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Three years recent clinical experience in Lung/ECMO/Transplant and experience in case management/utilization preferred. Whether you choose to focus on bedside care, a leadership or C-suite role, shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers.
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Work experience in case management, utilization review, or hospital quality assurance experience is preferred. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse Educator certification is highly desirable.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Leidos QTC Health Services Management Inc. is a VEVRAA Federal contractor and an Equal Opportunity Employer. Leidos QTC Health Services is seeking a Provider Utilization Coordinator Sr. to support our Veteran Affairs Operations.
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This includes coordinating and monitoring utilization management, planning, and coordinating the transition of patients through the continuum of care and maintaining appropriate communication with required agencies and individuals throughout treatment.
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A minimum of 2 years as a RN with full-time experience in utilization management/utilization review or in broad-based clinical nursing and clinical case management working with adults, children, families, seniors and groups within the last 3 years.
$40 an hourExpandUpdated 5 days ago - UpvoteDownvoteShare Job
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As a Business Relationship Manager Senior (BRM) - Acquisition banker, in Business Banking, you'll be developing and managing a portfolio of large profitable business clients with annual revenue greater than ~$3MM. You will focus on business development, acquiring balances, deepening product utilization, and gaining referrals to increase primary bank share.
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Proven ability to develop, participate in, and implement a successful matrix team structure to support large EPIC install minimizing costs, maintaining quality of product, and a focus on resource utilization management using lean methodologies and optimizing staff where relevant.
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Utilization Management supporting medical necessity and denial prevention. The Registered Nurse Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination.
ExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Responsibilities Possesses thorough knowledge of MCG Guidelines, utilization management processes, clinical documentation requirements, current standards of care, and compliance guidelines.
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With utilization of modern tools, such as FEA and CFD analysis, and our combined experience in combustion and heater engineering, we offer solutions to the industries toughest challenges. Apart from project engineering and management work, our ideal team member is interested in technology development, problem solving, troubleshooting in the field and equipment/product design.
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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
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Orientation includes review and instruction regarding Tenet Case Management and Compliance policies, InterQual®, Utilization Management, and other topics specific to case management.
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About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Three (3) or more years of any individual or combined experience in Quality Assurance, Utilization Management, Case Management, and/or provider liaison duties, preferably in an HMO or Managed Care setting.
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Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card. Coordinates the transition of care and the interdisciplinary treatment for patients across the healthcare continuum within a defined population.
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utilization management jobs in San Antonio, TX
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