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...
provides precertification and verification of benefits for incoming patients. Coordinates the utilization management functions...: Masters’ degree in a recognized mental health field or Registered Nurse. Experience: Minimum of two years psychiatric...
provides precertification and verification of benefits for incoming patients. Coordinates the utilization management functions...: Masters’ degree in a recognized mental health field or Registered Nurse. Experience: Minimum of two years psychiatric...
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...
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...
Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work... disease. Open to all doctors and patients, our continuum of care begins with disease prevention and management and extends...
Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work... disease. Open to all doctors and patients, our continuum of care begins with disease prevention and management and extends...
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...
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...
processing. Assists the Nurse Manager in maintaining unit budget by appropriate allocation and utilization of unit resources...Inspire health. Serve with compassion. Be the difference. Job Summary In collaboration with the nurse manager...
InGenesis is currently seeking a Licensed Practical Nurse / LPN to work remotely with our client located in Columbia... guidelines. In this role, you will provide support and review of medical claims and utilization practices. This is a REMOTE...
Inspire health. Serve with compassion. Be the difference. Job Summary Professional nurse who has clinical experience... adherence to Case Management standards as outlined by the Case Management Society of America. Accountable and responsible...
Nurse Manager in maintaining unit budget by appropriate allocation and utilization of unit resources. Shares accountability...Inspire health. Serve with compassion. Be the difference. Job Summary In collaboration with the nurse manager...
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...
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...
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...
nurse practitioner and practice physicians. Minimum Qualifications Minimum Education: None Minimum Years of Experience... of South Carolina; Certification by appropriate credentialing organization recognized by South Carolina as Nurse Practitioner...
Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work... and evaluating teaching plan (encourages patient/family involvement/participation), Computer resources and Micromedex utilization...
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...