- Duke Health (Durham, NC)
- …on these topics to providers, patients and families as needed. Work with Utilization Management partners to provide information and feedback that will enhance ... orthopedics, weight-loss surgery, women's services, and heart and vascular services. Duke Nursing Highlights: Duke University Health System is designated as a Magnet… more
- Aequor (New York, NY)
- …services to employees within regulated scope of practice and disability case management . Experience/Education: MS/NP in nursing degree and current NP license ... nursing professional Minimum experience of 1-3 years in case management , utilization review and/or quality assurance Experience in episodic care,… more
- Duke Health (Durham, NC)
- …on these topics to providers, patients and families as needed. Work with Utilization Management partners to provide information and feedback that will enhance ... on these topics to providers, patients and families as needed. Work with Utilization Management partners to provide information and feedback that will enhance… 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
- CHRISTUS Health (San Antonio, TX)
- … practice and operations for assigned areas; 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
- Beth Israel Deaconess Medical Center (Boston, MA)
- …quality indicators such as avoidable delays, length of stay, resource utilization , patient satisfaction, patient flow, outlier management , and readmissions ... making a difference in people's lives. The RN Case Manager working in the Triad Model of Care Transitions...of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a… more
- The University of Vermont Health Network (Elizabethtown, NY)
- …employee health documents and reports. The manager is a registered professional nurse manager who is responsible for conducting inpatient Care Management ... nursing field. BSN preferred.* Must be a Registered Nurse (RN), licensed in good standing in NYS. Must...regulations, clinical practice guidelines, and quality issues related to utilization management with application for appeals and… more
- University of New Mexico - Hospitals (Rio Rancho, NM)
- …participates in the Clinical Advancement Program (CAP) and depending on your Nursing Education and National Certifications, you'll work towards one of five CAP ... to base pay. Sign-on Bonus and Relocation Reimbursement available! Department: Case Management - SRMC FTE: 1.00 Full Time Shift: Days Position Summary: Coordinate… more
- CHRISTUS Health (Alamogordo, NM)
- …screening, monitoring, and reporting individual cases and/or trends to the infection control nurse . Performs utilization management functions as required by ... of discharge plans. Makes self available as resource to nursing staff. Provides learning experiences to strengthen and expand...payer source. Complies with the Utilization Management Plan. Requirements Education Required: Associate… more
- Humana (Columbus, OH)
- …help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Utilization Management (Behavioral Health) who will utilize their ... communication of behavioral health services and/or benefit administration determinations. The Manager , Utilization Management (Behavioral Health) applies a… more
