- Hartford HealthCare (Torrington, CT)
- …Hungerford Hospital on a daily basis *_EDUCATION_* * Maintains current license as a Registered Nurse in the State of Connecticut. * Bachelor's degree in Nursing ... moment.* **Job:** **Health Professionals* **Organization:** **Charlotte Hungerford Hospital* **Title:** * RN Care Manager - Case Coordination* **Location:**… more
- AdventHealth (Altamonte Springs, FL)
- …: Remote **The role you will contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... denials, which have been referred to the physician for peer -to- peer review with the Medical...**The expertise and experiences you'll need to succeed:** + RN - Registered Nurse -… more
- Dignity Health (Santa Cruz, CA)
- …patient experience, efficiency, FMEAS, root cause analyses and medical staff improvement (eg case review for peer review , OPPE, FPPE). + Participates in an ... survey tracers. **Qualifications** **MINIMUM QUALIFICATIONS:** **Required Education:** + Licensed Registered Nurse , Licensed Clinical Pharmacist, or other… more
- Highmark Health (Pittsburgh, PA)
- …develops and plans practice changes in collaboration with the TMD and trauma program director/ manager . Maintains peer review process for the trauma program. ... the trauma program medical director (TMD) and trauma program director/ manager to ensure the trauma center provides quality patient... licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). + 5 years RN… more
- Dignity Health (Chandler, AZ)
- …of utilization review , hospital policies and external regulatory agencies, Peer Review Organization (PRO), Joint Commission, and payer defined criteria ... upwith physicians, payers, Care Coordinators and other stakeholders regarding review outcomes. + Collaborates with facility RN ...five (5) years of nursing experience + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN… more
- Highmark Health (Pittsburgh, PA)
- …+ Foster peer review participation with staff an d participate in peer review with other assistant nurse managers.. + Conducts quarterly check-ins ... of a specific patient care department under the direction of the Nurse Manager , providing clinical and administrative leadership and expertise. Contributes… more
- Albany Medical Center (Albany, NY)
- …Aids Program Work Shift: Day (United States of America) Salary Range: $83,200.00 - $128,960.00 Registered Nurse ( RN ) - Full time HIV Medicine Clinic - ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or ...Nursing program is required* Current NYS license as a Registered Nurse Thank you for your interest… more
- Mount Sinai Health System (New York, NY)
- …/ BSN required for all Clinical RN positions + Current New York State Registered Nurse / RN license (or willingness and eligibility to obtain) ... Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/ RN Unit...family members who have concerns and escalates to Clinical Nurse Manager /Assistant Nurse Manager… more
- STG International (Holly Springs, MS)
- …and the VAMC. + Participate in staff development programs and Performance Excellence and Peer Review Programs. + Perform, under the Primary Care Provider's and ... THIS IS FOR A FUTURE OPENING Clinic Manager STG International (STGi) is currently seeking a...practice established by a nationally recognized credentialing organization representing Registered Nurses. + Function within the scope of practice… more
- University of Miami (Miami, FL)
- …please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Utilization Review Case Manager RN - Full ... University of Miami is currently seeking a Prior Authorization Nurse Case Manager . The incumbent purose is...forth by the payer or clinical guidelines + Accurate review of coverage benefits and payer policy limitations to… more