- WellSpan Health (York, PA)
- Full Time (80 Hours Biweekly) Hybrid Onsite/ Remote (more than 50% onsite) 8-430pm with on-call responsibilities Day Shift **General Summary** Responsible for ... 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
- Centene Corporation (Tallahassee, FL)
- …and reporting metrics for home infusion patients + Strong understanding of utilization management principles and healthcare managed care. + Proficient clinical ... benefits including a fresh perspective on workplace flexibility. **Registered Nurse (RN) with direct Infusion/IV therapy processes and care coordination**… more
- Banner Health (Gilbert, AZ)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... and security benefits. If you are a New Graduate Nurse with less than 12 months of experience, please...electronic surveillance partnership in caring for the patient, where remote nurses have the ability to interact with patients… more
- PruittHealth (Atlanta, GA)
- …confidentiality, safety, advocacy, and accreditation and regulatory standards in all case management activities in both office/ remote environment * Compliance to ... Ability to work independently and be self-motivated in a remote environment * Manage assigned case load as business...in a managed care setting focused on experience in utilization review/case management and at least two… more
- ZOLL Medical Corporation (Washington, DC)
- …patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed ... patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management -system/) (Heart Failure Management system) is a… more
- Genesis Healthcare (NM)
- …and development of area medical directors, the assurance of effective quality and utilization management , and the successful transition within area centers to a ... are actively engaged, effective, and successful in center-based quality and utilization management , regulatory compliance, IT/EHR implementation, and business… more
- Town of Gilbert (Gilbert, AZ)
- …primary job duties of this position include: Business Development & Financial Management : + Develop strategic plans to expand transportation services and efficiency ... to Captain/Company Officer for field supervision Leadership & Performance Management : + Supervise administrative/professional staff + Establish performance standards… more
- GE Vernova (Cambridge, MA)
- …and value of benefits programs + Prepare regular reports on benefits utilization , costs and employee satisfaction to inform decision-making by senior leadership + ... HR People Operations and employee relations teams on effective management of employee issues and escalation support + Work...drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program,… more
- Sanford Health (Sioux Falls, SD)
- …three years of recent clinical nursing experience required. Experience in case management , utilization management , and/or coding preferred. Currently holds ... Hours:** 40.00 **Salary Range:** $27.50 - $44.00 **Department Details** *This is not a remote position* The position is five days per week, no nights, weekends or… more
- Centene Corporation (Austin, TX)
- …Licensure required or + NP - Nurse Practitioner - Current State's Nurse Licensure required + For Superior: Resource Utilization Group (RUG) certification ... (CST); no evenings or weekends** **Position Purpose:** Performs care management duties to assess and coordinate all aspects of...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more