- Sanford Health (Worthington, MN)
- …evaluate outcomes based on an integration among established clinical, financial and utilization data. Defines the unit of care (family and patient). Demonstrates ... CNEA). Minimum of two years' clinical experience preferred. Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing… more
- Elara Caring (Fort Wayne, IN)
- …and reports potential payment/coverage problems. + Supervises and coordinates utilization review activities. + Participates in strategic development of Key ... the Area Vice President. **What is Required?** + 5+ years Hospice experience + RN license in state of operations that is current and unrestricted + Previous… more
- Select Medical (Phoenix, AZ)
- …Rehabilitation Hospital** **Partnership with Select Medical** **Position:** Case Manager ( RN / SW) **Location:** Phoenix, AZ **Schedule:** Per Diem onsite ... time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate… more
- Diversicare Healthcare Services & Diversicare Ther (Hartford, AL)
- …all documents meet the request. **Qualifications** 1. Degree in nursing 2. RN License 3. Knowledge of healthcare reimbursement, utilization management, and ... discharge planning. 4. Experience providing strategic leadership, managing teams and leading projects required. 5. Ability to formulate and implement short and long term strategic plans 6. Strong verbal, written and interpersonal skills. 7. Must have proven… more
- Stanford Health Care (Palo Alto, CA)
- …benefited. **This is a Stanford Health Care job.** **A Brief Overview** The RN Program Manager, Cancer DSL supports the Cancer Destination Service Line by planning, ... program(s)/project(s) endeavors that support the strategic goals of the department. Utilization of data analytics, lean six sigma project management tools, financial… more
- Sanford Health (Sioux Falls, SD)
- …outcomes based on an integration among established clinical, financial and utilization data. Functions in structured and unstructured health care settings described ... CNEA). Minimum of two years' clinical experience preferred. Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing… more
- Sanford Health (West Fargo, ND)
- …outcomes based on an integration among established clinical, financial and utilization data. Functions in structured and unstructured health care settings described ... and standards of nursing practice as outlined in the Nurse Practice Act and Administrative Rules in state of...two years' clinical experience preferred. Currently holds an unencumbered RN license with the State Board of Nursing where… more
- PeaceHealth (Florence, OR)
- **Description** **PeaceHealth is seeking a RN for our Care Management Team in beautiful Florence Oregon! This position covers all inpatient units at our 21 bed ... case management, home health or hospice may be considered.) + Utilization Management-Quality Managment experience preferred. + Third party reimbursement knowledge… more
- Somatus (Mclean, VA)
- …utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management ... the Medical Director (OMD) Quality Committee. Qualifications Required Qualifications: + Active RN license in current state of residence with the ability to qualify… more
- UnityPoint Health (Sioux City, IA)
- …8am-4:30pm, occasional coverage: Sat/Sun 8am-8pm + Job ID: 176411 Overview Clinical Nurse (As Needed) PACE (Program of All-Inclusive Care for the Elderly) Available ... of new members of the interdisciplinary team to clinic RN functions. * Ensures accurate and timely reporting of...Ensures accurate and timely reporting of clinic services for utilization and PACE data collection. * Attends participant related… more