RN jobs in the Business & Strategic Management category

Utilization Management & Case Management RN- Hospital Detroit, MI Job Summary: The Utilization/ Case Management RN is responsible for utilization management, utilization review, or concurrent/retrospective review of the patient’s care. The UR Nurse ensures appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient stays and the u...
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Appeals & Grievance RN - Hospital Detroit, MI Job Summary: The Appeals and Grievance RN supports the organization by working to resolve payer payment disputes. The Appeals and Grievance RN performs advanced and complicated case review of the appropriateness of medical care requiring considerable clinical judgment, independent analysis, and detailed knowledge of managed care and organizational guid...
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Description The Director of Case Management shall direct, supervise and over-see all operations of Case Management. The Director of Case Management shall appraise Employees performance relative to his or her job duties, identify the behaviors that may be contributing to or inhibiting the success of the employee, and assess the extent to which the employee complies with policies and regulations. Pr...
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Location: Brunswick Health Center - Baribeau Drive (Brunswick, Maine) Requisition #: 2013-087 # of openings: 1 Description Position Summary: The Clinical Manager is responsible for managing care teams within MPHC’s delivery system according to the guiding principles established for our team based care model. The Clinical Manager will oversee clinical support staff to include Population Care Nurses...
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