- HCA Healthcare (Portsmouth, NH)
- …software programs and data reporting systems to achieve the goals of case review , data abstraction, management and reporting. The Patient Safety Coord will actively ... mortality, complications, provide comparative data through various software programs, peer review cases * Performs basic data analysis and create graphs and… more
- LifeCenter Northwest (Bellevue, WA)
- …is responsible for leading the team to maximize organ conversion and utilization metrics through design and implementation of donor management protocols, and ... consistent application of departmental policies and procedures. + Manages performance review process and personal development plans. + Successfully manages groups… more
- LifeCenter Northwest (Bellevue, WA)
- …team. This position is responsible for leading the team to maximize organ utilization . The ODC team plays a critical role in supporting LifeCenter's mission through ... consistent application of departmental policies and procedures. + Manages performance review process and personal development plans. + Successfully leads groups (eg,… more
- Healthfirst (NY)
- …Provide strategic oversight and operational management for all utilization management functions, including prior authorization, concurrent review ... NYS RN Demonstrated understanding of UM regulatory requirements, clinical review process, and managed care operations Leadership experience in managing, coaching… more
- Actalent (Portland, OR)
- …certification (must be through American Heart Association). + 1+ years of case management/ utilization review experience. + Recent acute care experience in a ... Job Title: Case Manager ( RN )Job Description We are seeking a dedicated and...We are seeking a dedicated and experienced Case Manager ( RN ) to support hospital care management. This critical role… more
- Nuvance Health (Danbury, CT)
- …failure treatment * Healthgrades - One of America's 50 Best Hospitals * Surgical Review Corporation (SRC) - Robotic Center of Excellence * Joint Commission - Gold ... *Required: Sign-On Bonus for external candidates with minimum of 2-year current RN Acute Care experience. Internal candidates who transfer to bonus eligible… more
- Saint Luke's (Lees Summit, MO)
- …plans, directs and implements all services related to case coordination, concurrent review , and utilization management programs, ensuring compliance with TJC, ... aspects of care coordination, prior authorization, clinical documentation, and concurrent review programs to ensure maximal reimbursement, prevent financial loss to… more
- HCA Healthcare (Kissimmee, FL)
- …performance improvement, education, stroke program hospital services utilization , community outreach, pre-hospital education, and marketing/communications. The ... Director coordinates and provides support to the clinical peer review process for stroke center patients: + Accurate and...process **What qualifications you will need:** + Current Florida RN license, or Florida eligible + BLS provider required… more
- Elevance Health (NC)
- …and outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** Primary duties may include ... an equivalent background. Current active unrestricted license, such as RN LCSW LMSW LMHC LPC LBA (as allowed by...or a NC License_** + Previous experience in case management/ utilization management with a broad range of experience with… more
- Elevance Health (Boston, MA)
- …+ Partnering with Quality and Training teams. + Attending meetings to review performance and functioning of the line, process changes and improvements, staff ... and education to customers and internal associates of effective utilization of BH services and leads development and maintenance...state law and scope of practice), LMHC, LPC, LMFT, RN or Clinical Psychologist to practice as a health… more