4 nurse case manager jobs found

About this Job: General Summary of Position Coordinates negotiates procures and manages care of our members/enrollees to facilitate cost effective care and members/enrollees satisfaction. Facilitates the continuum of care works collaboratively with interdisciplinary staff internal and external to the organization. Responsible for carrying a complex case management case load ownership of a case management program(s) pre- authorization reviews to provide Medically Necessary timely and quality health care services in the most cost-effective manner and pharmacy reviews per population served.We recruit retain and advance associates with diverse backgrounds skills and talents equitably at all levels. Primary Duties and Responsibilities   Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations. Actively develops and...

About this Job: *** Must have acute care Utilization Review experience to be considered for the position ***   General Summary of Position Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way. Primary Duties and Responsibilities   Conducts admission concurrent and retrospective case reviews to meet hospital objectives of high-quality patient care in the most efficient way Strives to meet the department goals adheres to organizational policies procedures and quality standards. Complies with rules and regulations set forth by the governmental and accrediting agencies. Collaborates with medical staff physician advisor social workers and other ancillary hospital disciplines to meet patients' health care needs in the most cost-effective...

About this Job: General Summary of Position Works with Surgeons Anesthesiology Nurses/Nurse Leaders Business Manager Scheduling Supervisor and other ancillary departments and staff to plan organize direct and control the daily activities involved in the effective and efficient management of the OR schedule while providing continuous and high-quality service for the perioperative patient. Ensures ORs have the necessary tools equipment and resources needed to successfully operate surgical procedures. Partner with Anesthesia Leader to accommodate emergency and stand-by cases. Responsible for Control Desk goals objectives policies and procedures staffing budgets fiscal management and quality improvement insuring compliance with all regulatory requirements. Primary Duties and Responsibilities Manages the day-to-day operations of running the OR schedule as well as the activities of the weekday Control Desk staff and evening night and weekend Supervisors. .Collaborates with the...

About this Job: General Summary of Position Works with Surgeons Anesthesiology Nurses/Nurse Leaders Business Manager Scheduling Supervisor and other ancillary departments and staff to plan organize direct and control the daily activities involved in the effective and efficient management of the OR schedule while providing continuous and high-quality service for the perioperative patient. Ensures ORs have the necessary tools equipment and resources needed to successfully operate surgical procedures. Partner with Anesthesia Leader to accommodate emergency and stand-by cases. Responsible for Control Desk goals objectives policies and procedures staffing budgets fiscal management and quality improvement insuring compliance with all regulatory requirements. Primary Duties and Responsibilities Manages the day-to-day operations of running the OR schedule as well as the activities of the weekday Control Desk staff and evening night and weekend Supervisors. .Collaborates with the...