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Director, Case/Medical Management – ANY CITY - OHIO ** Will cover Northwest market - Toledo area- can sit in Columbus, Cincinnati, Cleveland/Akron or Toledo/Maumee Innovative health plan is continuing to expand in Ohio. Director will be responsible for defining and directing a complete Case Management Program for a vulnerable population. · Direct the overall operational leadership of case management functions and staff · Perform and oversee needs analysis and planning · Work with executive....


Director, Utilization Management - PA Award –winning programs of care, advanced technology & analytics, GREAT leadership. RELOCATION offered – must have or be able to secure RN license in PA Lead the operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs, ensuing compliance government and contractual guidelines Oversee the operations of the referral management, telephonic utilization review, prior authorization, and

- Indianapolis, IN

Director, UM - Indianapolis, IN Amazing growth continues with this national firm - award winning programs of care and a chance to TRULY make a difference for the medically undeserved population in INDIANA. Benefits are excellent- career advancement opportunities are unlimited Director will join an already successful team and have oversight for referral management, telephonic utilization review, prior authorization functions, and case management programs and ensuring compliance government and....

- outside of Raleigh Durham, NC

TITLE: CATH LAB COORDINATOR LOCATION: NC Would you be interested in working in a small hospital where you could have a direct affect on patient care and be an important part of a team? Would you like to live or work in a smaller town outside of Raleigh Durham so you can be offered all the amenities of a small town and big city at the same time? Then this could be an opportunity for you. SUMMARY The Cath Lab Coordinator is responsible for providing quality care in the mobile and fixed cardiac....

- Chicago suburb, IL

Sr. Director, UM - Chicago Suburb Amazing growth continues with this national firm - award winning programs of care and a chance to TRULY make a difference for the medically undeserved population in Illinois. Benefits are excellent- career advancement opportunities are unlimited Director will join an already successful team and have oversight for referral management, telephonic utilization review, prior authorization functions, and case management programs and ensuring compliance government....


Director, Utlization - Medical Management - Harrisburg, PAUnique opportunity for an experienced leader to select and develop your own team. Generous relocation- excellent analytic tools and support. - Direct medical management program including UM, case management, QI and credentialing. - Develop department objectives and implement action plans to achieve objectives. - Evaluate and implement changes to medical service functions and performance. - Manage budget and forecast for strategic....


Acute Care Nurse Practitioner Thoracic Cardiovascular Surgery & Intermediate Care Unit opportunity is available at a leading university medical center located in beautiful central Virginia! Requirements:Education: Master's Degree in Nursing from an accredited School of Nursing.Experience: Prior experience as an NP or RN in a similar unit. Exceptional new NPs will be considered.License/Certification: Licensed (or eligible) to Practice as an RN and NP in Virginia. Licensed to prescribe....

- Watertown, NY

Great Opportunity - $100000-$110000K with up to $7500 sign on bonus - Integrated Healthcare SystemDirector of Nursing to lead a team of 15 healthcare professionals at this 272 Bed Skilled Nursing Facility located in Watertown, NY. Report directly to the CNO Long Term Care and the VP of Long Term Care.The facility provides a full range of skilled nursing care, rehabilitative therapies, social and recreational activities, a medical model adult day healthcare program and comprehensive....

- Onondaga County, NY

RN Case Manager Job Description Primary Functions: Our RN Case Managers will administer skilled nursing care to patients requiring professional nursing service per the physician’s orders and under the direction / supervision of the Director of Patient Services/Clinical Team Manager.The RN Case Manager will manage each patient’s care efficiently and effectively to achieve positive patient outcomes, and be responsible for the overall plan of care and the outcome of that care, including care....


With over 32 million members covered across 50 states, our client ensures delivery of the right test at the right time in the right place. Location: Glendale, CA Seeking a Board-Certified Oncologist and/or Hematologist to participate in pre-authorization and quality improvement solutions for our oncology and diagnostic imaging solutions. Physician Reviewers determine the medical necessity of outpatient requests using clinical appropriateness guidelines and health plan medical policy.....


With over 32 million members covered across 50 states, our client ensures delivery of the right test at the right time in the right place. Location: Glendale, CA Seeking a Board-Certified Oncologist and/or Hematologist to participate in pre-authorization and quality improvement solutions for our oncology and diagnostic imaging solutions. Physician Reviewers determine the medical necessity of outpatient requests using clinical appropriateness guidelines and health plan medical policy.....


These are Field positions - 60/40 (onsite- Home Office) The Registered Nurse will perform clinical and operational processes related to transition / coordination of care and utilization / case management of Post-Acute Care services including but not limited to long term acute care, skilled nursing and inpatient rehab facilities, home health care, care management, and utilization review. The Registered Nurse is responsible for the implementation, evaluation and coordination of the plan of care....


Are you looking to make a change that will offer better work/life balance? Do you love the idea of living in a region where you get all 4 seasons, without harsh winters? Do you love the idea of living in a region rich with culture? Are you into the outdoors? Love the beach? Would you like to work for an organization that takes great pride in having little to no employee turnover?It is NOT necessary you are a RN, but MUST BE Licensed, as Nursing Home Administrator in Commonwealth of Virginia is

- east of Columbus, OH

TITLE: Diabetic Education Consultant LOCATION: east of Columbus, Ohio Are you considering a career change? Looking for a smaller community(25K population), that offers a low cost of living(18% lower than US average) and plenty of activities in the area but is within an hour of a large city. If so, an opportunity to work with an integrated health care system based in east central Ohio is looking for someone to join their team. The system is a not-for-profit and has over 300 physicians and....

- Eastern, OH

TITLE: RN, Registered Nurse ER LOCATION: Eastern Ohio Are you looking for a new position where you can live and work in a community that was voted as one of Ohio's Best Hometowns. Would you be interested in working for a healthcare leader in the region? Would you like be in a position of high visibility in the facility where you make a difference? This facility is nestled in the foothills of the Appalachian Mountains and at the intersection of two Interstates that allows access to several....


TITLE: Charge Nurse RN(Registered Nurse) OB LOCATION: Chattanooga area, Tennessee Would you be interested in working for a healthcare leader in the region? Would you like to be in a position in a facility where you make a difference? The facility is centrally nestled between Nashville, Chattanooga, and Huntsville, AL. Its a few hours West of the Smokie Mountains and Northwest of Atlanta. So if you want to live in a rural community with low crime and enjoy the outdoors area that has mountains....

- Miles City, MT

TITLE: Director of Nursing LOCATION: MONTANA Would you like to live and work in an area where you can enjoy the outdoors and a low cost of living? The location is a picturesque town bordered by the beauty of the badlands, rolling hills, and the Yellowstone River. Are you interested in a career where you can have balance? Summary: The Hospital is seeking a an experienced Registered Nurse to provide Clinical Leadership to a 21 bed Critical Access Hospital. The Director of Nursing has overall....


TITLE: Director Behavioral Health Unit LOCATION: West of Casper, WY Would you be interested in living in an area with a historic downtown district with numerous art galleries, specialty shops and restaurants? How about a greenway that parallels the scenic Popo Agie River. It is the perfect place for people who love the outdoors as you can enjoy walking trails, rock climbing, mountain biking, fishing, horseback riding and camping. In the winter cross country skiing and snowmobiling are popular....

- Madison County, NY

RN Case Manager Job Description Primary Functions: Our RN Case Managers will administer skilled nursing care to patients requiring professional nursing service per the physician’s orders and under the direction / supervision of the Director of Patient Services/Clinical Team Manager.The RN Case Manager will manage each patient’s care efficiently and effectively to achieve positive patient outcomes, and be responsible for the overall plan of care and the outcome of that care, including care....

- Cortland, NY

RN Case Manager Job Description Primary Functions: Our RN Case Managers will administer skilled nursing care to patients requiring professional nursing service per the physician’s orders and under the direction / supervision of the Director of Patient Services/Clinical Team Manager.The RN Case Manager will manage each patient’s care efficiently and effectively to achieve positive patient outcomes, and be responsible for the overall plan of care and the outcome of that care, including care....

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