- Sevita (Columbus, OH)
- …(MCOs, state referrals) and escalates potential issues (eg, unresponsive case manager , etc.); approves referral decisions to admit individuals into our services, ... services and employees; directs supervision of nursing contracts and/or nurse supervisor as applicable. 2. Environment: Directs regional maintenance program.… more
- Magellan Health Services (Las Cruces, NM)
- …field, or relevant experience in lieu of degree., Experience in utilization management, quality assurance, home or facility care, community health, long ... License and Certifications - Preferred CCM - Certified Case Manager - Care MgmtCare Mgmt, LCSW - Licensed Clinical...Social Worker - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care MgmtCare… more
- East Boston Neighborhood Health Center (East Boston, 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 ... abilities to provide excellent service to patients while maximizing insurance utilization . + Verify patients' dental insurance coverage prior to appointments. +… more
- Genesis Healthcare (Albuquerque, NM)
- Overview **Ladera Care Center seeks a part time MDS Nurse ** **Prior MDS experience and ability to work weekday shifts required** At Genesis Healthcare, we are ... of maximum allowable RUG categories. *Communicate with the Business Office Manager regarding case-mix data required for billing. *Educate the interdisciplinary team… more
- Trinity Health (Canal Winchester, OH)
- …focus. **Job Relationships** _Reports to:_ Director of Patient Care Services, Assistant Clinical Manager , Charge Nurse or designee _Supervises:_ + N /A **Job ... requested. + Accepts responsibility for being pro-active in cost effective utilization of supplies and resources. + Accepts responsibility for non-direct patient… more
- Highmark Health (Pittsburgh, PA)
- …policy** **Union: Yes** **GENERAL OVERVIEW** This job collaborates with the OR Manager assigned to a specific specialty area in directing and providing perioperative ... and/or revises systems and processes for obtaining, repairing, trialing, tracking and utilization of supplies and equipment in close cooperation with the OR… more
- Cleveland Clinic (Cleveland, OH)
- …one of the most respected healthcare organizations in the world. As an RN Case Manager , you will float between all bedside units at Main Campus and collaborate with ... Professional Nursing + Current state licensure as a Registered Nurse (RN) + Basic Life Support (BLS) Certification through...approved entity + Two years of recent experience in utilization review, quality or care management + Knowledge of… more
- East Boston Neighborhood Health Center (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 ... serve as preceptor for pharmacy students + Promote effective 340B processes and utilization + Serve as a liaison between the dispensing pharmacy and clinical… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse , Surgical Services Director/ Manager , Surgical Services Full Time, 80 Hours Per Pay Period, Day Shift Fort Sanders Regional Overview: ... and appropriate. + Develops physician profiles to share comparative cost, utilization , and reimbursement information with medical staff for specified products. +… more
- Sharing Hope SC (North Charleston, SC)
- …Rotating Shift Education Level Bachelor Degree Travel Percentage Road Warrior Category Nurse Description Summary The Clinical Donation Coordinator I (CDC I) supports ... resources with discretion and employs professional laterality, when possible (ie, utilization of hospital profiles, engagement with donor family and hospital staff,… more