- 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
- St. Luke's University Health Network (Bethlehem, PA)
- …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. + Facilitates communication among all ... to pay for health care. This can be an nurse or a social worker The Registered Nurse...discharge interventions accordingly. + Actively addresses and monitors resource utilization and documents delays as appropriate. + Identifies patients… more
- Molina Healthcare (WI)
- …chief medical officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. * ... JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for internal appeals clinical processes...be required. * Serves as a clinical resource for utilization management , chief medical officer, physicians, and… more
- The County of Los Angeles (Los Angeles, CA)
- NURSE PRACTITIONER- PEDIATRIC HUB CLINICS/NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2588395) Apply NURSE PRACTITIONER- ... abuse or neglect, comprehensive medical exams for children entering out-of- home care, and ongoing well-child care and sick visits....REQUIRED: + A license to practice as a Registered Nurse and a certificate to practice as a … more
- Northern Light Health (Brewer, ME)
- …Collaborates with the interdisciplinary team to maximize patient care. + Resource Management - Identifies opportunities to improve utilization of resources. + ... Isle, South Portland, Home Care, Hospice Care, end of life, respite care, Home Health Aide, Skilled Nursing Position Registered Nurse IILocation Req ID 83243 more
- HCA Healthcare (Houston, TX)
- …national standards for case management scope of services including + Utilization Management supporting medical necessity and denial prevention + Transition ... Healthcare Northwest have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager PRN you can be a part of change. **Benefits** HCA Houston… more
- HCA Healthcare (Kissimmee, FL)
- …caregivers, case management , and admitting departments to promote effective utilization management through coordination of efforts involving patient flow. ... and improve the patient flow program effectiveness as it relates to utilization review, resource management , and discharge planning and care coordination.… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- Summary The Infusion Registered Nurse (RN) assumes responsibility for the coordination of care focused on patient education, self- management , and customer ... of the interdisciplinary team. Demonstrate leadership, experience, and creative approaches to management of complex client care. Uses a team approach to identify,… more
- ChenMed (Louisville, KY)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, ... we need great people to join our team. The Nurse Practitioner (NP) acts as part of the clinical...medical centers, nursing homes, skilled nursing facilities (SNF) and home settings depending on the nature of the assignment… more