- HCA Healthcare (Tallahassee, FL)
- …active FL RN licenserequiredwithin90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position if current and compliant** ... and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party… more
- HCA Healthcare (Tallahassee, FL)
- …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... medical necessity, admission status, level of care, and resource management . The RN CM Care Coordinator will...required within 90 days of hire + Advanced Practice Registered Nurse license is acceptable for position… more
- CenterWell (Shelby, NC)
- …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... (POC). + Monitors cases to ensure documentation is following compliance with regulatory agencies and requirements of third-party payers....A minimum of 2 years of experience as a Registered Nurse ( RN ). + Home… more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... Department at its inception. You can put your bedside RN experience to great use in case management...as required; collects, analyzes and reports on data for utilization , quality improvement, compliance , and other areas… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Manager, Social Services PRN/OCC, Variable Hours and Shifts Fort Sanders Regional Overview: Fort Sanders Regional Medical Centeris ... certification bonuses, and leadership development programs. Position Summary: The RN Care Manager III is responsible for integrating evidenced... services within the scope of practice as a registered nurse meeting all required standards both… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift About Us Covenant Medical Group employs or ... duties. + Provides care coordination services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory. + In… more
- Community Health Systems (Granbury, TX)
- …platforms, healthcare software systems, and data analysis tools. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... of the Care Management and Resource Management programs. This position ensures compliance with...cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up.… more
- Select Medical (Alexandria, VA)
- …focus on resource management within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + ... current licensure in a clinical discipline either as a Nurse ( RN /LPN/LVN) or a Respiratory Therapist (RT)...what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,… more
- Select Medical (Lake Worth, FL)
- …focus on resource management within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + ... current licensure in a clinical discipline either as a Nurse ( RN /LPN/LVN) or a Respiratory Therapist (RT)...what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,… more
- Elevance Health (Richmond, VA)
- …on relatively complex case types that require the training and skill of a registered nurse . Acts as a resource for more junior Clinicians. **Primary duties ... in process improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and… more