- Catholic Health Initiatives (Dickinson, ND)
- …ND Board of Nursing). + Partner with nursing and clinical leaders to review cost, quality, safety, utilization , and value metrics and drive performance ... ethical leadership. + Develop and maintain effective relationships with medical staff , system leaders, community partners, and other hospital departments. + Maintain… more
- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic [appointment availability] ( utilization ) [to ensure that clinic ... of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical… more
- HCA Healthcare (Orem, UT)
- …(BLS or BCLS) and Certification. + Certification in case management or utilization review preferred. + InterQual experience preferred. Timpanogos Regional ... you will need:** + Current licensure as a Registered Nurse in the State of Utah or RN compact...community hospital. Our colleagues of over 900 physicians, medical staff , and volunteers care for over 30,000 patients per… more
- Providence (Seward, AK)
- …qualifications:** + 3 years Clinical nursing experience. + 1 year Utilization Management- review and Discharge-planning experience. + Experience associated with ... accredited school of Nursing. + Upon hire: Alaska Registered Nurse License. + 2 years Clinical nursing experience. **Preferred...healthcare professional and support staff training needs. **Why Join Providence?** Our best-in-class benefits… more
- Manchester Center for Rehabilitation and Healing (Manchester, TN)
- …trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends ... the Facility/Community + Utilizes critical thinking skills and collaborates with therapy staff to select the correct reason for assessment and Assessment Reference… more
- HCA Healthcare (Trinity, FL)
- …Healthcare Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be ... etc. .You will develop and implement educational programs for employees, medical staff and board members on analysis of risk assessment, historical and concurrent… more
- Sea Mar Community Health Centers (Everson, WA)
- …Patient-Centered Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization indicators ... Ability to work respectfully and professionally with the community, patients, families and staff . + Able to work effectively in a multi-cultural environment with a… more
- HCA Healthcare (Bradenton, FL)
- …Preference cards + Manages case picking of supplies and works with OR clinical staff + Serves as OR, Cath Lab / Interventional Radiology point of contact for ... OR Director, CV Director, Radiology Director, OR Nurses, Surgeons, Revenue Integrity Nurse , and the Facility Management team + Is authorized to transport and… more
- HCA Healthcare (Anna, TX)
- …implements cost-saving measures while ensuring appropriate staffing and resource utilization . + Promotes communication and collaboration across departments to ensure ... coordinated, patient-centered care and optimal staff deployment. What Qualifications you will need: + Bachelor's...Degree, preferred + Currently licensed as a registered professional nurse in the state(s) of practice and/or has an… more
- CVS Health (Columbus, OH)
- …and supporting the implementation of Wellness Plans to promote effective utilization of healthcare services. This position promotes/supports quality effectiveness of ... to accommodate business needs. Position Responsibilities: + Responsible for initial review and triage of members. + Manages population health member enrollment… more