- WesleyLife (Washington, IA)
- …objectives. Monitor labor costs, manage expenses, and ensure responsible resource utilization . + **Performance Management :** Coach and develop team members, ... and delegate responsibilities to maintain efficient operations. + **Talent Management :** Partner with the Director of People & Culture...Currently licensed by the state of Iowa as a Nursing Home Administrator. + At least five years of… more
- Trinity Health (Boise, ID)
- …collaboration with the orthopedic trauma surgeon(s). The position includes direct clinical management through utilization of approved protocols and procedures as ... Emergency Room, to provide direction to hospital personnel regarding patient management issues, and to manage inpatient orthopedic fracture patients. This individual… more
- Trinity Health (Boise, ID)
- …collaboration with the orthopedic trauma surgeon(s). The position includes direct clinical management through utilization of approved protocols and procedures as ... Emergency Room, to provide direction to hospital personnel regarding patient management issues, and to manage inpatient orthopedic fracture patients. This individual… more
- HCA Healthcare (Portsmouth, NH)
- …experience in case management OR 3+ years experience in clinical nursing Required InterQual experience Preferred Registered Nurse license for New Hampshire ... excellence! As a majority owner of Galen College of Nursing , which joins Research College of Nursing ...supporting a balance of optimal care and appropriate resource utilization . Provides case management services for both… more
- UPMC (Pittsburgh, PA)
- …the direct oversight of the day-to-day operations of the authorization, denial management , and/or utilization review functions of UPMC Revenue Cycle, involving ... + Function as a resource person for authorization, denial management and/or utilization review processes. + Assess...Perform other duties as assigned. + Bachelor's degree in Nursing or other Healthcare related field required + Pennsylvania… more
- The New Jewish Home (Bronx, NY)
- …informed of the latest internal and external issues and trends in utilization and quality management through select committee participation, networking, ... all clinical operations, performance improvement activities, training and supervision of nursing and field staff and medical compliance issues. Reports To: AVP,… more
- Banner Health (Gilbert, AZ)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... Gilbert, Arizona **Department Name:** Surg-Hosp **Work Shift:** Day **Job Category:** Nursing For 2025, Banner Health was named to Fortune's Most Innovative… more
- Erickson Living (Springfield, VA)
- …Maintaining clinical practice and processes in accordance with the Erickson Senior Living Management Policies and Procedures and nursing standards of practice. + ... leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review, and Performance Improvement/Risk Management /Safety (PI/RM/S) Committee… more
- Baylor Scott & White Health (College Station, TX)
- …for assessing and coordinating patient care across the continuum to include case management , social work, utilization review and care coordination to achieve ... SUCCESS FACTORS** Knowledge of Care Coordination, discharge planning, case management and utilization review. Knowledge of human...level **QUALIFICATIONS** - EDUCATION - Bachelor's - MAJOR - Nursing - MAJOR - Nursing - EXPERIENCE… more
- CareFirst (Baltimore, MD)
- …preferred. **Experience:** 5 years clinically related experience working in Care Management , Discharge Coordination, Home Health, Utilization Review, Disease ... School Diploma or GED **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure RN-...CCM/ACM or other RN Board Certified certification in case management . Incumbents not certified at the time of hire… more