- Molina Healthcare (AZ)
- …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
- Beth Israel Lahey Health (Burlington, MA)
- …worksheets. 2) Identify needs based on Unit Specific Core Staffing Guidelines provided by the Nurse Manager . 3) Existing needs will be reviewed by the ... of Nursing Resources and Throughput in daily monitoring the utilization of nursing resources. Prepares weekly reports tracking and...Manager of Nursing Resources/Throughput and the Nurse Manager . 4) Unscheduled absence of a… more
- Guthrie (Cortland, NY)
- …staff to perform patient care. Manages daily staffing issues in conjunction with Charge Nurse / Nurse Manager , analyzing available data sources, and making ... hire Experience: Two years of recent clinical supervisory experience or charge nurse experience desired Essential Functions: 1. RESOURCE UTILIZATION : Considers… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …preferred, ie, Certified Professional in Healthcare Quality (CPHQ), Certified Case Manager (CCM), Certified Professional Utilization Management (CPUM), Certified ... System Care Coordination is responsible for system-wide Care Coordination functions ( Utilization Review, Social Work, Navigation, and Case Management) including the… more
- Munson Healthcare (Traverse City, MI)
- …surgery. Pediatric Intermediate Care provided. ENTRY REQUIREMENTS Current license as a Registered Nurse in the State of Michigan. Minimum of 2 years of relevant ... 1, 2011 - Complete BSN degree by October 1, 2018 Charge Nurse experience preferred. Demonstrates exceptional professional role model behavior that supports… more
- The County of Los Angeles (Los Angeles, CA)
- …university. -AND- Four years of experience in nursing management at the level of Nurse Manager ** or higher in a clinical environment. LICENSE AND CERTIFICATION ... as meeting the stated Requirements. ** In the County of Los Angeles, a Nurse Manager administers an assigned nursing program or organizational unit with… more
- Rochester Regional Health (Rochester, NY)
- …appeal process. + Participates in daily Huddles, providing ongoing communication to the Charge Nurse and Nurse Manager to address complex clinical issues, ... in the expected time frame and with most efficient utilization of resources. Carries out activities related to ...+ Licensed in New York State as a Registered Nurse + For hires after 10/28/2024, 3 years acute… more
- Fallon Health (Worcester, MA)
- … Nurse in a clinical setting required. * 2 years' experience as a Utilization Management/Prior Authorization nurse in a managed care payer preferred. * One ... Twitter and LinkedIn. **Brief summary of purpose:** The PA Nurse uses a multidisciplinary approach to review service requests...Keeps records and submits reports as assigned by the Manager * Refers high-risk cases to the appropriate FH… more
- University of Southern California (Arcadia, CA)
- ESSENTIAL JOB FUNCTIONS AND CORE RESPONSIBILITIES * Accountable to the unit Manager and/or the Director of the department.* Adherence to identified nursing standards ... all professional and patient care interactions.* Performs other duties as assigned by Manager / Director / Clinical Lead RN.* Prioritizes cases to provide service to… more
- Northern Light Health (Bangor, ME)
- …less than 20 pounds. + Prolonged periods of standing. + Prolonged periods of walking. RN Manager , Nurse Manager , Care Manager RN, House Manager , ... monitoring, analysis, reporting, and adjusting the direction, allocation and utilization of available resources. + Collaborates with Physician Dyad Leadership… more