- Brockton Hospital (Brockton, MA)
- …of five years clinical experience in an acute care facility required. Prior experience in case management , utilization review or discharge planning required. ... of our patients. Provides medical-surgical pediatric and obstetrical case management services to Brockton Hospital patients. Responsible for assuring continuity… more
- HCA Healthcare (St. Petersburg, FL)
- …and satisfaction. + You will promote cost effectiveness through the integration of case management , utilization review management and discharge planning. ... **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to...for our Case Manager RN PRN opening. We promptly review all applications. Highly qualified candidates will be contacted… more
- Cleveland Clinic (Cleveland, OH)
- …year of eligibility (CTM, ACM, CCM or AHA) + Two years of recent experience in utilization review , quality or care management + Knowledge of acute care and ... top healthcare organizations in the nation. As a Registered Nurse (RN) Case Manager, you will work collaboratively with...professional nursing + Current state licensure as a Registered Nurse (RN) + Basic Life Support (BLS) Certification through… more
- Accura Healthcare (Waite Park, MN)
- …personalized assessments for use in the evaluation of quality of care and utilization review for the purpose of clinical reimbursement. Confer with physicians, ... our team! We're seeking a skilled and compassionate registered nurse to manage and oversee the MDS process and...full-time employees and may differ for those sites under management contracts . Minnesota employees are eligible for PTO… more
- Genesis Healthcare (Albuquerque, NM)
- …is required. *Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable. *Must ... Overview **Ladera Care Center seeks a part time MDS Nurse !** At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of… more
- Ochsner Health (Slidell, LA)
- …of hospital-based experience. **Preferred** - Experience in utilization review . **Certifications** **Required** - Current licensed practical nurse (LPN) ... **Job Description** **Education** **Required** - Graduate of an accredited licensed practical nurse (LPN) program. **Work Experience** **Required** - 3 years… more
- HCA Healthcare (Kansas City, MO)
- …patient needs. What you will do in this role: + Responsible for utilization review , discharge planning and care coordination with the patient, patient's ... work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Research Medical Center! **Job… more
- Grifols Shared Services North America, Inc (Rockford, IL)
- …DOP, Physician, therapeutic departments, ADR/SP Partner, Infusion Suite Nurse , etc.) Demonstrate account-based selling skills (including group presentations, ... to submit and approve P&T requests to add product to formulary Utilization of Managed Markets, Marketing, IgNE, MSL, etc. Detailing customers including… more
- AdventHealth (Fletcher, NC)
- …concerns. + Performs the functions of the clinical supervisor, intake, scheduling, quality review , utilization management medical records as needed. + ... providing care to patients and that an RN (Registered Nurse ) is available after hours (24/7) to address patient...or four years of equivalent experience. + Clear/active Registered Nurse or Physical Therapy license issued by the state… more
- Insight Global (Elkton, MD)
- …IP phones. Support and provide technical guidance to the Field Staff. Support of the Nurse Call backend systems. This is an ONSITE position based in Elkton, MD. This ... request. 2. Analyzes system traffic reports as requested by management , including operator statistics, voice mail, ACD, trunk, and...which includes a monthly report on traffic and effective utilization . 9. Oversees the weekly work efforts of the… more