- Rush University Medical Center (Chicago, IL)
- …implement solutions for current situations. The Ambulatory RN 2 is a competent nurse who has mastered technical skills and utilizes evidence based interventions. The ... information:** **Required Job Qualifications:** * Current State of Illinois Registered Nurse licensure. * 3+ years nursing experience. * Earned nursing degree… more
- University of Washington (Renton, WA)
- …Medicine Primary Care at Federal Way** has a unique opportunity for a **Registered Nurse Care Manager!** **WORK SCHEDULE** + Full-time, 100% FTE (40 hours per week) ... + Opportunity to provide career growth + The Registered Nurse Care Manager supports the growth of our patient...on disease states, behavior modification, and ED and resource utilization . + Applies nursing best practices to identify and… more
- Veterans Affairs, Veterans Health Administration (Parma, OH)
- …appointments Coordinates with the patient care team to review the clinic utilization by using various reports; Maintains effective and efficient communication with ... Coordinates with the patient care team to review clinic appointment availability utilization ) to ensure that clinic schedules are closely monitored to effectively… more
- Northwell Health (Melville, NY)
- …care decisions and billing status and ensures compliance with the Utilization Review standard and regulations. Performs concurrent and retrospective utilization ... of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. *Additional… more
- UnityPoint Health (Cedar Rapids, IA)
- …home care. Responsible for case coordination of patients and insurance precertification/ utilization review. Patients served include adult and geriatric. St. Luke's ... Coordinates cases with community agencies, referral sources. + Manages utilization review for own patients with insurance carriers. +...licensure in good standing to practice as a Registered Nurse in [type in State]. + Must possess and… more
- GE Aerospace (Lynn, MA)
- …of Lean principles. + Partner, develop and execute standard **Capacity Utilization ** process in partnership with the local Operations, Lean and Industrial ... Engineering Leaders. + **Improve labor and machine utilization ** by studying work methods, layout and equipment modifications,...drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program,… more
- HCA Healthcare (Kissimmee, FL)
- …and patient throughput while supporting a balance of optimal care and appropriate resource utilization . What you will do in this role: + Develops a case management ... the appropriate level of care, patient status and resource utilization + Evaluates admissions for medical necessity using approved...card required within 30 days of start + Registered Nurse Diploma + Associates Degree in Nursing or Diploma… more
- HCA Healthcare (Englewood, CO)
- …patient and family needs with the efficacious and cost effective utilization of resources. Coordinates patient, family, physicians and all rehab disciplines ... through the continuum of care, including discharge planning. Oversee utilization management process including verification of insurance coverage, pre-authorization,… more
- Elevance Health (Cincinnati, OH)
- …complex case types that do not require the training or skill of a registered nurse . **How you will make an impact.** Primary duties may include, but are not limited ... or equivalent. Requires a minimum of 4 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN license or… more
- Organon & Co. (Harrisburg, PA)
- …include Health Care Providers such as Physicians across multiple specialties, Nurse Practitioners, Physician Assistants, Midwives, Nurses and Pharmacist in addition ... clinical information in an accurate and clear manner to encourage proper product utilization while meeting the needs of customers. + Understanding of the local… more
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