- Danaher Corporation (Houston, TX)
- …includes some of the following: infection detection/control, sepsis care, decision support, utilization management , case management , ED patient workflow, ... nursing , emergency medicine, pharmacy, quality, patient safety, risk management , IT, infection control, laboratory, and administration is required. This position… more
- BJC HealthCare (Alton, IL)
- …to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to ... care, rehabilitation, 24-hour emergency care, ambulance services and more. Case Management , Utilization Review, Social Services: Provides admission and continued… more
- Sharp HealthCare (La Mesa, CA)
- …regulations. ICD-9, RVS, and CPT 4 coding. + Basic computer functions. + Basic utilization management . + Accurately type or on-line key 35-40 wpm. + Organize ... nurse for follow up.Asks assistance from Clinical Leads and/or Charge Nurse or their designee for extraordinary room utilization .Informs appropriate… more
- The County of Los Angeles (Los Angeles, CA)
- …ambulation may be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management experience whose primary charge ... Nurse issued by the California Board of Registered Nursing . + A current Basic Life Support (BLS) for...County of Los Angeles, a Utilization Review Nurse is an RN that has Case Management… more
- Access Dubuque (Dubuque, IA)
- …Rehab Registered Nurse MercyOne Registered Nurse (PRN) Rehab MercyOne Utilization Management Nurse Cottingham & Butler/ SISCO Licensed Mental Health ... Employee Health Nurse **Medical Associates** 1 Positions ID: oFIMyfwr Posted...help you succeed in this role: solid and varied nursing background, previous employee health and/or case management… more
- UCLA Health (Los Angeles, CA)
- … staff) + CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + Minimum of three years ... and find out for yourself. Using your advanced practice nursing skills, you will be responsible for assessing and...quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and… more
- Access Dubuque (Dubuque, IA)
- …Rehab Registered Nurse MercyOne Registered Nurse (PRN) Rehab MercyOne Utilization Management Nurse Cottingham & Butler/ SISCO Licensed Mental Health ... Work is performed under the regular supervision of the Nursing Department Management Staff. Supervision is exercised...as requested. + Briefs relieving or supervisory staff on nursing shift developments. + Assists Registered Nurse … more
- HCA Healthcare (Houston, TX)
- …planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management , as well as discharge planning ... any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits**...care experience required. Minimum of two (2) years of utilization review/case management experience and minimum of… more
- Molina Healthcare (Spokane, WA)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... / MCG guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). **MULTI STATE / COMPACT… more
- Molina Healthcare (NM)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... / MCG guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). NEVADA State Specific… more