- HCA Healthcare (Richmond, VA)
- …you passionate about delivering patient-centered care?** Submit your application for Quality Risk Management Nurse position and spend more time at the bedside ... deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your...career! We are interviewing candidates for our Quality Risk Management Nurse opening. **Apply today and a… more
- Cedars-Sinai (Beverly Hills, CA)
- …patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for continued review ... The Case Manager is responsible for the case management of patient while hospitalized and...**Qualifications** **Education:** + Graduation from an accredited school of nursing required + Bachelor of Science degree in … more
- McLaren Health Care (Flint, MI)
- …One (1) year previous experience in Managed Care Utilization Management , Medical Management , Case Management . **Preferred:** + Two (2) years' experience ... people live healthier and more satisfying lives. We are looking for a Utilization Management RN, to join in leading the organization forward. MHP is a Managed Care… more
- Elevance Health (Raleigh, NC)
- …+ Manage and control healthcare costs for the designated population through integrated case management . + Review member care plans and ensure they are ... contract, the requirements are:** + Requires a degree in nursing and minimum of 5 years of clinical experience;...care management services is strongly preferred. + Case management certification is preferred. Please be… more
- ChenMed (Largo, FL)
- …primary care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary ... Once a patient has completed their episode of care management the register nurse (RN) will review...and evaluate individual patient care plans + Knowledge of nursing and case management theory… more
- Fairview Health Services (Minneapolis, MN)
- …Qualifications** + Bachelors Degree in Nursing + 1 year RN experience + Registered Nurse **Preferred Qualifications** + Case Management Nurse + Basic ... any unusual situations. Internal customers include all levels of nursing management and staff, medical staff, and...Mentors internal members of the health care team on case management and managed care concepts. +… more
- UNC Health Care (Morrisville, NC)
- …Executive Director works closely with leaders from various departments- case management , physician advisors, revenue cycle, medical staff, nursing , and ... communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and operational leader responsible for designing,… more
- Johns Hopkins University (Baltimore, MD)
- …diseases testing and treatment, wound care, harm reduction services, and case management . We are seeking a **_Sr. Nurse Practitioner, Community Access & ... + Psychiatric nurse practitioner with years of experience in case management . + Experience in supervising multidisciplinary staff. + Knowledge… more
- US Tech Solutions (Hopewell, NJ)
- …services provided. 8. Encourages member participation and compliance in the case /disease management program efforts. 9. Documents accurately and comprehensively ... the use of intranet and internet applications. - Prefers working knowledge of case /care management principles. - Prefers working knowledge of principles of… more
- CVS Health (Baton Rouge, LA)
- …a multidisciplinary team responsible for utilization review, prior authorization, and case management functions. + Monitor team performance, analyze metrics, ... it all with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical professionals to… more