and external ... RN functions with advanced knowledge and skills to provide clinical coordination and oversight for their patient population. The...policies and procedures to assure all patients in the inpatient setting receive the right care, for the right… more
- University of Michigan (Ann Arbor, MI)
- …Manager Intermediate Healthcare, this candidate will oversee management of all inpatient phlebotomy teams, and outpatient medical campus phlebotomy blood draw ... with policies and procedures established either by the Laboratory Director or technical supervisor . 4. Keep staff informed of all new policies and modifications. 5.… more