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UTILIZATION MANAGEMENT NURSE CONSULTANT

Reviews services to assure medical necessity, applies clinical expertise to assure appropriate benefit utilization, facilitates safe and efficient discharge planning and works closely with facilities and providers to meet the comp...

CompanyCvs Health
AddressHarrisburg, PA
CategoryAccounting/Finance
Salary$29.10 - $62.31 an hour
Job typeFull-time
Date Posted 3 weeks ago See detail

Utilization Management Nurse Consultant

Cvs Health

Harrisburg, PA

$29.10 - $62.31 an hour

Reviews services to assure medical necessity, applies clinical expertise to assure appropriate benefit utilization, facilitates safe and efficient discharge planning and works closely with facilities and providers to meet the comp...

Registered Nurse Inpatient Case Manager Healthcare WellMed San Antonio Texas

Optum

Texas, United States

Independently collaborates effectively with Interdisciplinary care team (ICT) to establish an individualized transition plan for members. Independently serves as the clinical liaison with hospital, clinical and administrative staf...

RN Nurse Manager - Charlotte, United States - BAYADA Home Health Care

Bayada Home Health Care

United States

BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and em...

Assistant Nurse Manager (Community Living Center)

Department Of Veterans Affairs

Roseburg, OR

Competitive

Planning, directing, budgeting, monitoring, and evaluating nursing functions within CLC. Ensuring compliance with State Operations Manual for Long Term Care Facilities, VA national and local policies. Assisting the team in develop...

Assistant Nurse Manager - GEC & Extended Care

Department Of Veterans Affairs

Lorida, FL

Competitive

The Assistant Nurse Manager (ANM) supports the Nurse Manager (NM) with supervisory duties and is accountable for the 24/7 operations of their designated units. Provides coverage for another ANM as needed. Responsible and accountab...

Assistant Nurse Manager-Mother/Baby

Kaiser Permanente

Modesto, CA

Manages the units day to day clinical operations including practice standards, staffing, payroll, budgets, fiscal management, and quality improvement. Ensures the highest quality of care is provided and is in compliance with feder...

Nurse Manager - Emergency Department - Evenings

Kaiser Permanente

Walnut Creek, CA

Manages the operations of 24-hour departments that may be at multiple locations. Ensures Assistants and staff provide the highest quality of care and are in compliance with the Nursing Practice Act, The Joint Commission, federal,...

Assistant Nurse Manager-Med-Surg/Tele

Kaiser Permanente

Sacramento, CA

Manages the units day to day clinical operations including practice standards, staffing, payroll, budgets, fiscal management, and quality improvement. Ensures the highest quality of care is provided and is in compliance with feder...

Assistant Nurse Manager CVICU/PCU - Saint Louis, United States - BJC HealthCare

Bjc Healthcare

United States

FT. 40Hrs. Flexible Hours. Evening/Nights. Up to $12,500 Sign-on Bonus For External Candidates. Benefits Start the 1st of the Month After Hire. May participate in the development of departmental staffing, revenue and/or expense bu...

Assistant Nurse Manager, ICU Oncology - Saint Louis, United States - BJC HealthCare

Bjc Healthcare

United States

Monday - Friday, 10 Hour Evening Shifts. Sign-On Bonus up to $12,500. Specialty Pay Eligible. BSN, RN Required. Located in Parkview Tower on the North Campus. Manages individual(s) including but not limited to: hires, trains, assi...

Assistant Nurse Manager - Saint Louis, United States - BJC HealthCare

Bjc Healthcare

United States

This role is Sign-On Bonus eligible, up to $12,500. Great Growth Opportunity into Leadership. Amazing Benefits. Manages individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, cond...

Nurse Manager – ICU

University Of Maryland Medical System

Easton, MD

Establishes objectives with plans of action pertinent to area of responsibility in support of the systems strategic plan. Directs, organizes, delegates, and performs a variety of personnel functions including the interviewing, hi...

CLINICAL NURSE MANAGER - MED SURG-TELEMETRY, KELEMEN 8

Cooper University Health Care.

Camden, NJ

Support and maintain successful unit-based throughput efforts through the facilitation of appropriate and timely bed assignments resulting in fair, safe, and balanced clinical workloads for all clinical team members. Ensure that a...

Nurse Manager

St. Mark’s Hospital

Salt Lake City, UT

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

Nurse Manager (RN) - OR General Surgery

Hartford Healthcare

Willimantic, CT

We invite you to become part of Connecticuts most comprehensive healthcare network.For more than 75 years, Windham Hospital has treated patients with the latest high-tech equipment, operated by some of the most skilled and compas...

RN - Nurse Manager - Referral Coordination Team

Department Of Veterans Affairs

Marion, IL

Competitive

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are su...

Registered Nurse Manager Case Management

The Woman’s Hospital Of Texas

Houston, TX

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

Assistant Nurse Manager - To 130K - Philadelphia, PA - Job # 2903

The Symicor Group

Philadelphia, PA

Administration, management, supervision, and evaluation of both nursing care and nursing personnel on his/her designated unit and as assigned for the Medical Center on the off hours, weekends, and holidays. Serving as an assistant...

Nurse Manager Orthopedic/Neuroscience/Wound Care

Memorialcare Long Beach Medical Center

Long Beach, CA

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. The incumbent shall plan, orga...

Clinical Nurse Manager

Healogics

Henderson, NV

Proficient in all responsibilities related to Case Management. May be required to provide case management to a group of patients providing specific assessments according to protocols and procedures, clinical competence in procedur...

Nurse Manager Orthopedic/Neuroscience/Wound Care

Long Beach Memorial Medical Group

Carson, CA

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. The incumbent shall plan, orga...

Nurse Manager - Atrium Health MMP Adult Kidney Transplant FT

Atrium Health

Charlotte, NC

United States, North Carolina, Charlotte

Continually demonstrates and supports a Professional Practice model that allows nurses to work in collaboration with interdisciplinary partners to achieve high quality patient outcomes. Ensures that unit operations and employees a...

Assistant Nurse Manager-OR/Recovery

Kaiser

West Sacramento, CA

Manages the units day to day clinical operations including practice standards, staffing, payroll, budgets, fiscal management, and quality improvement. Ensures the highest quality of care is provided and is in compliance with fede...

Licensed Practical Nurse - Health Center Manager

Premise Health

Sylvania, PA

Oversees the overall management of a medium size Health Center Provides a moderate amount of time (15- 50%), dedicated to patient care and/or technical expertise as needed. Manages technical Team Leaders and monitors all daily ope...

registered nurse - Burlington, United States - Liberty Healthcare Management

Liberty Healthcare Management

United States

Assure quality nursing care for patient by following physician's orders, state and federal regulations and this Facility's policies and procedures. Administers all medications (oral, s.q., I.M., or I.V.) as ordered by M.D. and acc...

Nurse Manager-Sub Acute Unit - Day Shift

The New Jewish Home

New York, NY

Extending Welcome. Embracing Diversity. Affirming Dignity. Respecting One Another. Embodying Compassion. Increasing Knowledge and. Pursuing Justice. day to day operation of the unit. assures that resident care is provided in compl...

Case Management Registered Nurse

Department Of Veterans Affairs

Dayton, OH

Competitive

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are su...

Non-Institutional Care (NIC) Registered Nurse Case Manager

Department Of Veterans Affairs

Reno, NV

Competitive

Receiving, analyzing, and completing all Skilled Care Referral Consults. Analyze if home health agency appropriateness based on referral needs and Veterans location. Resolve any issues or programs with the referral process to incl...

Nurse Practitioner ( Pain Management)

Department Of Veterans Affairs

New York, NY

Competitive

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are su...

Registered Nurse- Risk Manager Clinical Reviewer

Department Of Veterans Affairs

Martinsburg, WV

Competitive

Demonstrates knowledge in the interpretation and application of accrediting body standards and other agency requirements. Assists with monitoring of various aspects of care provided to Veterans and the analysis and interpretation...