- Saint Francis Health System (Tulsa, OK)
- …care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate with providers the details of reimbursement issues and ... Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 2 years of related experience in… more
- Katmai (Fort Carson, CO)
- …+ Identify cases that may benefit from alternative levels of care and involve the case manager as needed to provide direction in care management. + Plan and ... prioritize utilization review ( UR ) activities to ensure identified patient needs are addressed...last two (2) years as a practical or vocational nurse . + Current, full, active, and unrestricted license as… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Visiting Nurse , part of Atlantic Health System, is seeking a part-time hospice Registered Nurse to work 9 AM to 7 PM in the Morris County area, ... ($.70) included. Internal referral bonus: $4,000 Reports to: Assistant Manager Duties & Responsibilities: Performs Patient assessments. + Accurately assesses… more
- ChenMed (Philadelphia, PA)
- …possession and maintenance of a current, valid driver's license + Certified Case Manager certification is preferred. Certification through the Commission for ... through external providers and healthcare systems. The Acute Care Nurse is an important member of the Complex Care... Case Manager Certification (CCMC) or the American… more
- Virtua Health (Mount Holly, NC)
- …and/or certification from the State of New Jersey as a MSW or Registered Nurse . Case Management Certification (requirement within one year of hire beginning April ... over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques… more
- Saint Francis Health System (Tulsa, OK)
- …internal processes. Provides staff education as needed to further the goals of UR . Minimum Education: Has completed the basic professional curricula of a school of ... Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License, or Clinical Social Worker (LCSW), or Professional Counselor (LPC)… more
- Sharp HealthCare (San Diego, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree **Hours** **:** ... Care Management program that includes initial and concurrent review; case management/discharge planning activities. Responsible for operational planning consistent… more
- Tufts Medicine (Lowell, MA)
- …RN Licensure and NH Licensure. 2. Two (2) years of visiting nurse experience. **Duties and Responsibilities** **:** The duties and responsibilities listed below ... patient identification, medical and financial information required for the nurse and/or therapist to make the initial home health...on the agency's "Request for Service" form creates a case in Forcura and the current EMR. + Attempts… more
- Cleveland Clinic (Cleveland, OH)
- …and continued stays. + Maintain and support collaborative relationships with RN Case Manager , Physicians and the multidisciplinary team. + Document appropriately ... in UM notes to provide evidence that the UR process for the case was followed....of Nursing + Current state licensure as a Registered Nurse (RN) + Basic Life Support (BLS) Certification through… more
- Rising Medical Solutions (Chicago, IL)
- …nurse + Facilitate and schedule appointments as needed, and keep the Telephonic Nurse Case Manager (TCM), clients, claimants, providers, and employers ... participating providers + Utilize Share Point tool for evaluating case risk, and input all activities (including verbal and...the allotted timeframe, vs. a reconsideration, vs. a new UR + Basic invoicing + Continually improve job skills… more