- Alameda Health System (Oakland, CA)
- …plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic ... adapting to ad hoc duties as needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care. DUTIES & ESSENTIAL JOB… more
- Novo Nordisk Inc. (Los Angeles, CA)
- About the Department The Clinical , Medical and Regulatory (CMR) department at Novo Nordisk is one of the most diverse and collaborative groups within the ... The Position Territory: Los Angeles, CA Builds relationships and demonstrates the clinical outcome and benefits of NNI products. Educates and demonstrates the… more
- Christus Health (Dallas, TX)
- …years of clinical nursing experience required 5 years of case management experience required Experience working in primary care value-based care organization is ... not wait to send your CV. Summary: The Registered Nurse Navigator Population Health Senior is accountable for coordinating...Senior will manage the length of service, promote efficient utilization of resources, and ensure that a well-organized and… more
- Katmai (Fort Carson, CO)
- …American Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management . + One (1) year of experience in UR/UM ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE eligible beneficiaries within the CMHS.… more
- University Health (Pleasanton, TX)
- …years of clinical nursing experience is required. Data entry, referral management , utilization management experience is required. Case Management ... advocate to identify and communicate health care needs. Works collaboratively with clinical staff, clinic leadership, and outside agencies in an effort to improve… more
- Christus Health (Euless, TX)
- …Requirements: Education/Skills Bachelor's Degree in Nursing preferred Experience 3 years of clinical experience required 2 years of case management experience ... 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… more
- Christus Health (San Antonio, TX)
- …Medicare GMLOS by managing per Milliman/Interqual Care Guidelines. Resource/ Utilization Management /appropriateness: Assess assigned patient population for ... care and cost effectiveness by integrating the functions of case management , resource management , clinical documentation management , and discharge… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day ... clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring… 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. ... or chronic kidney disease. Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- ERP International (Macdill AFB, FL)
- …is seeking a **Registered** ** Nurse (RN)** for a Full-Time position in ** Utilization Management ** at MacDill AFB, FL. Apply online today and discover more ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- ERP International (Luke AFB, AZ)
- …algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with ... **Overview** ERP International is seeking a full time **Registered Nurse - Case Management ** in support of the56th Medical Group at Luke AFB, AZ… more
- Alameda Health System (Oakland, CA)
- Clinical Nurse IV + Oakland, CA +...Hospital + Emergency + Full Time - Night + Management + TBD + Req #:43134-32050 + FTE:1 + Posted:November ... degree in Nursing preferred. Minimum Experience:One year full-time, continuous experience as a Clinical Nurse III or three years experience as a Clinical… more
- Alameda Health System (Oakland, CA)
- Clinical Nurse V + Oakland, CA + Highland...FQ MCH/OB Clinic (K6) + Full Time - Day + Management + $64.00- $96.00 + Req #:42878-31844 + FTE:1 + ... nursing unit for which responsible. Promotes effective and economic utilization of personnel and supplies. Monitors utilization ...(1) Three years full time continuous experience as a Clinical Nurse III with AHS. (2) Two… more
- Luke Staffing (Yigo, GU)
- … clinical nursing experience is required. One year of previous experience in Utilization Management is required. Full time employment in a nursing field ... requirements of this position, it must be directly related to referral/ utilization management . + **Licensure:** Current, full, active, and unrestricted… more
- Yale New Haven Health (West Haven, CT)
- …as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/ Clinical Coordinator. The Registered Nurse (Rn) Assesses, ... Functions As A Preceptor To New Staff. Functions As A Charge Nurse . Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization ,… more
- Yale New Haven Health (Danbury, CT)
- …as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/ Clinical Coordinator. The Registered Nurse (Rn) Assesses, ... Functions As A Preceptor To New Staff. Functions As A Charge Nurse . Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization ,… more
- Fresenius Medical Care (Fayetteville, NC)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions...the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member… more
- Katmai (Usaf Academy, CO)
- …all levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. ... same duties as those required of any military or government civil service nurse of similar experience and in similar duty assignments. **ESSENTIAL DUTIES &… more
- Memorial Hermann Health System (Kingwood, TX)
- …and when appropriate or requested when the hospitalist service is in the co- management or consultative role. Cover Code Blue and Rapid Responses in accordance with ... with the hospital on call schedule and patient assignment guidelines. Provide co- management services for subspecialty services when such services are within the… more
- ERP International (Hurlburt Field, FL)
- …algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with ... **Overview** ERP International is seeking a full time **Registered Nurse (RN) Case Manager** in support of the 1st Special Operations Medical Group at Hurlburt… more
