- University of Southern California (Los Angeles, CA)
- …+ Pref 2 years Experience in an HMO/IPA/Managed care setting Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic Life Support ... from multiple sources, as supported by the ambulatory care coordinator . 4. Analyze and interpret data in collaboration with...experience + Req 2 years Ambulatory case management or utilization review experience within the last three… more
- Stanford Health Care (Palo Alto, CA)
- …job.** **A Brief Overview** The Oncology Research Nursing Professional (ORNP) -is a Registered Nurse ( RN ) who works collaboratively with Clinical Research ... information system, analytics and metric management. **Licenses and Certifications** + California Registered Nurse ( RN ) license + American Heart Association… more
- Covenant Health Inc. (Harriman, TN)
- …duties + Provides care management services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory + In ... Overview RN Care Manager, Continuum of Care PRN/OCC, Variable...on the nursing unit and reports directly to the Manager/ Coordinator of Quality and Care Management at the facility… more
- Covenant Health Inc. (Harriman, TN)
- …requested. + Provides care management services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory. + In ... Overview RN Care Manager, Continuum of Care PRN/OCC, Variable...on the nursing unit and reports directly to the Manager/ Coordinator of Quality and Care Management at the facility… more
- HCA Healthcare (Anchorage, AK)
- …service. **What qualifications you will need:** + Current licensure as a Registered Nurse in the State of Alaska or RN compact license from participating ... (BLS or BCLS) and Certification. + Certification in case management or utilization review preferred. + InterQual experience preferred. HCA Healthcare's Alaska… more
- Erickson Living (Springfield, VA)
- …leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee ... by Erickson Senior Living Join our team as the Nurse Manager, RN also known as the...care, assisted living or hospital) is required. + Current Registered Nurse license for the state in… more
- UHS (Norwich, NY)
- Position OverviewThe Registered Nurse ( RN ) or...and students + Performs duties related to the Charge Nurse or Shift Coordinator role when assigned ... advocacy in the care of individuals and families. The RN or GN is responsible and accountable for compliance...professional development in accordance with the New York State Nurse Practice Act, United Health Services policies, ANA Scope… more
- UNC Health Care (Raleigh, NC)
- …5. Collaborates with the Operations Manager to select patients for audit review . Reviews patient records to determine appropriate utilization . 6. Coordinates ... is seeking a candidate with process improvement experience. Will consider candidates with RN or Physical Therapy experience. This is a hybrid position. Become part… more
- Diversicare Healthcare Services & Diversicare Ther (Sedgwick, KS)
- …( RN degree required). 2. Knowledge of healthcare reimbursement, utilization management, and discharge planning. 3. Experience providing strategic leadership, ... and timely completion of Medicare and Managed Care regulatory guidelines. + Review Additional Documentation Requests (ADRs) to ensure all documents meet the request.… more
- University of Utah Health (Salt Lake City, UT)
- …+ Negotiates with third party payers relative to benefit levels, eligibility, utilization review , and reimbursement. + Identifies actual and potential delays ... the following** + Current license to practice as a Registered Nurse in the State of Utah,...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more