- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …forms. Evaluate resources and trends to support continuous improvement of resource utilization and management of Community Care expenditures. Serve as point ... Summary The Registered Nurse - Community Care Nurse Coordinator...Coordinator include, but are not limited to: Coordinate the review and disposition of VA Community Care consults, including… more
- Rush University Medical Center (Chicago, IL)
- …Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Care Management **Work Type:** Full Time (Total FTE between 0.9 and 1.0) **Shift:** ... depending on the circumstances of each case. **Summary:** The Nurse Care Manager 1 works with physician practices and...physician practices and inpatient teams to promote the effective utilization of services and coordination of care for adult,… more
- Rochester Regional Health (Rochester, NY)
- …case coordination/patient navigation for patients, including triage management , algorithm management , utilization management and resource management . ... Job Title: Nurse Navigator - Women's HealthDepartment: Women's Health Location:...possible after admission-within the first12 to 24 hours. Applies utilization review criteria to assess and document… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and families. 12. Evaluates patient/family transition of care planning for resource utilization , cost, quality, and promotion of self- management for chronic ... **The post-graduate internal medicine fellowship for Nurse Practitioners is designed to provide Advanced Practice...practice. 5. Participates in APRN interviewing, credentialing, and peer review process as requested. 6. Participates in a minimum… more
- Mount Sinai Health System (Long Island City, 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
- 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
- HCA Healthcare (Kissimmee, FL)
- …monitor and improve the patient flow program effectiveness as it relates to utilization review , resource management , and discharge planning and care ... leader to physicians and employees as it relates to utilization review , resource management , patient...30 days of employment start date + (RN) Registered Nurse + Associate Degree, or Bachelors Degree Preferred HCA… more
- Sutter Health (San Francisco, CA)
- …Med Center Davies **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's ... and at the appropriate level of care. Coordinates the utilization management , resource management , discharge...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …in the CLC. Documenting and taking corrective action when notified by the CLC management team, charge nurse , or designee of any discrepancies in coding or ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- CareFirst (Baltimore, MD)
- …Appeals and Grievances in a healthcare payor organization. 2 years' experience in Medical Review , Utilization Management or Case Management at CareFirst ... of regulatory and accreditation requirements, understanding of appeals process and utilization management , and systems software used in processing appeals.… more