- Albany Medical Center (Albany, NY)
- …operating room. Functions in the OR setting under the direction of the OR RN clinical manager (s). Assures surgeons' needs as identified on the surgical ... within the surgical cores of supplies and instruments and tracks utilization within the appropriate inventory/instrument control systems as developed and directed… more
- US Tech Solutions (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... Contract (Possible Extension)** **Job Description:** + Must be an RN in SC and have an active and unrestricted...like in this role: Employee will be providing telephonic case management and utilization management for our… more
- Kaleida Health (Buffalo, NY)
- …Basic Life Support (BLS) required upon hire. Current NYS registration as a Registered Professional Nurse / RN Permit and American Heart Association-Basic Life ... And Credentials** Current New York State registration as a Registered Professional Nurse required. Bachelor of Science...five (5) years of hire to the position. Certified Case Manager (CCM) preferred. Employees in the… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role BHPS provides Utilization Management (UM) services to its clients, ensuring high-quality, clinically sound decision-making. The Clinical Appeal and ... Grievance Nurse is responsible for conducting daily clinical and benefit...environment. The position reports directly to the Clinical Appeal Manager . Note: This job description is not intended to… more
- Elevance Health (Columbus, GA)
- …Must have License to practice in the state of Georgia** The **Medical Management Nurse ** is responsible for review of the most complex or challenging cases that ... consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations on alternate types, places, or… more
- UnityPoint Health (Des Moines, IA)
- …continuity through elimination of fragmentation of care/service and facilitates the effective utilization of resources. Serves as educator and a central source of ... evaluation of patient-focused care for prioritized patients . + Documents the case management plan to include: clinical needs, barriers to quality care, effective… more
- AdventHealth (Castle Rock, CO)
- …Advanced Practice Social Worker (CAPSW) + Certified Independent Social Worker (CISW) + Accredited Case Manager (ACM) + Certified Case Manager (CCM) ... for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care… more
- Garnet Health (Harris, NY)
- …effectively organize/prioritize accordingly, and implement evidence based care. Social Work Clinician/ Case Manager - primary role is to provide psychiatric/detox ... with: law enforcement personnel, EMS, Medical Center security, ED RN staff, and family members. SW Clinician - is...plan. The SW Clinician will also be the primary Case Manager for the detox patient on… more
- Elevance Health (NC)
- …of Care** is responsible for coordinating operations and workflows related to case management activities in support of specialty programs, such as Foster Care. ... Serves as a coach. Performs case management telephonically and/or by home visits within the...Requires an active, current and valid license as an RN , LCSW (as applicable by state law and scope… more
- HCA Healthcare (Houston, TX)
- …integrity. We care like family! Jump-start your career as a Clinical Research Nurse today with HCA Houston Healthcare Clear Lake. **Benefits** HCA Houston Healthcare ... location._** Come join our team as a Clinical Research Nurse . We care for our community! Just last year,...+ Ensures the integrity of the data submitted on Case Report Forms or other data collection tools by… more