- Lancaster General Health (Lancaster, PA)
- …physiologic, psychological, and cognitive functions, through patient/provider office visits, nurse visits, and telephone triage. Collaborates with Physician and ... physiologic, psychological, and cognitive functions, through patient/provider office visits, nurse visits, and telephone triage. Collects and manages comprehensive… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …coordinating, and evaluating care and outcomes. + Promotes evidence-based practice through evidence review and mentoring of staff in the utilization of evidence ... and their families; a procedure room with capability for general anesthesia; onsite phlebotomy and laboratory services; a fully equipped infusion center for short… more
- ChenMed (Richmond, VA)
- …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... we need great people to join our team. The Nurse Case Manager 1 ( RN ) is responsible...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... progress and individual ECM member cases. May use telephonic, onsite , or written methods and both group and individual...Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM)… more
- Humana (Portsmouth, VA)
- …company objectives_** . **Use your skills to make an impact** **Required Qualifications** + Active RN ( Registered Nurse ) license in the state(s) in which the ... associate who will support a Tidewater Market and work onsite at a Multiservice Market (eMSM) office located in... or case management experience + Professional certification in utilization review , case management, or quality management… more
- ChenMed (Louisville, KY)
- …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... on each patient using the hospitals EMR system and onsite reviews. Acute Care Nurse will be...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
- Stanford Health Care (Palo Alto, CA)
- …to implement departmental standards and processes via education **Licenses and Certifications** + CA- RN ( Registered Nurse ) or + LCSW - Licensed Medical ... managers, social workers, and support staff. This is an onsite role. Benefits begin the first day of the...Knowledge of principles and best practices of case management, utilization review , social work, care coordination and… more
- UPMC (Carlisle, PA)
- … Health Information Administrator OR Registered Health Information Technician (RHIT) OR Registered Nurse ( RN ) + Act 34 *Current licensure either in ... preferred. Knowledge of computer technology, quality assurance activities, DRG, Quality Insights/ Utilization review background is highly preferred. + Ability to… more
- Tufts Medicine (Burlington, MA)
- …**Job Description** **Minimum Qualifications:** 1. Bachelor's Degree in Nursing 2. Active Registered Nurse ( RN ) license in Massachusetts or compact ... (ICU, ED, Critical Care, strong Med/Surg Specialty) or equivalent case management, utilization review , denials management, or progressive leadership in an… more
- HSS (New York, NY)
- …+ Required: Masters, or currently enrolled + Certifications/Licensure - + Required: Registered Nurse License, BLS + Required: Certification recognized by ANCC ... Assistant Patient Care Director (or Assistant Manager, Clinical Services, or Assistant Nurse Manager) will support the oversight of the clinical and operational… more