- AdventHealth (Altamonte Springs, FL)
- …and outcome measures in the delivery of patient care. b. Is active in utilization management , case management , quality improvement, and risk management ... **GENERAL SUMMARY** **:** The Chief Nursing Officer is a registered professional nurse...viewpoints for the good of the organization. e. Promotes nursing management as a desirable specialty and… more
- MTC (Chaparral, NM)
- …by Chronic Care Clinic Heath Standards. 13. Practice basic cost containment and utilization management techniques. 14. Keep work area neat and organized. 15. ... + Paid Holidays Make a difference in health care! **Operated by the Management & Training Corporation, Otero County Processing Medical Facility in Chaparral, New… more
- Providence (Burbank, CA)
- …related field (Acute, Ambulatory, Post-Acute, etc.). + 2 years experience in Case Management (Care Coordination or Utilization Management ) or successful ... proud to be Magnet(R) recognized, the nation's highest recognition for nursing excellence. The American Nurses Credentialing Center's Magnet Recognition Program(R)… more
- Fairview Health Services (Edina, MN)
- …not limited to assessment, care planning, service coordination and referral, transition management , utilization management and quality assurance. The care ... care conferences + Convenes interdisciplinary team members, as needed, for complex case management + Consults with FVP Nurse Care Coordinator for members with… more
- Hartford HealthCare (Farmington, CT)
- …CDI subject matter expert guidance to CDS team, coding, physician leadership, quality management , utilization management , all providers, and others as ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the… more
- Banner Health (Phoenix, AZ)
- … management process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process ... Wound Care-OP-Hosp **Work Shift:** Day **Job Category:** Clinical Care Nursing careers are better at Banner Health. We've built...caring for patients with wounds. We use a case management model to help patients navigate through the complex… more
- CDPHP (Latham, NY)
- …with Medicaid Long Term Care Programs preferred. + Minimum of two (2) years Utilization Management experience is preferred. + Experience with the New York State ... Manager and the success of the member-focused Complex Case Management Programs. Qualifications: + Registered Nurse with...current New York State license is required. BS in Nursing preferred. LPN plus one year of experience with… more
- MD Anderson Cancer Center (Houston, TX)
- …avenues of appeal. * Contact third-party payers, insurance medical directors, case management , and utilization review to request reconsideration and/or appeal of ... *WORK EXPERIENCE* * Required: 5 years Experience in clinical nursing and 1 year Experience in utilization ...preferred degree for two years of the five clinical nursing experience. * Preferred: Nurse Defense Audit… more
- Texas Health Resources (Arlington, TX)
- …3 years case management experience required or + 3 years Disease management experience required + Utilization management and pre-authorization experience ... - 5p Department highlights: + New and Innovative Care Management + Remote work + Collaborative community impact Here's...impact Here's What You Need + Associate's Degree in Nursing required + Bachelor's degree in Nursing … more
- Providence (Tarzana, CA)
- …field (Acute, Ambulatory, Post-Acute, etc.) + 2 years of Experience in Case Management (Care Coordination or Utilization Management ) or successful completion ... nurses choose to work at Providence by visiting our Nursing Institute page. Join our team at Providence Tarzana...basis at each ministry by the Director of Care Management in consultation with the Human Resources. + RNs… more