- Corewell Health (Ludington, MI)
- …clinical nursing experience Required. + 1 year of relevant supervisory experience Required. + MI Registered Nurse ( RN ) Required. + AHA or ARC Basic Life ... supports a culture of safety and maintenance of interprofessional collaborative relationships. Nurse Managers in inpatient and outpatient units are REQUIRED to obtain… more
- Ascension Health (Wichita, KS)
- …/ Certification / Registration: + One or more of the following required: + Registered Nurse credentialed from the Kansas Board of Nursing obtained prior to ... as content specialist for staff in the areas of utilization criteria, appeal and review process, and...of leadership or management experience required. **Additional Preferences** BSN RN strongly preferred. **Why Join Our Team** Ascension Via… more
- LA Care Health Plan (Los Angeles, CA)
- …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health… more
- HCA Healthcare (Austin, TX)
- …of Science in Nursing (BSN) - preferred Licenses and Certifications * Current State of Texas Registered Nurse ( RN ) license or Compact Registered * BLS ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- UCLA Health (Los Angeles, CA)
- Description The Home Health ICM Coordinator plays a key role in supporting our Utilization Management team to ensure safe, high-quality, and cost-effective care ... and Intensive Case Management programs. Under the supervision of the RN Assistant Director, you will coordinate referrals, authorizations, and post-acute services,… more
- University of Utah Health (Salt Lake City, UT)
- …and supporting coordination of care activities under the direction of a registered nurse and/or social worker. The incumbent interacts with representatives ... discharge plans prepared and delegated by social work or nurse case management by coordinating with home ...related field. + One year of experience in a utilization review or case management environment. +… more
- Arnot Health (Elmira, NY)
- …of an approved registered nursing program with a current license as a registered nurse . BSN or Case Management Certification preferred. EXPERIENCE: Three to ... management of patient care . The Case Manager will review all patients for utilization management and...and available resources. . Coordinates serv ices , ie home help , DME etc, based on patient need… more
- CenterWell (Seneca, SC)
- …to the strategic intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: ... inquiries, requests, and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality...+ Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member… more
- CenterWell (Savannah, GA)
- …to the strategic intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: ... inquiries, requests, and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality...+ Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member… more
- LifeCenter Northwest (Bellevue, WA)
- …availability, evening, and weekend work. EDUCATION, EXPERIENCE & JOB REQUIREMENTS + Registered Nurse , Physician's Assistant, or other relevant health care ... donor management protocols aimed at optimizing organ function and increasing organ utilization . + Routinely reviews performance metrics and recommends changes in… more