- The County of Los Angeles (Los Angeles, CA)
- …+ Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION: ... the work of staff, and evaluating employee performance. For this examination, Utilization Review is defined as provides technical and administrative direction… more
- HCA Healthcare (Tallahassee, FL)
- …position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of nursing experience in ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will… more
- HCA Healthcare (Tallahassee, FL)
- …position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of nursing experience in ... supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will...our RN Case Manager Part Time opening. We promptly review all applications. Highly qualified candidates will be contacted… more
- HCA Healthcare (Tallahassee, FL)
- …position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of nursing experience in ... supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will...appropriate resource utilization . The RN CM Care Coordinator will identify potential barriers to patient throughput and… more
- Trinity Health (Muskegon, MI)
- …utilization management. Knowledge of federal, state and local regulations affecting the utilization review program and payment as well as current knowledge of ... third-party payor programs, requirements and criteria utilized. (For utilization review nurses only) **Our Commitment** Rooted in our Mission and Core Values, we… more
- University of Utah Health (Salt Lake City, UT)
- …education in healthcare or a related field. + One year of experience in a utilization review or case management environment. + Basic Life Support Health Care ... coordination of care activities under the direction of a registered nurse and/or social worker. The incumbent interacts with representatives from insurance… more
- University of Southern California (Los Angeles, CA)
- …+ Req 5 years Clinical experience + Req 2 years Ambulatory case management or utilization review experience within the last three years + Req Ability to work ... The role integrates the functions of complex case management, utilization management, quality management, discharge planning assessment, and coordination of… more
- Erickson Living (Dallas, TX)
- …of medical practice; insurance benefit structures and related legal/medical issues; and utilization review and quality assurance procedures. Please note that ... outcomes. + Researches and selects care options as appropriate. The nurse care coordinator may utilize a range of alternative, non-medical services (ie, diabetic… more
- University of Utah Health (Salt Lake City, UT)
- …reporting of time and attendance of direct reports. + Functions as Case Manager and/or Utilization Review Nurse as necessary. + Tracks and analyzes Case ... Manager quality of service and utilization statistics. + Works collaboratively with information systems personnel...Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one… more
- University of Utah Health (Salt Lake City, UT)
- …+ Negotiates with third party payers relative to benefit levels, eligibility, utilization review , and reimbursement. + Identifies actual and potential delays ... following** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more