- CVS Health (Salt Lake City, UT)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- HCA Healthcare (Houston, TX)
- …our Registered Nurse Case Manager opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. **Unlock ... in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist with...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
- WellSpan Health (York, PA)
- …(acute and chronic), external pacer and temporary pacer, CRRT utilization , EKOS catheter-directed and ultrasound thrombolysis. **Department Summary** Surgical ... (acute and chronic), external pacer and temporary pacer, CRRT utilization , EKOS catheter-directed and ultrasound thrombolysis. **General Summary** Provides… more
- Commonwealth Care Alliance (Springfield, MA)
- …intensive care management and care delivery. Within the CIC Program, the Registered Nurse (RN) serves as an integral member of an interdisciplinary team for medical ... on the fluctuating needs of the defined panel of members, the Registered Nurse will engage in regular assessments, visits at regularly scheduled intervals, and… more
- Texas Health Resources (Dallas, TX)
- ** Nurse Manager II - PCU** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like you ... accredited as a Center of Excellence in Robotic Surgery by the Surgical Review Corporation (SRC), a leading organization dedicated to advancing patient safety in… more
- UHS (Norwich, NY)
- …(UHS) Chenango Memorial Hospital is seeking a compassionate and skilled Staff Registered Nurse (RN) or Graduate Nurse (GN) dedicated to protecting, promoting, ... treatment. You will uphold all professional standards, including the New York State Nurse Practice Act and UHS policies, while fostering a caring and healing… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Coordinator, Cardiology Clinical Research Full Time, 80 Hours Per Pay Period, Day Shift Thompson Cancer Survival Center Overview: Thompson ... treat - and beat - the disease. Position Summary: The Clinical Research Nurse Coordinator promotes good clinical practices in the conduct of oncology clinical trials… more
- Elevance Health (Chicago, IL)
- **Appeals Nurse Reviewer I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... of clinical domains, including radiology, cardiology and oncology. The **Appeals Nurse Reviewer I** is responsible for conducting preauthorization, out of network… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …and referral management services for beneficiaries in the Defense Health Network. Registered Nurse will have overall responsibility for timely review of Right of ... Ivyhill is currently seeking to hire a Registered Nurse (Non-Practicing) to support its contract with the...of Specialty Care Referrals, sustaining up-to-date Specialty Clinic Referral Review tools and booking guidance, complying with Referral and… more
- STG International (Yellowstone National Park, WY)
- …safety. * Participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... FUTURE OPENING. STGI is currently seeking a Primary Care Provider (Physician Assistant or Nurse Practitioner) to join our team. JOB SUMMARY: The general duty of the… more