- STG International (Milledgeville, GA)
- …FUNCTIONS: + Ensure the facility meets the minimum staffing levels for nurses and nurse aides; complete required posting of nursing staff data as required. + Ensure ... forms, reports, evaluations, studies, charting, etc., as necessary. + Periodically review the department's policies and procedures manuals, job descriptions, etc.,… more
- Ochsner Health (New Orleans, LA)
- …experience in discharge planning, case management or utilization review . **Certifications** Required - Current registered nurse license in state of ... implement discharge plans based on patient's individualized needs. Registered Nurse (RN) Case Manager - Case Management ...of the conditions of participation as it relates to utilization review and discharge planning. + Maintains… more
- The County of Los Angeles (Los Angeles, CA)
- …Please include the exam number and exam title. + Yes + No 08 NURSE PRACTITIONER CANDIDATE ASSESSMENT RATING FORMINSTRUCTIONS Review the four competency areas and ... Administration + Nursing Education + Health Science + Healthcare Management + Healthcare Education + Healthcare Administration + Public...to perform as based on core competencies for the nurse practitioner disciplines. Review and consider your… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …nursing experience, including behavioral/mental health + Experience in a managed care, case management , or utilization review setting + Strong understanding ... + Participate in interdisciplinary case rounds, quality improvement initiatives, and utilization review processes. + Support members during transitions of… 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
- 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
- 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
- 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