- Northern Light Health (Bangor, ME)
- …provides after-hours back up to multiple Acadia departments including Registration, Utilization Management , Facilities, Ambulatory Clinic Scheduling and the ... Outpatient Services. He/she presents case information to Clinical, Psychiatric and Nursing staff; schedules evaluations and admissions; fields crisis calls and… more
- Urbandale Community School District (Urbandale, IA)
- …are seeking qualified individuals who are eager and available to serve as a substitute nurse . School nursing , a specialized practice of nursing , protects and ... care, performance appraisal, education, collegiality, ethics, collaboration, research, resource utilization , communication, program management and health education.… more
- Billings Clinic (Billings, MT)
- …to resolve issues, escalates to Supervisor, Manager, or Director * Insurance and Utilization Management * Maintains working knowledge of CMS requirements and ... 2021 Employee Benefits Guide (https://ncstoragemlbillings.blob.core.windows.net/public/2021%20Billings%20Clinic%20Staff%20Benefits%20Guide.pdf) . Magnet: Commitment to Nursing Excellence Billings Clinic is proud to be recognized… more
- Tufts Medicine (Burlington, MA)
- …in cooperation with multiple revenue cycle and hospital departments, such as Coding, Utilization Management (UM), Case Management , Quality and Physician ... **Preferred Qualifications:** 1. Master's degree in healthcare administration, Health Information Management , Health Informatics, Nursing or other related field… more
- MTC (Marion, OH)
- …clean; utilize appropriate sanitation methods. 7. Practice basic cost containment and utilization management for patient care and facility operations. 8. ... + Civic duty and military leave Impact lives with Management & Training Corporation (MTC)! At the **North Central...+ **Degree in nursing ** , current valid nursing license as a **Licensed Practical Nurse **… more
- LA Care Health Plan (Los Angeles, CA)
- …At least 8 years of clinical appeals and grievances experience in a managed care, utilization management and/or case management setting, At least 2 years in ... daily. This position will mentor, coach, and may provide feedback to management on performance of staff. Ensure team effectiveness and project completion. Duties… more
- Providence (Seward, AK)
- …+ 3 years Clinical nursing experience. + 1 year Utilization Management -review and Discharge-planning experience. + Experience associated with healthcare ... **Description** Uses Case Management Guiding Principles in partnering with patients and...system!** **Required qualifications:** + Graduation from accredited school of Nursing . + Upon hire: Alaska Registered Nurse … more
- Molina Healthcare (Sterling Heights, MI)
- …at least 3 or more years in one or more of the following areas: utilization management , care management , care transitions, behavioral health, or equivalent ... work of external vendors. * Focuses on process improvement, organizational change management , program management and other processes relative to business needs.… more
- Texas Health Resources (Dallas, TX)
- …One year of hospital case management experience is preferred. * RN - Registered Nurse Upon Hire Req or LMSW - Licensed Master Social Worker Upon Hire Req or LBSW ... Upon Hire Req And * BCCMN - Board Certified Nursing Case Management 12 Months Req or...resources. Assesses patient information utilizing psychological and medical knowledge. Utilization Review and Management * Performs effective… more
- WellSpan Health (Lebanon, PA)
- …in the management of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education ... from an accredited LPN program. Required **Work Experience:** + 1 year Clinical nursing experience. Required **Licenses:** + Licensed Practical Nurse Upon Hire… more