Utilization Management Rn jobs - St Louis, MO

of case management, utilization review and management and discharge planning. ... experience. Prefer experience in Case Management, Quality Management, Utilization... more

These include, but are not limited to, utilization of skills in organization, ... Qualifications Candidates for the RN/ Registered Nurse should meet the following requireme... more

in Nursing * Managed Care experience * Case Management and/or Disease Management ... review, concurrent review and/or risk management * Strong organizational skills and... more

provides consultation regarding Utilization Management and Performance Improvement ... management, case manager, registered nurse, utilization review, performance... more

assesses patient care needs and monitors utilization of resources to ensure timely and ... for quality improvement monitors and risk management issues. This includes but is not... more

company, provides clients with experienced management and technologically advanced ... behavioral health, pharmacy, utilization management, provider contracting, claims... more

Licenses/Certifications: RN required ... case manager, case management, utilization review, utilization management, managed care, St. Tammy,... more

Licenses/Certifications: LVN or RN ... case management, utilization review, utilization management, managed care, baton rouge,... more

Licenses/Certifications: RN required ... case management, utilization review, utilization management, ob, obstetrics, ob/gyn... more

Licenses/Certifications: RN required ... case manager, case management, utilization review, utilization management, managed care, oak brook,... more

of three departments?Case Management, Utilization Management, and Social Work. ... provides consultation regarding Utilization Management and Performance Improvement... more

improvement, quality assurance, or utilization management preferred. Minimum five years clinical experience. SKILLS AND ABILITIES: Excellent communication skills to interact with... more

Represents all community hospital nursing, Utilization Review, and Therapy areas in process design. Coordinates multiple project installations throughout the community hospitals. more

management.- Implements and documents utilization management activities which ... Previous experience (usually 2 years) in utilization management.- Significant... more

improvement, quality assurance, or utilization management preferred. Minimum five years clinical experience. SKILLS AND ABILITIES: Excellent communication skills to interact with... more

through face to face physician interaction, utilization of physician and ... 2-5 years Licenses & Certifications RN Preferred Requirements Degree Master's... more

3. Adheres to dress code. C) Reports risk management concerns. D) Assumes ... 3. Decreases turnover time for better utilization. 4. Minimizes overtime,... more

3. Adheres to dress code. C) Reports risk management concerns. D) Assumes ... 3. Decreases turnover time for better utilization. 4. Minimizes overtime,... more

care.Identifies covered services, including utilization management, transfercoordination, ... preferred.- Demonstrated experience in utilization management, discharge planning,... more

RN or Psychologist At least 3 years of Case Management/Utilization Review experience in Behavioral Health Strong clinical background Location: Greater St. Louis, MO area Setting:... more

in providing quality health information management (HIM) and clinical documentation ... candidates optional but a large plus: Case Management / Utilization review experience... more

These include, but are not limited to, utilization of skills in organization, ... Candidates for the RN/ Registered Nurse should meet the following requirements: Qualificat... more

available. To assist in the cost effective utilization of nursing personnel to promote ... No Experience Licenses & Certifications RN Preferred Requirements Degree Bachelor's... more

of appropriate level of care and utilization of services, concurrent review, ... for working with patients, healthcare management companies, insurance companies or... more

nonpharmacological treatment in the direct management of acute and chronic illness and ... Practice: practice, ethics and resource utilization, Professional Development:... more

Develop and/or contributes to an effective outcomes management process ... in case management. Prior experience in a management or administrative position... more

Develop and/or contributes to an effective outcomes management process ... in case management. Prior experience in a management or administrative position... more

HealthCare Support is aggressively seeking a Director of Medical Management /Quaity to joi ... outcomes for Medicare member and assure utilization management best practices Oversee... more

oversight requirements preferred. Project management experience preferred. ... outcomes for Medicare member and assure utilization management best practices Oversee... more

processes across case management (CM), utilization management (UM), and discharge ... coordinate and standardize case management, utilization management and care coordination... more

Practice: practice, ethics and resource utilization, Professional Development: ... Nursing or Health related field preferred.3.Management experience preferred4. Minimum of... more

of the applicant selected. Experience as a RN will be evaluated to determine if the ... Practice: practice, ethics and resource utilization, Professional Development:... more

Minimum of five years experience as an RN is required. This person must possess work ... Experience in utilization/quality review, criteria application, provider education and man... more

Two (2) years of case management/utilization management Skills & Knowledge * Knowledge of ... Microsoft Office products * Leadership/management/motivational skills * Analytical... more

Case Manager, ED Department: Care Management Schedule: Full Time Shift: Days/Evenings Hour ... Work.Prefer previous experience in case management and/or utilization review in an... more

company, provides clients with experienced management and technologically advanced ... behavioral health, pharmacy, utilization management, provider contracting, claims... more

The Case Manager performs daily utilization review and conveys pertinent ... PA RN licensure 1 year hospital based case management / utilization review / discharge... more

in on-going communication between case management staff, utilization management ... regarding case management and utilization management functions. Maintain compliance... more

training faculty based on specific criteria Management of Administrative Activities ... requirements of the role Appropriate utilization of available resources. Medical... more

evaluating the overall effectiveness of case management. Demonstrates unit-defined ... Job : Case Management/Home Health Primary Location : MO-St... more

including utilization review. Knowledge of utilization review procedures, mental health ... License/Certificates: Unrestricted license as a LCSW, LMFT, PhD, PsyD or RN. more

utilization/efficiency, Pharmaceutical Utilization (EPO), ancillary management, and ... demonstrated management capabilities, or * RN with a business degree. EXPERIENCE AND... more

for various issues including over- or under-utilization, potential erroneously paid ... proprietary information. * Participates in Utilization Management meetings as an active... more

Utilization Manager (Cenpatico). Job Title: Utilization Manager (Cenpatico). Job Type: ... abuse health care settings including utilization review. Knowledge of utilization... more

3. Adheres to dress code. C) Reports risk management concerns. D) Assumes ... 3. Decreases turnover time for better utilization. 4. Minimizes overtime,... more

in providing quality health information management (HIM) and clinical documentation ... but a large plus: -Case Management / Utilization review experience -Clinical... more

preferred. Prior experience with project management and coordination also necessary. ... Ability to effectively present information to top management, public groups, and/or boards... more

for coordination of daily Utilization Management functions in accordance with ... Minimum 3 yrs Utilization Management experience in Managed Care. more

efficient patient scheduling and staff utilization. * Ensure all acute treatments ... building, motivating employees, performance management, and decision making. *... more

respective state?s laws regulating health management organizations and telephone ... Room, Emergency Department, Triage, Case Management, Utilization Review, Ft. more