- Spira Care, LLC (Kansas City, MO)
- …Medical Policies re: coverage and medical necessity + participation in key utilization management activities (ex: peer-to-peer consultations with health plan ... behavioral health consultants, diabetes care specialists, clinical pharmacists, and nursing professionals supported by care managers and referral specialists to… more
- Elevance Health (Metairie, LA)
- …supervision. Preferred qualifications, skills, and experiences: + Previous experience in case management / utilization management with a broad range of ... work counseling or a related behavioral health field or a degree in nursing , and minimum of 3 years of experience with facility-based and/or outpatient psychiatric… more
- Carle Health (Urbana, IL)
- …Management Services as defined in the Illinois Pharmacy Practice Act. Performs utilization management reviews. Serves as drug information resource for other ... Regional Health Center hold Magnet(R) designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of… more
- University of Colorado (Aurora, CO)
- …+ Participate in the development of lab stewardship tools, data analysis and utilization management strategies in the UCH Clinical laboratory. This role will ... work:** **Employment Expectations:** + Participate in the clinical care, administrative management , teaching and research missions of the UCH Clinical Laboratory and… more
- University of Maryland, Baltimore (Baltimore, MD)
- …managed by University of Maryland Medical Center (UMMC). 8. Provides oversight of utilization and risk management activities including monitoring of service ... capacity, ADC 10-15. located in Towson, MD * Staffed with 24 /7 and Neonatal Nurse Practitioners * TeleHealth Support 24/7 from the UMMC Level IV NICU * The Maryland… more
- Covenant Health Inc. (Sevierville, TN)
- …through the Emergency Department for the Advanced Care at Home program and Utilization Management . + Rotates on-call and holiday schedule to meet departmental ... Coordinates front desk patient flow and notifies the triage/charge nurse of patient situations that require urgent clinical attention....demands in the 24/7 environment. + Assists acute nursing floors with a variety of tasks (ie assignment… more
- Covenant Health Inc. (Knoxville, TN)
- …through the Emergency Department for the Advanced Care at Home program and Utilization Management . + Rotates on-call and holiday schedule to meet departmental ... Coordinates front desk patient flow and notifies the triage/charge nurse of patient situations that require urgent clinical attention....demands in the 24/7 environment. + Assists acute nursing floors with a variety of tasks (ie assignment… more
- Covenant Health Inc. (Knoxville, TN)
- …through the Emergency Department for the Advanced Care at Home program and Utilization Management . + Rotates on-call and holiday schedule to meet departmental ... Coordinates front desk patient flow and notifies the triage/charge nurse of patient situations that require urgent clinical attention....demands in the 24/7 environment. + Assists acute nursing floors with a variety of tasks (ie assignment… more
- Cedars-Sinai (Los Angeles, CA)
- …Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required Working knowledge of Joint ... Are you ready to bring your advanced Health Information Management skills to a world-class facility recognized as one...reasons we've achieved our fifth consecutive Magnet designation for nursing excellence. From working with a team of dedicated… more
- HonorHealth (AZ)
- …an acute care setting. Required1 year experience in UR/UM or Case Management RequiredLicenses and CertificationsRegistered Nurse (RN) State And/Or Compact State ... -- because it does. Learn more at HonorHealth.com. Responsibilities Job SummaryThe Utilization Review RN Specialist reviews and monitors utilization of health… more