- Elevance Health (Miami, FL)
- …will make an impact:** + Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive care. + Perform ... physician-level case review, following initial nurse review, of chemotherapy regimens. + Determine medical necessity of requests using guidelines and client-specific… more
- University of Utah Health (Salt Lake City, UT)
- …companies, transportation agencies and others as indicated. + Collaborates with social worker/ nurse case manager and others to confirm authorization for services ... coordination of care activities under the direction of a registered nurse and/or social worker. The incumbent interacts with representatives from insurance… more
- East Boston Neighborhood Health Center (Revere, MA)
- …to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or ... Summary: The Claims Analyst, under the direction of the Manager of PACE Claims, is responsible for the overall...referrals and claims-related data in an effort to provide utilization reports to other departments. Insurance Department: * Must… more
- Covenant Health Inc. (Morristown, TN)
- …Excellence, women can have their annual mammograms, biopsies, and can meet with a nurse navigator if needed. The Women's Center offers six newly remodeled labor and ... in quality improvement principles, regulatory, and Care Management standards. The manager is responsible for budget management, staffing, hiring, discipline, and… more
- ChenMed (Houston, TX)
- …3,500 to 4,000 patients ( _with the support of the Care Team and Nurse Practitioner/Physician Assistant_ ). + Assesses patient's ability to withstand the stresses of ... requests for external cardiology referrals and participates in delegated utilization authorizations; determines level of urgency of follow-up, referral/consultation… more
- Carle Health (Champaign, IL)
- …or more years experience - External Applicants Only** Hybrid Option The Registered Nurse (RN) who serves in the role of System Case Management Specialist/Analyst ... patient care outcomes. The incumbent will have a deep understanding of utilization review and case management principles, case management best practices, policies,… more
- Carle Health (Peoria, IL)
- …Heart Association (AHA)American Heart Association (AHA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation ... of the Surgery Department, Sterilization Department, and Endoscopy Department when Manager is not present. + Assumes daily responsibility for coordination of… more
- Bassett Healthcare (Cooperstown, NY)
- …health and enjoy the best quality of life possible. What you'll do The STAT Nurse RN will provide clinical support and direct patient care in a variety of inpatient ... units during peak periods of activity. The STAT Nurse RN will provide episodic nursing care, assist with...supervisory chart review + Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in managing… more
- Houston Methodist (Houston, TX)
- …childbearing family's educational needs. Maintains an open line of communication with Nurse Director, Clinical Manager and Charge Nurses regarding actual or ... breast feeding support under the general supervision of the Nurse Director. In addition to functioning as a staff...daily tasks. Actively participates in the stewardship and efficient utilization of resources and needs including unit capital and… more
- Guthrie (Binghamton, NY)
- …+ Responsible for hiring and evaluating of personnel in collaboration with Perioperative Nurse Manager and Nurse Director + Addresses behaviors requiring ... corrective action in collaboration with Nurse Manager , Nurse Director, and...Acts as coach and mentor for staff to promote utilization of standard work and best practice. + Demonstrates… more