- Williamson Health (Murfreesboro, TN)
- …workplace. POSITION SUMMARY To perform the activities of Case Management and Utilization Management to facilitate the collaborative management for an entire episode ... team, focusing on resource management and discharge planning. Performs timely review and delivery of necessary clinical information according to governmental… more
- ChristianaCare (Newark, DE)
- RN Case Manager - Weekender - Day Shift Saturday & Sunday (Plus one rotating Friday shift). Newark, DE ChristianaCare - Wilmington Hospital is currently recruiting ... an RN Case Manager - Weekender with experience in Transitional Care or...Worker - Resolves psycho-social barriers and supports discharge needs. Utilization Management - Reviews patient status for appropriateness and… more
- Valley Health System Consolidated Services (Las Vegas, NV)
- …minimum three years experience in varied clinical settings. Two years experience in Utilization Review , Utilization Management or Case Management preferred. ... establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is...Has a current license to practice as a Registered Nurse in the State of Nevada. Other: Must be… more
- Valley Health System Consolidated Services (Las Vegas, NV)
- …minimum three years experience in varied clinical settings. Two years experience in Utilization Review , Utilization Management or Case Management preferred. ... establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is...Has a current license to practice as a Registered Nurse in the State of Nevada. Other: Must be… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... Case Manager RN Sign-on Bonus and Relocation Reimbursement available!...are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate… more
- Greenspring Village by Erickson Senior Living (Springfield, VA)
- Location: Greenspring Village by Erickson Senior Living Join our team as the Nurse Manager , RN also known as the Clinical Manager ! The Clinical Manager ... leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... to experience, education, and other business and organizational considerations. Department: Utilization Management - UH FTE: 1.00 Full Time Shift: Days Position… more
- University Health (Pleasanton, TX)
- …Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current ... POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care… more
- The George Washington University Hospital (Washington, DC)
- …Human Resources Recruiter at ###. Please allow two to three business days for the manager to review your application. Thank you for your interest! About GW ... shift oversight for clinical practice, staffing, patient flow, safety, service, and utilization of resources for daily operations. Maintains the environment of care.… more
- The George Washington University Hospital (Washington, DC)
- …Resources Recruiter at ###. Please allow two to three business days for the manager to review your application. Thank you for your interest! About Universal ... shift oversight for clinical practice, staffing, patient flow, safety, service, and utilization of resources for daily operations. Maintains the environment of care.… more
- The George Washington University Hospital (Washington, DC)
- …Resources Recruiter at ###. Please allow two to three business days for the manager to review your application. Thank you for your interest! About Universal ... shift oversight for clinical practice, staffing, patient flow, safety, service, and utilization of resources for daily operations. Maintains the environment of care.… more
- Greenspring Village by Erickson Senior Living (Springfield, VA)
- …loss, and dehydration. Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) ... Minimum 3 years' experience in a healthcare leadership role (Charge Nurse , Unit Manager , etc.). Experience with an electronic medical record (EMR) system is… more
- Seabrook Village by Erickson Senior Living (Tinton Falls, NJ)
- …loss, and dehydration. Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) ... Minimum 3 years' experience in a healthcare leadership role (Charge Nurse , Unit Manager , etc.). Experience with an electronic medical record (EMR) system is… more
- University Health (Boerne, TX)
- …recent, full time hospital experience preferred. Work experience in case management, utilization review , or hospital quality assurance experience is preferred. ... and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to… more
- University Health (Pleasanton, TX)
- …recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. ... hire date. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice... is required. National certification in related field is preferred. Case Manager Certification (CCM or ANCC) is highly… more
- Luminis Health (Annapolis, MD)
- …supports succession planning for additional roles, such as clinical supervisor and nurse educator. Essential Job Duties: 1. Work collaboratively with the Surgeon ... Capture Coordinator, the Clinical Nursing Director, the Surgical Services Business Manager , Central Sterile Services leadership to coordinate the availability of… more
- MVP Health Care (Tarrytown, NY)
- …functional capability through the coordination of quality cost effective care. The Case Manager will also monitor and review cases with the Medical Director ... improvement. To achieve this, we're looking for a Case Manager , Medicaid Long Term Support Program to join #TeamMVP....bring: Current New York State Licensure as a Registered Nurse required. Certification in Case Management required within 24… more
- Huron Consulting Group (Chicago, IL)
- …Management is responsible for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the ... + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the...and may be implemented in the future._ **Position Level** Manager **Country** United States of America At Huron, we're… more
- Vighter Medical Group (Glendale, CO)
- …Office of Community Care (OCC) in Glendale, Colorado. As a Case Manager / Utilization Review Nurse , you'll play a key role in coordinating and reviewing ... Type Full Time Job Shift Any Education Level Registered Nurse (RN) Travel Percentage None Category Health Care Description...or on-call required. What You'll Do As a Case Manager / Utilization Review RN,… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) ... review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
