- Deloitte (Los Angeles, CA)
- …as clinical registered nurse , physician, physician assistant, case manager , clinical documentation specialist, utilization review , informatics RN ... in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical Documentation Specialist… more
- UPMC (Pittsburgh, PA)
- …overall responsibility for all aspects of contract management including quality assurance, utilization review , ROI and other areas as appropriate + Bachelor's ... Hillman Cancer Center is currently hiring a Regional Operations Manager , ONC ( RN ) to support their world...support their world class Medial Oncology/Infusion community network. This nurse leader will be responsible for various Hillman Cancer… more
- Albany Medical Center (Albany, NY)
- …Work Shift: Day (United States of America) Salary Range: $83,200.00 - $128,960.00 Registered Nurse ( RN ) - Full Time Pediatric Endocrine Department ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or ...or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests… more
- BayCare Health System (Dunedin, FL)
- …with 1 year Home Health RN visit experience. **Required Credentials:** + RN ( Registered Nurse ) License + Diploma, Associate's or Bachelor's Nursing ... dignity, respect, responsibility and clinical excellence. **Home Care Supervisor, RN position details:** + **Location:** BayCare HomeCare Dunedin +...Case Manager on initial Plan of Care review with a focus on quality, utilization … more
- NHS Management, LLC (Birmingham, AL)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... cost gold medical plan! We are in search of a qualified RN Clinical Services Manager + Assists in maintaining resident care standards by supervising and… more
- NHS Management, LLC (Crystal River, FL)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... a difference in your life! We are in search of a qualified RN Unit Manager + Assists in maintaining resident care standards by supervising and directing… more
- Erickson Living (Dallas, TX)
- …of medical practice; insurance benefit structures and related legal/medical issues; and utilization review and quality assurance procedures. Please note that ... by Erickson Senior Living Join our team as a RN Case Manager (also known as Care...+ Researches and selects care options as appropriate. The nurse care coordinator may utilize a range of alternative,… more
- Trinity Health (Livonia, MI)
- …and applied criteria. Knowledge of federal, state and local regulation affecting utilization review programs and payments. Knowledge of regulatory and ... to Join our Remarkable Care Team as a** **Case Manager ** **in the Case Management Department awaits YOU **...accrediting agency standards and regulations relative to utilization review . **BENEFITS AVAILABLE TO YOU AS… more
- Children's Home Healthcare (Albuquerque, NM)
- …authorizations for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional ... LICENSE* Children's Home Healthcare is now hiring for a RN Clinical Supervisor/Case Manager ! Children's HH is...CPR + At least 2 years experience as a Registered Nurse + At least 1 year… more
- Highmark Health (Pittsburgh, PA)
- …with operational areas regarding issues related to supported technology. Manage utilization review , translation of foreign claims, coordination of benefits ... benefits/requirements/limits, discharge planning requirements, length of stay and resource utilization issues. + Adheres to the policies, procedures, rules,… more