RN Clinical Reviewer: Utilization & Care Coordination
University Health
University Health is seeking a Registered Nurse to oversee case management for Community First Health Plan (CFHP) members, ensuring access to needed services and coordinated care across the health system. The role focuses on resource allocation, cost and quality oversight, and collaboration with primary care physicians, family, members, and multidisciplinary teams to identify educational and discharge needs within the continuum of care. #J-18808-Ljbffr University Health
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the RN Clinical Reviewer: Utilization & Care Coordination in Pleasanton, TX vacancy
$30.5 - $47 per hour
...access to all of the health care services they need in the most... ...of health care for members; coordinating care between the primary care... ...monitoring and managing benefit utilization; and, collaborating with... ...EXPERIENCE Registered Nurse (RN) is required. Bachelor of Science...SuggestedFull time- ...RESPONSIBIILITIES The Service Coordinator – Registered Nurse provides... ...potential for productivity. The SC-RN provides a holistic evaluation... .... Four (4) recent years of clinical experience preferred, which may... ...quality management or managed care experience. Working knowledge...Suggested
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$71.68k - $107.52k
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- ...sure we achieve outstanding clinical outcomes. Aveanna isn’t just... ...documenting skilled nursing care, under the supervision of a Registered... ...for the delivery and coordination of quality patient care in compliance... ...Act. • Provide care utilizing infection control measures that...Weekly payDaily paidFull timePart timeReliefLocal areaFlexible hoursShift workNight shiftWeekend workDay shift
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