- Community Health Systems (Bentonville, AR)
- …to live! **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities under the ... supervision of a Registered Nurse or physician. This role involves reviewing medical records...medical records to assess the appropriateness, medical necessity, and utilization of hospital services, escalating cases as needed to… more
- Sharp HealthCare (San Diego, CA)
- …Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) ... position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving care… more
- Munson Healthcare (Traverse City, MI)
- REQUIREMENTS: Registered Nurse in the State of Michigan. Minimum of 2 years of relevant experience, 2 years in the specialty area preferred. A BSN is required for ... those hired into the role after October 1, 2018. Charge Nurse experience preferred Demonstrates exceptional professional role model behavior that supports… more
- Molina Healthcare (Jackson, MS)
- …of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure ... most appropriate care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and under-… more
- The County of Los Angeles (Los Angeles, CA)
- …Office of Nursing Affairs at various locations for the purpose of nurse recruitment. Performs other duties as assigned. Requirements SELECTION REQUIREMENTS: A ... AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board or Registered Nursing.* Applicantsmustensure the… more
- University of Michigan (Ann Arbor, MI)
- …is unique in that it combines clinical/quality considerations with regulatory/financial/ utilization review demands. The position creates a balance between individual ... clinical needs with the efficient and cost effective utilization of resources while promoting quality outcomes. **Organizational Relationships** The RN Case Manager… more
- Corewell Health (Grand Rapids, MI)
- Registered Nurse OR Social Worker Scope of work: In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health, Care ... Management, and Utilization Management departments. Stakeholders include staff, physicians, department leadership, and third-party vendors. Uses specific age and… more
- Veterans Affairs, Veterans Health Administration (Marion, IL)
- …The Marion VA Health Care System is seeking two (2) full-time Registered Nurse 's to join the Medical/Surgical Unit within Nursing Service located in Marion, IL. ... The Registered Nurse assigned to...education, orientation, competencies and providing quality improvement and outcomes utilization . Partners with the patient, family, and interdisciplinary team… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …hospital initiatives. + Supports nursing leadership in monitoring compliance with nurse -sensitive outcomes related to national standards for nursing practice. + ... process. + Leads a contingent of staff nurses and nurse leaders to the annual ANCC Magnet Conference. +...Specialists, and interprofessional team members to ensure translation and utilization of professional standards at the unit and department… more
- Stanford Health Care (Palo Alto, CA)
- …include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness ... of services as well as appropriate utilization of services; and ensuring optimum use of resources,...patient health care **Licenses and Certifications** + CA-RN (Registered Nurse ) required **These principles apply to ALL employees:** **SHC… more