- Atlantic Health System (Pompton Plains, NJ)
- …selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary team to ... clinical and resource outcomes. Works with the Supervisor/Manager of Case Management to assess, plan, implement, coordinate, monitor and evaluate services and… more
- Atlantic Health System (Summit, NJ)
- …selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary team to ... clinical and resource outcomes. Works with the Supervisor/Manager of Case Management to assess, plan, implement, coordinate, monitor and evaluate services and… more
- Outreach Development Corporation (Brentwood, NY)
- …visit www.opiny.org. Position: Registered Nurse Outreach is seeking an experienced Registered Nurse ( RN ) to work in our residential facility. The ... Supervised by Medical Director in collaboration with Program Director Qualifications + NYS Registered Nurse ( RN ) + Previous experience working as a… more
- Brockton Hospital (Brockton, MA)
- …responsibilities. EDUCATION: + RN with Master's Degree + Current License as Registered Nurse in the Commonwealth of Massachusetts EXPOSURE CATEGORY: It is ... delays through problem resolution and follow-up. Monitors on-site case managers and utilization review staff to ensure compliance with Signature Healthcare… more
- Nuvance Health (Danbury, CT)
- *Description* *Summary:* The purpose of the Denial Prevention Nurse is to ensure that all patient admissions are appropriately status within the first 12-24 hours ... timely and accurate clinical information to all payers, while ensuring compliance with CMS requirements, guidelines, and standardized published criteria to support… more
- Houston Methodist (Houston, TX)
- …leading multi-site or enterprise-level programs preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... improvements as needed. + Collaborates with HMCPA on care transition and utilization management initiatives. + Provides strategic vision and execution for… more
- Baylor Scott & White Health (Dallas, TX)
- …review, or related field. 3. 1+ years of experience in a leadership role preferred. 4. Registered Nurse ( RN ) or Licensed Master Social Worker (LMSW) or above ... , social services, coordination of patient care, patient access, utilization management , and discharge planning. Directs the...Worker -- LMSW - Lic Masters Social Worker -- RN - Registered Nurse . As… more
- Nuvance Health (Danbury, CT)
- …in nursing, health administration, or a related field preferred * Current licensure as a registered nurse ( RN ) * Minimum of 5 years of clinical experience ... patient-centric vision and strategy for system-wide care coordination, encompassing utilization review (UR), denials management , discharge planning, social… more
- Stanford Health Care (Palo Alto, CA)
- …Lead APP also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or the ... their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or… more
- Molina Healthcare (KY)
- JOB DESCRIPTION For this position we are seeking a ( RN ) Registered Nurse and/or a Licensed Social Worker who lives in Kentucky and must be licensed for the ... in some or all of the following functions: care management , utilization management , behavioral health,...r equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational… more