- Elevance Health (Los Angeles, CA)
- …in an ambulatory or hospital setting or minimum of 1 year of prior utilization management , medical management and/or quality management , and/or ... ** Nurse Reviewer I** **Virtual:** This role enables associates...required. **Preferred Skills, Capabilities, and Experiences:** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding,… more
- HCA Healthcare (San Antonio, TX)
- …Nursing or related field; + 1-year management experience as a charge RN , clinical care manager /supervisor, or manager . **Minimum License, Certificates, ... a day, with full accountability, for the staffing and management of patient care in each of his/her units,...patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill… more
- UTMB Health (Galveston, TX)
- …Health Requisition # 2506825 The Patient Placement Coordinator Team Leader (non- RN ) functions independently in an advanced placement role, providing consistent ... direction during their shift to optimize patient throughput and maximize bed utilization . This position serves as a resource for departmental processes, offering… more
- UnityPoint Health (Des Moines, IA)
- …agencies and payers to plan and execute a safe discharge + Collaborate with Utilization Management team on continued stay review. + Collaborates with patients, ... continuity through elimination of fragmentation of care/service and facilitates the effective utilization of resources. Serves as educator and a central source of… more
- Veterans Affairs, Veterans Health Administration (Brownsburg, IN)
- …Primary Care service. The Licensed Practical Nurse works under the direction of an RN and reports to the primary care manager . The LPN is responsible for ... and the patient's response. Appropriately seeks assistance and guidance by informing RN or medical provider of changes in the patient's condition requiring… more
- University of Southern California (Arcadia, CA)
- …direct supervision of the RN staff, and assists the Director and/or Manager with the operational management of the nursing unit. The Supervisor coordinates ... care of the patients during hospitalization to obtain the best utilization of resources so that patient outcomes are optimized. The Supervisor serves as a… more
- Elevance Health (Wilmington, DE)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for ... **Telephonic Nurse Case Manager II** **Location:** This...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum requirements:**… more
- Billings Clinic (Billings, MT)
- …and administrative support. Works collaboratively with the Physician, Non-Physician Provider, RN , LPN, and other departmental personnel to meet the physical, ... of co-pays. *Screens incoming telephone calls for appropriate referrals to nurse , physician and/or non-physician provider. *Orders and maintains clinical and office… more
- HCA Healthcare (Dallas, TX)
- …participates in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement improvements ... services such as drug consults, nutrition support, pharmacokinetics, anticoagulant monitoring, pain management , IV to PO, renal dosing and other programs as defined… more
- Bassett Healthcare (Cooperstown, NY)
- …+ 1 year leadership experience, preferred Licensure/Certifications: + Current NYS Registered Professional Nurse license, required + Current BLS certification, ... a resource for insurance approval inquiries. + Supports schedule utilization and assists in measures to ensure clinic schedules...or be suspended at any time. Bonus Amount: + RN (excluding management ) sign-on bonuses are awarded… more