- Northwell Health (Manhasset, NY)
- …+ Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + Submits ... + Documents the case management process in the medical record ; completes and documents a care coordination assessment on...+ Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications… more
- MyFlorida (Monticello, FL)
- COMMUNITY HEALTH NURSE - 64005037 Date: Jul 23, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 856640 Agency: Department of Health Working Title: COMMUNITY HEALTH NURSE - 64005037 Pay Plan: Career Service Position Number: 64005037 Salary:… more
- Fresenius Medical Center (Cadiz, KY)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Therapies Program. + Maintains integrity of medical and operations records and complies with all data collections and auditing… more
- Elevance Health (Overland Park, KS)
- …with providers, claims or service issues + Assists with development of utilization /care management policies and procedures, chairs and schedules meetings, as well as ... and feedback, and developing associated corrective action plans at direction of the manager + Serves as first line contact for conflict resolution. Develops training… more
- Houston Methodist (Houston, TX)
- …hospital units through the facilitation and coordination of patient flow and bed utilization . The POE Nurse position collaborates with clinical staff and ... At Houston Methodist, the Point of Entry Nurse (POE) is a licensed registered nurse...interprofessional health care team to ensure resource utilization is appropriate to the patient's clinical needs and… more
- Fresenius Medical Center (San Bernardino, CA)
- …Services departments. Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies Program. * Maintains integrity of ... medical and operations records and complies with all data collections and auditing...of Disease (ICD) coding. *Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- CVS Health (Tallahassee, FL)
- …appropriate member care. . Attends and participates in case rounds, including utilization management rounds for behavioral health and physical health to obtain ... Facilitates clinical hand offs during transitions of care. Reports to: Manager , Clinical Health Services **Required Qualifications:** . Active current unrestricted… more
- Roper St. Francis (Summerville, SC)
- …Weekly Hours:** 36 **Work Shift:** Evenings/Nights (United States of America) ** Manager seeking prior Labor And Delivery RN experience.** **Position will start ... standards and practices in accordance with the South Carolina Nurse Practice Act. Applies professional nursing theory and practice...ED and as designated by specialty standards and/or clinical manager and should be obtained within 6 months of… more
- NJM Insurance (Parsippany, NJ)
- …to the Medical Management Administrator and Medical Services, the Precertification Nurse supports our Workers Compensation and Auto (PIP/Medpay) lines of business ... by performing prospective and retrospective Utilization Review of medical services/treatment requested or rendered by medical providers/suppliers to ensure… more
- Roper St. Francis (Charleston, SC)
- …following established standards and practices in accordance with the South Carolina Nurse Practice Act. Applies professional nursing theory and practice to assess, ... and collaborative working relationships within and among disciplines. Charge Nurse role has 2 tiers: Primary Charge Nurse...ED and as designated by specialty standards and/or clinical manager and should be obtained within 60 days of… more