- LifeCenter Northwest (Bellevue, WA)
- …Organ Procurement, assumes responsibility for donor clinical assessment, donor management , organ allocation, and procurement. Leadership Responsibilities + Provides ... and evaluation of all aspects of donor clinical assessment, donor management , organ allocation, and organ procurement. + Supports LifeCenter Northwest's (LCNW)… more
- STG International (Bloomington, IN)
- …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activities. ... Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. + Provide leadership to CBOC clinicians. + Evaluate the… more
- Pine Acres Rehabilitation & Care Center (Nebraska City, NE)
- …to Administrator Reporting to this position: None Job Classification: Registered nurse with administrative duties/ management Position Purpose: Conducts and ... Must possess a current, unencumbered, active license to practice as a registered nurse in Nebraska. Must have 3 years' experience as a registered nurse… more
- Elevance Health (Atlanta, GA)
- …or equivalent. + Requires a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted RN license ... not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians....initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes.… more
- BayCare Health System (Sarasota, FL)
- …bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + ... Oversees and investigates patient and physician concerns, risk management concerns and implements changes and training where necessary....Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … more
- BayCare Health System (Dunedin, FL)
- …regulatory bodies within the area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol + ... Oversees and investigates patient and physician concerns, risk management concerns and implements changes and training where necessary...Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … more
- Arnot Health (Elmira, NY)
- …related to the management of patient care . The Case Manager will review all patients for utilization management and appropriate discharge planning. The ... The Case Manager tracks and trends LOS , resource utilization , outliers, readmissions , denials , delay days...nursing program with a current license as a registered nurse . BSN or Case Management Certification… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- … experience. * 1+ years of managed care experience, eg case management /health coach, utilization management and/or auditing experience. Compensation ... US Minimum Experience Required 1+ years of managed care experience, eg case management /health coach, utilization management and/or auditing experience. Shift… more
- CenterWell (Atlanta, GA)
- …opportunities for education/coaching + Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management ) to impact Part D per Member per ... early detection. The PL is responsible for executing the clinical strategy through the management of their own patient panel as well as those of the clinicians whom… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experiences * 2+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience (may be ... difference, join us. The Impact You Will Have Utilizing key principles of case management , the RN Case Manager focuses on supporting members living with cancer and… more