RN Utilization Manager
2 weeks ago
At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system.We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste.JOB DESCRIPTION AND POSITION REQUIREMENTSScheduled Weekly Hours: 36Work Shift: 12-hour shifts. Every other weekend.Summary of the Job: The Utilization Manager is responsible to assist in the development, planning, coordination, and administration of the activities of Utilization Management. Job responsibilities include, but are not limited to the following: daily review of medical records to determine appropriateness and medical necessity of admission, continued stay, use of resources, and discharge readiness. Assumes responsibilities delegated by the Department Head.Minimum Qualifications: Graduate of accredited school of Nursing and maintains current R.N. licensure by the Louisiana State Board of Nursing. Five years of hospital nursing experience preferred. Experience in the field of Utilization Management activities highly preferred. Basic understanding of CPT-ICD-9 coding principles and DRG management preferred. Graduate of accredited school of Nursing and maintains current R.N. licensure by the Louisiana State Board of Nursing. Ability to demonstrate effective written and verbal communication skills and possess emotional and professional maturity. Highly organized and efficient in establishing priorities and performing tasks within specific timeframes. Self-motivator requiring minimal supervision. Views problems as a challenge and investigates alternatives which demand creativity, flexibility and the ability to work under stress. Responsible for maintaining strict confidentiality of all verbal & written information and documents. Knowledgeable in the Utilization Management review process.Physical Demands: Must possess good physical health. Some requirements include but are not limited to standing, sitting or walking for long periods of time. Lifting at least 10 pounds is required. Physical Effort required: Constant (67%-100%) - seeingFrequently (34%-66%) - handling/feeling, talking, hearingOccasionally (1%-33%) - lifting, carrying, pushing/pulling, stooping, crouching, reachingContact Information:Jennifer Saint, HR Talent PartnerTalent Acquisition - Human ResourcesEMPLOYMENTEach St. Tammany Health System staff member is expected to conduct himself or herself according to our mission, vision and values. Please take time to review those expectations, which can be found by clicking here, before applying for employment. If you feel you are unable to demonstrate those characteristics, we respectfully request that you do not proceed with the application process.EQUAL OPPORTUNITY EMPLOYERSt. Tammany Health System is an Equal Opportunity Employer. St. Tammany Health System is committed to equal employment opportunity for all employees and applicants without regard to race, color, religion, sex, age, national origin or ancestry, citizenship, sexual orientation, gender identity, veteran status, disability status, genetic information or any other protected characteristic under applicable law.
-
Vegetation Management Lead
2 weeks ago
Covington, Georgia, United States Burford's Tree, LLC Full timeAbout UsBurford's Tree, LLC is a leading provider of vegetation management services to the utility industry. Our team has over 30 years of experience delivering high-quality services across 15 states.Job DescriptionWe are seeking an experienced Vegetation Management Lead to join our team. As a key member of our operations team, you will be responsible for...
-
Inpatient Utilization Review Clinician
2 weeks ago
Covington, Kentucky, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services works with members, providers and multidisciplinary teams to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential.The Inpatient Utilization Review Clinician ensures that patients progress toward...
-
Senior Utility Foreman
2 weeks ago
Covington, Kentucky, United States Nelson Tree Service LLC Full timeJob SummaryWe are seeking a highly skilled Senior Utility Foreman to join our team at Nelson Tree Service LLC. This is a full-time position that requires a commercial Driver's License (CDL) and excellent leadership skills.About the RoleThe successful candidate will be responsible for ensuring the productivity of daily operations, working closely with...
-
Director, Care Management
4 weeks ago
Covington, United States Piedmont Newton Hospital Full timeDescription:Do not pass up this chance, apply quickly if your experience and skills match what is in the following description.JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with...
-
Director, Care Management
3 months ago
Covington, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
-
Director, Care Management
3 months ago
Covington, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
-
Director, Care Management
3 months ago
Covington, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
-
Director, Care Management
2 months ago
Covington, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
-
Director, Care Management
2 months ago
Covington, United States Piedmont Newton Hospital Full timeDescription:JOB PURPOSE:The Director Care Management is responsible for leading the hospitals Care Managementdepartment, defining and maintaining standards of practice for service delivery and organizationalperformance strategies consistent with PHCs Mission, Vision and Values, as well as those of theindividual hospital.KEY RESPONSIBILITIES:1. Provides...
-
Care Management Leadership Role
2 weeks ago
Covington, United States Piedmont Newton Hospital Full timePiedmont Newton Hospital seeks an experienced Care Manager to lead our Care Management department.The ideal candidate will have a strong background in case management, with a minimum of 7 years of experience in an acute care setting and 3 years of management experience. A Bachelor's degree in nursing, social work, healthcare administration or related field...
-
Covington, United States Piedmont Newton Hospital Full timeJob OverviewPiedmont Newton Hospital is seeking a skilled and experienced Director of Care Management to lead our care management department. This individual will be responsible for defining and maintaining standards of practice for service delivery and organizational performance strategies consistent with the hospital's mission, vision, and values.Key...
-
Senior Healthcare Operations Manager
3 weeks ago
Covington, Louisiana, United States St. Tammany Health System Full timeAbout the RoleWe are seeking a highly experienced Senior Healthcare Operations Manager to lead our clinical, quality, financial, and personnel operations at St. Tammany Health System's Surgery Center Preoperative, PACU, and Extended Recovery Units.Key ResponsibilitiesDirecting the effective delivery of competent, compassionate, and efficient care for patient...
-
Registered Nurse
2 months ago
Covington, United States Piedmont Rockdale Hospital Full timeRN Required RESPONSIBLE FOR: Administrative and operational responsibility for assigned departments, including management of cost and finance, human resources, operations, quality of care and clinical outcomes, patient/physician and staff satisfaction, change management and any other relevant responsibilities related to this position. Serves as part of the...
-
Sales Account Manager
2 months ago
Covington, United States Data Intensity Full timeThe Sales Account Manager position at Data Intensity will be responsible for managing and growing an existing account portfolio. Together With: Proactively manage the growth, execution, and delivery of high-end sales and services to an assigned base of accounts. Cultivate and develop a pipeline for net new customers by utilizing prospecting methods...
-
Covington, United States HealthEcareers - Client Full timeSeeking an experienced Registered Nurse (RN) to fill a 13-week case management assignment in Covington, Washington. The successful candidate will work 35 hours per week, 12 hours a day, with opportunities for growth and development.Key Details:Specialty: Case ManagementDiscipline: RNDuration: 13 weeksHours: 35 hours per weekShift: 12 hours, daysIDR...
-
RN Emergency Dept
3 days ago
Covington, United States MultiCare Health System, Inc. Full timeYou Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health...
-
RN Clinical Services Manager
1 month ago
Covington, United States Tennessee Quality Care – an Addus family company Full timeTennessee Quality Care is looking for a Full-Time RN Clinical Services Manager to join our fast-growing Home Health Division in Covington, TN area!Immediate openings, generous time off package, mileage reimbursement, 401k match, plus more!Tennessee Quality Care provides personalized medical care to help people live their best lives. We take care of patients...
-
RN Clinical Services Manager
3 days ago
Covington, United States Tennessee Quality Care – an Addus family company Full timeTennessee Quality Care is looking for a Full-Time RN Clinical Services Manager to join our fast-growing Home Health Division in Covington, TN area!Generous time off package, mileage reimbursement, 401k match, plus more!Tennessee Quality Care provides personalized medical care to help people live their best lives. We take care of patients recovering from...
-
Unit Manager
1 month ago
Covington, United States American Health Partners Full timeAbout American Health Communities (AHC)American Health Communities, a division of Franklin, Tennessee-based American Health Partners Inc. operates 29 senior living, skilled nursing and rehabilitation centers in Tennessee and Alabama. AHC specializes in caring for seniors by providing a full range of short-term and long-term healthcare in a home-like...
-
RN Emergency Dept
2 months ago
Covington, United States Covington Medical Center Full timeYou Belong Here.At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health...
