- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- … nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and nursing staff) to accomplish team goal setting ... is responsible for processing all requests from VA Regional Offices to include appeals board for Compensation and Pension (C&P), to Environment of Care, Burn Pit,… more
- Sharp HealthCare (La Mesa, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered ... care areas. This position requires the ability to combine clinical /quality considerations with regulatory/financial/utilization review demands to assure patients are… more
- Ellis Medicine (Schenectady, NY)
- …(SW). The Discharge Planner's primary function is to work with the Social Worker, Nurse Case Manager , or Utilization Management Nurse to facilitate patient ... Management with initial clinical review requests as needed. + Notifies Case Manager of any potential delays of moving the patient through the continuum. +… more
- Cedars-Sinai (Beverly Hills, CA)
- …+ For patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for continued review ... More About What You Will be Doing** The Case Manager is responsible for the case management of patient...Milliman and Interqual guidelines as necessary. + Collaborates with clinical teams and practices to ensure synchronization of sub-areas'… more
- Fallon Health (Worcester, MA)
- …the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, ... **Brief Summary of Purpose:** Under the direction of the Manager of Prior Authorization, communicates with contracted and non-contracted… more
- State of Colorado (Grand Junction, CO)
- …pay/time-in-series upon an offer. We will also be accepting any registered nurse applicants at this time. Starting LPN salary: $68,532/annually Starting RN salary: ... the Colorado Board of Nursing or any state participating in the Enhanced Nurse Licensure Compact (eNLC). OR Education and Experience: Two (2) years of experience… more
- Saint Francis Health System (Tulsa, OK)
- …Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License, or Clinical Social Worker (LCSW), or Professional ... 8:00am - 12:00pm **OR** 1:00pm - 5:00pm Job Summary: Provides administrative and clinical support to the hospital and treatment team throughout the review of… more
- University of Rochester (Rochester, NY)
- …considerations._ **Responsibilities:** GENERAL PURPOSE Under the direct supervision of the Practice Manager , Clinic Director and Nurse Manager works with ... meetings based on provider preferences or availability. + Works with Practice Manager , Fellowship Co-coordinator, and Clinical Directors to implement scheduling… more
- Catholic Health Services (West Islip, NY)
- …Registered Nurse (RN) License & Registration. + Certification: Care Manager Certification (CCM) preferred. Salary Range USD $172,500.00 - USD $220,000.00 /Yr. ... not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals , Managed Care and Revenue Cycle and Patient Access departments to ensure… more
- Corewell Health (Dearborn, MI)
- …criteria, when appropriate. Works collaboratively with departmental, revenue cycle, and clinical appeals staff, physicians, and payers to obtain authorization ... review, home care and/or discharge planning. Preferred + Registered Nurse (RN) - State of Michigan Upon Hire required...(BLS) - ARC American Red Cross preferred + Case Manager , Certified (CCM) - CCMC Commission for Case … more