Utilization Management Nurse Consultant

Position Overview:As a Clinical Utilization Management Nurse Advisor, your role will involve leveraging your clinical expertise to effectively coordinate, document, and communicate all facets of the utilization and benefit management program.Key Responsibilities:- Ensure that members receive appropriate healthcare services.- Utilize clinical judgment to...

Department/Unit: Care Management/Social Work Work Shift: Day Responsibilities: Conduct utilization management and quality screening for assigned patients Apply criteria to monitor appropriateness of admissions and continued stays Identify areas for clinical documentation improvement and facilitate necessary action Monitor length of stay and ancillary...

Job Summary:Clinical Management Consultants is seeking a seasoned ICU Nurse Manager to lead our team of dedicated healthcare professionals. As a key member of our organization, you will be responsible for overseeing daily operations, ensuring optimal staffing, and promoting high standards of patient care.Key Responsibilities:Lead a team of nurses and support...

Position OverviewLMI is in search of an experienced Supply Chain Management Consultant to support the Marine Corps Logistics Command. Our ideal candidate will exhibit proficiency in USMC Intermediate Supply, utilizing systems such as Global Combat Support System - Marine Corps (GCSS-MC) and Navy Enterprise Resource Planning (Navy-ERP). A solid understanding...

Job OverviewTenderheart Health Outcomes stands as the premier provider of Incontinence Management Services across the nation. Our mission is to deliver high-quality products and services that empower individuals to manage their incontinence effectively at home, while simultaneously generating healthcare savings within various managed care sectors.Through our...

Travel Nurse RN - Case Management (Utilization Review) OpportunityJob Summary:Medical Solutions is seeking a skilled Registered Nurse (RN) to fill a travel job opportunity in Case Management (Utilization Review) in Albany, GA. As a travel nurse with Medical Solutions, you will have the freedom to choose from a variety of assignments nationwide and enjoy...

Position Overview:As a Clinical Utilization Review Nurse, you will play a vital role in the management of patient care by overseeing Utilization Management, Quality Screening, and Delay Management for designated patients.Key Responsibilities:Conduct Utilization Management and Quality Screening for assigned patients.Utilize MCG criteria to assess the...

Job OverviewTenderheart Health Outcomes is proud to have been recognized with the Circle of Excellence award from NBRI for our dedication to quality improvement, reflected in our impressive Net Promoter Score. We are also honored to have been named one of the Top Places to Work in Austin by the Austin American Statesman.We are currently in search of a Senior...

43 New Scotland Avenue Albany, NY 12208Department/Unit:Care Management/Social WorkWork Shift:Day (United States of America)Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients.Salary Range: $31.28 - $51.61 per hour• Completes Utilization Management and Quality Screening for assigned patients.• Applies MCG...

43 New Scotland Avenue Albany, NY 12208Department/Unit:Care Management/Social WorkWork Shift:Day (United States of America)Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients.Salary Range: $31.28 - $51.61 per hour• Completes Utilization Management and Quality Screening for assigned patients.• Applies MCG...

43 New Scotland Avenue Albany, NY 12208Department/Unit:Care Management/Social WorkWork Shift:Day (United States of America)Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients.Salary Range: $31.28 - $51.61 per hour• Completes Utilization Management and Quality Screening for assigned patients.• Applies MCG...

Job OverviewPrecision Hire Solution is dedicated to fostering a culture that supports both personal and professional development. Our team is at the forefront of transforming the real estate landscape by integrating top-tier services, advisory expertise, and innovative technology for our clients.We are on the lookout for a seasoned Finance Manager with a...

Job OverviewPrecision Hire Solution is dedicated to fostering both personal and professional growth. Our team is at the forefront of transforming the real estate landscape by integrating top-tier services, consultancy, and innovative technology for our clients.We prioritize attracting the most skilled professionals in the industry and support their...

Cloudious LLC is one of the fastest emerging IT Solutions and Services company headquartered in San Jose, CA with their global offices in Canada, EMEA & APAC.We are currently hiring a seasoned Adobe Workfront Consultant who comes with a strong consulting mindset.Adobe Workfront Consultant Albany, NY/Phoenix, AZ12+ Months ContractResponsibilities &...

Cloudious LLC is one of the fastest emerging IT Solutions and Services company headquartered in San Jose, CA with their global offices in Canada, EMEA & APAC.We are currently hiring a seasoned Adobe Workfront Consultant who comes with a strong consulting mindset.Adobe Workfront Consultant Albany, NY/Phoenix, AZ12+ Months ContractResponsibilities &...

Position Title: Environmental ScientistLocation: Albany, NY (Hybrid)Contract Duration: 12 MonthsProject Summary:The Environmental Scientist is responsible for applying environmental principles to evaluate and ensure adherence to environmental regulations in Canal operations and construction initiatives. This role requires a comprehensive understanding of...

Job OverviewCHANGE MANAGEMENT CONSULTANTJoin RJM Technologies, Inc., a leader in innovative solutions for organizational transformation. We are seeking a Change Management Consultant to support our strategic initiatives aimed at enhancing service delivery and operational efficiency within the public sector.Key Responsibilities:Change Management Strategy:...

Position: Lead Consultant for Organizational Change ManagementCompany: InvestM Technology LLCLocation: Albany, NY (On-site, with some remote flexibility after initial period)Contract Duration: Long-term engagement, 30 monthsVisa Requirements: US Citizens & Green Card HoldersKey Responsibilities:The Lead Consultant for Organizational Change Management will be...

About the RoleAdministrative Controls Management, Inc. (ACM) is a leading project and program management consultant firm, specializing in cost management and control services.We are seeking highly skilled professionals with 1-3+ years of experience in cost reporting, budgeting, forecasting, and planning to support a major utility company.Candidates with a...

Job SummaryCynet Health is seeking a skilled Travel Nurse Case Manager to join our team. As a Travel Nurse Case Manager, you will be responsible for providing high-quality patient care and case management services to patients in a variety of settings.Key ResponsibilitiesAdmission and Discharge Planning: Perform admission, concurrent, and retrospective...