- Commonwealth of Pennsylvania (PA)
- …I have professional experience performing this Work Behavior as a charge nurse , head nurse , utilization review nurse , quality assurance nurse , or ... Experience and Training Requirements: + Two years as a Registered Nurse Supervisor or three years as...Work Behavior as a charge nurse , head nurse , utilization review nurse… more
- Blue KC (Workman, MN)
- …and regularly attends client meetings (with benefits managers and executives) to review health outcomes and cost information. + Actively monitors care management ... special consideration (eg, benefits) should be made. + Participate in existing client utilization and renewal meetings or tell our clinical value story as requested.… more
- Sharp HealthCare (San Diego, CA)
- …3 Years case management, utilization review , care coordination experience. + California Registered Nurse ( RN ) - CA Board of Registered Nursing ... Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA...the department head as indicated. + Utilization review and utilization managementThe RN … 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
- Sanford Health (Fargo, ND)
- …This position will support Evidence Based Practice with a focus on Nurse Sensitive Indicator (NSI) support by using our infrastructure for the dissemination ... Summary** Responsible for analyzing and synthesizing of data to maximize utilization of data in clinical decision-making, business and strategic initiative.… more
- Erickson Living (Parkville, MD)
- …and dehydration. + Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) ... and survey readiness. What you will need + Current RN nursing license with no restrictions for the state...3 years' experience in a healthcare leadership role (Charge Nurse , Unit Manager, etc.). + Experience with an electronic… more
- Catholic Health Initiatives (Lexington, KY)
- …quality of service throughout the case management process. Performs direct Interqual/M&R utilization review on all acute admissions. **Essential Key Job ... from an accredited school of nursing. **Required Licensure and Certifications:** RN :KY **Required Minimum Knowledge, Skills, Abilities, and Training:** Prefer 2… more
- Amergis (Hyannis, MA)
- …management experience in the last 5 years + Experience in discharge planning & utilization review + Knowledge of InterQual or similar system Schedule: 40 hours, ... Amergis Healthcare has an exciting contract opportunity for an RN Case Manager in Hyannis, MA. Local Pay: $69/hour, paid weekly Travel Pay: $3,041/week… 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 ... discharge planning. 4. Experience providing strategic leadership, managing teams and leading projects required. 5. Ability to formulate and implement short and long term strategic plans 6. Strong verbal, written and interpersonal skills. 7. Must have proven… more
- University of Southern California (Glendale, CA)
- …PRO regulations, JCAHO standards and contractual agreements with insurers or outside review agencies. Minimum Education: Current RN license in the State ... of California, BSN preferred Minimum Experience/Knowledge: Recent experience in Utilization /Quality/Case Management in acute setting preferred Required License/Certification: Current… more