Registered Nurse Utilization Review, Case Management, FT, 8:30A-5P
baptisthlth
Degrees: Associates. Licenses & Certifications: MCG Care Guidelines Specialist. Registered Nurse. Additional Qualifications: RNs hired prior to 2-2012 (10/1/2017 at Bethesda or 7/1/2019 at BRRH) with an Associates Degree in Nursing are not required to have a BSN to continue their non-leadership role as an RN. however, they are required to complete the BSN within 3 years of job entry date. MCG Specialist Certification ISC/HRC required within 12 months of job entry date. 3 years of Nursing experience preferred. Excellent written, interpersonal communication and negotiation skills. Strong critical thinking skills and the ability to perform clinical/chart review abstract information efficiently. Strong analytical, data management and computer skills. Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components. Current working knowledge of payer and managed care reimbursement preferred. Ability to work independently and exercise sound judgment in interactions with the health care team and patients/families. Knowledgeable in local, state, and federal legislation and regulations. Ability to tolerate high volume production standards. Minimum Required Experience:3 Years EOE, including disability/vets #J-18808-Ljbffr
- ...Case Management Position Performs Case Management activities to assure medical necessity of... ...and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors... ...of resources of all patients reviewed. Working with clients, family and friend...SuggestedFull timeWork experience placementDay shift
$33 - $39 per hour
...Primary Function The Registered Nurse, RN, is a member of the interdisciplinary... ...39/hr Job Responsibilities Case Management and Supervision for... ..., appropriately identifies/utilizes resources, referrals such as... ...and per Team Manager reviews Registered Nurse, RN, responsible...SuggestedShift workNight shiftRotating shiftWeekend workAfternoon shift- ...Telephonic Nurse Case Manager II Location: This role enables associates... ...and 1 late evening 11:30am to 8:00pm EST. _ This position... ...Assists with development of utilization/care management policies and... ...) ~ Ability to manage, review and respond to emails/instant...SuggestedFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shift1 day per week
$26.41 - $61.79 per hour
...for clinical member services review assessment processes.... ...timelines. Refers appropriate cases to medical directors (MDs)... ...Molina care model. Adheres to utilization management (UM) policies and... ...education and experience. Registered Nurse (RN) with an active and unrestricted...SuggestedHourly payWork experience placementWork at office$37 - $45 per hour
...application process. Charge Nurse Full Time North Beach... ...supports the clinic manager daily, assuming responsibility... ...and technical issues. Review and verify completion... ...procedures. Promotes utilization of CQI principles to... ...Secondary Duties: In some cases, may be required to...SuggestedHourly payFull timeWork at officeShift work- ...the Rehab Program Director, Facility Case Management Director, and interdisciplinary team... ...preferred Three years’ clinical, hospital nursing experience required with preference... ...Certification in case management or utilization review preferred #J-18808-Ljbffr...
- ...baptisthlth is seeking an experienced Registered Nurse in Miami to join our team. The role requires strong clinical skills, excellent communication, and the ability to manage multiple tasks in a high-volume setting. Minimum 3 years of nursing experience is preferred;...
$29.1 - $62.32 per hour
...Utilization Management Nurse Consultant Clinical Precertification RN (Medicare Home Care) We're... ...Time | Weekday Schedule Are you a Registered Nurse ready to make an impact... ...Medicare members. What You'll Do Review clinical cases and make coverage determinations...Hourly payFull timeTemporary workWork at officeLocal areaRemote workMonday to FridayAfternoon shiftWeekday work$19 - $21 per hour
...preventive care, chronic care management, common illnesses and... ...to your daily work to utilize your strengths and... ...messages, following up on lab cases and assisting our... ...medical record and consult review, billing inquiries, and... ...(40 hours/week) with 8 hour shifts, Monday -...Hourly payFull timeTemporary workWork at officeRemote workMonday to FridayShift work- ...Recovery Hospital (LTACH) Case Manager (PRN) Requires a current... ...clinical discipline either as a Nurse or a Respiratory Therapist... ..., from appoximately 8a.m.-5p.m.* Our hospital is a critical... ...Manager is responsible for utilization reviews and resource management,...Daily paidFull timePart timeReliefShift workWeekday work
$37.45 - $57.29 per hour
...Job Description: The Registered Nurse (RN) is a professional caregiver who... ...of patients. The staff RN utilizes the nursing process by use of... ...delivery through effectively managing time, supplies, and... ...response to interventions through review of achievement of goals, clinical...Hourly pay- ...Under the direction of the director/charge person, the RN utilizes the nursing process, facilitates patient care making nursing assessments... ...Associates Degree Licensure/Certification/Registration: - Florida Registered Nurse License - BLS - ACLS Special Skills/Qualifications/...
$37.45 - $57.29 per hour
...Job Description: The Registered Nurse (RN) is a professional caregiver... ...care of patients. The staff RN utilizes the nursing process by use... ...through effectively managing time, supplies, and resources... ...response to interventions through review of achievement of goals, clinical...Hourly pay$37.45 - $57.29 per hour
...Job Description: The Registered Nurse (RN) is a professional caregiver... ...care of patients. The staff RN utilizes the nursing process by use... ...through effectively managing time, supplies, and resources... ...response to interventions through review of achievement of goals, clinical...Hourly pay- ...Registered Nurse 1 - Ortho Neuro, Full Time page is loaded## Registered Nurse 1 - Ortho Neuro,... ...for a faculty or staff position, please review this .The Registered Nurse (U) delivers... ...care in a culturally competent manner utilizing evidence-based standards of quality, safety...Full timeTemporary workWorldwide
- ...Registered Nurse 1 The University of Miami/UHealth Department of Community Health Delivery Systems... ...care in a culturally competent manner utilizing evidence-based standards of quality,... ...and conditions, and physician orders. Reviews, evaluates and reports diagnostic tests...Full timeWork at officeWorldwide
- ...direction of the Director of Nursing, supervises the... ...and emotional status Review the nurse's notes to ensure... ...daily, such as clean utility room, to ensure that... ...to practice as a Registered Nurse in the state employed... ...-year experience in a management position preferred One...Local areaImmediate startTrial periodAll shiftsShift workWeekend work
- ...focuses on disease process management and education intended to reduce... ...’s condition Participate in case conferences, team meetings,... ...clients' discharge by reviewing and amplifying discharge plans... ...Education And Experience Current Registered Nurse (RN) license in the State of...Local areaRemote work
$26 - $42 per hour
...Tuesday July 14th at 12:00pm EST Register here today: Florida Care Managers (Miami) & Care Review Clinicians Virtual Hiring Event... ...qualify for care coordination/case management based on clinical... ...skills and previous experience utilizing a clinical platform. • Excellent...Hourly payContract workWork experience placementWork at officeLocal area- ...Case Management Nurse Performs Case Management activities to assure medical necessity of admissions... ...and appropriateness of continued stay utilizing the Interqual Criteria guidelines.... ...utilization of resources of all patients reviewed. Maintains confidential communication...Daily paidWork experience placementDay shift
$46.92k
...and support for a group of approximately 8-13 students living in the home. Flex Houseparents... ...daily supervision and mentorship * Managing household routines and student schedules... ...free housing, meals while on duty, utilities, and more) * Comprehensive benefits: medical...Full timeRelocationRelocation packageFlexible hoursWeekday work- ...7:30 am - 12:30 pm Every other Saturday 8:00 am - 12:00 pm Bilingual Spanish preferred... ...environment. Supports clinician and care management teams in the maintenance of chronic... ...diagnostic and laboratory results for clinician review and treatment follow-up as needed....Temporary workFor contractorsWork at officeLocal areaRelocation packageMonday to Friday
- ...faculty or staff position, please review this tip sheet. The UHealth... ...in a neat and accurate manner.8. Assists supervisor in... ...combative patients.* Collaborate with nurses and lab staff to prioritize... ...results.* **Organizational and time management**: In a busy healthcare...Full timeTemporary workWorldwideNight shiftWeekend workAfternoon shift
$22.36 per hour
...Information Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours Best-in-class well-being programs... ...and confirm and verify all written and electronic orders by utilizing lab technology systems or directory of services. Patient Experience...Hourly payWork experience placementWork at officeMonday to FridayFlexible hoursWeekend work- ...Position Purpose: Nurse Case Manager who is responsible for coordinating the continuum of care... ...assigned patients and ensuring optimum utilization of resources, service delivery and compliance... ...a database system. Performs chart review/audits monthly or as needed....Contract work
$17.2 per hour
...features. Direct message the job poster from SPECTRAFORCE Assistant Manager -Pharmaceutical Recruitment at SPECTRAFORCE Technologies... ...Phlebotomist (Miami, FL) Medical Assistant - Peds General Surgery - FT - Days - $2,500 Sign on Bonus - MPG Medical Assistant, Urgent Care...Full timeContract workWork experience placementWork at officeLocal areaRelocation packageFlexible hoursShift work- ...direct supervision of a licensed nurse in accordance with... ...patient condition directly to the registered nurse or supervisor.Observe patient... ..., organize, and efficiently utilize supplies and equipment to... ...an accurate and timely manner.Review treatment sheets for completeness...Immediate start
- ...staff position, please review this tip sheet. The... ...patients' healthcare management and clinical procedures... ...competent manner utilizing evidence-based standards... ...oversee the MA 2 to a Nurse or Designee in charge... ...Assistants (AAMA)® Registered Medical Assistant (RMA...Full timeTemporary workWork at officeWorldwide
- ...throughout treatment Conduct a thorough review of the patient’s health history in order... ...accordance with the state dental practice act Utilize Dentrix for patient scheduling and record... ...and following OSHA & CDC recommendations Manage supply and inventory levels, as well as...Work at officeLocal area
- ...Emergency Department Nurse Location: Miami VA... ...Schedule: 7:30AM - 8:00PM Position... ...Emergency Department Registered Nurse (ED RN) plays... ...is responsible for managing patients across a broad... ...high-volume cases such as low back pain... ...medication room, soiled utility room, supply pyxis...For contractorsShift work
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