- Inland Empire Health Plan (Rancho Cucamonga, CA)
- …care insuranceEducation & RequirementsThree (3) or more years of experience in utilization management in a health care delivery setting with knowledge of all ... and regulatory compliance for Prior Authorization process within Utilization Management Out-Patient Services. You lead quality audits, provide clinical oversight,… more
- Inland Empire Health Plan (Rancho Cucamonga, CA)
- …and requirements to ensure coordinated, continuous, cost-effective quality outpatient health care for Members and Providers.7. Ensure Utilization Management ... care insuranceEducation & ExperienceFive (5) or more years of experience in utilization management in a health care delivery setting. Three (3) or more years… more
- Inland Empire Health Plan (Rancho Cucamonga, CA)
- …discussions.9. Collaborates on Member care issues with other Enhanced Care Management Team Members and consults with Nurse Care Manager and/or the ... opportunity to an authentic experience!Under the direct supervision of the Enhanced Care Management Department Leadership, the Community Health Worker - ECM… more
- Inland Empire Health Plan (Rancho Cucamonga, CA)
- …Qualifications: *-Minimum of six (6) years demonstrated experience in a clinical/health care environment with demonstrated experience in at a professional level in ... quality improvement/clinical program oversight/project management .-*Education*: Bachelor's degree in science or health/healthcare related field from an accredited… more
- Commonwealth Care Alliance (Springfield, MA)
- …Care Alliance's (CCA) Care Partner is primarily responsible for providing comprehensive care coordination and care management to CCA members from one ... or more CCA benefit programs. The Care Partner provides care management , and care coordination to a defined panel of CCA members and is the primary… more
- CVS Health (New York, NY)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... ability to innovate and deliver solutions to make health care more personal, convenient and affordable. A Brief Overview...and affordable. A Brief Overview This is a unique hybrid position that will support the an external provider… more
- Bon Secours Mercy Health (Springfield, OH)
- … Nurse with active License in State of Patient Care Licensure/Certification Preferred Case Management certification **Minimum Qualifications** Minimum ... patients. Work directly with the patient, family/support members, inpatient case management team, and interdisciplinary care team members during admission… more
- Kepro (Indianapolis, IN)
- …health solutions in the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/RN to join our growing team. Job Summary: ... Our Utilization Management Appeals Nurse - LPN/RN will help...Appeals Team, contribute to quality initiatives, and champion continuous care for our members. From meticulous case reviews to… more
- Sharp HealthCare (San Diego, CA)
- …NIH Stroke Scale (NIHSS) - Various-Employee provides certificate; California Registered Nurse (RN) - CA Board of Registered Nursing **Hours** **:** **Shift ... Professional Nurses Network, United Nurses Associations of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO. Placement within the range is based… more
- University of Pennsylvania (Philadelphia, PA)
- …resources, and much more. Posted Job Title Developmental Therapeutics Clinical Research Nurse C/D ( Hybrid Eligible)(Abramson Cancer Center) Job Profile Title ... Clinical Research Nurse C Job Description Summary The Abramson Cancer Center...Unit (CRU) is to advance the science of cancer care , serve our patients by improving clinical outcomes, and… more
- UPMC (Pittsburgh, PA)
- …- Friday at the Falk Medical Building - No Weekends or Holidays!** ** Hybrid opportunity available!** **Purpose:** The Professional Nurse Coordinator is a ... Registered Nurse is a member of the care delivery team. The Professional Nurse Coordinator...medical assistants and office assistant staff in the daily management of the patient process. + Formulates goals and… more
- RWJBarnabas Health (West Orange, NJ)
- Nurse Practitioner(FT) Night- Hybrid -Hospitalist SBMCReq #:0000120117 Category: Nurse Practitioner Status:Full-Time Shift:Night Facility:Emergency Medicine ... Associates Department:Hospitalist - SBMC Location: Hybrid , West Orange, West Orange, NJ 07052 Job Summary: This will be a hybrid position of remote coverage for… more
- UPMC (Harrisburg, PA)
- …is a Day/Evening Position. **Purpose:** The Professional Staff Nurse is a Registered Nurse and a member of the care delivery team. The Professional Staff ... set the standards for the level and quality of care . The Professional Staff Nurse has responsibility,...and personal life. + Models safe work hours, time management and healthy lifestyle. + Communicates with peers and… more
- UPMC (Pittsburgh, PA)
- …(after first 6 months) **Purpose:** The Professional Nurse Coordinator is a Registered Nurse is a member of the care delivery team. The Professional Nurse ... Cardiology Center at UPMC Presbyterian strives daily to provide exceptional patient care in a kind and caring manner. This position involves the development… more
- Truecare Homecare Agency (Brooklyn, NY)
- POD Health We are seeking Part-time ( Hybrid ) Nurse Practitioners in Brooklyn, NY! Why Join Pod Health? Working with us at Pod Health means becoming integral to a ... health journeys by providing innovative remote monitoring solutions and comprehensive care . Cutting-Edge Innovation: Join a company at the forefront of healthcare… more
- Universal Health Services (Westampton, NJ)
- …care and safety of our patients at Hampton Behavioral Health Center. The Registered Nurse provides direct care for our patients under the guidance of our ... patients through the implantation of safety checks and crisis management , documents patient care , and upholds the...Health Center. This Position is Full Time with a hybrid schedule consisting of two 7pm - 7am shifts… more
- Atrius Health (Chelmsford, MA)
- …as the central point of contact for patients, supporting them through transitions of care . Receives case management reports and primary care physician (PCP) ... of 3 to 5 years nursing experience in case management /continuing care in an inpatient or community... Nurse Case Manager (MNA) - Chelmsford - Pediatrics - Hybrid FT* **Location:** *Chelmsford MA* **Requisition ID:**… more
- Person Centered Services (Buffalo, NY)
- Registered Nurse - HYBRID Buffalo, NY, USA * Rochester, NY, USA Req #366 Wednesday, May 29, 2024 **Why Work for Person Centered Services?** When you join the ... to carry-out this mission. As part of the clinical team, the Registered Nurse assists Care Coordinators, Supervisors and Managers with providing health promotion… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Multi-disciplinary discharging of patients to ensure safe transitioning and continuum of care **Qualifications** + NJ State Professional Registered Nurse License ... of positive change **Responsibilities** A day in the life of a Registered Nurse at Hackensack Meridian Health includes: + Delivery of nursing practices according to… more
- The Cigna Group (Egg Harbor, NJ)
- …multiple sclerosis and rheumatoid arthritis. We also provide comprehensive patient management services, including clinical care management programs, ... **Home Infusion Nurse RN (Accredo)** **Location: Must Cover West Deptford...an administrator of in-home IV Infusion medical treatment, response management and follow-up care , but a coach… more
