- University of Utah Health (Salt Lake City, UT)
- …Supervisor to reassign staff based on census and workload, adhering to the Nurse Utilization Policy. + Assist Hospital Supervisor and Nursing Leadership in ... are integral to our mission. EO/AA_ + The Staff Utilization Coordinator is responsible for providing healthcare operational support...care needs. + The role also involves proactive daily management to secure staff for open shifts to ensure… more
- Centene Corporation (Trenton, NJ)
- …findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and ... preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. **License/Certification:** + LPN -… more
- Zurich NA (Schaumburg, IL)
- …and medical terminology Preferred Qualifications: + 2 or more years' experience in Utilization Review , Case Management , Workers Compensation, or medical bill ... Medical Bill Review Senior Nurse 127127 Zurich Insurance...order to identify any anomalies or discrepancies and ensure management has access to up to date and accurate… more
- Ventura County (Ventura, CA)
- …the Senior Medical Management Nurse is responsible for performing utilization review , case management , and quality improvement functions to ensure ... Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5113983)..., Disease Management , Quality Assurance, HEDIS and/or Utilization Review . NECESSARY SPECIAL REQUIREMENTS + Must… more
- Centene Corporation (New York, NY)
- …Knowledge of Medicare and Medicaid regulations preferred. + Knowledge of utilization management processes preferred. **License/Certification:** + LPN - Licensed ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- Elevance Health (Los Angeles, CA)
- …: 8 hour shift within 8am - 6pm PST. Rotating Weekends and holidays. The **Medical Management Nurse ** is responsible for review of the most complex or ... RN Medical Management Nurse - California **Virtual:** This...Med/Surg, Critical Care, ER, Telemetry, etc. strongly preferred. + Utilization management / review within managed care… more
- Veterans Affairs, Veterans Health Administration (Iowa City, IA)
- …Movement and encouraging restorative care versus dependence. Responsibilities The Registered Nurse -Home and Community Based Service Case Management works as ... systems throughout the health care system. Performs program analysis, development, review , research, design, and contact work with various agencies (public, DOD,… more
- Veterans Affairs, Veterans Health Administration (Leavenworth, KS)
- Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the ... evaluation and analytical review of clinical information. Responsibilities The Revenue Utilization Review (RUR) Registered Nurse is under the supervision… more
- ERP International (Luke AFB, AZ)
- … Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health ... **Overview** ERP International is seeking a full time **Registered Nurse - Case Management ** in support of...and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case… more
- Veterans Affairs, Veterans Health Administration (Fort Harrison, MT)
- Summary The Registered Nurse (RN) Quality Management (QM) Performance Measures Consultant will function as an advanced clinician and execute position ... review functions, performance measures, patient safety, and quality management functions. Function as a facilitator, educator, and subject matter expert… more