- Kaleida Health (Buffalo, NY)
- …care Nursing Experience required. 2 years of experience in any combination of case management , home care and utilization review preferred. Knowledge of and ... with members of the interdisciplinary team to coordinate care, facilitate utilization and resource management and discharge planning functions, working… more
- Guthrie (Troy, PA)
- …leadership and autonomy in nursing practice. + Preferred experience with care management / utilization review , and payer knowledge. + RN considered. ... to a $15,000.00 Sign on Bonus!! Summary: The Wellness Nurse plays a key role in health promotion and...to health promotion and illness prevention, as well as management of chronic conditions. + Educates patients and their… more
- Covenant Health Inc. (Knoxville, TN)
- …administrative and regulatory purposes. + Develops and directs efficient materials management process. Ensures cost-efficient ordering and utilization of ... Overview Nurse Manager of Oncology Clinic & Infusion Center...performance indicators. + Collaborates with program leaders to develop, review and revise policies and procedures for the clinic… more
- Penn Medicine (Philadelphia, PA)
- …hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management ... community resourcesParticipates and drives accountability in daily interdisciplinary meetings + Utilization Management :Adheres to guidelines to satisfy 3rd party… more
- Carle Health (Champaign, IL)
- …of research, new or existing regulatory requirements. Oversee and actively guide utilization review , medication monitoring, treatment plans and peer review ... **Or** Master's Degree Social Work **Licenses/Certifications** Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional… more
- Sevita (TN)
- …state strategy to increase census, maintain occupancy, improve daily attendance, and maximize utilization . + Financial Management : + May be responsible for the ... career well lived. **State Nursing Director - IDD Services (Registered Nurse )** **_Starting Pay: $110,000_** **_Regular travel required_** Looking for rewarding work… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... Sterile Product Certification) - Various-Employee provides certificate; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric… more
- Dignity Health (Santa Maria, CA)
- …experience preferred. + Current California Registered Nurse : CA (RN:CA) + Utilization Review , or Case Management experience desirable, not required. ... keeping with the Marian Medical philosophy, the Pre-Admission Planning nurse provides Case Management , and an individual...to be self directed, team oriented Knowledge of the utilization management process from pre-admitting to post… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... (AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians;… more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- …Outlook, and Word. + Preferred Knowledge, Skills, and Abilities + Knowledge of utilization review and hospital finance processes preferred. + WORKING CONDITIONS ... SUMMARY + The Case Manager is responsible for coordinating the case management care plan to meet the individual/caregiver needs, promoting quality, and… more