- Charter Care Health Partners (North Providence, RI)
- …progress of a specific patient population. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management ; Continuum of Care ... preferred) with current license to practice as a Registered Nurse in the State of Rhode Island or in...experience with case management , patient navigation, case management , utilization review or discharge… more
- Charter Care Health Partners (North Providence, RI)
- …progress of a specific patient population. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management ; Continuum of Care ... preferred) with current license to practice as a Registered Nurse in the State of Rhode Island or in...experience with case management , patient navigation, case management , utilization review or discharge… more
- CenterWell (Grand Rapids, MI)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...and reliable transportation. + Two years as a Registered Nurse with at least one-year of management … more
- Stanford Health Care (Palo Alto, CA)
- …is a Stanford Health Care job.** **A Brief Overview** Provides supervision and management of advanced practice providers (APPs) in a distinct clinical service line. ... development of their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS),...of the service line Medical Director and unit nursing management team. + Conduct regularly scheduled meetings with the… more
- Rising Medical Solutions (Los Angeles, CA)
- …medical case management , occupational health, orthopedics, home health care, utilization review , or quality assurance + Familiarity with regional physicians ... Your Career with Rising Medical Solutions Are you an experienced workers' compensation nurse case manager eager to bring your expertise to a team that's passionate… more
- Fresenius Medical Center (Farmerville, LA)
- …and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or Nurse Supervisor regarding the provision of quality patient ... closely with, providing oversight as needed to, the Clinical Coordinator/Charge RN or Nurse Supervisor acting as nurse manager, the Medical Director, and the… more
- HCA Healthcare (Tallahassee, FL)
- …is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review , preferred** + **Three years ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- …and Nurse Administrators, works collaboratively and assists in the management of medical care for all individuals served and maintaining appropriate ... various source documents into the computer system for storage, processing and data management purposes. Shift Worked: 9:00 AM-5:00 PM Weekly Hours: 37.5 FLSA Status:… more
- Sharp HealthCare (La Mesa, CA)
- …Healthcare Quality (CPHQ) - National Association for Healthcare Quality; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Professional in ... for Professionals in Patient Safety; Certified Professional in Healthcare Risk Management (CPHRM) - American Hospital Association; Master's Degree; Bachelor's Degree… more
- Highmark Health (Pittsburgh, PA)
- …advisor and third party payers. + Maintains a working knowledge of care management , care coordination changes, utilization review changes, authorization ... etc. Serves as an educational resource to all AHN staff regarding utilization review practice and governmental commercial payer guidelines. Adheres to… more
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