- The Laurels of Hamilton (Hamilton, OH)
- …you will care for guests under the direction and supervision of a registered nurse or a licensed practical nurse . Some responsibilities include: Take and record ... when administering care and reports changes to lia censed nurse ; provide skin care as needed. Meet guests' mental...PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator… more
- The Laurels of Middletown (Middletown, OH)
- Are you an experienced MDS nurse interested in the next step? The MDS Coordinator provides oversight of the RAI process and conducts assessments and care plan ... for guests. The MDS Coordinator supervises the Care Management Nurse , MDS Nurse . The Laurels of Middletown...PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- Cleveland Clinic (Cleveland, OH)
- …with one of the most respected healthcare organizations in the world. As a Utilization Review Nurse , you will provide clinical information to insurance companies ... two times per month. The ideal future caregiver is someone who: + Is a Registered Nurse (RN). + Has two to three years of nursing experience in a med/surg, ICU, or… more
- CVS Health (Columbus, OH)
- …to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote and ... Eastern Standard Time Holiday rotation 1-2 per year. CCR - Duals UM Nurse ConsultantUtilizes clinical experience and skills in a collaborative process to assess,… more
- CVS Health (Columbus, OH)
- …deliver solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and ... 1-2 per year. Position Summary CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a...to promote quality effectiveness of Healthcare Services and benefit utilization Consults and lends expertise to other internal and… more
- CVS Health (Columbus, OH)
- …health care more personal, convenient and affordable. Position Summary Duals UM Nurse Consultant Pennsylvania - Institutional Special Needs Plan (PA ISNP) Scheduled ... opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external… more
- CVS Health (Columbus, OH)
- …skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Utilizes clinical experience and skills in a collaborative ... opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external… more
- CVS Health (Columbus, OH)
- …opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal and external ... constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with productivity and… more
- CVS Health (Columbus, OH)
- …in New Albany OH, Chandler AZ or High Point NC. Precertification Nurse Case Manager is responsible for telephonically assessing, planning, implementing and ... coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Services strategies, policies and programs are comprised of network management and clinical coverage policies.What… more
