- Banner Health (Phoenix, AZ)
- …and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the completion of a ... Care Management staff is seeking an RN Case Manager to work closely with members seeking transplant. We...care and develops, implements, monitors and documents the utilization of resources and progress of the patient through… more
- HCA Healthcare (Tallahassee, FL)
- …position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of nursing experience in ... to make a real impact. As a(an) RN Case Manager you can be a part of change. **Benefits**...and patient throughput while supporting a balance of optimal care and appropriate resource utilization . The RN… more
- HCA Healthcare (Tallahassee, FL)
- …for position if current and compliant + Certification in Case Management, Nursing, or Utilization Review , preferred + Three years of nursing experience in acute ... organization that invests in you as an RN Case Manager ? At HCA Florida Capital Hospital, you come first....and patient throughput while supporting a balance of optimal care and appropriate resource utilization . The RN… more
- Cabinet Peaks Medical Center (Libby, MT)
- …Services, Laboratory Services, Nutrition and Diabetes Education, Quality Risk Management, Utilization Review and Risk Management, Employee Health Education, ... overall day-to-day operations of the clinical departments and patient care outcomes. The RN House Manager has...coordinate all nursing service activities to assure quality patient care and appropriate utilization of personnel. Reviews… more
- Highmark Health (Jefferson Hills, PA)
- …and interdisciplinary team partners including but not limited to: appropriateness of care , documentation requirements, utilization review principles and ... OVERVIEW:** This job has responsibility for creating, implementing, and evaluating care plans for patients and their families/caregivers across the health continuum.… more
- HCA Healthcare (Kissimmee, FL)
- …we do. We want you to apply! **Job Summary and Qualifications** The RN Case Manager will facilitate the interdisciplinary plan of care with a focus on ... and patient throughput while supporting a balance of optimal care and appropriate resource utilization . Identify potential...we encourage you to apply for our RN Case Manager PRN opening. We promptly review all… more
- Sutter Health (San Francisco, CA)
- …and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care , and observation status. + Working ... Center Davies **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted… more
- Veterans Affairs, Veterans Health Administration (Tomah, WI)
- Summary The Formulary and Drug Utilization Manager position guides the appropriate medication use strategy for optimal patient safety, cost effectiveness, and ... and ensure cost-efficiency measures are met. Responsibilities The Formulary and Drug Utilization Manager position is responsible for managing medication … more
- Highmark Health (Pittsburgh, PA)
- …party payers. + Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract ... etc. Serves as an educational resource to all AHN staff regarding utilization review practice and governmental commercial payer guidelines. Adheres to… more
- CenterWell (Madison, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care ...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more