- Rush University Medical Center (Chicago, IL)
- …circumstances of each case. **Summary:** The Clinical Consulting Specialist is a nurse with expertise within a specialized area of nursing practice responsible for ... team and demonstrates advanced knowledge and skills in education, organizational management and forging partnerships. Gaining cooperative efforts to promote a safe… more
- University of Maryland, Baltimore (Baltimore, MD)
- …related to the delivery of medical care and clinical services such utilization review , quality assurance, policies, procedures and guidelines development. 3. ... Towson, MD * Staffed with 24 /7 and Neonatal Nurse Practitioners * TeleHealth Support 24/7 from the UMMC...of Maryland Medical Center (UMMC). 8. Provides oversight of utilization and risk management activities including monitoring… more
- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- …care team, or other specialty care. Coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization ... effective and efficient communication with the patient, interdisciplinary team, management team, VA medical centers, and other agencies. Collect, scans,… more
- MVP Health Care (Tarrytown, NY)
- …every interaction **Your key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that includes ... **Qualifications you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months… more
- The County of Los Angeles (Los Angeles, CA)
- …scope of practice. + Participates in the development, negotiation, implementation, and management of the budget for the program support service operations, clinic, ... and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in...of care and establishes and modifies program monitoring and review methods as necessary. + Oversees audits and the… more
- Providence (Beaverton, OR)
- …Transition of Care Planning, Discharge Planning, Coordination of Outpatient Care) + Utilization Management Experience (EX. Concurrent Review , Prior ... who are terminal and nearing end of life + Care management services include: nurse education, care coordination and general assistance with managing day to… more
- Covenant Health Inc. (Lenoir City, TN)
- Overview Registered Nurse Care Manager, Quality Management PRN/OCC,Hours and Shifts Vary Fort Loudoun Medical Center Overview: Fort Loudoun Medical Center is ... and reports directly to the Manager/Coordinator of Quality and Care Management at the facility level. Recruiter: Sandra Simmons || ###@covhlth.com Responsibilities… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Manager, Continuum of Care Full Time, 80 Hours Per Pay Period , Day Shift M-F. May rotate weekend and minor holidays. Parkwest ... areas.The department hires RNs with a minimum of 3 years of experience. Case Management certification is preferred, but not required. There is a career ladder for… more
- Prime Healthcare (Harlingen, TX)
- …to manage care transitions. RN Case Managers also conduct discharge planning, utilization review , and helping patients navigate insurance and healthcare systems. ... Case Manager , also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager ....to rehab, home health, or long-term care facilities + Utilization Review : m onitor the use of… more
- University of Colorado (Aurora, CO)
- …+ Meets and maintains the requirements of the nursing requirements of the nursing credential review board for the advanced practice nurse . + Certified as a ... identifying, assessing, planning and coordinating services for oncology patients. The Nurse Practitioner/ Physician Assistant will be an active participant in… more
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