Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that meet established... Required: At least 5 years of varied clinical experience in an acute hospital setting. At least 2 years of Utilization Management/Case...
Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient... in either Case Management or Utilization Management. Responsibilities Review patient files and treatment information...
Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that meet established... Required: At least 5 years of varied clinical experience in an acute hospital setting. At least 2 years of Utilization Management/Case...
of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the... Interdisciplinary Care Team. Recommends resources to improve performance standards in terms of Utilization Management. Collaborates...
required Two or more years of utilization management, case management or discharge planning experience in an HMO environment... and implement individualized care plans Utilize evidence-based tools for risk stratification Perform utilization reviews...
of acute nursing, discharge planning and HMO, previous case management experience, utilization review, and knowledge of medical... environment that fuels innovation. A Little More About What You Will be Doing The RN Supervisor Case Management will assist...
management department operations to ensure optimal efficiency and effectiveness. Reviews performance data and reporting... of education/related experience: Required Master's Degree: Preferred Five years' case management, hospital discharge planning...
payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe... / Los Angeles, CA Case Manager (CM) - Registered Nurse (RN) or Social Worker (LCSW) Per Diem Pay Rate: $66.00 Benefits...
Transitional Care Registered Nurse Location: Los Angeles, CA Employment Type: Full-Time About Client... Care Registered Nurse (RN) to join our team in Los Angeles, CA. In this role, you will coordinate and manage healthcare...
Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery... criteria and CMS criteria required A minimum of three years of experience in utilization management, preferred Team leading...
Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery... criteria and CMS criteria required A minimum of three years of experience in utilization management, preferred Team leading...
: Provides unit-based leadership working collaboratively with the Nurse Manager, Director, Physicians, and staff. Supervises...: Preferred Supervisory experience or demonstrated supervisory skills: Required Licenses/Certifications: Registered Nurse...
for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert (SME), performing..., outpatient, and professional claims. Serves cross functionally with Utilization Management, Medical Directors...
-Sinai, that's exactly what our Nurse Managers do. They've got a strong combination of clinical skills, management abilities... and communication skills. Demonstrated fiscal management capabilities, including effective expense reduction, utilization management...
individualized transition care plans, including medication management, follow-up appointments, and home care needs ● Work closely... utilization ● Maintain accurate and up-to-date records of participant assessments, care plans, interventions...
, supportive and conscientious manner. As a Clinical Nurse III, you will deliver direct care to assigned adult and or geriatric... provide care to patients Utilizes effective time management to complete all assignments in a timely manner to ensure safety...
leadership working collaboratively with the Nurse Manager, Director, Physicians, and staff. Supervises and directs the activities...: Preferred Supervisory experience or demonstrated supervisory skills: Required Licenses/Certifications: Registered Nurse...
, clinical and utilization standards and performance measures. Ensures that unit(s) services meet members, physician... with federal, state, and local regulatory requirements and established departmental policies and procedures, utilization...
, clinical and utilization standards and performance measures. Ensures that unit(s) services meet members, physician... with federal, state, and local regulatory requirements and established departmental policies and procedures, utilization...
, clinical and utilization standards and performance measures. Ensures that unit(s) services meet members, physician... with federal, state, and local regulatory requirements and established departmental policies and procedures, utilization...