- Houston Methodist (Houston, TX)
- …in a hospital setting + Two years of experience in Hospital Quality Improvement, Case Management or Utilization Management role preferred + Two years of ... At Houston Methodist, the Quality Outcomes Specialist position is responsible for assessing and facilitating...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -… more
- Houston Methodist (Houston, TX)
- …**EDUCATION** + Master's degree + Master of Science in Nursing preferred + Clinical Nurse Leader or Clinical Nurse Specialist preferred **WORK EXPERIENCE** + ... Provides guidance to staff in clinical project development and management , using the PDCA process and supporting the Pathway...to positively impact the quality of patient care. Drives nurse sensitive indicator performance by using data to identify… more
- Centene Corporation (Queens, NY)
- …medical abbreviations, medications. Experience in medical records review, claims processing or utilization and case management in a clinical practice or managed ... Long Term Care Department. Potentially working to review care management activities / records of the Care Management...or activities / clinical documentation submitted by the Intake Specialist . The Clinical Quality Assurance RN will review for… more
- Blue KC (KS)
- …**Employee discount program** **Job Description Summary:** The Medical Policy Nurse Specialist researches, coordinates, analyzes, and provides clinical ... degree, MPH, or equivalent + 5 years of related experience in research, Utilization Management , and medical policy work + Strong understanding of Blue KC core… more
- MyFlorida (Fort Myers, FL)
- SENIOR COMMUNITY HEALTH NURSE - 64028368 Date: Oct 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency: Department of Health Working Title: SENIOR COMMUNITY HEALTH NURSE - 64028368 Pay Plan: Career Service Position Number:...position is under the supervision of the Nursing Program Specialist with the Florida Department of Health in Lee… more
- STG International (Temple, TX)
- …any other protected class. Medical Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical Service ... STGi is currently seeking a Pharmacy Nurse -Licensed Vocational Nurse to provide services...care in pharmacy ordering, alternative substitutions and off formulary utilization . 25. Participates as a team member in the… more
- Katmai (Fort Carson, CO)
- …all levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. ... those required of any military or government civil service nurse of similar experience and in similar duty assignments....and employ safe work habits. + Utilize available information management systems in daily practice for patient care and… more
- Carle Health (Peoria, IL)
- … issues in appropriate locations, including but not limited to: case management / utilization review software and the multidisciplinary plan of care document ... Overview Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for… more
- Carle Health (Urbana, IL)
- … issues in appropriate locations, including but not limited to: case management / utilization review software and the multidisciplinary plan of care document ... 1 year of nursing experience Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring… more
- Northwell Health (Manhasset, NY)
- …team and provide pharmacy recommendations + Education and development of nurse , physician and pharmacy staff development pertaining to transplant and ... and research. + Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy, and… more