- MTC (Graceville, FL)
- …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... difference every day! Are you a dedicated and skilled RN looking for a meaningful opportunity to provide exceptional...HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services are… more
- Molina Healthcare (Columbus, OH)
- …experience. * At least 1 year of health care management /leadership experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), Licensed ... or more of the following activities: care review , care management , utilization management (prior authorizations, inpatient/outpatient medical necessity,… more
- MTC (Livingston, TX)
- …the use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain ... plan **Make a Difference Where It Matters!** Operated by Management & Training Corporation, the **IAH Detention Facility in...has a unique and rewarding challenge for a dedicated nurse . Help us provide essential care where your expertise… more
- Northwell Health (Sleepy Hollow, 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
- Fallon Health (Worcester, MA)
- … Nurse in a clinical setting required. * 2 years' experience as a Utilization Management /Prior Authorization nurse in a managed care payer preferred. * ... degree in nursing required **License/Certifications:** Active and unrestricted licensure as a Registered Nurse in Massachusetts. **Experience:** * A minimum of… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …lives? Join the Community Care team at the Fargo VA Health Care System as a Registered Nurse - Home and Community Based Services (HCBS) Case Manager. In this ... unrestricted license from any US State or territory The Registered Nurse - Home and Community Based...resources and trends to support continuous improvement of resource utilization and management of Community Care expenditures.… more
- The County of Los Angeles (Los Angeles, CA)
- …the following: + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT ... CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board...of staff, and evaluating employee performance. For this examination, Utilization Review is defined as provides technical… more
- Providence (Spokane, WA)
- **Description** The Inpatient Registered Nurse ( RN ) Care Manager provides professional, comprehensive, patient centric care management services for at ... Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review ,...in Nursing degree/diploma upon hire + Upon hire: Washington Registered Nurse License + 2 years acute… more
- Providence (Olympia, WA)
- **Description** The Inpatient Registered Nurse ( RN ) Care Manager provides professional, comprehensive, patient centric care management services for at ... Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review ,...Associate's Degree in Nursing degree/diploma upon hire. + Washington Registered Nurse License upon hire. + 2… more
- Saint Luke's (Lees Summit, MO)
- …plans, directs and implements all services related to case coordination, concurrent review , and utilization management programs, ensuring compliance with ... Capacity Leadership Team for the Health System while owning primary oversight for Case Management at Saint Luke's East Hospital in your new role as Case … more