- Christus Health (San Antonio, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Christus Health (Dallas, TX)
- …role as detailed below, do not wait to send your CV. Summary: The Registered Nurse Navigator Population Health Senior is accountable for coordinating and ... preventive care, and ensuring patients receive appropriate and timely interventions. Registered Nurse Navigator Population Health Senior will work… more
- 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 ... hoc duties as needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care....Required Licenses/Certifications : Valid license to practice as a Registered Nurse in the State of California.… more
- Christus Health (San Antonio, TX)
- …Medicare GMLOS by managing per Milliman/Interqual Care Guidelines. Resource/ Utilization Management /appropriateness: Assess assigned patient population for ... This position provides expertise and leadership to insure effective resource management for patient care delivery (Conditions of Participation COP 482.30). Case… more
- Lourdes Health (Pasco, WA)
- Registered Nurse (RN), House Supervisor Job Type: Full-time Varied Shifts Wage scale: $46.93 - $65.70 per hour Your experience matters At Lourdes Health, we are ... as an employee, but as a person. As a registered nurse (RN) joining our team, you're...an environment that encourages professional growth. Initiates weekend case management , Utilization review screening, assists with D/C… more
- Lourdes Health (Pasco, WA)
- Registered Nurse (RN), House Supervisor Job Type: Full Time Days Wage scale: $46.93 - $65.70 per hour Your experience matters At Lourdes Health, we are driven by ... as an employee, but as a person. As a registered nurse (RN) joining our team, you're...an environment that encourages professional growth. Initiates weekend case management , Utilization review screening, assists with D/C… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse I Department: Orthopedic Surgery Location: RGH Hours Per Week: Full Time/36 hours per week Schedule: Straight Shift- Days. Every ... other weekend/holidays. Sign-On Bonus: $15,000 SUMMARY : As a Registered Nurse (RN), you're the engine and...on 3800 provide direct bedside care, patient education, pain management , post-op recovery support, and discharge planning. The unit… 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, ... Regarding Care For Patients. EXPERIENCE N/A LICENSURE Valid State Of Connecticut Registered Nurse License SPECIAL SKILLS BLS Required Additional Information… 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, ... Regarding Care For Patients. EXPERIENCE N/A LICENSURE Valid State Of Connecticut Registered Nurse License SPECIAL SKILLS BLS Required Additional Information… more
- Fresenius Medical Care (Albany, OR)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and ... of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed. Assists with implementing… more
- Fresenius Medical Care (Fayetteville, NC)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Care (Ponca City, OK)
- …Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. ... Test. Preferred but not required: 3+ years supervisory or project/program management experience. Med/surg or ICU/CCU experience. PHYSICAL DEMANDS AND WORKING… more
- CenterWell Home Health (Pittsfield, MA)
- …driver's license, auto insurance and reliable transportation. Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...accredited School of Nursing. Current state license as a Registered Nurse . Proof of current CPR. Valid… more
- Interim HealthCare (Greenwood, IN)
- Description Our Registered Nurse Case Managers (RNCM) have been called to care when they're needed most. At Interim HealthCare, you'll support a full range of ... and dignity to our clients. What we offer our Registered Nurse Case Managers (RNCM): Competitive pay,...(RN) in home health or similar setting; previous case management / utilization review experience preferred. OASIS experience preferred.… more
- Kaiser Permanente (Clackamas, OR)
- …the telephone as in person. Basic Qualifications: Experience Three (3) years of Registered Nurse experience, one year in clinical specialty. Education High ... GED. Graduate of accredited school of nursing. License, Certification, Registration Registered Nurse License (Oregon). Basic Life Support. Additional… more
- University Health (San Antonio, TX)
- …Experience in an HMO setting or managed care is required. LICENSURE/ CERTIFICATIONS If a Registered Nurse or Social Worker must be licensed in the State of ... POSITION SUMMARY/RESPONSIBILITIES Provide oversight and management of the Community First Health Plans (CFHP)...STAR Kids clinical and administrative staff. Oversee the efficient utilization of resources within the schedule of benefits for… more
- Katmai (Fort Carson, CO)
- …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 and ... Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
- Saint Francis Health System (OK)
- …in various levels of care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate with providers the details ... Nursing. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 2 years of… more
- ERP International (Vandenberg AFB, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse (RN) Utilization Management ** for a temporary contract position in support of ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- McLaren Health Care (Port Huron, MI)
- …as Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate ... for timeliness, appropriateness and completeness as pertains to the utilization management process including level of care,...and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse (RN) ⦁ Bachelor's degree in… more
