- Northwell Health (Bay Shore, NY)
- …reviews as required. + * Participates in the maintenance of Utilization Management , Discharge Planning and Case Management statistics as required. + ... Keeps abreast of all changes in policies and procedures relating to Utilization Management , Discharge Planning and Case Management process. + * Attends… more
- Nuvance Health (Sharon, CT)
- …Heart Association - Stroke Gold Plus Quality Achievement Award * Vizient Quality Leadership Award * Center for Medicare and Medicaid Services (CMS) - ... environment. The region surrounding our campus is an ideal place to enjoy quality living as you pursue opportunities and make lifelong connections. Summary: Provides… more
- Commonwealth Care Alliance (Boston, MA)
- 024450 Clin Alli-Care Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently ... responsible for providing intensive monitoring, follow-up and clinical care management to a panel of health plan members with...DMH and DDS (BH) + Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager… more
- Humana (St. Paul, MN)
- …products including Word, Excel and Outlook **Preferred Qualifications** + Utilization Review/ Quality Management experience + Experience working with MCG ... community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Bluestone Physician Services (Eden Prairie, MN)
- …and disabilities. Our care teams use an evidence-based approach focused on quality care management and data-driven medical decisions to manage patients' ... Join our growing practice as a Nurse Practitioner (NP) or Physician Assistant (PA) and...ability to obtain licensure through the Minnesota Board of Nursing or Board of Medical Practice + Ability to… more
- Baylor Scott & White Health (Marble Falls, TX)
- …Baylor Scott & White Health in Marble Falls, TX, providing compassionate, high- quality care to our smallest patients. This opportunity offers a supportive ... a growing healthcare system * Ideal for experienced Neonatal Nurse Practitioners seeking work-life balance in a scenic Hill...billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare systems, and in… more
- WellSpan Health (Lebanon, PA)
- …the hours of 7:00 pm - 7:30 am) Every third weekend and every other holiday Nursing Float Pool The float pool or nursing resource team is a unique department ... that supports our nursing units by moving staffing as needed every shift...at risk for pulling out IV lines/tubes, require behavioral management and/or present a risk due to psychiatric illnesses.… more
- US Tech Solutions (Wichita, KS)
- …development and ongoing implementation of QM Work Plan activities. + Improve quality products and services, by using measurement and analysis to process, evaluate ... meet QM objectives **Responsibilities:** + Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit… more
- Sutter Health (Antioch, CA)
- …**Job Description** : **EDUCATION:** Graduate of an accredited school of nursing . **CERTIFICATION & LICENSURE:** RN-Registered Nurse of California BLS-Basic ... SDMC-Sutter Delta Medical Center **Position Overview:** Supervises and oversees all nursing activities of patient care in an inpatient setting, ensuring consistent… more
- Catholic Health Services (Rockville Centre, NY)
- …for the strategic leadership, operational excellence, financial performance, and clinical quality of three skilled nursing facilities (SNFs). This role ... monitoring) to improve outcomes and efficiency. + Lead process redesign and change- management efforts to improve quality , efficiency and experience. Clinical … more