- Elevance Health (Miami, FL)
- …on relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. **How you will ... Med Management Clinician Senior- Licensed Nurse **Location:** Miami, FL **Hybrid 1** : This...initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses… more
- Stryker (Philadelphia, PA)
- …related discipline required + Minimum 4 years of experience as a licensed clinician, preferably registered nurse in critical care + Must be able to track and ... Support internal and external education on process, tool optimization, and utilization in collaboration with internal stakeholders + Uncover relevant clinical trends… more
- Nuvance Health (Carmel, NY)
- …Education: BSN / BSW preferred 1.Licensure/Registration/Certification:NYS Licensure as RN required; LMSW /LCSW preferred; Case management certification preferred. ... 2.Work Experience:3 years RN experience in an acute care setting; Leadership experience...experience in an acute care setting; Leadership experience preferred; Utilization review, discharge planning or case management experience preferred.… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and monitors departmental budget. + Ensures appropriate provision and utilization of departmental resources. + Actively participates in setting, monitoring ... + Graduate of an Accredited Professional School of Nursing RN preferred. + Five years experience as a surgical...Technician or Sterile Processing Technician certification required. + If RN , must have a valid, active license or temporary… more
- Trinity Health (Ontario, OR)
- …Crosswalk. + ACLS/NRP within 6 months of hire. **ESSENTIAL FUNCTIONS** : + The Nurse Manager is accountable for 24/7 oversight of the day-to-day operations of ... growth development. **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** + Colleague must have an RN license, as defined by their primary work state (Idaho or Oregon),… more
- UTMB Health (Galveston, TX)
- Care Manager TDCJ Acute Care **Galveston, Texas, United States** 1. Select the Job Field UTMB Health Requisition # 2507156 RN with Bachelor's degree in Nursing ... accurate information to payers. The role integrates and coordinates utilization management, care coordination and discharge planning functions. **Equal Employment… more
- Dignity Health (Grass Valley, CA)
- …assigns work to the nursing staff. Provides patient care as needed. The Manager responsibilities include, but are not limited to the following: Schedules nursing ... staff to specific shifts, taking into account past utilization trends. Measures employee performance. Assists in the training...as needed basis. \#LI-DH **Job Requirements** Required + California RN license + Bachelors of Science in Nursing or… more
- Insight Global (Alexandria, LA)
- …Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements Current RN License Cost Containment Background - utilization ... Job Description Insight Global is looking for an Insurance Case Manager to join their client's team in the Northern LA area. This role involves oversight of medical… more
- Blue KC (MO)
- …discount program** **Job Description Summary:** The Integrated Health Advancement Program Manager leads an integrated behavioral health and health outcome strategy ... + Track and report on key performance indicators related to access, utilization , clinical outcomes, and member experience or other related measures as driven… more
- BJC HealthCare (St. Louis, MO)
- …"remote" procedural areas where anesthesia services are requested. The manager ensures safe, timely, high-quality, cost-effective technical support, equipment ... such as equipment uptime, response times, case-delay rates, supply costs, staff utilization , turnover etc. Uses data to identify inefficiencies or safety risks,… more
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