- Saint Luke's (Lees Summit, MO)
- …directs and implements all services related to case coordination, concurrent review, and utilization management programs, ensuring compliance with TJC, state ... the Health System while owning primary oversight for Case Management at Saint Luke's East Hospital in your new...experience, 2+ years of leadership experience and either an RN license, LCSW or MSW to be considered!** +… more
- Trinity Health (Newtown, PA)
- …the overall performance of the team including quality patient care, financial performance, utilization management , and compliance with state and federal ... and quality standards. Working knowledge in navigating through Excel and utilization of Outlook and Word. Excellent communication and problem-solving skills.… more
- Humana (Jackson, MS)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Trinity Health (Silver Spring, MD)
- …applicable):** + Current licensure by the Maryland State Board of Nursing as a Registered Nurse . + BLS certified; additional Life Support training as applicable ... **Employment Type:** Full time **Shift:** Rotating Shift **Description:** **General Summary:** The Nurse in Charge (NIC) is a designated clinical leader for a… more
- Beth Israel Lahey Health (Boston, MA)
- …services to support effective transitions while advising the team on healthcare industry compliance . The RN Case Manager must be adept at driving throughput ... job, you're making a difference in people's lives.** The RN Case Manager working in the Triad Model of...indicators such as avoidable delays, length of stay, resource utilization , patient satisfaction, patient flow, outlier management ,… more
- UPMC (West Mifflin, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... **UPMC Home Health is Hiring Registered Nurses ( RN 's) for the** **Elizabeth...patients' needs. + RN will coordinate case management activities across… more
- UPMC (West Mifflin, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across...**Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse either in the state… more
- UPMC (State College, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across...Licensure, Certifications, and Clearances: + Current licensure as a Registered Professional Nurse either in the state… more
- Beth Israel Lahey Health (Cambridge, MA)
- …SKILLS, AND ABILITIES REQUIRED** 1. RN with experience in risk management , quality assessment, or utilization management . 2. Strong spreadsheet, ... Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported...on the key performance indicators and quality measures, the RN specialist also aims to foster a culture of… more
- US Tech Solutions (Columbia, SC)
- …**Duration: 3+ Months Contract (Possible temp to hire)** **Job Description:** + Must be an RN in SC and have an active and unrestricted SC RN license. + ... established clinical criteria to service requests or provides health management program interventions. **Responsibilities:** + Utilizes clinical proficiency and… more