- State of Colorado (Pueblo, CO)
- …are understood, actionable, and tied to CMHHIP's improvement goals. + Participate in utilization management and review activities when requested, applying ... Nurse I - RN Critical Incident/Occurrence...listed. + Description + Benefits + Questions Department Information Registered Nurse I-Full Time CMHHIP This position… more
- Northwell Health (Bay Shore, NY)
- …Performs retrospective reviews as required. + * Participates in the maintenance of Utilization Management , Discharge Planning and Case Management statistics ... of all changes in policies and procedures relating to Utilization Management , Discharge Planning and Case ...field, preferred. + Current license to practice as a Registered Professional Nurse in New York State.… more
- Dartmouth Health (Bennington, VT)
- …of clinical nursing experience required. Prior experience in utilization review , discharge planning and/or case management preferred. VT Nursing License ... The Health Resource Manager is responsible for providing case management services for SVMC sub acute patients.The case manager...required by date of employment. Case Management Certification required within 2 years of employment. *… more
- Veterans Affairs, Veterans Health Administration (Topeka, KS)
- Summary The Registered Nurse ( RN ) Referral Coordination Team (RCT) delivers fundamental knowledge-based care to assigned clients while developing technical ... Nurse 1, Level 1 Referral Coordination Team (RCT) Registered Nurse ( RN ) is responsible...intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards,… more
- CVS Health (Richmond, VA)
- …including NCQA standards. **Required Qualifications** + Candidate must have an active and unrestricted Registered Nurse ( RN ) License in Virginia OR Compact ... Prior Authorizations, Coordination with PCP and Specialty providers, Condition Management information and education, Medication management , Community...Registered Nurse ( RN ) License in state of residence… more
- Tufts Medicine (Melrose, MA)
- …role is essential in developing and maintaining an infrastructure for the systematic review and management of complex patients. The position will work closely ... managers, TMIN Practice Optimization Coaches (POMs) and primary care providers to review patient records, analyze data, and identify practice and patient outlier … more
- Dartmouth Health (Bennington, VT)
- …into a BSN program may be considered.Prior experience in utilization review , discharge planning and/or case management preferred.3-5years of recent clinical ... required. BSN preferred. Prior experience in utilization review , discharge planning and/or case management preferred....utilization review , discharge planning and/or case management preferred. VT Nursing License required by date of… more
- Bassett Healthcare (Cobleskill, NY)
- …needs. The RN contributes to the support of patients through interdisciplinary teamwork. + Registered Nurse I: The RN I status is only appropriate for a ... + Salary Range: $39.01 - $58.51 per hour + Registered Nurse II: The RN ...as measured by periodic random preceptor and supervisory chart review as per probationary appraisal schedule + ( RN… more
- Fresenius Medical Center (Urbana, IL)
- **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the Inpatient Services RN , for a limited period of time, ... duties, as assigned by the Program Manager. The Inpatient Services Charge Nurse ensures appropriate provision of Acute Dialysis Services and treatments within… more
- 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