- Veterans Affairs, Veterans Health Administration (Biloxi, MS)
- …possess intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation ... Summary The Community Care Coordinator Nurse is responsible for executing a streamlined approach...intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards,… more
- LA Care Health Plan (Los Angeles, CA)
- …adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert ... Payment Integrity Nurse Coder RN III Job Category: Clinical Department:...inpatient, outpatient, and professional claims. Serves cross functionally with Utilization Management , Medical Directors, and other internal… more
- Veterans Affairs, Veterans Health Administration (MO)
- … nurse independently provides patient-centered and recovery-oriented care, milieu management , and maintains self-awareness while caring for patients living with ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Veterans Affairs, Veterans Health Administration (Batavia, NY)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Responsibilities The Batavia VA Medical Center is seeking a qualified full-time Registered Nurse (RN) to join Long-term care in the Community Living Center (CLC) in… more
- CenterWell (Anderson, SC)
- …proactive and sustained engagement in improving health outcomes, optimizing resource utilization , and ensuring effective panel management . + **Focus on ... part of our caring community and help us put health first** The Nurse Practitioner, Paneled applies advanced education and clinical competencies to achieve optimal… more
- Molina Healthcare (WI)
- …candidate with a RN licensure, Diagnosis-Related Group (DRG) experience, 2 years of Utilization Review and/or Medical Claims Review experience. Knowledge in ... officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports...the specific programs supported by the plan such as utilization review , medical claims review ,… more
- Houston Methodist (Houston, TX)
- …thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management skills + Demonstrates ... Acute Care Unit At Houston Methodist, the Charge Nurse position is a licensed professional Registered ...clinical practice. This position creates an environment for the management and delivery of safe patient care. In addition… more
- Cabinet Peaks Medical Center (Libby, MT)
- …Services, Imaging Services, Laboratory Services, Nutrition and Diabetes Education, Quality Risk Management , Utilization Review and Risk Management , ... Cabinet Peaks Medical Center is looking for a Nurse House Manager to join our Nursing Administration...utilization of personnel. Experience 5+ years' experience in management and supervisory nursing role required. Experience in Obstetrics,… more
- Veterans Affairs, Veterans Health Administration (Manchester, NH)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Responsibilities This Registered Nurse - Community Living Center (CLC) is located in the Long Term Care Unit at the Manchester VA location. This position is full-time… more
- Veterans Affairs, Veterans Health Administration (Big Spring, TX)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... period. The duties and responsibilities for the Community Living Center, Registered Nurse include, but are not limited to the following: Provide competent,… more