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Possess two (2) years of full-time broad based registered nurse experience in a utilization management review or a case management setting within the preceding five (5) years.
$59,000 - $97,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
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License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional Requirements: Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management.
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UTILIZATION REVIEW / CASE MANAGEMENT RN - Part Time, Weekends. Life Bridge Health includes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: Life Bridge Health & Fitness, Express Care and Home Care of Maryland.
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The RN Care Manager provides education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination.
$42.563Full-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Responsibilities:The Care Management Nurse, MDS Nurse works the RAI process and conducts assessments and care plan coordination for those residents assigned. Coordinates, identifies, and/or initiates significant change MDS’Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management CoordinatorRemains current with the American Association of Nursing Assessment Coordinators (AANAC) requirements.
$75,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Clinical criteria, Utilization review, Prior authorization, Utilization management, Concurrent review, Interqual, RN, LCSW, Managed Care, Clinical review, Milliman, MCG, prior authorizations, DME.
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Nurse Anesthetist, Certified Registered, Healthcare, Health Care, Patient Care, Hospital, CRNA. This facility is seeking a Certified Registered Nurse Anesthetist (CRNA) for locum tenens support as they look to fill a current need.
$206.61 - $223.65Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Hospice Registered Nurse Liaison is imbedded at Robert Wood Johnson University Hospital and works in a team of Grace Healthcare professionals consisting of other nurse clinical liaisons, a Social Worker, and a Chaplain, all exclusively focused on providing hospice care and end-of-life information to RWJ patients, families, staff and providers.
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Knowledge and experience with SAMSHA regulations, DPH, Joint Commission, Utilization management Detoxification requirements, Core measures, and psychiatric experience with the adult, child and adolescent and TBI and Rehab populations.
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Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
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Experience working in a Psychiatric Hospital Inpatient and/or Outpatient setting preferred) Previous Experience within the Integrated Collaborative Care Model Approach Experience with chronic condition management, particularly Diabetes, HIV, Heart Disease Pharmacy, Psyckes, E-Paces, LOCADTR, InterQual, Guiding Principles, HCS (UAS) MAPP, Medical Background & Bilingual preferred Previous Quality Management liaison experience with hospitals and other large volume providers to address cost.
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Certified Registered Nurse Anesthetist (CRNA) Types of cases: General, Colorectal, Orthopedic, Radiation Oncology, Vascular, Urology, Plastics, Pain Management, Otolaryngology, Ophthalmology, Gastrointestinal, Neurology, Sports Medicine.
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Reporting to the Nurse Director, RN Manager, and Charge Nurse, the Subacute Registered Nurse Days will become responsible for the assessment, diagnosis, planning, implementation, and evaluation of the care plan for assigned SNF patients.
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The Population Health Nurse (RN) will work in active partnership with physicians, office staff, administration, and other health care providers to develop and implement a well-coordinated plan of care to address patient needs across the continuum and ensure St. Luke’s successfully meets quality performance, enhances patient outcomes, and optimizes resource utilization.
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registered nurse life care utilization management jobs Title: registered nurse case manager Company: Sunrise Hospital
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