- Fresenius Medical Center (New Market, TN)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Actalent (Santa Barbara, CA)
- …treatment modalities, community standards, and professional nursing standards. Essential Skills + Utilization management and review experience. + Strong ... to various Health Services operational units. These units include Utilization Management , Case Management , Enhanced...HEDIS medical record abstraction. Additional Skills & Qualifications + Registered Nurse ( RN ) license. +… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …Coordination is responsible for system-wide Care Coordination functions ( Utilization Review , Social Work, Navigation, and Case Management ) including the ... A minimum of five years of experience in care management or utilization review +...Click here (https://www.aspirus.org/about) to learn more. Credentials: Essential: * REGISTERED NURSE LICENSE Position DIRECTOR - SYSTEM… more
- Fresenius Medical Center (San Antonio, TX)
- + Level Description' Management ' Leveling Guide consists of jobs with the responsibility, accountability, and decision-making authority to develop and implement ... with implementation of policies and procedures for the clinical staff.Impact* Management of professionals and support staff. Responsible for setting objectives for… more
- Penn Medicine (Lancaster, PA)
- …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner ... demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to… more
- Carle Health (Champaign, IL)
- …miles) for nurses with 1 or more years experience - External Applicants Only** Hybrid Option The Registered Nurse ( RN ) who serves in the role of System Case ... outcomes. The incumbent will have a deep understanding of utilization review and case management ...to the success of the incumbent. Qualifications **License/Certifications:** Licensed Registered Professional Nurse ( RN ) -… more
- Fresenius Medical Center (Birmingham, AL)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Cedars-Sinai (Los Angeles, CA)
- …required Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review , Coding, or Case Management required Working knowledge of ... care field preferred Foreign trained MDs will be considered License/Certifications: Registered Nurse , LVN, Occupational Therapist, Physical Therapist, Physician… more
- Lawrence General Hospital (Methuen, MA)
- … experience in an acute care setting with discharge planning, continuing care, care management , and utilization review preferred. + Strong verbal and written ... below the top of the range to support future salary growth. The RN Care Manager collaborates with physicians, nurses, and other clinical staff/directors to… more
- Northwell Health (Poughkeepsie, NY)
- …+ Facilitates patient management throughout hospitalization + Performs concurrent utilization management using evidence based medical necessity criteria + ... Submits data to management regarding case management and/or quality initiatives...entry date + Current License to practice as a Registered Professional Nurse in New York State… more