- BJC HealthCare (St. Louis, MO)
- …Care Services. The CM Service is comprised of three departments: Case Management, Utilization Management, and Social Work. Through the Triad Model of Care Delivery, ... Service employs registered nurses, social workers, a license practical nurse , a customer service representative, and administrative assistants. **Preferred… more
- Truman Medical Centers (Kansas City, MO)
- …We are seeking a dedicated and detail-oriented Case Manager (CM)-a registered nurse committed to optimizing both patient outcomes and healthcare resources. In this ... both spoken and written **Preferred Qualifications:** + RN experience in hospital utilization review, utilization management, or case management **Why Join Us?**… more
- Kaleida Health (Williamsville, NY)
- …paths are addressed and met. Serve as liaison to ancillary and utilization review services, serve as communication link between health team members. Manage ... Bachelors degree in Nursing. Current NYS Registration as a Professional Nurse . Certified Case Manager (CCM) preferred. **Experience** **At least 3 years… more
- Children's Home Healthcare (Amarillo, TX)
- …for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional Services. ... + At least 2 years experience as a Registered Nurse + At least 1 year experience as a...skills and willing to travel to patient homes + Utilization Management Experience + Reliable transportation for patient visits… more
- Prime Healthcare (Port Huron, MI)
- …to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Assesses needs ... Preferred qualifications: 1. Healthcare professional licensure required as Registered Nurse , Licensed Clinical Social Worker (LCSW), or Licensed Social Worker… more
- UCHealth (Loveland, CO)
- …outcomes. Provides focused support to various areas such as utilization management, emergency department, acute, ambulatory and specialty care. Responsibilities: ... in examining patterns of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health. + Advocates, educates and coaches… more
- WellSense (NH)
- …including family support and community resources, with a goal of promoting appropriate utilization of services at the appropriate level and site of care such as ... where available. . Uses reporting to access member medical and pharmacy utilization reports, sharing with PCP, to promote medication compliance and action plans.… more
- UNC Health Care (Hendersonville, NC)
- …operations of an assigned clinical area. Responsible for daily direction, utilization , supervision and instruction of professional and support staff, volunteers and ... within the clinic. Uses scheduling process to shape labor utilization within organizational productivity metrics. * Leads team of...* Must be licensed to practice as a Registered Nurse in the state of North Carolina or one… more
- Northwell Health (Manhasset, NY)
- …team and provide pharmacy recommendations + Education and development of nurse , physician and pharmacy staff development pertaining to transplant and ... and research. + Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy, and… more
- Stryker (Philadelphia, PA)
- …Support internal and external education on process, tool optimization, and utilization in collaboration with internal stakeholders + Uncover relevant clinical trends ... and market insights back to the team + Driving utilization of key metrics and measurement tools to be...years of experience as a licensed clinician, preferably registered nurse in critical care + Must be able to… more
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