Register
Recruit Create CV

Wound Care Utilization Management Rn Jobs

Travel Rn - Wound Care
By Refined Medical Staffing At Pontiac, MI, United States

Refined Medical Staffing is seeking a travel nurse RN Wound Care for a travel nursing job in Pontiac, Michigan. Job Description & Requirements Specialty: Wound Care Discipline: RN Start ...

Rn Care Manager- Utilization Management
By The CGC Group At New York, NY, United States
Managed care experience or Case Management experience.
Provide utilization management as needed to ensure coordination of health care delivery.
Identify members at risk and refers for Care management and/or disease management as needed.
RN with an active, unrestricted nursing license (Concurrent Review, Medical Management, etc.)
Effectively able to screen and stratify members who are appropriate for care management services.
Ability to create and execute care management care plans and document per EH’s policies and procedures.
Care Manager / Rn - Care Management
By DCH Health System At Tuscaloosa, AL, United States
Demonstrated working knowledge of data management/reporting practices.
Serves as a resource to patients, physicians, Administration, and other disciplines regarding care management functions and expertise.
Participates in defining, maintaining and interpreting care management standards of practice
Requires use of electronic mail, time and attendance software, learning management software and intranet.
Knowledge of managed care, governmental payers, and third party reimbursement.
Provides counseling and support as needed. Identifies cases which would benefit from palliative care and elicits palliative consults as needed.
Rn Utilization Management Jobs
By Carewise Health, Inc At , Remote
A minimum of three years utilization management experience working with individuals with complex care needs experience preferred.
Organization and time management skills are essential.
Utilizes nursing experience and judgment in addition to the client specific guidelines when determining medical necessity and quality check dates.
A minimum of three years clinical nursing experience preferred.
Intermediate level skills in Microsoft applications (Excel, Word, Outlook, and Windows environment).
Excellent verbal and written communication skills.
Rn Coordinator Utilization Management (1.0 Fte)
By Network Health At , Menasha, 54952
Provides education regarding utilization management activities and processes to members, caregivers, providers, and their administrative staff.
Experience in insurance, managed care and utilization management preferred.
Participates in Utilization Management auditing (i.e. Utilization Management Inter-reviewer reliability and denial files).
Supports Utilization Management department programs and goals through active participation.
Identifies and screens candidates for Case Management intervention and determines appropriate level of care from Utilization Management criteria.
Performs other duties and responsibilities as assigned.
Rn Wound Care Jobs
By Northwest Medical Center - Bentonville At , Bentonville, 72712

Responsible for the delivery of patient care through the nursing process. Assists with the implementation of plan of care. Provides acute and rehabilitative care for people with select disorders of ...

Rn-Wound Care Jobs
By Ascension At , Nashville, 37236, Tn From $31.28 an hour
Licensure / Certification / Registration:
Implement and monitor patient care plans. Monitor, record and communicate patient condition as appropriate.
Serve as a primary coordinator of all disciplines for well-coordinated patient care.
Note and carry out physician and nursing orders.
Assess and coordinate patient's discharge planning needs with members of the healthcare team.
Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.
Rn Manager Care Management
By Clinical Management Consultants At New York, NY, United States
Excellent leadership and team management skills
Minimum of five (5) years of previous experience in social services and discharge planning within an acute care hospital setting
Strong technical knowledge of social work and discharge planning processes
Bachelor's Degree in a relevant field
Valid license and current registration issued by the New York State Board of Nursing
Wound Care Rn Jobs
By PruittHealth At Dillon, SC, United States
Minimum Licensure/Certification Required By Law
Chairperson of Skin Care Team. Oversees the skin and wound documentation in patient/resident’s medical record.
Collaborates with physician and/or nurses regarding recommendations for wound and skin care following the company’s formulary
Performs wound care and/or treatments following physician orders using aseptic or sterile technique following orders and policy.
Monitors pressure redistribution devices for proper working condition. Reports problems to DHS and/or Maintenance Department. Replaces any equipment not working properly.
Monitors staff and patients/residents for adherence to wound care program, use of pressure redistribution devices, and assists with monitoring incontinent care.
Wound Care Rn Jobs
By American Medical Staffing At Gainesville, GA, United States

American Medical Staffing RN Wound Care American Medical Staffing (AMS) is currently seeking a RN - Wound Care for agency contract positions in Gainesville, GA Details: RN-Wound Care Location: ...

Utilization Management Rn (Remote)
By Better Health Group At Orlando, FL, United States
Establishing Care Management accountabilities and holding those resources accountable
Use effective relationship management, coordination of services, resource management, education, patient advocacy, and related interventions to:
Two years of prior experience with Utilization Management.
Previous training and demonstrated competence in negotiations, Quality Assurance, and Case Management outcomes.
CCM certification is a plus.
Ability to successfully manage conflict, negotiating “win-win” solutions.
Rn - Wound Care Ft
By Havasu Regional Medical Center At Topock, AZ, United States
Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
Competitive Paid Time Off / Extended Illness Bank package for full-time employees
Employee Assistance Program – mental, physical, and financial wellness assistance
Tuition Reimbursement/Assistance for qualified applicants
Professional Development and Growth Opportunities
Wound Care Utilization Management Rn
By Elevance Health At ,
1 year of Utilization Management experience
Responsible for certification determinations and sending written authorizations to referring physician and home health care provider.
Facilitates timely discharges and transfers based on individual needs and care requirements.
Certifications relevant to wound care such as WOCN or CWS required
Job Family: Medical and Clinical
Date Posted: Jun 01, 2023