- Veterans Affairs, Veterans Health Administration (Gaithersburg, MD)
- Summary The Registered Nurse provides care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon ... and evaluation of human responses to health problems through such services as case finding, health teaching, health counseling; provision of care supportive to or… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key...work may be required on a rotational basis; some travel to home office may be required. **Required Education… more
- Rush University Medical Center (Chicago, IL)
- …pediatric, adolescent, adult and /or geriatric patient, and expert knowledge in case management , discharge planning, social service, and criteria application. ... Offers may vary depending on the circumstances of each case . **Summary:** The Nurse Care Manager 1...1. Functions as an expert clinical practitioner within the Case Management team and serves as a… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... health member clinical management programs. + Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case… more
- CVS Health (St. Paul, MN)
- …to occasionally travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs ... and every day. **Schedule:** Monday-Friday 8AM - 5PM Central ** Travel :** Up to 55-75% travel in Minneapolis,...healthcare personnel as appropriate. * Implements and coordinates all case management activities relating to catastrophic cases… more
- CVS Health (Dover, DE)
- …procedures/services or initiate a Medical Director referral as needed. Assists management with training new nurse reviewers/business partners or vendors ... anywhere in the US. **Schedule is Monday - Friday 8am-5pm est.** No travel required. Non-exempt. Hourly. Pay: Bi-weekly. No shift premium. Occasional Overtime may be… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Point of Entry Nurse (POE) is a licensed registered nurse (RN) who responsible for facilitation of the functional and operational ... facilitation and coordination of patient flow and bed utilization. The POE Nurse position collaborates with clinical staff and interprofessional health care team to… more
- Veterans Affairs, Veterans Health Administration (Batavia, NY)
- …facilitate learner development and skill training of clinical staff. Responsibilities The Nurse III Clinical Nurse Educator is responsible for providing expert, ... for nursing staff in clinical and outpatient units. The Clinical Nurse Educator understands instructional design, implementation, and application related to… more
- Bon Secours Mercy Health (Lorain, OH)
- …for the acute rehab program. The Admissions Coordinator RN cross trains to cover case management as needed, which includes initiating and directing the discharge ... acute rehab unit. Maintains expertise in clinical field, utilization review and case management ; communicates to insurance companies/third party payers regularly… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- Summary The Nurse IV Associate Chief Nurse (ACN)...Friday, 7:30 am - 4:00 pm. Telework: Not Available. Travel Required: 25% or less - You may be ... Health sector of a major medical system. Duties: The Nurse IV ACN functions as an advisor, administrator, educator,...expected to travel for this position. Virtual: This is not a… more