- Catholic Health Initiatives (Houston, TX)
- …the discipline Masters degree Preferred with no experience required Required License and Credentials: Registered Nurse : TX ( RN :TX) Basic Life Support - CPR ... Manage the delivery of patient care. Major responsibilities include: ‐‐ Clinical Management : Ensures the safe and effective delivery of quality nursing care. ‐‐… more
- Catholic Health Initiatives (Sugar Land, TX)
- …reviewing financial reports and materials mgmt. **Job Requirements** Required Education and Experience: * Registered Nurse ( RN ) Starting in January of 2016, ... Manage the delivery of patient care. Major responsibilities include: ‐‐ Clinical Management : Ensures the safe and effective delivery of quality nursing care. ‐‐… more
- Trinity Health (Livonia, MI)
- …Nursing or the equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... Health Ministries (HM) in their defined region and day-to-day management of the CDI programs. Works with Director, CDI...to enhance clinical and coding skill sets and optimal utilization of 3M CDI software. Analyzes data to determine… more
- Elevance Health (Columbus, OH)
- ** Nurse Care Manager II** **Location: Ohio** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... an accommodation is granted as required by law. The ** Nurse Care Manager II** is responsible for...and modifies as necessary. + Assists with development of utilization /care management policies and procedures. + Participates… more
- McLaren Health Care (Lansing, MI)
- …outcome. Delegates to coordinator/contact nurse /staff as appropriate. 3. Assists manager in all aspects of personnel management of department employees. ... Assists Manager of Patient Care Services with 24-hour accountability...experience providing broad clinical exposure. Current State of Michigan Registered Nurse license. + BLS certification as… more
- KBR (Fayetteville, NC)
- …organization, ie Commission for Case Management Certification , American Case Manager Association, or American Nurse Credentialing Center, or shall obtain ... Title: Special Operations Nurse Case Manager / Case ...; full , active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker… more
- Select Medical (Dublin, OH)
- …within the allotted time frame; assuring payments of services meeting patient-related utilization management criteria, and implementation of safe and appropriate ... + Current Licensure in a clinical discipline per state guidelines required. ( Registered Nurse or Social Work (SW) preferred) **Preferred Qualifications** +… more
- Eastern Connecticut Health Network (Manchester, CT)
- …timely and accurate information to payers. The role integrates and coordinates utilization management and denial prevention by focusing on identifying and ... POSITION SUMMARY: The Utilization Review Case Manager (UR CM)...preoperative, concurrent, and retrospective reviews in accordance with the utilization management plan. The UM CM ensures… more
- Penn Medicine (Lancaster, PA)
- …providing appropriate coverage around the clock. + Communicates and collaborates with physicians, registered nurses, Nurse Manager and other health care ... + Position Summary: + Under the direction of the Nurse Manager , the Assistant Nurse ...others. Credentials: + Basic Cardiac Life Support (Required) + Registered Nurse - PA (Required) Education or… more
- AdventHealth (Mansfield, TX)
- …performance with oversight to assure capital and fiscal accountability. + Partners with Utilization Management for the Utilization Review Committee as well ... program in Nursing. Currently licensed to practice as a Registered Nurse in the state of Texas,...above) in addition to 5 years of direct care management / utilization management experience and increasing… more