(United States of America) Job Summary: The RN Clinical Charge Nurse is responsible for directing and overseeing the daily... Professional Nursing Practice Model and evidence based practice and research. RN competencies are derived from these models...
, but are not limited to, use of the nursing process in the utilization of skills in organization, planning, implementing, evaluating.... MINIMUM QUALIFICATIONS: Successfully completed Board Certified Nursing Program. Current LA RN licensure. One year...
coordination services to include assessing patients’ risk factors and the need for care coordination, clinical utilization... screening and submission for Physician Advisor review o Care coordination that includes admitting diagnosis/ medical history...
between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties.... Please review the following instructions prior to submitting your job application: Provide all of your employment history...
and/or Medicare criteria 1+ years of Utilization Management, pre-authorization, concurrent review or appeals experience Appeals.... Growing together. The Clinical Appeals RN is responsible for providing expertise in clinical appeals and grievances...
SRMC Has an Exciting Opportunity for Qualified Candidates! Position: Full Time RN Case Manager Department: Case... Management Shift: 8:00 am – 4:30 pm, 8 hour shift PURPOSE To conduct medical certification review for medical necessity...
successful candidate supervises the utilization management in accordance with the Hospital Utilization Review (UR) Plan, in addition... to join our team as a Supervisor-Care Management *BSN & RN Required; 3 years of relevant experience required*. In this role, the...
coordination, discharge planning, and utilization review. Excellent communication and negotiation skills. Ability to work...Registered Nurse (RN) – Case Manager - Travel Position (with $7,500 Completion Bonus) Location: Los Angeles...
States of America) Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed... Practice Model, 5-Star Nursing and evidence based practice and research. RN competencies are derived from these models...
amenities and Southern charm. Continuum of Care: The Continuum of Care Department is staffed by a Manager, Coordinator, RN... are considered for the Masters level Social Worker position. Position Summary: The RN Care Manager III is responsible...
and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation... care experience in a Medical Surgical or Inpatient setting IRR or annual competency testing in Utilization Review...
and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation... Surgical or Inpatient setting IRR or annual competency testing in Utilization Review Preferred Qualifications: Bachelor...
and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation... care experience in a Medical Surgical or Inpatient setting IRR or annual competency testing in Utilization Review...
and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation... care experience in a Medical Surgical or Inpatient setting IRR or annual competency testing in Utilization Review...
(United States of America) Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed... Practice Model and evidence-based practice and research. RN competencies are derived from these models and supported by the...
medicine/surgery; OR four years utilization review/case management/clinical/or combination; two of the four years... education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May...
Thank you for your interest in Madison County. Description Work Unit Overview: A Registered Nurse (RN) or Licensed... rights and assists the person to maintain independence and controls to the greatest extent possible. Job Summary: RN or LPN...
with medical policy and criteria of for accepted standards of care while performing Utilization Review and Service Authorizations... Summary The RN Case Manager performs case management within the boundaries of accreditation organization standards to ensure...
Planning or Utilization Management required. Education Current California RN License. BSN or Bachelors degree in health...Title RN Case Manager III Location Long Beach Department Care Coordination Status Full time Shift Day Pay...
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the... Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP...