- Stanford Health Care (Palo Alto, CA)
- …experience. + ICU/ED and Academic Medical Center experience preferred. + Case management , utilization review and/or direct provider interaction experience, ... Health Care **What you will do** + Responsibility for management and optimization of the positive relationships between CDI...Document Spec . + CCDS-O or CDIP . + Nursing\ RN - Registered Nurse -… more
- CenterWell (Shelby, NC)
- …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...A minimum of 2 years of experience as a Registered Nurse ( RN ). + Home… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …to ensure optimal and cost-effective health outcomes. Required Skills and Experience * Registered nurse with current MN license and with no restrictions * ... Blue Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Management - Transplant...* 2+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- Banner Health (Scottsdale, AZ)
- …quality management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission ... position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality of nursing… more
- Banner Health (Sterling, CO)
- …quality management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission ... position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality of nursing… more
- Banner Health (Worland, WY)
- …quality management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission ... position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality of nursing… more
- Banner Health (Brush, CO)
- …quality management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission ... position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality of nursing… more
- Banner Health (Greeley, CO)
- …quality management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission ... position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality of nursing… more
- Molina Healthcare (Madison, WI)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **_Wisconsin RN license required_** JOB DESCRIPTION Job SummaryProvides support...to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …as a Certified Professional Coder required. + Three to five years of case management utilization review , or compliance related work experience in a ... Serves as a clinical resource for coding / denial management and customer service issues. + Participates as a...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … more