requests or provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis... delivery system, utilization on networks and benefit plans. Serves as member advocate through continued communication...
medicine/surgery. Or, 4 years utilization review/case management/clinical/or combination; 2 of the 4 years must be clinical...Summary We are currently hiring for a Behavioral Health Case Management Coordinator to join BlueCross BlueShield...
and maintenance of the daily functions of the following areas: Utilization Review/Review Nurses, Case Management, Medical Review...Summary We are currently hiring for a Behavioral Health Care Management Supervisor to join BlueCross BlueShield...
Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed... in on-call and weekend rotation as needed to meet patient needs Adheres to and participates in the agency's utilization...
Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed... in on-call and weekend rotation as needed to meet patient needs Adheres to and participates in the agency's utilization...
, CMS). Provides care within the scope of the South Carolina Nurse Practice Act. This job requires willingness to float.../family involvement/participation), Micromedex utilization, Computer resources Communicates the patient/family's need...
organization recognized by South Carolina as Nurse Practitioner; CPR,BLS. Required Training: None Essential Functions.... Participates in developing, implementing, and interpreting quality assurance/risk management programs. Duties & Responsibilities...
Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work.../family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need...
organization recognized by South Carolina as Nurse Practitioner; CPR,BLS. Required Training: None Essential Functions.... Participates in developing, implementing, and interpreting quality assurance/risk management programs. Duties & Responsibilities...
Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work.../family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need...
of regulatory agency requirements (JCAHO, DHEC, CMS). Provides care within the scope of the South Carolina Nurse Practice Act. The.../family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need...
Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work.../family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need...
, CMS). Provides care within the scope of the South Carolina Nurse Practice Act. This job requires willingness to float.../family involvement/participation), Micromedex utilization, Computer resources Communicates the patient/family's need...
, CMS). Provides care within the scope of the South Carolina Nurse Practice Act. This job requires willingness to float.../family involvement/participation), Micromedex utilization, Computer resources Communicates the patient/family's need...
Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work... utilization Communicates the patient/family's need for education/teaching to others in the healthcare continuum. Evaluates own...
Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work... utilization Communicates the patient/family's need for education/teaching to others in the healthcare continuum. Evaluates own...
completing all clinical competencies and validation requirements of the Nurse Residency Program. Works under the direct... in managing clinical situations for which he/she is assigned under the direct supervision of a licensed Registered Nurse who...
allocation and utilization of unit resources. Shares accountability with Nurse Manager for unit/department/organizational goal... nurse manager, supervises staff and unit operations and provides direct patient care. Supervises care provided by staff...
of quality assurance programs Establishment of utilization management programs Selection of management information systems... with all levels of management and employees, physicians, patients, guarantors and the general public. * Participates in activities...
, CMS). Provides care within the scope of the South Carolina Nurse Practice Act. This job requires willingness to float.../family involvement/participation), Micromedex utilization, Computer resources Communicates the patient/family's need...