- HCA Healthcare (Tallahassee, FL)
- …for position if current and compliant + Certification in Case Management, Nursing, or Utilization Review , preferred + Three years of nursing experience in acute ... throughput while supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential barriers to patient… more
- Penn Medicine (Lancaster, PA)
- …license and daily access to an insured vehicle. Preferred Qualifications + Knowledge of Utilization review or managed care + Experience with home visits + ... + Ensure open communication regarding patient interactions with physicians and office staff . + Arrange referrals, screenings and test procedures. + Screen and refer… more
- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- …care team, or other specialty care. Coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization ... Collect, scans, and updates health insurance information, promote Veteran registration and utilization of My Healthy Vet (MHV). Train other MSAs on correct clinic… more
- CareFirst (Baltimore, MD)
- …medical-surgical or similar clinical experience OR 5 years experience in Medical Review , Utilization Management or Case Management at CareFirst BlueCross ... FUNCTIONS:** + Provides direct supervision for the activities of assigned staff , ensuring appropriate and complete resolution of appeals and reconsiderations,… more
- State of Colorado (Denver, CO)
- …ensure adequate staffing throughout the Hospital by tracking of staffing call-off's and utilization of agency staff . Assists in the creation of supervisory files ... the hospital. Through our core values listed below, CMHHFL staff is committed to: Individual dignity and respect +...member who operates under the supervision of a licensed nurse within Nursing Services. This position is generally responsible… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... (AHA BLS Healthcare) - American Heart Association; California Registered Nurse (RN) - CA Board of Registered Nursing **Hours**...and hiring teams._** **What You Will Do** Assists patients, staff and physicians as needed to maintain a high… more
- Trevecca Center for Rehabilitation and Healing (Nashville, TN)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... Assisting the administrator in development of the annual budget. Appropriate and effective utilization of staff . Managing key operations and financial levers to… more
- Rush University Medical Center (Chicago, IL)
- …circumstances of each case. **Summary:** The Clinical Consulting Specialist is a nurse with expertise within a specialized area of nursing practice responsible for ... individual, cultural, and family needs. The role provides care or supports staff in care delivery for populations requiring uniquely skilled interventions that are… more
- Providence (Lubbock, TX)
- …in a medical record. + 2 years - HEDIS, Quality management/quality improvement/ utilization review auditing experience, including experience in auditing within ... Information Set (HEDIS) program + Conduct Audits inclusive of review of outpatient medical records, hospital records, clinical lab...Communicate in a collaborative manner with clinic and other staff with whom they interact, in a manner that… more
- University of Miami (Miami, FL)
- …the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet ... advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of this...not limited to , onboarding and mentorship of new staff , development, review , and implementation of… more