- UNC Health Care (Chapel Hill, NC)
- …and supporting cost-effective discharge planning. + Serve as a key resource in case management , utilization review , and discharge planning. + Stay compliant ... 7. Payer Communication: a. Collaborate with payers, insurance companies, and utilization management teams to optimize reimbursement and facilitate timely… more
- Independent Health (Buffalo, NY)
- … management of the RN staff of their assigned area (Case Management , Utilization Review and Population Health). This will include monitoring the ... with the core components of the client centric delivery model. **Qualifications** + Registered Nurse ( RN ) with active, current, unrestricted NYS license… more
- AdventHealth (Parker, CO)
- …need to succeed:** **Required qualifications:** + Associate's of Nursing + 2 Work Experience + Registered Nurse ( RN ) in state of CO or compact nursing ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...(CCM) + Accredited Case Manager (ACM) + Experience in utilization management or case management … more
- MyFlorida (Land O' Lakes, FL)
- …that all verbal orders, including telephone orders from attending physicians are received by a registered nurse . If no RN is available, receive all telephone ... SENIOR REGISTERED NURSE SUPV - 50000070 Date:...current status and providing supervision and guidance to the RN , LPN, CNA and other Allied Health Care Professionals.… more
- Commonwealth Care Alliance (Boston, MA)
- …require intensive care management and care delivery. Within the CIC Program, the Registered Nurse ( RN ) serves as an integral member of an ... utilization , ensuring optimal treatment for chronic disease management , and closing quality gaps. Additionally, the RN... management , including: + 5+ years' experience as Registered Nurse in a high touch clinical… more
- MyFlorida (Orlando, FL)
- …that all verbal orders, including telephone orders from attending physicians, are reviewed by a registered nurse . + If no RN is available, receive all ... resident's status, and providing supervision and guidance to the Registered ( RN ), Licensed Practical Nurse ...that the residents are receiving total nursing care. + Review shift assignments and ensure that the assignments reflect… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …that demonstrate leadership, experience, and creative approaches to complex patient care management .The HBPC Registered Nurse Program Director/Manager is an ... Registered Nurse Program Director/Manager is a registered , professional nurse and is accountable for the management , supervision, and evaluation of… more
- Providence (Everett, WA)
- …and development. Apply now and be a part of something extraordinary!The Inpatient Registered Nurse ( RN ) Care Manager provides professional, comprehensive, ... Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review ,...Associate's Degree - Nursing degree/diploma upon hire. + Washington Registered Nurse License upon hire. + 2… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory ... varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist,… 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...for Hiring. **Req ID** : 12874 **Working Title** : Registered Nurse - ISP Care Coordinator -… more