- AdventHealth (Ocala, FL)
- …patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the interdisciplinary team ... core competencies of this role. The RN Care Manager facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to… more
- Garnet Health (Harris, NY)
- …Swing Bed, Acute, and Emergency Department Patients. Responsible for discharge planning, utilization review , team conferences and unit-based rounds. Acts as a ... with us as a Case Manager on our Case Management team at/in Garnet Health Medical Center Grover Hermann...contracts, budget and internal equity). Qualifications Minimum Education: Registered Nurse with New York State Licensure or Master's Degree… more
- Hackensack Meridian Health (Red Bank, NJ)
- …screens ED inpatient admissions and observations as specified by the facility's Utilization Management / Review Committee for documentation completeness and ... with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to… more
- Hackensack Meridian Health (Edison, NJ)
- …Preferred: 1. Knowledge of milliman and/or interqual criteria, utilization review , discharge planning and case management . Licenses and Certifications ... and assure continuity of care. Report pertinent information to management and administration. He/she provides supervision of staff in...Required: 1. NJ State Professional Registered Nurse License. 169637 Minimum rate of $59.89 Hourly HMH… more
- Oracle (Harrisburg, PA)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... sessions, and offer ongoing consultation to support user proficiency and system utilization . Monitor project outcomes, track key metrics, and report progress to… more
- State of Georgia (Fulton County, GA)
- …or licensed/certified professional in a related field or setting . Experience in utilization review and/or quality assurance in a healthcare setting . Experience ... to obtain additional information . Assists in coordinating the data management and quality assurance functions . Identifies possible compliance violations with… more
- Nuvance Health (Poughkeepsie, NY)
- …Team Leaders via program dashboard on quality and process measures.Participates in quarterly Utilization Review . 7.Prepares reports to DQS and Clinical Team as ... assists in the implementation of the Agencyi? 1/2s Performance Improvement, Risk Management , Infection Control, and OASIS programs to ensure compliance with JCAHO,… more
- Veterans Affairs, Veterans Health Administration (Sheridan, WY)
- …an individual patient cannot be scheduled within mandated clinic timeframes. Daily review of active/pending consults, Electronic Wait List, Recall list and Audiocare ... occurs. Incumbent utilizes various reports from the MSA Supervisor, ie Clinic Utilization Statistical Summary, to ensure clinic setup is closely monitored to… more
- Spira Care, LLC (Kansas City, KS)
- …Certification + 5 years' experience, including at least three years of Care/Case/Disease Management , Health Plan, or Utilization Review experience + Thorough ... + Associate or bachelor's degree in nursing + Valid and active Registered Nurse (RN) in Kansas and Missouri or multi-state compact license + BLS certification… more
- Sutter Health (San Francisco, CA)
- …in Healthcare (MPH, MHA, MS, MBA, etc.) **CERTIFICATION & LICENSURE:** + RN-Registered Nurse of California OR MD-Medical Doctor OR DO-Doctor of Osteopathy OR Foreign ... Documentation Integrity Practitioner **TYPICAL EXPERIENCE:** + 5 years recent management experience **SKILLS AND KNOWLEDGE:** + Knowledge of Pathophysiology and… more