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PRIOR AUTHORIZATION UTILIZATION MANAGEMENT NURSE CONSULTANT

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.. Gathers clinical informat...

CompanyCvs Health
AddressFrankfort, KY
CategoryAccounting/Finance
Date Posted a week ago See detail

Prior Authorization Utilization Management Nurse Consultant

Cvs Health

Frankfort, KY

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.. Gathers clinical informat...

Registered Nurse - Home Telehealth Case Manager

Department Of Veterans Affairs

Louisville, KY

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...

Dialysis Clinical Manager Registered Nurse - RN

Fresenius Medical Care

Brooklyn, NY

Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing.. Provides leadership, coaching and developm...

RN Manager Ambulatory Nurse Navigation

St. Charles Health System

Bend, OR

$113,000 - $175,000 a year

The Ambulatory Care Nurse Navigation team collaborates with a multidisciplinary group to respond to the patients needs during transitions of care.The Nurse Navigation Manager directly manages assigned clinical caregivers.ESSENTIA...

Registered Nurse (RN) Case Manager

Horizons In Home Care

Bend, OR

Perform Quarterly Assessments for all nursing clients. Assist Care Managers with new Client Care Plans and Task Lists. Change in Conditions: Initial screening and escalation per RN protocols. Maintain electronic medication lists p...

Registered Nurse- RN - Case Management

Ascension

Birmingham, AL

From $60,736 a year

Department: Case Management- Emergency Room. Schedule: Monday-Friday, 3 12s 10:00am-10:00pm. Some weekends and holidays. Hospital: Ascension St. Vincent's East Location: Birmingham, Alabama Create plan for care across the continuu...

Utilization Management Nurse

Blue Eagle Consulting

Birmingham, AL

Blue Eagle is looking for Pre-Cert Nurse(s) to assist with inpatient and outpatient PA reviews. Current Nursing License and in good standing Prior Authorization and UM expert NCQA and InterQual expertise preferred Facets exper...

Assistant Nurse Manager for Clinical Operations

Department Of Veterans Affairs

Lorida, FL

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...

Assistant Nurse Manager - Emergency - Part Time 36 hrs/wk - Evenings - Sacramento

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, Operating Room FT Days

Kaiser Permanente

Irvine, CA

Supervises the delivery of nursing services and patient care within one unit(s) which are integrated with business and department plans and meet or exceed cost, quality, clinical and utilization standards and performance measures....

Registered Nurse - Care Manager

Department Of Veterans Affairs

Beckley, WV

Competitive

Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates care based on age specific components. Assumes responsibility fo...

Registered Nurse-Utilization Management

Department Of Veterans Affairs

Louisville, KY

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 (Women Veteran's Program Manager)

Department Of Veterans Affairs

Olin, NC

Competitive

Plans and coordinates for quality care. Evaluates delivery of care including timeliness, and coordinates outreach for Women Veteran services. Administers information and analytical systems to evaluate and enhance the quality of se...

Assistant Nurse Manager, ICU

Kaiser Permanente

Redwood City, 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...

Assistant Nurse Manager (CNL, CRL) - Family Birthing Center

Hartford Healthcare

New Britain, CT

Newly RevisedCompetitive Hourly Rates Tuition Reimbursement after just 6 months of employment and up to 40% reimbursement with Quinnipiac University for colleagueANDdependents Generous Paid Time Off Medical, dental and vision p...

Nurse Manager - Inpatient PEDS

Kaiser Permanente

Oakland, 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,...

KPPAAC Registered Nurse Nursing Manager

Kaiser Permanente

San Leandro, CA

Follows up on clinical issues. Coordinates facility response to member/family complaints or concerns. Ensures that resolution of complaints/concerns is documented in accordance with facility policy, state/federal regulations, or i...

Assistant Nurse Manager- Maternal Child Health

Kaiser Permanente

Roseville, 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...

RN NURSE MANAGER

Washington County, Wi

Wisconsin, United States

$35.85 an hour

Position : 200914Posting Start : 03/06/2024Posting End : 12/31/9999MINIMUM HOURLY RATE: $35.85share...

Assistant Nurse Manager, FT Evenings - Los Angeles, United States - Kaiser

Kaiser

United States

Supervises the delivery of nursing services and patient care within one unit(s) which are integrated with business and department plans and meet or exceed cost, quality, clinical and utilization standards and performance measures....

Nurse Manager - Periop Medicine, Procedural Sedation - Sacramento

Kaiser Permanente

Sacramento, 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 - Emergency Department - Nights

Kaiser Permanente

San Francisco, 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...

RN - Assistant Nurse Manager (Mental Health)

Department Of Veterans Affairs

Palo Alto, CA

Competitive

Successfully meets the critical and non-critical elements of the Executive Career Field (ECF) performance Plan. Provides Information Security including protection of printed and electronic files containing sensitive data in accord...

Assistant Nurse Manager-ICU

Kaiser Permanente

Walnut Creek, 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-ICU

Kaiser Permanente

Vacaville, 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...

Registered Nurse Manager - Medical Intensive Care Unit MICU

Ascension

Texas, United States

Department: Medical Intensive Care Unit (MICU). Schedule:40 hrs/week, Mon-Fri. Hospital:Ascension Seton Medical Center Austin. Location:1201 West 38th Street, Austin TX 78705. Ensure compliance with regulatory and accreditation...

Nurse Manager RN

Ecumen

Saint Cloud, MN

Ensures that campus policies and procedures, State and Federal requirements, rules and regulations as they relate to nursing care are adhered to. Responsible for coordination and direction of all resident care; coordinates care an...

Nurse Manager - CLC and Hospice

Department Of Veterans Affairs

Lorida, FL

Competitive

Designated first-line supervisory authority and accountable for 24/7 operation of their assigned units and provided coverage for other Nurse Managers as needed. Responsible for the direction and supervision of orientation, trainin...

RN Registered Nurse Manager - Labor & Delivery

Ascension

Texas, United States

Department: Labor & Delivery. Schedule: Full time(40 hrs), Evening Shift, 3pm to 11pm, *Flexibility required. Hospital:Ascension Seton Medical Center Austin. Location:1201 West 38th Street, Austin TX 78705. Ensure compliance wit...

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

Bjc Healthcare

United States

Pod 5 Location Barnes Main Campus East Pavilion Leadership Angee Ronzio, Director Shawna Burns, Patient Care Manager Erin Kelley, Assistant Nurse Manager Ceara Nash, Assistant Nurse Manager Team Details 76 - Total Team Members 5...