- Highmark Health (Harrisburg, PA)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... be obtained within the first 6 months of employment. **Preferred** + Certification in utilization management or a related field + Certification in Case … more
- Northwell Health (Mount Kisco, NY)
- …Job Description Directs, plans, implements and evaluates all activities of the inpatient RN Case Management and Social Work Services team. Develops processes to ... safe discharge back to the community. Job Responsibility 1.Leads RN case management and social work services...be in Nursing. *Current license to practice as a Registered Professional Nurse in New York State,… more
- Billings Clinic (Billings, MT)
- …triage room, if Chief complaint is emergent will immediately notify Triage Nurse . Obtains and/or records vital signs, including height and weight and places ... on white board for RN charts and documents in patients record according to...and patient/visitor problems to the ED Physician AND Primary Nurse /or ED Charge Nurse . * Documents all… more
- UnityPoint Health (Sioux City, IA)
- …are reviewed and updated in accordance with evidence based practice standards. + Ensure compliance with the state Nurse Practice act, state board of nursing ... action plans as needed. + Uses and encourages innovation in resource utilization , assures fiscally efficient operations + Monitors outcomes and reviews programs and… more
- Wellpath (Franklin, TN)
- …from an accredited School of Nursing or Care Management Certification + RN preferred EXPERIENCE + Previous utilization review and/or case management ... support. **About this role** The Regional Care Manager (RCM) is responsible for utilization review, care coordination, and daily care management across multiple… more
- Catholic Health Services (Roslyn, NY)
- …compliance with regulatory and external review agencies. + Participates in the Utilization Management Committee, reporting data on utilization trends, ... Overview Director-Care Management Are you exceedingly driven, dedicated, and passionate...to be a St. Francis Hospital & Heart Center(R) RN . You are at the heart of health. St.… more
- HCA Healthcare (Nashville, TN)
- …required (LPC, LMFT, LCSW, LADAC) + Previous experience in Needs Assessment and Utilization Management strongly preferred. + Familiarity with required DSM V-R ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...that improve quality of care, service and operations. + RN 's Only - Performs medical screenings on all patients… more
- Morehouse School Of Medicine (Atlanta, GA)
- …Track activation/enrollment performance; remove barriers; escalate risks timely. Financial Management & Billing Compliance (Operational Execution) * Build/manage ... The role partners closely with the CRC Associate Director (Physician, Regulatory/ Compliance & Fellowship Education) and the Quality/ Compliance Core to… more
- Bassett Healthcare (Oneonta, NY)
- …specific resident care programs + Responsible for effective and efficient fiscal management of department operations to ensure proper utilization of ... development proposal as requested by DON + Monitors/Maintains unit compliance with regulatory, accrediting and hospital policy for resident...or be suspended at any time. Bonus Amount: + RN (excluding management ) sign-on bonuses are awarded… more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. * Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... does not have direct reports. Essential Duties & Responsibilities: Provider Relationship Management * Serve as the primary relationship manager and point of contact… more