- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our ... organizational standardization. Participates in identifying expanded use of and improvement management utilization of NGHS continuum. Participates in identifying… more
- Equiliem (Orange, CA)
- …BHT services from behavioral health providers. They are also responsible for utilization management , quality reviews and monitoring activities of BHT services. ... by communicating the Medical Director's decision and documents follow-ups in the utilization management system. Completes required documentation for data entry… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... other members of the healthcare team to assure patient management that efficiently and effectively aligns with patient needs...to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent… more
- Cambia Health Solutions, Inc (Lewiston, ID)
- …degree in Behavioral Health preferred for behavioral health care management ); or Registered nurse ( RN ) license (must have a current unrestricted ... Care Management Nurse (Future Opportunities)Work from home...Looking For: Every day, Cambia's dedicated team of Care Management RN 's are living our mission to… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our ... all campuses operated by NGHS. Collaborates with the physicians, patients, families, nursing, utilization review and other members of the health care team to ensure… more
- US Tech Solutions, Inc. (Columbia, SC)
- …. Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits ... sets/qualities: I would love to have someone with prior insurance/ utilization review experience, but I know that is not...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... of system-wide opportunities as they relate to Value Analysis standardization, utilization and implementation. Facilitate Value Analysis Teams (VAT) to most… more
- Pacer Staffing (Atlanta, GA)
- …Job Description: Summary: This individual contributor position reports to the Directors of Utilization Management (UM) and Referral Management (RM) and ... other duties as assigned. Regular and reliable attendance is required. Required: Registered Nurse , with current unrestricted license in appropriate state 4+… more
- Pacer Staffing (Atlanta, GA)
- …regulatory requirements, and HIPAA privacy regulations. . Thorough knowledge of Case Management , Utilization Management , HIPAA Privacy and Security ... Job Summary . Provides Disease Management (DM) services to TRICARE beneficiaries. . The... (DM) services to TRICARE beneficiaries. . The DM nurse will collaboratively assess, plan, implement, coordinate, monitor and… more
- Pacer Staffing (Atlanta, GA)
- …description Job Summary This individual contributor position reports to the Directors of Utilization Management (UM) and Referral Management (RM) and ... processes and techniques for measuring outcomes. Education & Experience Required: . Registered Nurse , with current unrestricted license in appropriate state .… more
- University Medical Center of El Paso (El Paso, TX)
- …coordinator. Minimum Job Requirements: Work Experience: Three years of experience as a Registered Nurse required. Previous case management experience or ... Skills: Excellent leadership, recommendation making and delegation skills. Knowledge of care management , resource and utilization management . Skilled in care… more
- ICONMA (Santa Rosa, CA)
- …than popularity. Promotes, supports, encourages, and fosters maximum communication across case management with the purpose of making one accessible and available to ... policies and procedures required for success under the direction of the case management leadership. Leads special and audit projects independently with the end goal… more
- Pacer Staffing (Atlanta, GA)
- …state or territory of the United States, as a Licensed Clinical Social Worker or Registered Nurse US Citizenship Must be able to receive a favorable Interim and ... direction and build group engagement. Technical Skills: Thorough knowledge of Case Management , Utilization Management , TRICARE policies and procedures, HIPAA… more
- Blanchard Valley Health System (Findlay, OH)
- …and procedures for service area. REQUIRED QUALIFICATIONS Current Ohio Licensure as a Registered Nurse Nursing experience 5+ years, 2-4 years in Care Coordination ... Acute Care Transitions Team, including the disciplines of Social Work, Case Management , Utilization Review, and Emergency Department Care Navigation to support… more
- Legend Biotech USA, Inc. (Fort Worth, TX)
- …to: enhance proper administration, and educate on appropriate adverse identification and management . This is a field-based role that works closely with sales, ... Conducts peer-to-peer in-person and virtual educational programs through 1:1 APP/ Nurse and group presentations; Meet with identified customers in each… more
- Accounting Now (Carson City, NV)
- …(ABA) services only, and there is licensed staff supervisionPrevious experience in case management / utilization management with a broad range of experience ... experience which would provide an equivalent backgroundCurrent active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws)… more
- Staffing Now (Carson City, NV)
- …services only, and there is licensed staff supervision. Previous experience in case management / utilization management with a broad range of experience with ... which would provide an equivalent background. Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT… more
- Blanchard Valley Hospital (Findlay, OH)
- …resources. REQUIRED QUALIFICATIONS Licensed by the Ohio Board of Nursing as a Registered Nurse . Four (4) years clinical nursing experience. BCLS certification ... THIS POSITION The purpose of the role of the RN Case Manager is to develop, implement and evaluate...to develop, implement and evaluate an organized inpatient case management service for pediatric and adult hospitalized patients under… more
- GHR Healthcare (Atlanta, GA)
- Are you a detail-oriented RN with a knack for navigating complex medical cases? Do you thrive on making critical decisions that impact patient care? Join us as a ... Care Management Coordinator and play a key role in evaluating...a resource for members navigating the healthcare system. Data Management : Maintain accurate records and report trends or issues… more
- Engage Partners, Inc. (Orange, CA)
- …substance abuse staff and others Education and Knowledge, Skills and Abilities Required: Registered Nurse , currently licensed in the State of California with a ... The Nurse Supervisor supervises and manages nursing staff to...informed, and culturally competent services. Ensure charts meet quality management standards per monthly utilization review and/or… more
