- Christus Health (Irving, TX)
- …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 ... leaving hospitals or long-term care facilities, ensuring a smooth transition to home or another care setting. Care Coordination - Transitions of Care: Outreach… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …to experience, education, and other business and organizational considerations. Department: Care Management Services Check out the role overview below If you are ... patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease … more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …to experience, education, and other business and organizational considerations. Department: Utilization Management - UH Considering making an application for ... Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable * IDENTIFICATION - Identify… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …and facilitate communication, problem solving, decision-making, crisis intervention, resource utilization , and conflict management * ACCOUNTABILITY - Supervise ... patients. Designate shift and schedule assignments, call in staff, send staff home and monitor attendance. Provide clinical leadership for nursing and technician… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …and facilitate communication, problem solving, decision-making, crisis intervention, resource utilization , and conflict management * SUPERVISION - Develop ... patients. Designate shift and schedule assignments, call in staff, send staff home and monitor attendance. Provide clinical leadership for nursing and technician… more
- NHS Management (Athens, AL)
- …(Full-Time Only) Leadership Role in Long-Term Care & Rehab Home -Like, Resident-Focused Environment Comprehensive Benefits Package Best-in-Class Employee Referral ... Program Athens Health and Rehabilitation specializes in providing a home -like environment with professional nursing and therapy services for both long-term care and… more
- NHS Management (Madison, AL)
- …Night. Valley View Health and Rehabilitation specializes in providing a home -like environment with professional nursing and therapy services for both long-term ... resident care standards related to quality assurance, infection control, and utilization review Receive and communicate physician orders and ensure proper… more
- NHS Management (Birmingham, AL)
- …of interest. South Health and Rehabilitation specializes in providing a " home -like environment" with professional nursing and therapy services for both long-term ... responsible for overseeing day to day patient care, supervising, directing and developing nurse staff, and reporting to the Director of Nursing to ensure quality… more
- NHS Management (Madison, AL)
- …out below. Valley View Health and Rehabilitation specializes in providing a " home -like environment" with professional nursing and therapy services for both long-term ... responsible for overseeing day to day patient care, supervising, directing and developing nurse staff, and reporting to the Director of Nursing to ensure quality… more
- NHS Management (Athens, AL)
- …Apply button. Athens Health and Rehabilitation specializes in providing a " home -like environment" with professional nursing and therapy services for both long-term ... responsible for overseeing day to day patient care, supervising, directing and developing nurse staff, and reporting to the Director of Nursing to ensure quality… more
- Humana (Indianapolis, IN)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
- CVS Health (Albany, NY)
- …Must have active current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include ... + 2 + years of experience as a Registered Nurse in adult acute care, critical care, Emergency or...or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- CVS Health (Austin, TX)
- …applications (Outlook, Teams, Excel) **Preferred Qualifications** + Prior Authorization or Utilization Management experience in Medicare lines of business + ... Mon-Fri 8-5 PM in your time zone and is for a** **Medicare Precertification Nurse .** _Utilization Management is a 24/7 operation and work schedules will include… more
- Sanford Health (Rapid City, SD)
- …providing direct supervision of all departmental staff. Maintains a standardization of utilization management process to ensure all policies and procedures are ... Full time **Weekly Hours:** 40.00 **Department Details** Join our team as a Utilization Review and Case Management Manager and lead a high-impact, data-driven… more
- Albany Medical Center (Albany, NY)
- …clinical experience in an assigned service.* Recent experience in case management , utilization management and/or discharge planning/ home care in a high ... Day (United States of America) Salary Range: $71,612.39 - $110,999.20 Responsible for Utilization Management , Quality Screening and Delay Management for… more
- US Tech Solutions (Columbia, SC)
- …established clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to ... education with members and providers regarding health care delivery system, utilization on networks and benefit plans. Serves as member advocate through… more
- Truman Medical Centers (Kansas City, MO)
- …time **Work Schedule** 7:30AM - 4:00PM **Hours Per Week** 40 **Job Description** The Utilization Management Nurse (UM RN) collaborates with members of the ... into myWORKDAY (http://www.myworkday.com/trumed/d/ home .htmld) to search for positions and apply.** Utilization Mgmt Nurse RN - Care Continuity - UH Truman… more
- CVS Health (Harrisburg, PA)
- …or more years BH clinical Experience** + **1 or more years Utilization Management Experience** + **Work at Home role. Can live Anywhere USA** + ... residence (LMSW, LCSW, LISW, LPC, or comparable) or Registered Nurse licensure with psychiatric specialty, certification, or experience in.... No weekends or holidays. + 1+ years of utilization review/ utilization management required. +… more
- Sanford Health (Rapid City, SD)
- …community. **Job Summary** Provides expertise and leadership to ensure effective resource management for patient care delivery across the care continuum for assigned ... patient wellness through evidenced based practice, improved care outcomes, efficient utilization of health services, and appropriate level of care for patients… more
