- CVS Health (Carson City, NV)
- …to make health care more personal, convenient and affordable. **Position Summary** Utilization management is a 24/7 operation. Work schedules will include ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical experience in acute… more
- CVS Health (Austin, TX)
- …Nurse Consultant participating in non-traditional, weekend shift rotation. As a Utilization Management Nurse Consultant , you will utilize clinical ... shifts of 10hrs each in time zone of residence; Utilization Management is a 24/7 operation and...once Monday through Friday training schedule completed and UM Nurse Consultant participating in non-traditional, weekend shift… more
- PruittHealth (Atlanta, GA)
- **JOB PURPOSE:** Senior Nurse Consultant serves as a member of the clinical and region team, to assist centers in achieving clinical excellence. She/he is ... operations and quality improvement practices for designated centers. The senior nurse consultant provides education, mentoring and validation of required… more
- US Tech Solutions (RI)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... + Must have experience with Medcompass + Must have prior authorization utilization experience. + Managed Care/Medicare experience preferred. **Skills:** + MUST HAVE… more
- CVS Health (Columbus, OH)
- …reimbursement policy. + 1+ year of Coding experience **Preferred Qualifications** + Utilization Management review + Managed Care experience **Education** + ... years of clinical experience required + 2+ years of experience as a Registered Nurse + Must have active, current and unrestricted RN licensure in state of residence… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …facilitator and consultant to the multidisciplinary patient care team. The Utilization Review Nurse is responsible for review of clinical information ... Summary The Utilization Review Nurse combines clinical expertise...Experience: Greater than 3 years clinical nursing experience required. Utilization management experience preferred. Must be self-directed… more
- Houston Methodist (Nassau Bay, TX)
- At Houston Methodist, the Lactation Support Consultant position functions at the Proficient level according to Benner's model of clinical practice and is responsible ... breast feeding support under the general supervision of the Nurse Director. In addition to functioning as a staff... Director, Managers and Charge Nurses, the Lactation Support Consultant position is responsible for the quality of patient… more
- McLaren Health Care (Lansing, MI)
- …the Patient Care Coordinator or Patient Care Manager, the Certified Lactation Consultant independently provides consultations to management for routine and ... or Practical Nurse by State of Michigan. * Certified Lactation Consultant (IBCLC) by the International Board of Lactation Consultant Examiners. * American… more
- CVS Health (Raleigh, NC)
- …collaborative position working proactively with the Aetna account team, Aetna's Care management teams, and key Public and Labor partners to support our customers. ... MUST RESIDE IN NORTH CAROLINA In this role, the consultant is empowered to: + Provide progressive consultative clinical...consultative clinical insights based on analysis of clinical plan utilization and impact of member behavior on medical plan… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Clinical Nurse - Woundcare -WOCN-Mount Sinai Hospital-FT/Nights** The Nurse Clinician is a registered professional nurse who ... skills in an area of clinical nursing specialization. The nurse clinician is able to guide and promote the...Patient screening Patient/Family education D/C planning and follow-up Case management Research + Maintains clinical expertise in area of… more
- Trinity Health (Mishawaka, IN)
- …for quality care. **JOB SUMMARY:** The inpatient **Certified Wound Ostomy Continency Consultant (CWOCN Consultant ), Registered Nurse ** will provide clinical ... and their family members to assist them in the management of their individual wound care needs. Ultimate responsibility...for the patient, unit based resource nurses and the Nurse Manager of each unit. The CWOCN Consultant… more
- Houston Methodist (Houston, TX)
- …others regarding care of defined populations in resource utilization and time management . + Provides clinical guidance as a Nurse Practitioner or Physician ... At Houston Methodist, the Lead Nurse Practitioner/Physician Assistant (NP/PA) position is responsible for...the preparation of annual evaluations with supporting physicians and management personnel to ensure all paperwork is in compliance… more
- Veterans Affairs, Veterans Health Administration (Erie, PA)
- …Performance & Quality position to function as an administrator, educator, and consultant utilizing management theory in collaboration with Patient Care Services ... Erie VA Medical Center is current recruiting for a Nurse IV, Registered Nurse - Chief, Office...quality activities (to include but not limited to, Accreditation, Utilization Review/ Management , Infection Control, Green Environmental … more
- Veterans Affairs, Veterans Health Administration (Des Moines, IA)
- …utilization of VHA/VACIHCS resources. Collaborates referral services and consultant services to develop care coordination agreements (service agreements). ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers… more
- HonorHealth (Scottsdale, AZ)
- …of the patient population served. The CRN serves as a coordinator, clinical nurse , educator, consultant , and leader in clinical research. Applies experience and ... research protocols within the clinical setting. Interacts daily with physicians, nurse practitioners, management , staff, patients, and families to promote… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Nurse Scientist position is responsible for leading the development, coordination, implementation, evaluation, and dissemination of nursing ... plan, and outline priority initiatives based on hospital quality measures. The Nurse Scientist position ensures the highest quality of scholarly and scientific… more
- ERP International (Camp Pendleton, CA)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... algorithms, CM software, databases for community resources, etc. + Integrate CM and utilization management (UM) and integrate nursing case management with… more
- Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
- …responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers ... Duties Include but not limited to: The Endemic Resource Team Registered Nurse (RN) is responsible for providing competent, evidence-based care to assigned patients.… more
- Veterans Affairs, Veterans Health Administration (Little Rock, AR)
- …purpose of providing evidence-based care. Responsibilities The Endoscopy Registered Nurse (RN) is responsible for providing competent, evidence-based procedural care ... health education and coaching on wellness, disease prevention, and chronic care management . Incumbent will assist in directing the provision of nursing education,… more
- Veterans Affairs, Veterans Health Administration (West Haven, CT)
- Summary The Registered Nurse -Emergency Department is located in Nursing, Operations at the West Haven, CT campus. This position is full-time at 40 hours per week. ... Responsibilities VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Emergency Department (ED) Registered Nurse (RN) is responsible for… more