- MyFlorida (Ocala, FL)
- …field office including geographic or facility-based assignments for each Assessor and Registered Nurse for field, office, and staffing schedules. Assists in ... reporting. + Ensures that the Preadmission Screening and Resident Review (PASRR) process is completed before a Level of...case load distribution for Assessors and RNS's for efficient utilization of time and resources while meeting and/or exceeding… more
- STG International (Springville, NY)
- …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. * ... safety. * Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement… more
- Houston Methodist (Houston, TX)
- …two of those years with people management experience **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- STG International (Mountain Home, AR)
- …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. ... patient safety. *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health… more
- STG International (Tupelo, MS)
- …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. + ... safety. + Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement… more
- Charter Care Health Partners (North Providence, RI)
- …a specific patient population. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management; Continuum of Care Management (Discharge ... (BSN preferred) with current license to practice as a Registered Nurse in the State of Rhode...recent experience with case management, patient navigation, case management, utilization review or discharge planning is strongly… more
- Charter Care Health Partners (North Providence, RI)
- …a specific patient population. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management; Continuum of Care Management (Discharge ... (BSN preferred) with current license to practice as a Registered Nurse in the State of Rhode...recent experience with case management, patient navigation, case management, utilization review or discharge planning is strongly… more
- Highmark Health (Little Rock, AR)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...data to assure appropriate level of payment and resource utilization . It is also used to identify issues which… more
- University of Miami (Miami, FL)
- …or responsibilities as necessary. CORE QUALIFICATIONS + Bachelor's degree in relevant field + Registered Nurse Licensure ( RN ), BLS, and ACLS Provider Card. + ... to apply for a faculty or staff position, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of… more
- Penn Medicine (Philadelphia, PA)
- …assignment (Outlook, Canopy, CERME, ECIN, shared drive, Internet) Credentials: + Registered Nurse - PA (Required) + PA RN Licensure required. Education or ... quality data collection and risk management referral. Responsibilities: + Utilization management activities: monitor appropriate use of internal resources,… more