- AdventHealth (Shawnee, KS)
- …documents avoidable days, and facilitates progression of care. + Collaborates with Utilization Management staff for collaboration on patient status changes and ... skills + Data analysis skills + Current working knowledge of discharge planning, utilization management , care management , performance improvement and managed… more
- AdventHealth (Bolingbrook, IL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... AND EXPERIENCE PREFERRED:** . Current working knowledge of discharge planning, utilization management , care management , performance improvement and… more
- Insight Global (West Hollywood, CA)
- …2+ years in a lead or supervisor role EMR system experience valid California Registered Nurse ( RN ) license Current Basic Cardiac Life Support (BLS/CPR) ... Job Description Insight Global is seeking a skilled Registered Nurse Supervisor for a community...preferred. Experience in chronic disease management , case management , utilization management and quality… more
- Veterans Affairs, Veterans Health Administration (Tomah, WI)
- …applicants will be considered and referred as vacancies become available. The CLC Registered Nurse will focus on individual growth and development in practice ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228577/ rn -case-manager utilization - ... and service! Responsibilities Responsible for the quality and resource management of all patients that are admitted to the...an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April… more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. * Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... does not have direct reports. Essential Duties & Responsibilities: Provider Relationship Management * Serve as the primary relationship manager and point of contact… more
- Houston Methodist (Houston, TX)
- …Officer (IBFCSM) **AND** + CPPS - Certified Professional in Patient Safety (IHI) **AND** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure ... Conducts record review for performance improvement, peer review , patient safety, risk management and other...Two years of experience in Hospital Quality Improvement, Case Management or Utilization Management role… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a difference in people's lives.** **Job Description:** Are you a case management / utilization review professional passionate about improving care delivery ... **Care Transitions Department** and seeking an experienced **Manager of Utilization Review & Denials Management **...plays a vital role in ensuring seamless, patient-centered care. ** RN - Utilization Review ** This… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …coordination, and transition of care between settings. Required Skills and Experience * Registered Nurse licensure in the state of Minnesota with no ... Blue Cross and Blue Shield of Minnesota Position Title: RN Case Manager - Commercial TOC Location: Remote Career...* 1+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- CareFirst (Baltimore, MD)
- …in addition to the required work experience. **Licenses/Certifications Upon Hire Required** : + RN - Registered Nurse - State Licensure And/or Compact State ... Licensure RN - Registered Nurse in MD, VA or Washington,...Care Management , Home Health, Discharge Coordination and/or Utilization Review . **Preferred Qualifications** : + Knowledge… more