- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... mission and supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an account manager , relationship manager , and… more
- Fresenius Medical Center (East Hartford, CT)
- …related field preferred or an equivalent combination of education and experience + Registered Nurse required + Certification in Nephrology Nursing or quality ... barriers to quality improvement. This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders,… more
- UNC Health Care (Rocky Mount, NC)
- …insurance companies, Medicare and Medicaid, in accordance with utilization review guidelines. Tactfully and effectively informs Manager of physicians' impact ... care of patients through such case management functions as utilization review and discharge planning. May facilitate...patient reassessments according to identified needs and input from RN and MD. Serves as a resource person for… more
- Access Dubuque (Dubuque, IA)
- …+ Complete all other assigned projects and duties. **Skills we are looking for:** + Registered Nurse ( RN ) or Licensed Practical Nurse (LPN) with ... needs. **Knowledge & Skills:** _Education_ : Registered Nurse /Licensed Practical Nurse degree. Iowa RN.../LPN license or multistate license. _Preferred:_ Certified Occupational Health Nurse or Nurse Case Manager .… more
- Novant Health (Wilmington, NC)
- …shift activities in the clinical area. Assists the Nurse Manager with continuous quality improvement, personnel utilization , performance appraisals, resource ... 4-10 hour Shifts, 7:00am-5:00pm + Department: Operating Room, Urology/GYN + Requirements: Registered Nurse License and Operating Room experience is required. +… more
- Elevance Health (Washington, DC)
- …and experience, which would provide an equivalent background. **Preferred Qualifications** + Utilization review / utilization management experience is a must ... by managing and overseeing non-clinical medical management specialists to ensure utilization regulatory compliance and member service delivery. **Primary duties may… more
- Rochester Regional Health (Rochester, NY)
- …Support - American Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education ... the Care Management Data base to support the clinical review process. + Concurrently monitors resources utilization ,...in daily Huddles, providing ongoing communication to the Charge Nurse and Nurse Manager to… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …System Care Coordination is responsible for system-wide Care Coordination functions ( Utilization Review , Social Work, Navigation, and Case Management) including ... of five years of experience in care management or utilization review + A minimum of five...Click here (https://www.aspirus.org/about) to learn more. Credentials: Essential: * REGISTERED NURSE LICENSE Position DIRECTOR - SYSTEM… more
- Fallon Health (Worcester, MA)
- …degree in nursing required **License/Certifications:** Active and unrestricted licensure as a Registered Nurse in Massachusetts. **Experience:** * A minimum of ... Twitter and LinkedIn. **Brief summary of purpose:** The PA Nurse uses a multidisciplinary approach to review ...three to five years clinical experience as a Registered Nurse in a clinical setting required.… more
- Immigration and Customs Enforcement (Washington, DC)
- …Qualifications-Licenses and Certifications Required: a. Nursing License- Must be a Registered Nurse ( RN ).i. Maintains current/documented professional ... interpretation and/or translations services are available. d. The correctional registered nurse practices ethically per the Code...Nursing Services Unit. c. May be utilized as acting Nurse Manager (NM) during TDY assignments and… more