- Sutter Health (Sacramento, CA)
- …of an accredited school of nursing. + **BSN** _Preferred_ **CERTIFICATION & LICENSURE:** + ** RN ** - Registered Nurse of California + **BLS** -Basic Life ... SMCS-Sutter Med Center - Sacramento **Position Overview:** The CVOR Nurse Manager provides leadership and operational oversight for the Cardiovascular… more
- US Tech Solutions (RI)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... to obtain additional information. + Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines. +… more
- LifeCenter Northwest (Bellevue, WA)
- …availability, evening, and weekend work. EDUCATION, EXPERIENCE & JOB REQUIREMENTS + Registered Nurse , Physician's Assistant, or other relevant health care ... Organ Procurement, assumes responsibility for donor clinical assessment, donor management , organ allocation, and procurement. Leadership Responsibilities + Provides… more
- Ellis Medicine (Schenectady, NY)
- …standards and regulatory requirements. Requirements: Currently licensed in New York State as a Registered Nurse and a graduate of an approved school of nursing. ... Basic Function: The Nurse Manager (NM) actualizes the vision, mission and...nursing care delivery system to assure effective and efficient utilization of staff and other resources for the delivery… more
- Banner Health (Phoenix, AZ)
- …Depending on area of focus, this position may require licensed Physical Therapist, Registered Nurse , or graduate of an accredited school of program specialty. ... changes and improvements with a primary focus on patient outcomes. Oversees resource utilization regarding staff, fiscal management , and quality patient care. 4.… more
- WellSpan Health (York, PA)
- …therapy experience with an emphasis in home care. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required + Heartsaver CPR/AED Upon Hire Required ... with team members to identify root cause and countermeasures.* Holds In Episode Management meetings on a regularly scheduled basis with individual staff to ensure… more
- Calvary Hospital (Bronx, NY)
- …year Requirements QUALIFICATIONS: 1. Master of Nursing Degree required. 2. NYS unencumbered Registered Nurse License required. 3. Ten (10) to fifteen (15) years ... pertinent data. 8. Knowledge of and experience in Quality Assessment and Improvement, Utilization Review. 9. Ability to develop management systems to track data… more
- Beth Israel Lahey Health (Needham, MA)
- …in Nursing (or equivalent) required. Master's degree in Nursing preferred. License Registered Nurse required., and Certificate 1 Basic Life Support required., ... regulatory equipment are met and/or exceeded. Optimal patient care and cost effective management is maintained through utilization of data and information from… more
- Baystate Health (Springfield, MA)
- …the required experience + Master's preferred (MSN, MHA, MBA, or related field) + Any registered nurse in the role either the bachelor's degree or master's Degree ... optimal staffing levels, supports quality patient care, and helps maintain compliance with regulatory standards and organizational policies. The Director leads a… more
- Highmark Health (Little Rock, AR)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more
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