- Mohawk Valley Health System (Utica, NY)
- …under direct supervision of Case Management Department. Provides ongoing support and expertise through comprehensive assessment, planning, implementation and overall ... Education/Experience Requirements Required: + Minimum of two (2) years utilization review/case management experience or social work experience. Preferred: +… more
- LA Care Health Plan (Los Angeles, CA)
- …for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Lead ... 8 years of clinical appeals and grievances experience in a managed care, utilization management and/or case management setting, At least 2 years in Medicare/… more
- Sea Mar Community Health Centers (Everson, WA)
- …demonstrating performance. + Review the medical record for quality and utilization indicators according to the Quality Improvement Plan. + Generate reports ... non-licensed position. + This position must obtain Basic Life Support (BLS) CPR within 90 days of hire date...have any questions regarding the position email Karyn Ramirez, Nurse Manager at ###@seamarchc.org Sea Mar is an Equal… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …optimize patient care and service efficiency. + 2. Ensure cost-effective resource utilization and monitor functional unit nursing budgets. + 3. Standardize policies, ... diverse and inclusive environment that reflects the community served. + 3. Support staff development through coaching, mentorship, and competency assessments. + 4.… more
- Sutter Health (Antioch, CA)
- …manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid ... + Bachelor's Degree: Preferred **CERTIFICATION & LICENSURE:** + Registered Nurse - State Licensure - RN + Basic Life... - State Licensure - RN + Basic Life Support Certification - BLS **TYPICAL EXPERIENCE:** + 8 years… more
- Carle Health (Urbana, IL)
- …for a designated timeframe and provides care to these patients via the utilization of the nursing process, nursing trends, technology, financial, and human resources ... within the philosophy of the institution. Qualifications Certifications: Basic Life Support (BLS) within 30 days - American Heart Association (AHA)American Heart… more
- Avera (Sioux Falls, SD)
- …promote the best possible patient outcome. The case manager facilitates efficient utilization of resources and identifies patient care needs throughout the continuum ... to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse (RN) - Board of Nursing An active license in the state… more
- Corewell Health (Grand Rapids, MI)
- …and research, quality of practice, professional practice evaluation, resource utilization and environmental health. Strives to achieve optimal outcomes. ... in Nursing Required within 5 years + MI Registered Nurse (RN) Required + AHA or ARC Basic Life... (RN) Required + AHA or ARC Basic Life Support (BLS) Required within 90 days + Oncology Nursing… more
- WMCHealth (Suffern, NY)
- …judgment, methods, and skills under the direction of a Registered Nurse or Physician. Responsibilities: + Observes, monitors, and records physiological measurements. ... and filing of confidential documents; and basic Internet and email utilization . + Participate in performance improvement activities, staff trainings, weekly team… more
- Select Medical (Dublin, OH)
- …to potential full-time opportunities + **Foster Well-being:** We offer benefits which support the financial, work/life and emotional well-being of you and your ... the allotted time frame; assuring payments of services meeting patient-related utilization management criteria, and implementation of safe and appropriate discharge… more