- Baystate Health (Palmer, MA)
- …leader/managerial ablities. **Education:** Associates Degree in Nursing (Required) **Certifications:** Registered Nurse - State of MassachusettsState of ... **18)** Evaluates accuracy of staffing systems. **Minimally Required Experience** Staff nurse and manager **Skills/Competencies:** Good oral and written… more
- Sea Mar Community Health Centers (Seattle, WA)
- …Mar patients and staff. + The RN /LPN will work closely with the Nurse Manager and Nursing Supervisors in assisting with administrative duties. These duties ... patients who have yet to be seen. Responsible for management of nurse visit encounters. These will...in procedures. + Facilitate emergency referrals according to the utilization management guidelines when the referral coordinator… more
- UHS (Johnson City, NY)
- …in Nursing and Masters in Business or HealthCare related field. + New York State Registered Nurse License or eligible + Five (5) years of clinical nursing ... and accountability through Just Culture principles. This role collaborates with nurse managers, physicians, and administrative leaders to lead strategic planning,… more
- Elevance Health (Indianapolis, IN)
- …granted as required by law. ** Must be an Indiana resident ** The **Medical Management Nurse ** is responsible for review of the most complex or challenging cases ... consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations on alternate types, places, or… more
- MyFlorida (Tallahassee, FL)
- …(Laptop computers, manuals, etc.) MINIMUM QUALIFICATIONS REQUIREMENTS Licensure as a Registered Nurse in accordance with Chapter 464, Florida Statue ... experience required. LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS Licensure as a Registered Professional Nurse in accordance with Chapter 464, Florida… more
- Elevance Health (Trenton, NJ)
- …Coordinator-Clinician** is responsible for working under the direction/supervision of an RN , with overall responsibility for the member's case. As required by ... the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation,… more
- Elevance Health (Independence, OH)
- …preferred. + BA/BS degree preferred. + Previous utilization and/or quality management and/or call center experience preferred. + RN Compact License is ... CST, with a comp day during the week) The ** Nurse Reviewer I** is responsible for conducting preauthorization, out...hospital setting or minimum of 1 year of prior utilization management , medical management and/or… more
- J&J Family of Companies (Chicago, IL)
- …care. The CAR-T Cell Therapy Experience Lead is a member of this account management team, reporting to the Senior Manager , CAR-T Cell Therapy Experience Lead. ... Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD… more
- Highmark Health (Jackson, MS)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create...first 6 months of employment. **Preferred** + Certification in utilization management or a related field +… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …*This position requires prior nursing bedside experience. *Does not require a current RN license. JOB SUMMARY: The Value Analysis Specialist plays a crucial role in ... optimizing cost-efficiency and quality in the procurement and utilization of medical supplies and equipment. This position requires...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more