- Bon Secours Mercy Health (Boardman, OH)
- …for clinical and operational excellence. **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates ... supporting technology/modalities may include but not limited to: ventilator management , CRRT, IABP, Impella, ECMO + * Performs hemodynamic...PCCN Progressive Care Certified Nurse (preferred) + RN -BC Registered Nurse - Board… more
- US Tech Solutions (RI)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... + Must have experience with Medcompass + Must have prior authorization utilization experience. + Managed Care/Medicare experience preferred. **Skills:** + MUST HAVE… more
- Stanford Health Care (Palo Alto, CA)
- …to identify trends and make recommendations for improvement. **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... Health Care **What you will do** + Inpatient & SNF Utilization Management & Care Coordination: + Support proactive hospital discharge planning, transfers,… more
- UPMC (West Mifflin, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... **UPMC Home Health is Hiring Registered Nurses ( RN 's) for the** **Elizabeth...patients' needs. + RN will coordinate case management activities across… more
- UPMC (West Mifflin, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across...**Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse either in the state… more
- UPMC (State College, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... patients' needs. + RN will coordinate case management activities across...Licensure, Certifications, and Clearances: + Current licensure as a Registered Professional Nurse either in the state… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …health care administration, or nursing. + Extensive knowledge of payer mechanisms and clinical utilization management is required. + A minimum of five years of ... in Healthcare Quality (CPHQ), Certified Case Manager (CCM), Certified Professional Utilization Management (CPUM), Certified Professional Utilization Review… more
- Banner Health (Mesa, AZ)
- …we want to hear from you. Banner Desert Medical Center is looking for a full-time Registered Nurse Associate Director to oversee the Cath Lab and Pre- and -Post ... ### or ###@bannerhealth.com. **_If you are a New Graduate Nurse with less than 12 months of experience, please...the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change… more
- UPMC (Pittsburgh, PA)
- …and Clearances: + Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Preference will be given to those ... UPMC Health Plan is hiring a full-time Utilization Management (UM) Care Manager to join the UM Clinical Operations team. This position will be work from home,… more
- PeaceHealth (Florence, OR)
- … management , home health or hospice may be considered.) + Utilization Management -Quality Managment experience preferred. + Third party reimbursement knowledge ... **Description** **PeaceHealth is seeking a RN for our Care Management Team in beautiful Florence Oregon! This position covers all inpatient units at our 21 bed… more