- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Nurse , Quality Review Utilization Management (UM) is to evaluate clinical quality and procedures ... within the Utilization Management (UM) program to maximize efficiency,...expected to work a portion of their week from home and a portion of their week at a… more
- HCA Healthcare (Kissimmee, FL)
- …**Introduction** Are you ready to manage in a new era as a Manager Case Management where building a healthier tomorrow is more than a job? Our HCA Florida Osceola ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- Albany Medical Center (Albany, NY)
- …in an assigned service - required + Recent experience in case management , utilization management and/or discharge planning/ home care in a high volume, ... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to… more
- UPMC (Pittsburgh, PA)
- …year of health insurance experience preferred. + 1 year of experience in clinical, utilization management , home care, discharge planning, and/or case ... UPMC Your Care is Hiring a Full-Time Registered Nurse for a Nurse Clinical Care...and social history, current medications, geriatric syndromes, healthcare resource utilization , and case management interventions. Updates the… more
- Molina Healthcare (Madison, WI)
- …and data analysts to produce tools to report, monitor and improve utilization management . * Actively participates in regulatory, professional and community ... organization (HMO) regulations, managed health care systems, quality improvement, medical utilization management , risk management , risk adjustment, disease … more
- Commonwealth of Pennsylvania (PA)
- Registered Nurse Supervisor Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5178822) Apply Registered Nurse Supervisor Salary $96,225.00 - ... Code 00134180 Bureau / Division Pennsylvania Soldiers' and Sailors' Home Worksite Address 560 East Third Street City Erie,...Military and Veterans Affairs (DMVA) is seeking a Registered Nurse Supervisor to deliver amazing care to our residents… more
- Ascension Health (Wichita, KS)
- **Details** + **Department:** Case Management + **Schedule:** Full-time, Day Shift, 3 12 hour shifts per week, Friday-Sunday or Saturday-Monday + **Hospital:** ... plan of care for patients from admission to discharge for the Case Management department. + Create plan for care across the continuum. Integrate patient/family… more
- Arapahoe County Government (Aurora, CO)
- …place we're proud to call home .** This position will specifically work in the Nurse Liaison Program, a nurse home visiting program. This position will be ... and home visitation travel. The ideal candidate will have experience in nurse home visitation, pediatric nursing, public health, or case management .… more
- CenterWell (Anderson, SC)
- …proactive and sustained engagement in improving health outcomes, optimizing resource utilization , and ensuring effective panel management . + **Focus on ... part of our caring community and help us put health first** The Nurse Practitioner, Paneled applies advanced education and clinical competencies to achieve optimal… more
- Bon Secours Mercy Health (Franklin, VA)
- …partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate, relationship-based ... for professional actions * Effective stewardship of available resources * Conflict management and resilience * Authority for delegating activities to others, while… more