NewTravel Nurse RN - Case Manager - $1,616 to $1,796 per week in Western Colorado, CO All Medical PersonnelTravel Nurse RN - Case Manager - $1,616 to $1,796 per week in Western Colorado, COWestern Colorado, CO$1,616–$1,796Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
NewTravel Nurse RN - Case Manager - $1,620 to $1,800 per week in St. Petersburg-Clearwater, FL All Medical PersonnelTravel Nurse RN - Case Manager - $1,620 to $1,800 per week in St. Petersburg-Clearwater, FLSt. Petersburg-Clearwater, FL$1,620–$1,800Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
NewTravel Nurse RN - Case Manager - $1,422 to $1,580 per week in Dallas, TX All Medical PersonnelTravel Nurse RN - Case Manager - $1,422 to $1,580 per week in Dallas, TXDallas, TX$1,422–$1,580Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
NewTravel Nurse RN - Case Manager - $1,979 to $2,199 per week in Portland, ME All Medical PersonnelTravel Nurse RN - Case Manager - $1,979 to $2,199 per week in Portland, MEPortland, ME$1,979–$2,199Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
NewTravel Nurse RN - Case Manager - $2,016 to $2,240 per week in Portland, ME All Medical PersonnelTravel Nurse RN - Case Manager - $2,016 to $2,240 per week in Portland, MEPortland, ME$2,016–$2,240Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
NewTravel Nurse RN - Case Manager - $1,515 to $1,683 per week in Central Louisiana, LA All Medical PersonnelTravel Nurse RN - Case Manager - $1,515 to $1,683 per week in Central Louisiana, LACentral Louisiana, LA$1,515–$1,683Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
NewTravel Nurse RN - Case Manager - $2,131 to $2,368 per week in Boston, MA All Medical PersonnelTravel Nurse RN - Case Manager - $2,131 to $2,368 per week in Boston, MABoston, MA$2,131–$2,368Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
NewTravel Nurse RN - Case Manager - $1,620 to $1,800 per week in Fort Lauderdale, FL All Medical PersonnelTravel Nurse RN - Case Manager - $1,620 to $1,800 per week in Fort Lauderdale, FLFort Lauderdale, FL$1,620–$1,800Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
RN, Specialty Care Review On Call PRN Kaiser PermanenteRN, Specialty Care Review On Call PRNAtlanta, GAMaintains effective interaction/communication with members of the medical staff, health care teams, intake coordinators, complex case managers, social workers, inpatient care coordinators, referral coordinators, Member Services, Claims, Contracts and Benefits-Appeals, Risk Management and Kaiser Permanente medical offices to facilitate the review process. Consistently supports compliance and the Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanentes policies and procedures.
NewSpecialty Clinical Pharmacist II - Retail Pharmacy CHRISTUS HealthSpecialty Clinical Pharmacist II - Retail PharmacyCorpus Christi, TXCompletes critical patient monitoring and reviews patient profile/chart to identify, prevent, or mitigate drug-related problems, improper drug or dose selection, sub-therapeutic dosage, overdosage, adverse drug reactions, drug interactions, failure to receive drugs, untreated indications, medication use without an indication, and treatment failures. Pharmaceutical care services include but are not limited to assessing patient needs, incorporating age and disease-specific characteristics into drug therapy and patient education, adjusting care according to patient response, and providing clinical interventions to detect, mitigate, and prevent medication adverse events.
Program Manager Bariatric - Bariatric Christus HealthProgram Manager Bariatric - BariatricSan Antonio, TXSpecialized care includes orthopedic and surgical care with advanced spine surgery, Intensive Care, complex neurology for treating stroke and other neurovascular issues, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, women’s services, a newborn nursery, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, emergency services, and more. Participates in the recruiting, hiring, orientation, development/training, evaluation, and when applicable, the discipline of assigned staff Effectively and efficiently manage and utilize all available processes and resources to optimize patient flow and maximize provider productivity while ensuring quality patient care.
Case Manager, Behavioral Health (Per Diem) St. Luke's Health Network, Inc.Case Manager, Behavioral Health (Per Diem)Allentown, PAPart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Maintains appropriate, timely, and effective communication with patients, families, community agencies, physicians, nursing staff, department managers, ancillary departments, and the Manager regarding variances, aspects of patient care management.
Utilization Management Reviewer (RN) - Multiple Positions! Excellus BCBSUtilization Management Reviewer (RN) - Multiple Positions!Albany, New YorkNOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. Utilizes appropriate communication techniques with members and providers to obtain clinical information, assesses medical necessity of services, advocating for members in obtaining needed services, as appropriate, interacts with the treating physician or other providers of care.
Nurse Auditor - Medical Bill Review (Remote) Rising Medical SolutionsNurse Auditor - Medical Bill Review (Remote)Chicago, ILRemoteIn this role, you'll be a part of our mission by giving clients the information they need to determine case value based on evaluation of medical records and medical billing statements, and will: Audit medical and billing records to determine if services provided are reasonable, appropriate and necessary. Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and erroneous charges.
Full-Time Night Shift RN - 5.2 Med/Surg Resp/Renal Yale New Haven HealthFull-Time Night Shift RN - 5.2 Med/Surg Resp/RenalNew London, Connecticut2. Develops, communicates and documents a plan of care reflecting individualized patient problems and interventions to achieve desired outcomes, involving the patient, family and healthcare team in this process. The Registered Nurse (RN) assesses, plans, implements, evaluates and supervises individual patient care according to unit policies and procedures, including the PCU level patient.
Registered Nurse New Graduate Medicine Yale New Haven HealthRegistered Nurse New Graduate MedicineNew Haven, CTDevelops, communicates and documents a plan of care reflecting individualized patient problems and interventions to achieve desired outcomes, involving the patient, family and healthcare team in this process. The registered nurse (RN) assesses, plans, implements, evaluates, and supervises individual patient care on a nursing unit/department according to unit policies and procedures.
Medicine to MICU Registered Nurse Pathway Program Yale New Haven HealthMedicine to MICU Registered Nurse Pathway ProgramNew Haven, CTDevelops, communicates and documents a plan of care reflecting individualized patient problems and interventions to achieve desired outcomes, involving the patient, family and healthcare team in this process. The registered nurse (RN) assesses, plans, implements, evaluates, and supervises individual patient care on a nursing unit/department according to unit policies and procedures.
PACE Quality Manager RN (Central Valley PACE - Modesto) Available Staff PositionsPACE Quality Manager RN (Central Valley PACE - Modesto)Modesto, CaliforniaIdentify high-risk patients via inpatient rounds, provider referral patterns, utilization management referrals, and disease registry reporting mechanisms, and refer to appropriate PACE site medical leadership. Participates in orientation with staff and contract facilities to ensure effective coordination of participant care, as needed provides scheduled onsite inspection of contracted facilities to ensure quality care is provided and compliance with State and CMS regulations.
NewCommunity Care Registered Nurse San Ysidro Health CenterCommunity Care Registered NurseSan Diego, CAExperience Preferred: 2 years of experience working in a managed care health plan and/or2 years of experience in utilization review, case management, discharge planning and/or2 years of experience in transitional care and acute care settings (critical care, acute hospital care, long term acute care, skilled nursing care, long term care) and/orKnowledge of and/or experience with Managed Care Health plans, Medi- Cal/Medicaid, and/or MedicareDemonstrated ability to be culturally sensitive and respect diversity, work effectively with individuals of different cultures and socio-economic status. Essential Functions of the Position: Responsible for the proactive management of acutely and chronically ill patients with the objective of improving health outcomes and costs by developing a detailed plan of treatment that reflects an appropriate nursing assessment of the care management applicants, interventions, and the potential participant's primary care physician's orders.
Quality Nurse – QAPI Coordinator Innovative Health CareQuality Nurse – QAPI CoordinatorScottsdale, Arizona$75,000–$85,000The Quality Nurse will conduct clinical chart audits, review documentation for accuracy and compliance, ensure appropriate ICD-10 and CPT coding practices, and support adherence to Medicare and state regulatory requirements. Position Summary The Quality Nurse – QAPI Coordinator is responsible for supporting and managing the organization’s Quality Assurance and Performance Improvement (QAPI) program under the direction of the Program Director.