- Houston Methodist (The Woodlands, TX)
- …the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of a target patient population on a ... case management **LICENSES AND CERTIFICATIONS** **Required** + RN - Registered Nurse -...and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance… more
- Fresenius Medical Center (San Antonio, TX)
- + Level Description' Management ' Leveling Guide consists of jobs with the responsibility, accountability, and decision-making authority to develop and implement ... with implementation of policies and procedures for the clinical staff.Impact* Management of professionals and support staff. Responsible for setting objectives for… more
- HCA Healthcare (Austin, TX)
- …in your career path, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager PRN you want...supporting a balance of optimal care and appropriate resource utilization .** + **You will provide case management … more
- Nuvance Health (Poughkeepsie, NY)
- …or Certification Requirements:* * Current New York State a Registered Nurse license. * PREFER: QAPI certificate. Credentials: RN ,BLS Company: HQ Home ... *Description* Summary: *Purpose: *The Quality Systems Reviewer assists in the implementation of the Agencyi?...program dashboard on quality and process measures.Participates in quarterly Utilization Review . 7.Prepares reports to DQS and… more
- Rochester Regional Health (Rochester, NY)
- …BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... navigation for patients, including triage management , algorithm management , utilization management and resource...possible after admission-within the first12 to 24 hours. Applies utilization review criteria to assess and document… more
- Penn Medicine (Plainsboro, NJ)
- …timely and accurate information to payors. The role integrates and coordinates utilization management , care facilitation and discharge planning functions. In ... proactively identify potential denials in order to avoid non-appealable denials; Credentials: + Registered Nurse - NJ (Required) + Certified Case Manager +… more
- Arapahoe County Government (Aurora, CO)
- …Must be (or within the first 3 months of employment) licensed to practice as a registered nurse ( RN ) in the State of Colorado or a Compact State. ... Registered Nurse /Senior Registered ... home visitation, pediatric nursing, public health, or case management . **NOTE:** + **The anticipated hiring range for the… more
- Cedars-Sinai (CA)
- …for medical necessity, appropriateness of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to ... TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization of...continued employment. **Req ID** : 13443 **Working Title** : Registered Nurse Care Coordinator- Inpatient Specialty Program… more
- Fresenius Medical Center (North Myrtle Beach, SC)
- …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
- Veterans Affairs, Veterans Health Administration (Chico, CA)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply… more