Management Lead (RN UM) is an onsite position responsible for overseeing the daily operations of the utilization management team... and regulatory requirements. The RN Utilization Management Lead (RN UM) coordinates care submission relating to the process...
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...
is preferred in a managed care setting, preferably in utilization or case management in an ambulatory or inpatient setting... nurse (RN) case manager/care coordination team leader has the responsibility to manage all PACE participants in the...
Job Category: RN Job Description: Centered in the heart of Boyle Heights, Adventist Health White Memorial... (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS...
Job Category: RN Job Description: Centered in the heart of Boyle Heights, Adventist Health White Memorial... (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS...
capacity (RN, APP, etc.), required 3-5 years of executive leadership experience with a focus on Utilization Management... in all aspects of Utilization Management and its integration with other patient facing programs within the MSO. You will oversee...
is preferred in a managed care setting, preferably in utilization or case management in an ambulatory or inpatient setting... nurse (RN) case manager/care coordination team leader has the responsibility to manage all PACE participants in the...
is preferred in a managed care setting, preferably in utilization or case management in an ambulatory or inpatient setting... nurse (RN) case manager/care coordination team leader has the responsibility to manage all PACE participants in the...
is preferred in a managed care setting, preferably in utilization or case management in an ambulatory or inpatient setting... nurse (RN) case manager/care coordination team leader has the responsibility to manage all PACE participants in the...
is preferred in a managed care setting, preferably in utilization or case management in an ambulatory or inpatient setting... nurse (RN) case manager/care coordination team leader has the responsibility to manage all PACE participants in the...
is preferred in a managed care setting, preferably in utilization or case management in an ambulatory or inpatient setting... nurse (RN) case manager/care coordination team leader has the responsibility to manage all PACE participants in the...
Required: At least 8 years of clinical RN experience. At least 3 years of experience in utilization management or clinical coding... for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert (SME), performing...
for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians...Anticipated End Date: 2025-08-31 Position Title: LTSS Service Coordinator-RN Clinician Job Description: LTSS...
supervision of the designated physician lead for department value-based programs. Performs daily rounding and interfaces... be provided in the inpatient and/or ambulatory setting. Works with Inpatient Case Management and Inpatient Nursing to support...