- Nuvance Health (Carmel, NY)
- …services to support effective transitions while advising the team on healthcare industry compliance . The Case Manager RN must be adept at driving throughput ... quality indicators such as avoidable delays, length of stay, resource utilization , patient satisfaction, patient flow, outlier management , and readmissions… more
- McLaren Health Care (Flint, MI)
- …departmental policies and procedures as well as documentation of the case management and utilization management processes. Responsible to collaborate ... goals. Assumes responsibility for the clinical administrative aspects of utilization review and case management . Integrates medical...in Nursing, health care or business-related field + Valid RN License in state doing business in + Ten… more
- UTMB Health (Angleton, TX)
- Nurse Clinician III ( RN ) - ED Angleton **Angleton, Texas, United States** **Hot** Nursing & Care Management UTMB Health Requisition # 2505181 **REQUIRED ... EDUCATION & EXPERIENCE:** RN with bachelor's in...competent professional nursing practice as specified in the Texas Nurse Practice Act. Practice is characterized by a balance… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. ... and CMS criteria required + A minimum of three years of experience in utilization management , preferred + Team leading or management experience, preferred… more
- Carle Health (Peoria, IL)
- …Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA); Licensed Registered Professional Nurse ( RN ) - Illinois Department ... of the surgical schedule to assure the most efficient utilization of the operating rooms. + Monitor case progression...in the operating room and recommends changes to ensure compliance with established standards of nursing care. + Coordination… more
- Highmark Health (Jefferson Hills, PA)
- …effective resource utilization . Serves as key team members in the management of readmissions, length of stay, ED utilization , and patient/family ... Incumbents will utilize nationally recognized standards of practice for case management by collaborating with providers, clinical teams, health plans, and external… more
- CommonSpirit Health (West Jordan, UT)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... **Job Summary and Responsibilities** ** RN Case Managers may be eligible for a...hospital clinical experience or a Master's degree in Case Management or Nursing field in lieu of acute experience.… more
- ProMedica Health System (Perrysburg, OH)
- …rapid sequence induction), cricothyroidotomy (needle and/or surgical), Alternative Airway Management (I-Gel), Bougie utilization , and Ventilator Support/ ... in nursing (ADN). RN must be able to successfully complete the hospital/PTN professional nurse orientation in a timely manner. RN must be able to attain all… more
- BJC HealthCare (Alton, IL)
- …to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to ... Preferred Requirements** + At least 5 years of hospital-based RN experience + Prior Case Management experience...stay reviews on all patients for the purpose of compliance and the proper utilization of resources.… more
- Ventura County (Ventura, CA)
- …and patient-centered care. Under general direction, the Senior Medical Management Nurse is responsible for performing utilization review, case management ... Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5113983) Apply Senior Medical Management … more