- Dignity Health (Los Angeles, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing , physicians, ancillary departments, insurers ... hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Long Beach, CA)
- …emphasis will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers ... hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Glendale, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing , physicians, ancillary departments, insurers ... hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Community Health Systems (Springdale, AR)
- …strong clinical or healthcare experience with a focus on hospital discharge planning, utilization management , and case management required + Previous ... knowledge of pre-acute and post-acute care resources, care transitions, and healthcare utilization management . + Proficient in data aggregation and analysis,… 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...performing in Geriatrics, Neurology & Neurosurgery, Orthopedics, and Pulmonology. Nursing care at St. Francis is also nationally recognized,… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …program. Must have three (3) years of clinical nursing experience. Referral Management (RM) and Utilization Management (UM) experience is preferred. ... Ivyhill is currently seeking to hire a Registered Nurse (Non-Practicing) to support its contract with the Integrated Referral Management and Appointing Center… more
- Veterans Affairs, Veterans Health Administration (Sheridan, WY)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an… more
- Cabinet Peaks Medical Center (Libby, MT)
- …appropriate utilization of personnel. Experience 5+ years' experience in management and supervisory nursing role required. Experience in Obstetrics, ... Cabinet Peaks Medical Center is looking for a Nurse House Manager to join our Nursing...Services, Laboratory Services, Nutrition and Diabetes Education, Quality Risk Management , Utilization Review and Risk Management… more
- Molina Healthcare (Bronx, NY)
- …and cost-effective member care. Essential Job Duties * Performs audits in utilization management , care management , member assessment, behavioral health, ... care experience, with at least 1 year experience in utilization management , care management , and/or...equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …regulatory requirements, and ensures these requirements are accurately followed and Utilization Management (UM) decision determinations and timeliness standards ... experience (REQUIRED) + Current State Licensure as a registered nurse (REQUIRED) + Three (3) years of clinical experience...+ Three (3) years of clinical experience (REQUIRED) + Utilization Management experience + Experience working in… more