- AdventHealth (Mansfield, TX)
- …reviews. Recognizes and responds to life-threatening situations according to protocol. Utilizes management skills to supervise, evaluate, and review patient care ... career with AdventHealth, named in 2018 by Beckers Hospital Review as one of the 150 Top Places to...patient populations across the continuum of illness; promotes effective utilization of and monitors health care resources; and provides… more
- Deloitte (Chicago, IL)
- …nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, Quality, DRG Validation and health ... to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management , Finance, Revenue Cycle, and Coders + Other skills include the… more
- Dignity Health (Carmichael, CA)
- …efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality ... ** Nurse Manager of Care Coordination / Case Management ** **Sign On / Relocation Options** As our **...Management ** **Sign On / Relocation Options** As our ** Nurse Manager Care Coordination Manager at Mercy San Juan… more
- HCA Healthcare (Kansas City, MO)
- …promptly and applying IP IQ criteria. + Adheres to HCA standards regarding observation management . In addition, the RN SM Lead will be responsible for adhering to ... escalate the barrier to the facility Director of Case Management . + Work closely with the case management...supporting a balance of optimal care and appropriate resource utilization . + Responsible for ensuring other RN CM in… more
- Sharp HealthCare (San Diego, CA)
- …and manages admission and intake process.Complies with payor guidelines on utilization review process to promote optimal reimbursement.Collaborates with ... Licensed Clinical Psychologist (LCP) - CA Board of Psychology; California Registered Nurse (RN) - CA Board of Registered Nursing; California BBS Licensed Clinical… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …or Hispanic/ Latino. * 1+ years of managed care experience, eg case management /health coach, utilization management and/or auditing experience. Compensation ... role is a critical component of the BCBSMN Care Management team. Behavioral Health Care Advisors will provide clinical...providing culturally sensitive support. This role requires a Registered Nurse (RN) licensed in the state of Minnesota with… more
- UNC Health Care (Goldsboro, NC)
- …Ideal candidates will demonstrate critical thinking abilities, effective time management , and a collaborative, team-oriented mindset. The unit offers numerous ... opportunities for professional and personal growth, including orientation to charge nurse roles, participation in the clinical ladder program, and the pursuit of… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …Summary and Responsibilities** This position is responsible for managing the risk management function for the Northwest Region to strengthen risk profiles by ... that can result in losses or liability and to improve safety, utilization of resources and achievement of desired outcomes. Work also involves collaborating… more
- CVS Health (Frankfort, KY)
- …+ Discharge Planning Experience. + Motivational Interviewing skills + Managed Care/ Utilization Review Experience + Bilingual preferred. + BSN preferred ... heart, each and every day. **Position Summary** The Complex Nurse Case Manager is responsible for assessing members through...contact to assess, plan, implement and coordinate all case management activities with members to evaluate the medical and… more
- HCA Healthcare (Kansas City, MO)
- …function within the College is teaching. 1. Teaching competence/excellence requires: a. Utilization of standards of care a. Integration of concepts that reflect the ... scholarly endeavors. Examples include: 1. Participation in research activities, review of literature for publication and/or self-enhancement, clinical investigations,… more