have the opportunity to make a real impact. As an Operating Room Nurse - Surgery Center you can be a part of change. Benefits.... Note: Eligibility for benefits may vary by location. It is an exciting time to be a nurse at HCA Healthcare! Come unlock...
have the opportunity to make a real impact. As an Operating Room Nurse - Surgery Center you can be a part of change. Benefits.... Note: Eligibility for benefits may vary by location. It is an exciting time to be a nurse at HCA Healthcare! Come unlock...
Utilization Management Nurse is responsible for managing requests providing a multi-faceted approach to managing requests... of all utilization management activities Additional duties as assigned Position Requirements/ Skills: Registered Nurse (RN...
-to-day activities of BH utilization management team. Monitors behavioral health (BH) utilization review clinicians..., and efficiency standards Works with BH utilization management team to resolve complex BH care member issues related to BH Maintains...
Job Description: Overview UF Health Central Florida, is seeking a Division Director of Utilization Management... of Utilization Management staff and support staff through the promotion of professional practice, mentoring and training to ensure...
activities of BH utilization management team. Monitors behavioral health (BH) utilization review clinicians and ensures..., and efficiency standards Works with BH utilization management team to resolve complex BH care member issues related to BH Maintains...
required. 2 years' experience as a Utilization Management nurse in a managed care payer preferred. One year experience as a case... Us Apart: Join Solis Health Plans as a Utilization Management Nurse and become a catalyst for positive change in the lives...
Anticipated End Date: 2025-01-28 Position Title: Manager II GBD Special Program (Utilization Management..., but are not limited to: Directs and oversees program operations in support of corporate and health plan UM management. Directs...
or three (3) years utilization/case management or 3rd party payer work experience. Ability to adjust priorities quickly..., observation, and inpatient). Qualifications Minimum Education and Experience Requirements: Registered nurse (RN) with current...
or three (3) years utilization/case management or 3rd party payer work experience. Ability to adjust priorities quickly..., observation, and inpatient). Qualifications Minimum Education and Experience Requirements: Registered nurse (RN) with current...
resource utilization. Coordinates with healthcare team for optimal/efficient patient outcomes, while decreasing length of stay..., healthcare team. Identify delays in treatment or inappropriate utilization and serves as a resource. Coordinates communication...
Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh... regulatory guidelines and criteria Analyzes BH member data to improve quality and appropriate utilization of services Interacts...
Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh... utilization of services Interacts with BH healthcare providers as appropriate to discuss level of care and/or services provided...
RN Utilization Management Nurse – Frontline Opportunity Greater Orlando, Florida The RN Utilization Management Nurse... is indicated, the Utilization Management Nurse is responsible for escalation to the Physician Advisor or designated leader...
Rate, Payer Mix by Utilization, etc.) Provide regular reports and updates to senior management on utilization review... and utilization management software. EDUCATION & EXPERIENCE: Education: Bachelor's degree in Nursing, Social Work, Psychology...
management. Provides comprehensive Utilization Management services, working in conjunction with the health care team, including...Job Description: Overview Full Time Position Monday - Friday 8am-5:30pm Performs utilization review functions...
JOB RESPONSIBILITIES- Registered Nurse Manager - Case Management RN MGR - NCM Full-Time Registered Nurse... knowledge of Resource Management, under and over utilization, discharge planning, Medicare and government payer regulations...
management and computer skills. Current working knowledge of discharge planning, utilization management, case management... and plans effectively in order to meet patient needs, manage the length of stay (LOS), and promote efficient utilization...
as a registered nurse or respiratory therapist or master's in social work and minimum three (3) years of medical case management..., but not limited to: Utilization Review (UR) and resource management, discharge planning, treatment plan management and financial...
skills. Current working knowledge of discharge planning, utilization management, case management and performance improvement... and plans effectively in order to meet patient needs, manage the length of stay (LOS), and promote efficient utilization...