- Ventura County (Ventura, CA)
- …candidate is an experienced Mental Health Nurse with a background in utilization review and discharge planning. They also have extensive years of experience ... and review ; + Performs daily clinical reviews to support utilization and quality management, ensuring compliance with guidelines and standards for patients… more
- ChenMed (Houston, TX)
- …engagement with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization ; provides family ... we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving...achieving desired clinical outcomes within specific timeframe. + Conducts review for appropriate utilization of services from… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title - Nurse Practitioner- ADS Telemetry - Mount Sinai Hospital - Full Time - Night** A nurse practitioner (NP) as described in Title ... nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and...the plan of care. + Performs a patient record review with the collaborating physician in a timely fashion… more
- Mount Sinai Health System (New York, NY)
- **Job Description** A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate ... nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and...the plan of care. 11. Performs a patient record review with the collaborating physician in a timely fashion… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …and administering activities related to clinical review , discharge planning, resource utilization , and utilization review . Your primary goal will be ... Jennie Stuart Health is seeking a dedicated Case Management Nurse to join our healthcare team on a PRN...teamwork + Experience with InterQual criteria + Understanding of utilization management + Knowledge of CMS regulations + Ability… more
- Veterans Affairs, Veterans Health Administration (Biloxi, MS)
- …intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, ... Summary The Community Care Coordinator Nurse is responsible for executing a streamlined approach...intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation… more
- Molina Healthcare (Madison, WI)
- …the chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review and manages the ... and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource… more
- UPMC (Pittsburgh, PA)
- UPMC Your Care is Hiring a Full-Time Registered Nurse for a Nurse Clinical Care Coordinator Position. Monday-Thursday 8:00am-5:00pm This position travels to ... patients' homes in Allegheny County. The Nurse Clinical Care Coordinator is responsible for delivering nursing assessments and evaluations within recognized… more
- Veterans Affairs, Veterans Health Administration (Manchester, NH)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Responsibilities This Registered Nurse - Community Living Center (CLC) is located in the Long Term Care Unit at the Manchester VA location. This position is full-time… more
- Veterans Affairs, Veterans Health Administration (MO)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... the provision of competent, evidence-based care, the psychiatric MH nurse independently provides patient-centered and recovery-oriented care, milieu management, and… more