- Northwell Health (Sleepy Hollow, NY)
- …+ Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + ... Submits data to management regarding case management and/or quality initiatives....Job Qualification + Graduate from an accredited School of Nursing . Bachelor's Degree in Nursing , preferred. Must… more
- Northwell Health (Poughkeepsie, NY)
- …+ Facilitates patient management throughout hospitalization + Performs concurrent utilization management using evidence based medical necessity criteria + ... Submits data to management regarding case management and/or quality initiatives...functions Qualifications: + Graduate from an accredited School of Nursing + Bachelor's Degree in Nursing , preferred.… more
- Elevance Health (Atlanta, GA)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager I** is responsible for telephonic care management within the scope of ... **Telephonic Nurse Case Manager I** **Location: This...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Rochester Regional Health (Rochester, NY)
- … personnel, physicians and providers *In collaboration with the nurse manager /director investigates and resolves patient/family/significant other complaints ... CNL is the main contact for a variety of nursing functions in support of management and...and documentation to both team members and / or Nurse Manager *Assesses the needs and provides… more
- UPMC (Pittsburgh, PA)
- …Nurse (RN) with an active PA License required + BSN Preferred + Case management nursing preferred. + Minimum 1 year of health insurance experience preferred. ... Nurse Clinical Care Coordinator is responsible for delivering nursing assessments and evaluations within recognized standards of ...+ 1 year of experience in clinical, utilization management , home care, discharge planning, and/or… more
- Veterans Affairs, Veterans Health Administration (Birmingham, AL)
- … Navigator will possess a basic knowledge of surgical planning, utilization management processes, clinical documentation requirements, current standards of ... Nurse Navigator RN reports to the Clinical Operations Manager of Surgical Service. The RN, in collaboration with...requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse… more
- Avera (Sioux Falls, SD)
- …hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse (RN) - Board of Nursing An active license in ... agencies, and community resources. **What you will do** + Implements the nursing process utilizing proficient assessment skills in the performance of admission and… more
- Fresenius Medical Center (Teaneck, NJ)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (North Myrtle Beach, SC)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (Youngstown, OH)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more