- Arkansas Children's (Little Rock, AR)
- …9. Reassesses and modifies patient plan of care in collaboration with the registered nurse . 10. Performs other duties as assigned. Arkansas Children's ... ancillary departments, patients, families, and office staff to ensure effective utilization of resources and coordination of care. **Required Education:** Completion… more
- Ellis Medicine (Schenectady, NY)
- …standards and regulatory requirements. Requirements: Currently licensed in New York State as a Registered Nurse and a graduate of an approved school of nursing. ... Basic Function: The Nurse Manager (NM) actualizes the vision, mission and...nursing care delivery system to assure effective and efficient utilization of staff and other resources for the delivery… more
- Penn Medicine (West Chester, PA)
- …financial models to achieve budget targets and organization objectives. Credentials: + Registered Nurse - PA (Required) Education or Equivalent Experience: + ... and consultation. It also oversees service line VACs, supporting standardization, utilization , and new product assessments, while coordinating closely with supply… more
- Baystate Health (Springfield, MA)
- …the required experience + Master's preferred (MSN, MHA, MBA, or related field) + Any registered nurse in the role either the bachelor's degree or master's Degree ... evaluate centralized staffing models and strategies to optimize nursing resource utilization across all Baystate Health facilities and units, considering patient… more
- Calvary Hospital (Bronx, NY)
- …year Requirements QUALIFICATIONS: 1. Master of Nursing Degree required. 2. NYS unencumbered Registered Nurse License required. 3. Ten (10) to fifteen (15) years ... has been denied. Conducts interdepartmental meetings related to the quality and utilization of clinical services. Serves on various Hospital committees as assigned.… more
- University of Utah Health (Salt Lake City, UT)
- …and supporting coordination of care activities under the direction of a registered nurse and/or social worker. The incumbent interacts with representatives ... discharge plans prepared and delegated by social work or nurse case management by coordinating with home care agencies,...+ Documents activities and progress in medical charts, computer billing/ utilization systems, or in other ways as directed. +… more
- BronxCare Health System (Bronx, NY)
- …response by the department physician advisors and clinical staff. Qualifications - NYS Registered Nurse required - The Appeal Manager must have excellent verbal ... the department's leadership develop strategies for denial prevention, improved utilization management, documentation of medical necessity and identify patterns and… more
- Highmark Health (Little Rock, AR)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
- Arnot Health (Elmira, NY)
- …of an approved registered nursing program with a current license as a registered nurse . BSN or Case Management Certification preferred. EXPERIENCE: Three to ... . The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager's...The Case Manager tracks and trends LOS , resource utilization , outliers, readmissions , denials , delay days… more
- Beth Israel Lahey Health (Needham, MA)
- …in Nursing (or equivalent) required. Master's degree in Nursing preferred. License Registered Nurse required., and Certificate 1 Basic Life Support required., ... you're making a difference in people's lives.** Job Summary: The nurse director provides 24-hour operational accountability for his/her unit(s). Collaborates with… more