UTILIZATION MANAGEMENT RN MOSTLY jobs in NEW YORK CITY NY, United Kingdom #3

improvement. Responsibilities: Program Development and Management: Lead the development, implementation, and evaluation... utilization and user support. Partner with simulation experts to design and implement a simulation learning program, achieving...

management, etc. Qualifications Bachelor’s in nursing, required, Master’s preferred Licensed RN, NY State 5 years... of utilization management experience in a managed care or healthcare setting required 2 years’ instructional design and program...

preferred, however will also consider Utilization Review, Managed Care, Case Management experience 2-5 years in either Medical... for: Qualifications Must be a registered nurse with active RN license BSN or equivalent required 2-5 years auditing experience...

and judgment to the utilization management/care management activities Be responsible for day to day work with patients related..., texting, virtual visits, and telephone, to develop and achieve patient centered chronic care management goals Develop...

experience in case management, utilization review and/or quality assurance Experience in acute episodic care, wellness care...Position Purpose: Provide case management and clinical services to employees within their regulated scope of practice...

providers, medication education and management, assistance with benefits and entitlements, client empowerment, and Wellness..., and for the utilization of health care services by health home members who have complex, chronic, high-cost conditions. Direct...

protocols, provides high quality patient care, Diabetes Self-Management Education and Support as well as disease prevention... utilization of resources. Develop patient centered plan of care based on individualized patient needs. Utilize motivational...

as feasible. Initiates emergency management response program to internal and external disasters, and participates in the... contract and Hospital policies that apply directly to working conditions of employees and management. Exercises fair...

of intervention. Uses judgment to determine when a case is triaged to the RN for more comprehensive oversight. Enhancement... standards to ensure appropriate utilization of services and/or administration and integration with available internal/external...

Center CQI, Infection Control, Risk Management and Safety Committees. The Charge Nurse will also be responsible for ensuring... utilization studies to improve efficiency. Provides onsite expertise to others for the software dictation system, assisting the...

understanding enrollment options and provide education and guidance through the process. Supports RN with Clinical Outreach... of applicable criteria and clinical guidelines, care management plans, policies, procedures and/or regulatory standards to ensure...

staff FREE Online RN to BSN and MSN degree programs! Tuition Reimbursement for all full and part-time staff... Engineer (s) when required. Monitors availability and utilization of routers, switches, firewalls, and Cisco ISE by using...

Management Department for appropriate supplies and equipment and ensures proper utilization and maintenance of supplies... Responsible and accountable for quality of nursing care and unit management on a 24/7 basis. Fosters an effective work environment...

on those data gaps that will result in the greatest ROI for the Organization. Further, in a matrix management environment..., cost and utilization reports, medical loss ratio reports, Medicare STARS gaps and other risk revenue opportunities...

admissions to the appropriate Utilization Management Coordinator and/or Care Manager to ensure timely receipt of information...; familiarity with Utilization management processes preferred. Working knowledge of Windows, Word and Excel. Knowledge of current...

documentation as requested for utilization management reviews of clients on caseload including completion of LOCADTRs. Participate... fully in a multidisciplinary team including MD, RN, LPN, CASAC, LMHC, Peer specialists and LCSW. Provide emergency first aid...

Baccalaureate graduate in health-related field. Knowledge of Utilization management processes preferred. Minimum of 3 years..., familiarity with Utilization management preferred. Prior experience in an interdisciplinary service delivery environment...