- HCA Healthcare (Lake City, FL)
- …do. We want you to apply! **Job Summary and Qualifications** Provides hospital case management / utilization review and discharge planning to assure that the ... a timely manner. **What qualifications you will need:** + ( RN ) Registered Nurse + Associate... and/or supervisory / management position involving case management / utilization review /responsibility in an acute… more
- HCA Healthcare (Lake City, FL)
- …your knowledge and expertise! **Job Summary and Qualifications** Provides hospital case management / utilization review and discharge planning to assure that ... a timely manner. **What qualifications you will need:** + ( RN ) Registered Nurse + Associate... and/or supervisory / management position involving case management / utilization review /responsibility in an acute… more
- Quality Center for Rehabilitation and Healing (Lebanon, TN)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... a week 37.5 - 40 hours per week Respiratory Nurse ( RN ) We are searching for a...facility's Employee Handbook and as communicated by the facility's management . . Contributing to a positive work team by… more
- Catholic Health Services (Roslyn, NY)
- …with regulatory and external review agencies. + Participates in the Utilization Management Committee, reporting data on utilization trends, resource ... Overview Director-Care Management Are you exceedingly driven, dedicated, and passionate...to be a St. Francis Hospital & Heart Center(R) RN . You are at the heart of health. St.… more
- The County of Los Angeles (Los Angeles, CA)
- …squatting. Considerable ambulation may be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management ... Nurse ? In the County of Los Angeles, a Utilization Review Nurse is an RN that has Case Management experience whose primary charge is to ensure… more
- Nuvance Health (Poughkeepsie, NY)
- …BSN preferred. Must have current RN license. *Preferred Experience: * Utilization Review / Management .Company: Vassar Brothers Medical Center Org Unit: ... case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role BHPS provides Utilization Management (UM) services to its clients, ensuring high-quality, clinically sound decision-making. The Clinical Appeal ... accurate decisions + Ensure strict adherence to Appeals and Utilization Management (UM) processes and regulatory and...URAC, NCQA, and ERISA + Proficiency in Clinical Appeals, Utilization Review , and Grievance processes including benefit… more
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- …internal providers, and community partners to promote seamless, coordinated care. Apply utilization review criteria and evidence-based standards to ensure safe, ... efficient, and high-quality outcomes. Identify Veterans requiring disease management and connect them to appropriate internal or external...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- UnityPoint Health (Des Moines, IA)
- …to plan and execute a safe discharge + Collaborate with Utilization Management team on continued stay review . + Collaborates with patients, caregivers, ... continuity through elimination of fragmentation of care/service and facilitates the effective utilization of resources. Serves as educator and a central source of… more
- HCA Healthcare (Largo, FL)
- …Healthcare Quality) OR CHCQM (Diploma in American Board of Quality Assurance and Utilization Review Physicians). _Individuals without CPHQ or_ CHCQM _will be ... of experience in a healthcare environment + Previous experience in accreditation, quality, utilization management , or risk management required. + Knowledge… more