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Dec 05, 2023
Registered Nurse (RN), Utilization Management - Part-time - Adult Inpatient Psychiatry
Denver, CO, USA
We are recruiting for a Registered Nurse (RN), Utilization Management - Part-time - Adult Inpatient Psychiatry to join our team We are here for life’s journey.Where is your life journey taking you?Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all:Humanity in action, Triumph in hardship, Transformation in health. Department 4 Adult Psych Job SummaryUnder minimum supervision, Adult Inpatient Psychiatry Utilization Management Nurse will apply quality and utilization management activities in a system of interdisciplinary departmental teams in order to ensure the optimal use of resources.Essential Functions: • Works closely with other DHHA staff members including providers, nursing, insurance personnel, scheduling staff, staff in other departments. Liaises with medical staff in Denver Health and Correctional Facilities. (20%) • Participates in care planning and discharge planning with providers and the other members of...
Healthcare
Dec 05, 2023
Registered Nurse (RN), Utilization Management - Part-time - Adult InpatientPsychiatry
Denver, CO, USA
We are recruiting for a Registered Nurse (RN), Utilization Management - Part-time - Adult Inpatient Psychiatry to join our team We are here for life’s journey. Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all: Humanity in action, Triumph in hardship, Transformation in health. Department 4 Adult Psych Job Summary Under minimum supervision, Adult Inpatient Psychiatry Utilization Management Nurse will apply quality and utilization management activities in a system of interdisciplinary departmental teams in order to ensure the optimal use of resources. Essential Functions : Works closely with other DHHA staff members including providers, nursing, insurance personnel, scheduling staff, staff in other departments. Liaises with medical staff in Denver Health and Correctional Facilities. (20%) Participates in care planning and discharge planning with providers and the other members...
Healthcare
Dec 05, 2023
Registered Nurse (RN), Utilization Management - Adolescent Psych - PRN
Denver, CO, USA
We are recruiting for a Registered Nurse (RN), Utilization Management - Adolescent Psych - PRN to join our team We are here for life’s journey.Where is your life journey taking you?Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all:Humanity in action, Triumph in hardship, Transformation in health. Department 4 Pav M Adolescent Psych Adolescent Inpatient Psychiatry provides care for adolescents ages 12-21 admitted to the hospital for evaluation, assessment, and treatment of psychiatric issues. Adolescents are admitted out of concern for safety and to prevent any worsening of their condition. The program is designed to encourage progress in a therapeutic, educational, nurturing, and structured environment. The adolescent unit uses a multidisciplinary approach to include registered nurses and behavioral health technicians to monitor the patient’s entire stay, 24/7. The treatment team of clinicians includes...
Healthcare
Dec 05, 2023
Registered Nurse (RN), Utilization Management - Adolescent Psych - PRN
Denver, CO, USA
We are recruiting for a Registered Nurse (RN), Utilization Management - Adolescent Psych - PRN to join our team We are here for life’s journey. Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all: Humanity in action, Triumph in hardship, Transformation in health. Department 4 Pav M Adolescent Psych Adolescent Inpatient Psychiatry provides care for adolescents ages 12-21 admitted to the hospital for evaluation, assessment, and treatment of psychiatric issues. Adolescents are admitted out of concern for safety and to prevent any worsening of their condition. The program is designed to encourage progress in a therapeutic, educational, nurturing, and structured environment. The adolescent unit uses a multidisciplinary approach to include registered nurses and behavioral health technicians to monitor the patient’s entire stay, 24/7. The treatment team of clinicians includes...
Healthcare
Dec 05, 2023
Registered Nurse (RN), Utilization Management - Part-time - Adult Inpatient Psychiatry
Denver, CO, USA
We are recruiting for a Registered Nurse (RN), Utilization Management - Part-time - Adult Inpatient Psychiatry to join our team We are here for life’s journey. Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all: Humanity in action, Triumph in hardship, Transformation in health. Department 4 Adult Psych Job Summary Under minimum supervision, Adult Inpatient Psychiatry Utilization Management Nurse will apply quality and utilization management activities in a system of interdisciplinary departmental teams in order to ensure the optimal use of resources. Essential Functions : Works closely with other DHHA staff members including providers, nursing, insurance personnel, scheduling staff, staff in other departments. Liaises with medical staff in Denver Health and Correctional Facilities. (20%) Participates in care planning and discharge planning with providers and the other members...
Healthcare
Dec 02, 2023
Registered Nurse (RN), Utilization Management - Part-time - Adult Inpatient Psychiatry
Denver, CO, USA
We are recruiting for a Registered Nurse (RN), Utilization Management - Part-time - Adult Inpatient Psychiatry to join our team We are here for life’s journey. Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all: Humanity in action, Triumph in hardship, Transformation in health. Department 4 Adult Psych Job Summary Under minimum supervision, Adult Inpatient Psychiatry Utilization Management Nurse will apply quality and utilization management activities in a system of interdisciplinary departmental teams in order to ensure the optimal use of resources. Essential Functions : Works closely with other DHHA staff members including providers, nursing, insurance personnel, scheduling staff, staff in other departments. Liaises with medical staff in Denver Health and Correctional Facilities. (20%) Participates in care planning and discharge planning with providers and the other members...
Healthcare
Dec 02, 2023
Registered Nurse (RN), Utilization Management - Adolescent Psych - PRN
Denver, CO, USA
We are recruiting for a Registered Nurse (RN), Utilization Management - Adolescent Psych - PRN to join our team We are here for life’s journey. Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all: Humanity in action, Triumph in hardship, Transformation in health. Department 4 Pav M Adolescent Psych Adolescent Inpatient Psychiatry provides care for adolescents ages 12-21 admitted to the hospital for evaluation, assessment, and treatment of psychiatric issues. Adolescents are admitted out of concern for safety and to prevent any worsening of their condition. The program is designed to encourage progress in a therapeutic, educational, nurturing, and structured environment. The adolescent unit uses a multidisciplinary approach to include registered nurses and behavioral health technicians to monitor the patient’s entire stay, 24/7. The treatment team of clinicians includes...
Healthcare
Dec 05, 2023
Bilingual Chronic Care Management Registered Nurse (Remote)
Vesta Healthcare Remote
Nice to meet you, we’re Vesta Healthcare. Vesta Healthcare is a specialized medical group focused today on aging adults with long-term home care needs. We help these individuals live happier, healthier lives by partnering with their aides and caregivers, as a key part of the care team. We use a combination of virtual care, home-based and mobile technologies, data integrations and partnerships with home care agencies to make the home an integrated setting of care with patients, and their Caregivers at the center.  Vesta is the Roman name for the goddess of home, hearth and family. She is the caregiver. Often unseen yet greatly revered, she puts others' needs ahead of her own, keeping the hearth warm so the home and family can function. We see Caregivers and recognize the power and potential they embody. More than just assistance, Caregivers are eyes, ears and hands in the home. Caregivers play the role of Doctor, Nurse, Pharmacist, EMT and more, but without support or...
Healthcare Remote / Work from Home
Dec 05, 2023
Bilingual MLTC Registered Nurse (Remote)
Vesta Healthcare Remote
Nice to meet you, we’re Vesta Healthcare. Vesta Healthcare is a specialized medical group focused today on aging adults with long-term home care needs. We help these individuals live happier, healthier lives by partnering with their aides and caregivers, as a key part of the care team. We use a combination of virtual care, home-based and mobile technologies, data integrations and partnerships with home care agencies to make the home an integrated setting of care with patients, and their Caregivers at the center.  Vesta is the Roman name for the goddess of home, hearth and family. She is the caregiver. Often unseen yet greatly revered, she puts others' needs ahead of her own, keeping the hearth warm so the home and family can function. We see Caregivers and recognize the power and potential they embody. More than just assistance, Caregivers are eyes, ears and hands in the home. Caregivers play the role of Doctor, Nurse, Pharmacist, EMT and more, but without support or...
Healthcare Remote / Work from Home
Dec 05, 2023
Bilingual NY and Compact Registered Nurse (Remote)
Vesta Healthcare Remote
Nice to meet you, we’re Vesta Healthcare. Vesta Healthcare is a specialized medical group focused today on aging adults with long-term home care needs. We help these individuals live happier, healthier lives by partnering with their aides and caregivers, as a key part of the care team. We use a combination of virtual care, home-based and mobile technologies, data integrations and partnerships with home care agencies to make the home an integrated setting of care with patients, and their Caregivers at the center.  Vesta is the Roman name for the goddess of home, hearth and family. She is the caregiver. Often unseen yet greatly revered, she puts others' needs ahead of her own, keeping the hearth warm so the home and family can function. We see Caregivers and recognize the power and potential they embody. More than just assistance, Caregivers are eyes, ears and hands in the home. Caregivers play the role of Doctor, Nurse, Pharmacist, EMT and more, but without support or...
Healthcare Remote / Work from Home
Dec 05, 2023
Bilingual Triage Registered Nurse (Remote)
Vesta Healthcare Remote
Nice to meet you, we’re Vesta Healthcare. Vesta Healthcare is a specialized medical group focused today on aging adults with long-term home care needs. We help these individuals live happier, healthier lives by partnering with their aides and caregivers, as a key part of the care team. We use a combination of virtual care, home-based and mobile technologies, data integrations and partnerships with home care agencies to make the home an integrated setting of care with patients, and their Caregivers at the center.  Vesta is the Roman name for the goddess of home, hearth and family. She is the caregiver. Often unseen yet greatly revered, she puts others' needs ahead of her own, keeping the hearth warm so the home and family can function. We see Caregivers and recognize the power and potential they embody. More than just assistance, Caregivers are eyes, ears and hands in the home. Caregivers play the role of Doctor, Nurse, Pharmacist, EMT and more, but without support or...
Healthcare Remote / Work from Home
Dec 05, 2023
Per Diem Bilingual Registered Nurse (Remote)
Vesta Healthcare Remote
Nice to meet you, we’re Vesta Healthcare. Vesta Healthcare is a specialized medical group focused today on aging adults with long-term home care needs. We help these individuals live happier, healthier lives by partnering with their aides and caregivers, as a key part of the care team. We use a combination of virtual care, home-based and mobile technologies, data integrations and partnerships with home care agencies to make the home an integrated setting of care with patients, and their Caregivers at the center.  Vesta is the Roman name for the goddess of home, hearth and family. She is the caregiver. Often unseen yet greatly revered, she puts others' needs ahead of her own, keeping the hearth warm so the home and family can function. We see Caregivers and recognize the power and potential they embody. More than just assistance, Caregivers are eyes, ears and hands in the home. Caregivers play the role of Doctor, Nurse, Pharmacist, EMT and more, but without support or...
Healthcare Remote / Work from Home
Dec 05, 2023
Supervisor, Utilization Management
Centene Careers Meers, OK, USA
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Oklahoma Complete Health, a Centene company, is committed to providing quality healthcare solutions to transform the health of Oklahomans. At Oklahoma Complete Health, we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development. Join us and be a part of a collaborative, growing network of innovative thinkers delivering solutions at the local level. Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. Monitors and...
Dec 05, 2023
Supervisor, Utilization Management
Centene Careers Stillwater, OK, USA
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Oklahoma Complete Health, a Centene company, is committed to providing quality healthcare solutions to transform the health of Oklahomans. At Oklahoma Complete Health, we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development. Join us and be a part of a collaborative, growing network of innovative thinkers delivering solutions at the local level. Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. Monitors and...
Dec 05, 2023
Supervisor, Utilization Management
Centene Careers Williams, OK, USA
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Oklahoma Complete Health, a Centene company, is committed to providing quality healthcare solutions to transform the health of Oklahomans. At Oklahoma Complete Health, we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development. Join us and be a part of a collaborative, growing network of innovative thinkers delivering solutions at the local level. Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. Monitors and...
Dec 05, 2023
Supervisor, Utilization Management
Centene Careers Oklahoma City, OK, USA
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Oklahoma Complete Health, a Centene company, is committed to providing quality healthcare solutions to transform the health of Oklahomans. At Oklahoma Complete Health, we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development. Join us and be a part of a collaborative, growing network of innovative thinkers delivering solutions at the local level. Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. Monitors and...
Dec 05, 2023
Supervisor, Utilization Management
Centene Careers Shawnee, OK, USA
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Oklahoma Complete Health, a Centene company, is committed to providing quality healthcare solutions to transform the health of Oklahomans. At Oklahoma Complete Health, we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development. Join us and be a part of a collaborative, growing network of innovative thinkers delivering solutions at the local level. Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. Monitors and...
Dec 05, 2023
RN Care Manager, The Everett Clinic
UnitedHealth Group Everett, WA, USA
$7,500 Sign on Bonus for External Candidates For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Under minimal supervision, coordinates the delivery of comprehensive, quality care and services at the right time. Works closely with Personalized Care Team [PCT], physicians, medical directors, and multi-disciplinary team to execute and coordinate a plan of care for the most chronic complex and high-risk patients. Uses the Nursing Process to assess, plan develop implement a plan of care for patients with complex needs. Position in this function provides physicians and other health care professionals with appropriate care management tools, support, education and information to enable real time clinical decision-making. Delegates specific tasks of plan of care to Medical Assistants and Health Coaches and...
Healthcare
Dec 05, 2023
Registered Nurse (RN) - Nights, Case Manager, ED/OBS/ACH
Phoenix, AZ, USA
Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. You’ll thrive in an environment that supports innovation, is committed to ending racism and supporting diversity, equity and inclusion, and provides the resources you need to succeed. Responsibilities The Registered Nurse (RN) Case Manager works within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will...
Healthcare Non-Profit / Community
Dec 05, 2023
Manager, Utilization Management
Centene Careers Oklahoma City, OK, USA
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Oklahoma Complete Health, a Centene company, is committed to providing quality healthcare solutions to transform the health of Oklahomans. At Oklahoma Complete Health, we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development. Join us and be a part of a collaborative, growing network of innovative thinkers delivering solutions at the local level. Position Purpose: Manages Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Manages utilization management issues related to member care, provider...