Milliman Utilization Review Jobs in Usa
9,346 positions found — Page 20
POSITION SUMMARY/RESPONSIBILITIES
The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.
EDUCATION/EXPERIENCE
Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.
LICENSURE/ CERTIFICATIONS
Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.
POSITION SUMMARY/RESPONSIBILITIES
The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.
EDUCATION/EXPERIENCE
Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.
LICENSURE/ CERTIFICATIONS
Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.
POSITION SUMMARY/RESPONSIBILITIES
The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.
EDUCATION/EXPERIENCE
Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.
LICENSURE/ CERTIFICATIONS
Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.
POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care.
He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.
EDUCATION/EXPERIENCE Bachelor's degree in Nursing is highly preferred.
Three to five years nursing experience required.
Work experience in case management, utilization review or hospital quality is preferred.
LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required.
An approved case management certification (ACM, CCM or ANCC) is preferred.
Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.
POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care.
He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.
EDUCATION/EXPERIENCE Bachelor's degree in Nursing is highly preferred.
Three to five years nursing experience required.
Work experience in case management, utilization review or hospital quality is preferred.
LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required.
An approved case management certification (ACM, CCM or ANCC) is preferred.
Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.
POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care.
He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.
EDUCATION/EXPERIENCE Bachelor's degree in Nursing is highly preferred.
Three to five years nursing experience required.
Work experience in case management, utilization review or hospital quality is preferred.
LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required.
An approved case management certification (ACM, CCM or ANCC) is preferred.
Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.
POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care.
He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.
EDUCATION/EXPERIENCE Bachelor's degree in Nursing is highly preferred.
Three to five years nursing experience required.
Work experience in case management, utilization review or hospital quality is preferred.
LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required.
An approved case management certification (ACM, CCM or ANCC) is preferred.
Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.
POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care.
He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.
EDUCATION/EXPERIENCE Bachelor's degree in Nursing is highly preferred.
Three to five years nursing experience required.
Work experience in case management, utilization review or hospital quality is preferred.
LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required.
An approved case management certification (ACM, CCM or ANCC) is preferred.
Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.
POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care.
He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.
EDUCATION/EXPERIENCE Bachelor's degree in Nursing is highly preferred.
Three to five years nursing experience required.
Work experience in case management, utilization review or hospital quality is preferred.
LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required.
An approved case management certification (ACM, CCM or ANCC) is preferred.
Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.
The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.
EDUCATION/EXPERIENCE
Bachelor’s degree in Nursing is highly preferred. Three to five years nursing experience required (as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred.
LICENSURE/ CERTIFICATIONS
Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred and must be achieved within two years of placement. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.
