RN Manager-Utilization Review

Details Department: Utilization Management Schedule: On-site, Monday-Friday, 8:00AM-4:30PM. Must be available as needed to address urgent or time-sensitive issues outside of regular business hours. This includes providing support for on-call situations, troubleshooting problems, and ensuring effective resolution to maintain smooth operations....

Pre-planning on a communities programming working with the Entitlement and Land Development Team. Review of Product Type Footprints and Utility Coordination during the civil design phase. Initiating Utility Designs with Gas, Electric, Water, and Sewer providers to understand what their specific requirements are and compare to what Burkentine prefers to do....

POSITION SUMMARY The Johns Hopkins Health Plans Medical Director is responsible for utilization management (UM) activities within JHHP’s four lines of business. The Medical Director renders medical necessity decisions on pre-service, concurrent, post-service, and appeals requests for the full range of healthcare services according to JHHP Medical Policy,...

POSITION SUMMARY The Johns Hopkins Health Plans Medical Director is responsible for utilization management (UM) activities within JHHP’s four lines of business. The Medical Director renders medical necessity decisions on pre-service, concurrent, post-service, and appeals requests for the full range of healthcare services according to JHHP Medical Policy,...

About the Role: As a Home Health RN Clinical Manager, you will be responsible for managing caseloads and productivity, ensuring compliance with regulatory standards, and participating in administrative on-call rotations and insurance authorizations. You will also promote a collaborative work environment, facilitate professional growth and team cohesion, and...

Amentum is looking for a highly skilled and experienced Senior Spectrum Manager to support the global mission requirements of the United States Navy in Fort Meade, MD.If you are a motivated, detail-oriented professional looking to take your spectrum management skills to the next level, we would like to have you on our team.Your knowledge of radio equipment...

Amentum is seeking a Senior Administrative and Management Support. The AA independently accomplishes general or routine office administrative tasks. The AA should have the expertise and qualifications to accomplish moderately complex administrative tasks with minimal guidance and assistance. Depending on the customer office, some tasks can be more dynamic...

Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by bringing together people like you -- passionate, highly skilled and motivated to make a difference. Why Genesis? We improve the...

We are hiring for an RN Case Manager in Hospice This is a PRN/Inconsistent position doing Home Visits for Hospice in the Hanover, PA area. Home Care experience required. At Memorial White Rose Hospice in York, PA, a part of LHC Group , we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole...

Job DescriptionWe are seeking an experienced RN Case Manager to join our team at Memorial White Rose Hospice in York, PA. This is a PRN position that requires home visits for hospice patients in the Hanover, PA area.The ideal candidate will have prior experience in Home Care and a strong understanding of end-of-life care principles.About the Role:Develop...

Benefits Nursing Student Loan Debt Repayment and Tuition Assistance Variable compensation plans Tuition, Travel, and Wireless Service Discounts Employee Assistance Program to support mental health Employee Foundation to assist financially with unforeseen hardships Diverse, Equitable and Inclusive (DEI) workplace with DEI committee. BR> Health, Dental,...

Summary: The Home Health RN Flex provides skilled, professional nursing care to patients in their homes, following physician orders and in compliance with Medicare Conditions of Participation, Pennsylvania licensure laws, and agency policies. Reporting to the Home Health Clinical Manager, the RN Flex plays a crucial role in the clinical team, primarily...

Home Health RN Flex - Full-time - Monday-FridayWe are seeking a skilled and compassionate Home Health RN Flex to deliver professional nursing care directly to patients in their homes. This role involves following physician orders and ensuring compliance with Medicare Conditions of Participation, Pennsylvania licensure laws, and our agency’s policies.As a...

Home Health RN Flex - Full-time - Monday-FridayWe are seeking a skilled and compassionate Home Health RN Flex to deliver professional nursing care directly to patients in their homes. This role involves following physician orders and ensuring compliance with Medicare Conditions of Participation, Pennsylvania licensure laws, and our agency’s policies.As a...

We are seeking an experienced RN Case Manager to join our team at Memorial White Rose Hospice in York, PA. This is a PRN/Inconsistent position that involves home visits for hospice patients in the Hanover area.About the Role:Assume full nursing responsibility for delivering high-quality care to hospice patients and their families.Evaluate personal and...

Job DescriptionWe are seeking a highly skilled Order Management Representative to join our team at L2 Brands. In this role, you will be responsible for managing and processing orders, ensuring timely delivery and resolution of any issues.Key Responsibilities:Manage and process orders, ensuring timely delivery and resolution of any issues.Collaborate with...

At Heartland Hospice, we are committed to delivering exceptional care and support to patients and their families. As an Executive Director - RN, you will play a vital role in ensuring the smooth day-to-day operations of our hospice locations.About the Role:Reporting directly to our Assistant Vice President of Operations, you will be responsible for...

Canteen, a leading food service company, seeks an experienced Retail Manager of Food & Vending to support the success of its assigned branches. This role involves providing exceptional customer service, ensuring efficient resource utilization, and implementing action plans to improve key performance indicators (KPIs).Key responsibilities include:Ensuring...

Every great team has one thing in common... an exceptional coach. At McDonald's restaurants, our head coach operates as the General Manager. Responsibilities: Overseeing profit and loss by following cash control, maintaining inventory, scheduling labor, reviewing financials and taking corrective action when needed Recruit, train and develop outstanding...

Healthcare Without Rival Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest commercial and municipal employers in the U.S. Premise partners with its clients to offer fully connected care - in-person and in the...