- Covenant Health Inc. (Harriman, TN)
- …givers and chart findings to ensure patient is meeting daily objectives. + Modifies the case management plan to meet the changing needs of the patient's clinical ... appropriate disciplines are available + Collaborates directly with the Nurse Manager to ensure the staff adheres...Licensure Requirement: Current Tennessee RN License. Current certification in Case Management , CCM, ACM or CPHQ OR… more
- Covenant Health Inc. (Harriman, TN)
- …givers and chart findings to ensure patient is meeting daily objectives. + Modifies the case management plan to meet the changing needs of the patient's clinical ... appropriate disciplines are available + Collaborates directly with the Nurse Manager to ensure the staff adheres...Licensure Requirement: Current Tennessee RN License. Current certification in Case Management , CCM, ACM or CPHQ required.… more
- Masonicare (Montville, CT)
- …the home, hospital or extended care facility. The LPN works under the direction of the Nurse Case Manager and/or Clinical Manager . Essential Duties and ... community and agency resources and with the designated registered nurse on a regular basis. + Provides nursing care...changes in the patient condition to the primary RN Case Manager /Clinical Manager immediately. +… more
- STG International (Rockville, MD)
- …Identifies trends in data and creates clear and concise reports for the Program Manager . * Processes case review types according to the MEP Manual, MEP ... assistance, as needed, to all MEP/OWCP Reviewing Medical Officers (RMOs) and other case review providers (physician assistants, nurse practitioners, etc.). * Has… more
- STG International (Rockville, MD)
- …safety, and productivity of the Federal workforce by performing fulfillment of case review activities (review of service and provider fulfillment), interacting with ... delivery with FOH Business Operations team. Serves as a Case Review Specialist for the case review... review process to include ensuring exam scheduling, appropriate management and processing of all medical records, Quality Assurance… more
- University of Michigan (Ann Arbor, MI)
- …is expected to be maintained while in this leadership role. Examples include Certified Nurse Manager and Leader (CNML) or, Nurse Executive (NE-BC). ... experience in a pediatric or intensive care setting. + Experience as a nurse manager /director in pediatrics and/or ICU. + Recent experience in nursing… more
- Elevance Health (Miami, FL)
- …members and providers. **How you will make an impact:** + Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and ... supportive care. + Perform physician-level case review, following initial nurse review, of chemotherapy regimens. + Determine medical necessity of requests using… more
- University of Southern California (Los Angeles, CA)
- …information to patients and families. + TRANSFER & DISCHARGE Collaborates with Case Manager and/or physician regarding discharge planning. Ensures all transfer ... As an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients. The Registered Nurse… more
- Fallon Health (Worcester, MA)
- …* Refers high-risk cases to the appropriate FH internal teams (ie: Outpatient Case Management , NaviCare, ACO) and/or other community services according to ... setting required. * 2 years' experience as a Utilization Management /Prior Authorization nurse in a managed care...care payer preferred. * One year experience as a case manager in a payer or facility… more
- Covenant Health Inc. (Knoxville, TN)
- …care givers and chart findings to ensure patient is meeting daily objectives + The care manager modifies the case management plan to meet the changing needs ... Overview Registered Nurse Care Manager , Social Services PRN/OCC,...on the nursing unit and reports directly to the Manager /Coordinator of Quality and Care Management at… more