SENIOR UTILIZATION MANAGEMENT NURSE jobs in UNITED STATES, United Kingdom

Job Summary The Nurse Manager assumes responsibilities in managing the operation and function of the nursing unit.../department. Promotes the delivery of high quality patient care based on utilization of the nursing process and standards...

Mohawk Valley Health System

Job Summary The Nurse Manager assumes responsibilities in managing the operation and function of the nursing unit.../department. Promotes the delivery of high quality patient care based on utilization of the nursing process and standards...

Mohawk Valley Health System

Job Summary The Nurse Manager assumes responsibilities in managing the operation and function of the nursing unit.../department. Promotes the delivery of high quality patient care based on utilization of the nursing process and standards...

Mohawk Valley Health System

Job Summary The Nurse Manager assumes responsibilities in managing the operation and function of the nursing unit.../department. Promotes the delivery of high quality patient care based on utilization of the nursing process and standards...

Mohawk Valley Health System

Job Summary The Nurse Manager assumes responsibilities in managing the operation and function of the nursing unit.../department. Promotes the delivery of high quality patient care based on utilization of the nursing process and standards...

Mohawk Valley Health System

Job Summary The Nurse Manager assumes responsibilities in managing the operation and function of the nursing unit.../department. Promotes the delivery of high quality patient care based on utilization of the nursing process and standards...

Mohawk Valley Health System

and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the... Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical...

Blue Shield of California

and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the... Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical...

Blue Shield of California

Anticipated End Date: 2024-08-12 Position Title: Senior RN Utilization Review/Management (Acute InPatient...) Job Description: Senior RN Utilization Review/Management (Acute InPatient) JR116937 Location: Must be within 50 miles / 1 hour commute...

Elevance Health

Organization's Utilization Management (UM) functions across all markets for AHP. The incumbent interprets key performance metrics... Significant experience in case management, utilization management, and population health with solid knowledge of best practices in...

Alignment Healthcare

and senior management to identify opportunities for process and quality improvements within utilization management Educates.... Knowledge of utilization management principles preferred. License/Certification: RN - Registered Nurse - State Licensure...

Centene

Organization's Utilization Management (UM) functions across all markets for AHP. The incumbent interprets key performance metrics... Significant experience in case management, utilization management, and population health with solid knowledge of best practices in...

Alignment Healthcare

Works with utilization management team and senior management to identify opportunities for process and quality improvements... Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management...

Centene

Details Department: Case Management & Utilization Management Schedule: Monday - Friday. 40 hours a week. Hospital... Director of Case Management & Utilization Management. In this position you will play a pivotal role in overseeing & ensuring...

Ascension

care services regarding admissions, case management, discharge planning and utilization review. Review admissions... reports as necessary. Oversee and coordinate compliance to federally mandated and third party payer utilization management...

Ascension

Details Department:Utilization Management Schedule:Part time days; 2 12'S OR 3 8 HR Weekdays, no weekends... care services regarding admissions, case management, discharge planning and utilization review. Review admissions...

Ascension

Details Department: Utilization Management Schedule: Full Time, 40 hours weekly, Monday - Friday 7:30am - 4pm... regarding admissions, case management, discharge planning and utilization review. Review admissions and service requests...

Ascension