- HCA Healthcare (Kingwood, TX)
- …satisfaction and personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified ... Do you have the career opportunities as a(an) Registered Nurse Case Manager you want with your current employer?...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
- International Medical Group (Indianapolis, IN)
- …efficiency of the use of health care services, procedures, and facilities for utilization review and /or /evacuation/repatriation. Work as a liaison between the ... management cases by diagnosis, dollar amount and/or high utilization of medical services and refer those identified for...PREFERRED SKILLS + BSN Preferred + Minimum two years utilization review with a managed care or… more
- University of Washington (Seattle, WA)
- …the following: certified healthcare chart auditor, certified professional in utilization review (or utilization management or healthcare management ), ... an outstanding opportunity for a **Clinical Appeals and Disputes Nurse .** **WORK SCHEDULE** + 100% FTE + 100% Remote...and communicated payer decisions in a timely manner + Review clinical denials and initiate appeals process + Conduct… more
- Carbon Lehigh Intermediate Unit 21 (Schnecksville, PA)
- Contracted Classroom Nurse JobID: 691 + Position Type: CASUAL EMPLOYMENT (CONTRACTED) - NON PDE CERTIFIED/ Contracted Classroom Nurse + Date Posted: 12/12/2024 + ... and Services under the clinical guidance from the Certified School Nurse . Qualifications: Education/Experience: + Bachelor's Degree in nursing (BSN). + Valid… more
- Dartmouth Health (Bennington, VT)
- …of clinical nursing experience required. Prior experience in utilization review , discharge planning and/or case management preferred. VT Nursing License ... The Health Resource Manager is responsible for providing case management services for SVMC sub acute patients.The case manager...required by date of employment. Case Management Certification required within 2 years of employment. *… more
- WellSpan Health (York, PA)
- …of alternative treatment settings to provide appropriate care. + Coordinate with Case Management as indicated. + Participates in the review of policy and ... + Engages assigned patients using Motivational Interviewing strategies in the active management of their health by encouraging participation in their care and… more
- WellSpan Health (Mount Gretna, PA)
- …of alternative treatment settings to provide appropriate care. + Coordinate with Case Management as indicated. + Participates in the review of policy and ... + Engages assigned patients using Motivational Interviewing strategies in the active management of their health by encouraging participation in their care and… more
- University of Southern California (Los Angeles, CA)
- The Clinical Nurse Specialist serves as a resource/consultant for all departments regarding clinical specialty, conducts/ participates in research across varied ... care delivery. Essential Duties: + Consultant Clinical resource with staff on management of complex cases. Makes rounds for the purposes of monitoring and… more
- Sutter Health (San Francisco, CA)
- …case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Awareness of ... management , quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers… more
- Sutter Health (Roseville, CA)
- …case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of ... management , quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers… more