- Blue KC (Workman, MN)
- …program materials creation and maintenance. + _Participates in cultural trainings to review the Case Management program, engagement techniques, cost containment ... and regularly attends client meetings (with benefits managers and executives) to review health outcomes and cost information. + Actively monitors care management… more
- NHS Management, LLC (Mobile, AL)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... medical plan! We are in search of a qualified RN Unit Manager : + Assists in maintaining resident...documentation of treatment and nursing observations. Qualifications: + Current RN license by State required with experience in the… more
- Genesis Healthcare (Albuquerque, NM)
- …while making a meaningful impact in the communities we serve. Responsibilities The MDS Nurse -- RN manages the overall process and tracking of all ... is required. *Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable. *Must… more
- UCFS Healthcare (Norwich, CT)
- Per Diem Primary Care Nurse - RN /LPN Norwich, CT (http://maps.google.com/maps?q=47+Town+Street+Norwich+CT+USA+06360) Job Type Part-time Description UCFS is looking ... in the lives of others!We are currently seeking apart-time (per diem 16hrs) Nurse , RN /LPNwho will utilize critical thinking skills to interpret complex… more
- UCFS Healthcare (Norwich, CT)
- Pediatric Walk-In Center Nurse - RN /LPN Norwich, CT (http://maps.google.com/maps?q=47+Town+Street+Norwich+CT+USA+06360) Job Type Part-time Description UCFS is ... in the lives of others!We are currently seeking apart-time (per diem 10hrs) Nurse , RN /LPNwho will utilize critical thinking skills to interpret complex… more
- Erickson Living (Dallas, TX)
- …of medical practice; insurance benefit structures and related legal/medical issues; and utilization review and quality assurance procedures. Please note that ... by Erickson Senior Living Join our team as a RN Case Manager (also known as Care Coordinator, Erickson...+ Researches and selects care options as appropriate. The nurse care coordinator may utilize a range of alternative,… more
- Community Health Systems (Franklin, TN)
- …working with EMR in an Acute Care hospital minimum 1-2 years + Clinical Case Management 1-2 years + Utilization Review Experience **Preferred Experience:** + ... assigned due dates + Participates in the ALC yearly review of all courses assigned under case management...as needed per Director invite **Qualifications** + Required Education: Registered Nurse + Preferred Education: BSN, MSN,… more
- Tenet Healthcare (Detroit, MI)
- … Utilization Management Plan using data to drive hospital utilization performance improvement, c) ensures medical necessity review processes are completed ... case management scope of services including: * Utilization Management supporting medical necessity and denial...in Nursing, Business Administration or Hospital Administration preferred. 2. Registered Nurse or LCSW/LMSW license. Must be… more
- Sharp HealthCare (San Diego, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** Bachelor's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...the department head as indicated. + Utilization review and utilization managementThe RN … more
- Sanford Health (Fargo, ND)
- …and integrate the skills and tools into project work * Implement change management strategies throughout the organization to ensure success * Prepare white papers, ... Summary** Responsible for analyzing and synthesizing of data to maximize utilization of data in clinical decision-making, business and strategic initiative.… more
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