- Covenant Health Inc. (Lenoir City, TN)
- Overview Registered Nurse Care Manager, Quality Management PRN/OCC,Hours and Shifts Vary Fort Loudoun Medical Center Overview: Fort Loudoun Medical Center is ... services within the scope of practice as a registered nurse meeting all required standards both...three (3) years of experience in area of assigned responsibility. RN with 1 year acute hospital case management… more
- Elevance Health (Charleston, WV)
- …supervision. **Preferred Skills, Capabilities, and Experiences:** + Previous experience in case management / utilization management with a broad range of ... outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses...equivalent background. + Current active unrestricted license such as RN LCSW LMHC LICSW LPC (as allowed by applicable… more
- Elevance Health (NC)
- …supervision. **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad range of ... and outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** Primary duties may include… more
- Elevance Health (Metairie, LA)
- …supervision. Preferred qualifications, skills, and experiences: + Previous experience in case management / utilization management with a broad range of ... facility-based and outpatient professional treatment health benefits through telephonic or written review . Primary duties may include but are not limited to: + Uses… more
- Trinity Health (Grove City, OH)
- …affordability. -Serve as a subject matter expert in your area, guiding drug utilization management and educational efforts. -Advocate for patients and pharmacy ... scheduling & assignment; + Participates in & contributes to the performance management / review process + Manages or contributes to the daily performance,… more
- Bowery Residents Committee (Manhattan, NY)
- …and crisis intervention. Gather and review documentation as requested for utilization management reviews of clients on caseload including completion of ... LOCADTRs. Participate fully in a multidisciplinary team including MD, RN , LPN, CASAC, LMHC, Peer specialists and LCSW. Provide emergency first aid/CPR assistance… more
- Prime Healthcare (Chicago, IL)
- …license. 2. Five (5) years of experience in acute hospital setting in a Utilization Review , Case Management , business office or related department. ... Under the direction and supervision of the Clinical Manager, the RN Assessment Coordinator is responsible for conducting and coordinating the completion… more
- Erickson Living (Springfield, VA)
- …clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management /Safety ... by Erickson Senior Living Join our team as the Nurse Manager, RN also known as the...care, assisted living or hospital) is required. + Current Registered Nurse license for the state in… more
- Parkview Health (Fort Wayne, IN)
- …recognition program + Ask about our Hotel Program! Qualifications: + Valid Indiana Registered Nurse license required. + Additional certifications may be required ... bed tracking, scheduling, and ED software preferred. Experience in pre-certification, utilization , or case management desirable. Previous coding experience… more
- Sharp HealthCare (San Diego, CA)
- …Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... Qualifications** + Bachelor's Degree in Nursing + 2 Years RN experience. + California Registered Nurse...impact of the service line.Complies with payer guidelines on utilization review process to promote optimal reimbursement.… more
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