- 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
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …local HBPC policies and procedures to include performance improvement, patient safety, utilization review , emergency preparedness, and staff safety. He/she is ... demonstrate leadership, experience, and creative approaches to complex patient care management .The HBPC Registered Nurse Program Director/Manager is an expert… 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
- 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
- Cedars-Sinai (CA)
- …for medical necessity, appropriateness of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to ... reporting to the TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization of medical services within the… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation ... and/or supervising direct patient care across all categories of care for review and coordination of services. Assesses, plans, implements, and evaluates the… more
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- …HBPC policies and procedures to include performance improvement, patient safety, utilization review , emergency preparedness, and staff safety. Responsible for ... The Home Based Primary Care (HBPC) Program Director is accountable for the management , supervision and evaluation of care for patients enrolled in the HBPC and… more
- CareFirst (Baltimore, MD)
- …in mental health, psychiatric setting. **Preferred Qualifications:** + 2 years experience in Medical Review , Utilization Management or Case Management at ... of regulatory and accreditation requirements, understanding of appeals process and utilization management , and systems software used in processing appeals.… more
- Health Advocates Network (Harrisburg, PA)
- …setting, behavioral health setting, drug and alcohol setting, managed care, quality management / utilization review or other related clinical experience; or ... R&E Nurse - Med Care Services- Advanced **Pay Rate:** $28...(MA), health care services, human services, long term care, utilization review , or knowledge of home care… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …AZ. It is a Level 1a major interdisciplinary teaching facility. The Chief Nurse , Sterile Processing Service is the administrative and accountable official for the ... within the organization. Responsibilities VA offers a comprehensive total rewards package: VA Nurse Total Rewards Duties Include but not limited to: The CN SPS… more