- UPMC (Cumberland, MD)
- …+ Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) *Current licensure either in the state where ... and never events and refers to Health Plan Quality Management Department. + Complete an overall review ...Three years of experience in a managed care environment, utilization , case, or disease management preferred. +… more
- HCA Healthcare (Salem, VA)
- …BSN from a school of nursing or within 1 year of employment. Valid VA RN Licensure, OR Registered Nurse with "multi-state privilege" granted to them ... and physicians. Coaches and manages staff performance. Uses the Performance Management Plan (PMP) process to communicate, educate, and set performance expectations.… more
- Hackensack Meridian Health (Hackensack, NJ)
- …terms of collaborative agreement. Licenses and Certifications Required: 1. NJ State Professional Registered Nurse License. 2. AHA Basic Health Care Life Support ... and families. 12. Evaluates patient/family transition of care planning for resource utilization , cost, quality, and promotion of self- management for chronic… more
- Molina Healthcare (Louisville, KY)
- …with multidisciplinary teams to promote Molina care model. * Adheres to utilization management (UM) policies and procedures. * May work collaboratively ... must be licensed in KY or have a compact RN license. The Care Review Clinician Inpatient...medical directors, and senior medical directors to ensure proper management of the BHT benefit. Required Qualifications * At… more
- HCA Healthcare (Largo, FL)
- …verbal instructions, PC skills **What qualifications you will need:** + Bachelors Degree + ( RN ) Registered Nurse , or (OT) Occupational Therapist, or (LPT) ... clinical screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director. The Clinical Rehabilitation Specialist works… more
- BrightSpring Health Services (Baltimore, MD)
- …Education: + Bachelor's Degree in Nursing or the equivalent + Currently licensed as a Registered Nurse ( RN ), in good standing in state of residence ... and direction in performance improvement, provision of clinical services, survey management , documentation management , incident management , EMR/EHR… more
- Rush University Medical Center (Chicago, IL)
- …and procedures. **Other information:** **Required Job Qualifications:** *Current license in Illinois as Registered Nurse ( RN ). *Ability to perform all job ... Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Care Management **Work Type:** Full Time (Total FTE between 0.9 and 1.0) **Shift:**… more
- Texas Health Resources (Arlington, TX)
- …management growth inclusive of supervisory and leadership experience Required Licenses and Certifications RN - Registered Nurse Upon Hire Required Or LMSW ... necessary for a high-performance culture related to care transition management . Utilizes change management techniques to facilitate...changes. Directs the activities of the Care Transition Managers ( RN & SW). Serves as a content expert on… more
- Texas Health Resources (Frisco, TX)
- …management growth inclusive of supervisory and leadership experience Required Licenses and Certifications RN - Registered Nurse Upon Hire Required Or LMSW ... for a high performance culture related to care transition management . Supports change management and movement toward.... Directs the activities of the Care Transition Managers ( RN & SW). Serves as a content expert on… more
- Elevance Health (Las Vegas, NV)
- …relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. Primary duties may ... initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes....a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid… more