Utilization Management Clinician — Impactful Care Coordination
PacificSource
PacificSource is seeking an RN/case-management oriented professional to collaborate with physicians, nurses, social workers and other professionals in coordinating healthcare services for members. You will assess benefits and utilization, document care plans, and support discharge planning across inpatient, residential, and outpatient settings. Strong knowledge of medical and behavioral health processes is required. #J-18808-Ljbffr PacificSource
$70.95k - $106.42k
...for a way to make an impact and help people?Join PacificSource... ...quality, affordable care!PacificSource is an... ...fully develop and utilize each person’s talents... ...professionals to coordinate delivery of healthcare... .... Provide utilization management (UM) services which promote...SuggestedContract workWork at office$76k - $85k
...one of the most dynamic and impactful fields of medicine. Through our... ..., and compassionate care. The work we do building families... ...opening for an Fertility RN Coordinator to join our team at Shady Grove... ...with the coordination, case management, and treatment of our fertility...SuggestedFull timePart timeWork at officeImmediate startRemote workMonday to FridayWeekend work1 day per week- ...is seeking a Registered Nurse (RN) to deliver skilled clinical care to residents in a 66-bed sub-acute and long-term care setting.... ...will monitor conditions, follow individualized care plans, and coordinate with the care team to ensure high-quality outcomes. Qualified candidates...SuggestedDaily paid
- ...Medical Center is seeking an experienced Manager of Inpatient Case Management to join our... ...excellence and collaborative patient care across disciplines. The role leads RNs,... ...support staff in discharge planning and care coordination, driving quality outcomes and adherence...Suggested
$37.5 - $42.5 per hour
...high-quality, and compassionate resident care. Guided by our core values of Passion,... ...Responsibilities for RN Supervisor: Supervise and coordinate nursing care activities to ensure... ...in condition or care needs. Assist in managing multiple residents and prioritize care...SuggestedHourly payDaily paidFull timeLocal areaShift workWeekend work- UVA Health seeks an experienced Physician Advisor to lead utilization management (UM), CDI, coding, and case management in a fully remote role with four 1-day on-site meetings annually. This role focuses on medical necessity, regulatory compliance, documentation improvement...Remote job
- US Fertility in Woodbridge, Virginia is seeking a Fertility RN Coordinator to join our team. You will coordinate patient care, educate on injections, schedule treatments, and support clinical protocols in a fast-paced fertility setting. This full-time role offers weekday...Remote jobFull time1 day per weekWeekday work
$5,000 per month
...established policies and procedures, and to ensure quality residentcare Manages shift coverage when staff members callin sick for the oncoming... ..., andother outside healthcare providers, such as hospice, wound care, PT, OT,Pharmacy, etc. Exercises independent discretion in...Shift work- ...Candidates with previous experience in pain management and/or orthopedics are highly desirable.... ...techniques, lifestyle modifications and self-care strategies; Collaborate with the interdisciplinary team to ensure coordinated and comprehensive care for patients; Stay...
- ...Washington Healthcare is seeking a Virtual Registered Nurse (VRN) to provide professional nursing care through two-way video, conducting virtual rounds and coordinating with bedside teams. The role includes assessing patients, updating care plans, and mentoring staff...
- Incredible Health is actively hiring for an RN - Critical Care in the Washington, DC area. Nurses with ICU experience across diverse units are encouraged to apply, with strong emphasis on high-acuity patient care and advanced procedures. The role offers day, night and...Daily paidFull timePart timeFlexible hoursNight shiftDay shift
$33.51 - $49.88 per hour
...committed to providing outstanding patient care and a high level of customer... ...identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary... ...House patients • Ability to manage the emotional stress of working...Full timeContract workLocal areaFlexible hoursDay shift$42.62 - $54.24 per hour
...clinical operations and patient care activities in collaboration... ...staff; supporting fiscal management by ensuring effective and efficient... ...:*** Supports and coordinates the Medical-Surgical Emergency... ...implementation and monitoring. Utilizes best practices for early identification...Temporary workNight shiftAfternoon shift- ...Woodbridge, VA is seeking an Registered Nurse for the ICU. This full-time night shift role requires critical thinking and high standards of care. RN license is required; ICU experience is preferred. Benefits include Medical, Dental, Vision plans, Paid Time Off, and Tuition...Full timeNight shift
- ...seeking an RN for an Inpatient Unit, Day Shift, full-time in Aldie, VA. You will provide direct patient care, coordinate care with the IDG, educate families, and manage essential nursing interventions in a hospice setting. Responsibilities include assessing patient needs...Full timeDay shift
- ...delivering high-quality, compassionate care to a diverse patient population. Your responsibilities... ...team of healthcare professionals to coordinate patient care and ensure continuity... ...with appropriate interventions. Utilizing sound clinical judgment, you will address...
- ...to perform a competent level of nursing care as demonstrated by the critical thinking... ...identification, planning, implementation, coordination of care- teaching and health promotion... ...research, quality, evaluation, resource utilization, and environmental health) encompass the...Temporary workShift workNight shift
- Incredible Health in the Washington, DC area is seeking a Registered Nurse - Med Surg to care for patients with acute and chronic conditions. You will administer medications, monitor vital signs, perform assessments, and collaborate with the care team to support discharge...Daily paidFull timePart timeRelocation packageShift workNight shiftDay shift
$47 per hour
...Join our team and make a meaningful impact by delivering exceptional care in a professional healthcare... ...a safe, secure, and professionally managed correctional setting. Why You'll Love... ...interdisciplinary healthcare teams to coordinate patient care. Educate patients and...Full timeContract workTemporary workLocal areaMonday to FridayFlexible hoursShift workNight shiftWeekend work$39 - $41 per hour
...regulatory compliance, and positively impact the quality of care throughout our facility.If you're... ...FridayParticipation in the facility's management on-call rotation is... ...ResponsibilitiesMDS CoordinationComplete and coordinate MDS assessments in accordance with state...Hourly payFull timeRelocation packageAll shiftsMonday to FridayShift work$104k - $143k
Become a part of our caring community The Clinical Operations Strategy Lead designs and... ...Kentucky market. Use your skills to make an impact Required Qualifications a Bachelor's... ...experiences Preferred Qualifications Project Management or Six Sigma certification 2 or more...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$30.23 per hour
...delegation, supervision, and provision of nursing care for a designated group of patients through utilization of the nursing process. Provides age-appropriate... ...transfer an average adult patient and possess gross coordination sufficient to perform other patient care duties...Permanent employmentFull timeRelocation packageShift workDay shift$40 - $50 per hour
...States. You will complete the RAI process in line with federal and state regulations while delivering comfort, dignity, and exceptional care to residents. The role is full-time, with day shifts Monday through Friday. Wages range from $40.00 to $50.00 per hour, with...Hourly payFull timeMonday to FridayDay shift- ...to perform a competent level of nursing care as demonstrated by the critical thinking... ...identification, planning, implementation, coordination of care- teaching and health promotion... ...research, quality, evaluation, resource utilization, and environmental health) encompass the...Part timeDay shift
- Sentara Northern Virginia Medical Center is seeking a Manager of Inpatient Case Management to lead a dynamic team comprising RNs, MSWs, and support staff. The role focuses on patient-centered care, quality outcomes, and shared governance within a Magnet-recognized hospital...Full time
- ...dedicated to patient-centered care….come join us! MPAC Healthcare is looking for Licensed Clinicians (LPC, LMFT, LCSW) who are excited... ...without the hassle of managing a back office. Focus on on-going... ...Provide initial assessments, utilize psychotherapy to address mental...Private practiceLocal area
- UVA Health in Virginia seeks a capable registered nurse to join an interdisciplinary team, delivering direct patient care and refining clinical practice. The role emphasizes collaboration with patients, families, physicians, and colleagues to implement comprehensive care...
- ...part-time Night Shift MSET RN at Stafford Hospital to support the Medical-Surgical Emergency Team and maintain high-quality patient care. The role requires RN licensure (VA or compact), BSN preferred, BLS/ACLS/NIHSS, supervisory experience, and ICU/ED RN background; proficiency...Part timeNight shift
- ...RN Supervisor for a night shift to lead nursing staff and ensure safe, high-quality resident care. This full-time role requires a VA RN license, BLS, and the ability to manage multiple patients in a fast-paced setting. The RN Supervisor will monitor resident conditions...Full timeNight shift
- ...licensed PMHNPs to provide psychiatric evaluations, medication management, and ongoing care to Medicaid members. You will work remotely with flexible... ...support, scheduling, billing, and credentialing so clinicians can focus on care. The role emphasizes equity in mental health...Remote workHome officeFlexible hours
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