+ years managed care experience preferred. Comprehensive knowledge of case management, discharge planning, utilization...Your Role Work schedule is Mon-Fri 10am- 7pm The Federal Employee Program (FEP) team performs integrated case...
’s license, auto insurance and reliable transportation. Two years as a Registered Nurse with at least one-year of management... disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet admission criteria and make...
to all populations across the ACA Marketplace, Medicare, and Medicaid. SCOPE OF ROLE The role of the UM Nurse is to promote quality... and resources required to meet desired health and social outcomes. The UM Nurse is responsible for providing patient centered care...
and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse, Senior will report... to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review...
of designated healthcare services, concurrent review activity, and retrospective review activity. Utilization Management Nurse.... Responsibilities: Your Work In this role, you will: Performs prospective, concurrent, and retrospective utilization reviews...
and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the... Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical...
Utilization Management Nurse, Senior will report to the Senior Manager, Facility Compliance Review. In this role... and aberrant billing. Responsibilities: Your Work In this role, you will: Perform retrospective utilization reviews...
Job Description: PRINCIPAL RESPONSIBILITIES: The Inpatient Utilization Management (UM) RN is responsible... with UM coordinators to make sure the appropriate disenrollment process is implemented. Work closely with the Alliance Management...
senior participants. ROLE OVERVIEW and PURPOSE The Utilization Management (UM) and Transitional Care Nurse Navigator..., with at least 1 year in transitional care, case management, or utilization review. Experience in PACE, SNFs, or hospital settings...
of patients for discharge planning and utilization review. This includes those who may have Medicare, Medicaid, HMO or private... and significant others who have an ongoing caring relationship with the patient. Utilization review procedures include those stated...
of patients for discharge planning and utilization review. This includes those who may have Medicare, Medicaid, HMO or private... and significant others who have an ongoing caring relationship with the patient. Utilization review procedures include those stated...
of case management, discharge planning, utilization management, disease management and community resources. Able to operate...Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM...
Registered Nurse Case Manager will report to the FEP Care Management Department Manager. In this role you will determine, develop..., discharge planning, utilization management, disease management and community resources preferred Behavioral health, oncology...
Paid Time Off and Sick Leave. Responsibilities: ***This position is work from home within California. Position Summary...: The Delegation Management Nurse is responsible for overseeing and managing the delegation of healthcare services to third...
planning, utilization management, disease management and community resources Able to operate PC-based software programs... Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work...
, utilization management and community resources. Strong supervisory, communication and negotiation skills. Able to operate PC... Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work...
Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work...Job Description: Your Role The Care Management team will serve to support the mission of the department...
, utilization management and community resources. Strong supervisory, communication and negotiation skills. Able to operate PC... involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork...
Nurse must have at least 2 years of current or very recent experience in home hospice or health health. Hospice management...We are looking for a Full-Time Registered Nurse (RN) for a Hospice Manager position in the Hospice Home Care setting...
Overview: We are looking for a Full-Time Registered Nurse (RN) for a Hospice Manager position in the Hospice Home... Registered Nurse must have at least 2 years of current or very recent experience in home hospice or health health. Hospice...