- Munson Healthcare (Traverse City, MI)
- …practice. Promotes the integration of clinical and human resource data to support decision-making, which maximizes resource utilization . Facilitates and empowers ... REQUIREMENTS: Registered Nurse in the State of Michigan. Minimum of...Manager/Director of the specialty unit, provides clinical and supervisory support to staff. Coordinates day to day operations of… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- Summary The position serves as a Medical Support Assistant in Health Administration Service at the VA Sierra Nevada Health Care System, Reno, Nevada. The incumbent ... with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization...accordance with VA Policy. English Language Proficiency: Advanced Medical Support Assistants must be proficient in spoken and written… more
- Molina Healthcare (AZ)
- …directed by the chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and ... of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- Summary Provides advanced administrative and patient care support for VA Community Care. Coordinates appointments, processes medical records, manages referrals, ... co-workers and hospital staff. The duties of this position vary widely requiring utilization of different processes and methods to accomplish this work. The work… more
- Sharp HealthCare (La Mesa, CA)
- …Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered Nursing **Hours** **:** **Shift Start ... position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving care… more
- Sharp HealthCare (San Diego, CA)
- …Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) ... position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving care… more
- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- Summary The VA Northeast Ohio Healthcare System is recruiting for Medical Support Assistants (Advanced). The Medical Support Assistant (Advanced) will function ... with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization...that the clinic setup is closely monitored to effectively support the needs of the clinic, and provides the… more
- The County of Los Angeles (Los Angeles, CA)
- …Office of Nursing Affairs at various locations for the purpose of nurse recruitment. Performs other duties as assigned. Requirements SELECTION REQUIREMENTS: A ... REQUIRED: A current license to practice as a Registered Nurse issued by the California Board or Registered Nursing.*...certification issued by the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program.*… more
- UPMC (Pittsburgh, PA)
- Are you a registered nurse with a background in utilization management? UPMC Health Plan is looking for you! We are hiring a full-time Utilization Management ... Care Manager to support the Utilization Management Clinical Operations Department. This position will predominantly work from home, standard daylight hours,… more
- Corewell Health (Grand Rapids, MI)
- Registered Nurse OR Social Worker Scope of work: In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health, Care ... Management, and Utilization Management departments. Stakeholders include staff, physicians, department leadership, and third-party vendors. Uses specific age and… more