- Commonwealth Care Alliance (Boston, MA)
- …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- CHRISTUS Health (San Antonio, TX)
- …and operations for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Battelle Memorial Institute (Fort Benning, GA)
- …Health Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager ** to join our team in support of our government ... ensuring comprehensive support for those who serve. As a Nurse Case Manager , you will contribute to...by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center… more
- Geisinger (Wilkes-Barre, PA)
- … Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing Access free legal guidance, mental health visits, work-life ... Graduate from Specialty Training Program- Nursing (Required), Bachelor's Degree- Nursing (Preferred) Certification(s) and License(s) Licensed Registered Nurse … more
- Luke Staffing (Yigo, GU)
- …of clinical nursing experience is required. One year of previous experience in Utilization Management is required. Full time employment in a nursing ... requirements of this position, it must be directly related to referral/ utilization management . + **Licensure:** Current, full, active, and unrestricted… more
- Geisinger (Wilkes-Barre, PA)
- … Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing Access free legal guidance, mental health visits, work-life ... practice and quality patient care. Education Graduate from Specialty Training Program- Nursing (Required) Certification(s) and License(s) Licensed Practical Nurse … more
- Geisinger (Scranton, PA)
- … Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing Access free legal guidance, mental health visits, work-life ... Job Title: LPN - Experienced Inpatient Licensed Practical Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: LPN -… more
- Geisinger (Wilkes-Barre, PA)
- … Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing Access free legal guidance, mental health visits, work-life ... practice and quality patient care. Education Graduate from Specialty Training Program- Nursing (Required) Certification(s) and License(s) Licensed Practical Nurse … more
- Children's Hospital Los Angeles (Los Angeles, CA)
- … nursing experience with advanced level pediatric clinical experience and utilization management and/or discharge planning experience. Thorough knowledge of ... **It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning...managed care, utilization management , discharges planning, and continuous quality… more
- ERP International (Tinker AFB, OK)
- …algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management ... **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a...(CMP) and ensure that the CMP meets established case management (CM) standards of care. - Provide nursing… more
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