- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention. Transition ... underutilization, q) and other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management : Balances clinical and financial requirements and… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …care. Possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation ... Experience 1 or more years in Care Coordination, Case Management , or Utilization Management position...include with referral. Applying knowledge related to policy guidelines, utilization review criteria, and current evidence based… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a ** Nurse Practitioner** for a full-time position supporting the **Pain Management Clinic** at **Camp Pendleton, ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Sharecare (Providence, RI)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...and to take the pre and post tests to review competency during orientation. Yearly competency tests are required… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Nurse Practitioner-Cardiovascular Institute - Mount Sinai Hospital- Full Time - Day (7:30am - 4:00pm) 5 days/week** A nurse ... clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for… more
- Mount Sinai Health System (New York, NY)
- **Job Description** A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate ... clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for… more
- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- …information systems to track service activities including admissions process, bed management , bed utilization across bed types, patient demographics, equipment ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Elevance Health (Louisville, KY)
- **Medical Management Nurse ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... will drive the future of health care. The **Medical Management Nurse ** is responsible for reviewing the...experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or… more
- HCA Healthcare (Houston, TX)
- …planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management , as well as discharge ... any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits**...care experience required. Minimum of two (2) years of utilization review /case management experience and… more
- ChenMed (Louisville, KY)
- …and explain nurse practitioner role. Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... and explain nurse practitioner role. Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education… more