- Bassett Healthcare (Cooperstown, NY)
- …facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and ... methodologies in evaluating outcomes of care + Support and coaching of clinical documentation efforts + Coordinating communication with physicians Must be able to… more
- Select Medical (Los Angeles, CA)
- …Los Angeles, CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) **Pay Rate: $50 - $58.65 ... process. The primary job functions in Case Management include: Clinical Interventions/Discharge and Care Planning Management; Fiscal Management; and Payer/Referral… more
- Alameda Health System (Oakland, CA)
- …of quality improvement initiatives. + Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals . ... post-acute and psych; three years of InterQual and/or MCG. Strong clinical nursing background. Required Licenses/Certifications: Valid license to practice as a… more
- State of Colorado (Pueblo, CO)
- …medications and treatments; documents refusals of medications and reports this to the clinical team; and all information relevant to all aspects of the clients' ... pain or other medical needs to the Provider or Nurse + Knowing the 10 rights of Medication Administration,...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Guthrie (Binghamton, NY)
- …in basket monitoring, overdue results, referrals, provider orders and support the nurse navigator role. Experience: A minimum of 2 years' experience preferred in ... state in which the position resides. Licenses: Licensed Practical Nurse in the state of position. Essential Functions: Patient...of coverage of ordered medications. + Coordinate and complete appeals for denials as needed + Monitor and Review… more
- Guthrie (Corning, NY)
- …in basket monitoring, overdue results, referrals, provider orders and support the nurse navigator role. Experience: A minimum of 2 years' experience in nursing, ... state in which the position resides. Licenses: Licensed Practical Nurse in the state of position. Essential Functions: Patient...of coverage of ordered medications. * *Coordinate and complete appeals for denials as needed * *Monitor and Review… more
- Children's Mercy Kansas City (Kansas City, MO)
- …nursing, payers, patients, and coworkers. + Utilizes knowledge of hospital processes, clinical patient care, state and federal regulations and payer requirements to ... interdisciplinary teams towards improvement of patient flow and patient progression, clinical outcomes and efficiency of inpatient stays. Continually strives to… 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 in Nursing; ... care areas. This position requires the ability to combine clinical /quality considerations with regulatory/financial/utilization review demands to assure patients are… more
- Sharp HealthCare (La Mesa, CA)
- …Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered Nursing **Hours** **:** **Shift Start ... care areas. This position requires the ability to combine clinical /quality considerations with regulatory/financial/utilization review demands to assure patients are… more
- Brockton Hospital (Brockton, MA)
- …include the development and supervision of staff (RNs, LPN's,SWs and non- clinical support), evaluation and maintenance of case management skills and outcomes, ... include the development and supervision of staff (RNs, LPN's, SWs and non- clinical support), evaluation and maintenance of case management skills and outcomes,… more