- AmeriHealth Caritas (Philadelphia, PA)
- …; **Education/ Experience:;** + Bachelor's degree or equivalent relevant experience + Unrestricted Registered Nurse ( RN ) or Physical Therapist (PT) + Valid ... Utilization Management, this position is responsible for providing daily oversight of LTSS Review Home Modification Team and staff members within the LTSS … more
- Atlantic Health System (Pompton Plains, NJ)
- …patient/family assessment and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities ... selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary team to… more
- Diversicare Healthcare Services & Diversicare Ther (Hartford, AL)
- …all documents meet the request. **Qualifications** 1. Degree in nursing 2. RN License 3. Knowledge of healthcare reimbursement, utilization management, and ... execute care plans. + Coordinate discharge planning and post-discharge communication, including home health and DME. + Monitor Quality Measures alongside the care… more
- Erickson Living (Tinton Falls, NJ)
- …and dehydration. + Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) ... More than that, you'll help nurture a supportive, dignified home environment where residents truly thrive. What we offer...based on experience** What you will need + Current RN nursing license with no restrictions for the state… more
- Sanford Health (Fargo, ND)
- …Summary** Responsible for analyzing and synthesizing of data to maximize utilization of data in clinical decision-making, business and strategic initiative. ... team in grant post award activities, maintain grant and contract files, review contracts, develops progress reports, and reviews closed grant for completeness.… more
- Calvary Hospital (Bronx, NY)
- …Spending, Transit Check. + Free On-Site Parking Requirements Participates in the Utilization Review , Discharge Planning, Risk Management, and Quality Assessment ... For over 125 years, Calvary Hospital and Calvary @ Home located in the Bronx, New York has...- $136,103.97 annually Status: Full - Time Qualifications: + Registered professional nurse , current unencumbered NYS licensure.… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …eligibility and documentation requirements (https://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/ Registered - Nurse / RN -Licensure-by-Endorsement) ... (3) years of experience as a Registered Nurse in a position involving home healthcare,...been in the areas of client care plans or utilization review . NOTE: For state employees this… more
- CareFirst (Baltimore, MD)
- …addition to the required work experience. **Licenses/Certifications Upon Hire Required:** + Health Services\ RN - Registered Nurse - State Licensure and/or ... Compact State Licensure. **Experience:** 3 years Care Management, Discharge Coordination, Home Health, Utilization Review , Disease Management or other direct… more
- BrightSpring Health Services (Searcy, AR)
- … (LPN), Licensed Vocational Nurse (LVN), or Registered Nurse ( RN ) About our Line of Business Adoration Home Health and Hospice, an affiliate of ... Our Company Adoration Home Health and Hospice Overview The Patient Services...direction of the Clinical Manager. This role ensures optimal utilization of clinical resources to support care center capacity… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …eligibility and documentation requirements (https://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/ Registered - Nurse / RN -Licensure-by-Endorsement) ... (5) years of experience as a Registered Nurse in a position involving home healthcare,...Experience providing consultation on healthcare services + Experience with utilization review processes and procedures within Medicaid… more