- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review /Medical and Case Management services for Workers' Compensation. The Workers' ... for timely return to work. + Provides case management, utilization review , continued stay reviews, and based...MagnaCare policies and procedures. Essential Qualifications + Currently licensed Registered Nurse in the state of NY,… more
- Battelle Memorial Institute (Arlington, VA)
- …two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any US State, the District of Columbia, Guam, Puerto ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager ** to join our team...professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report… more
- HCA Healthcare (San Antonio, TX)
- …and personal growth, we encourage you to apply for our Nurse Manager of Case Management opening. We promptly review all applications. Highly qualified ... **Introduction** Do you have the career opportunities as a(an) Nurse Manager of Case Management you want...Certificates, or Registrations Required:** + **Currently licensed as a Registered Nurse in the state(s) of practice… more
- Corewell Health (Ludington, MI)
- …clinical nursing experience Required. + 1 year of relevant supervisory experience Required. + MI Registered Nurse ( RN ) Required. + AHA or ARC Basic Life ... supports a culture of safety and maintenance of interprofessional collaborative relationships. Nurse Managers in inpatient and outpatient units are REQUIRED to obtain… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- …communication on medical issues with VP of Nursing, Nurse Administrator, Registered Nurse ( RN ), and Medical Coordinators2. Maintains medical records, ... Medical Data Entry Manager Type of Position Full time Search Location(s)...Under the Supervision of the VP of Nursing and Nurse Administrators, works collaboratively and assists in the management… more
- Tenet Healthcare (Detroit, MI)
- …provisions and provides interpretation of department policies, in accordance with the DMC Utilization Review Plan. Identifies the need for and drafts or defines ... to ensure timely referral, follow up and documentation. Implements and monitors utilization review process in place to communicate appropriate clinical data to… more
- Trinity Health (Columbus, OH)
- …Management extender would work under the direction of the RN Care Managers, Utilization Review Care Manager and the Social Workers. This position ... in HealthQuest + Communicate information received from payers to utilization review nurse . + Transmit...recognition programs. Tuition/professional development reimbursement starting on day one. RN to BSN tuition 100% paid at Mount Carmel's… more
- CDPHP (Latham, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... of consistent and quality health care services. Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and… more
- Cabinet Peaks Medical Center (Libby, MT)
- …Services, Laboratory Services, Nutrition and Diabetes Education, Quality Risk Management, Utilization Review and Risk Management, Employee Health Education, ... Cabinet Peaks Medical Center is looking for a Nurse House Manager to join our...of the clinical departments and patient care outcomes. The RN House Manager has exemplary leadership skills… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …may be substituted for the degree requirement. + Active Washington State Registered Nurse License required. Preferred: + Certified Professional in Healthcare ... that can result in losses or liability and to improve safety, utilization of resources and achievement of desired outcomes. Work also involves collaborating… more