- Ascension Health (Nashville, TN)
- …to Ascension Saint Thomas hospitals throughout the TN market. We're looking for an experienced Director of Utilization Management to join our team! In this ... **Details** + **Department:** Utilization Management + **Schedule:** Monday -...all clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Tennessee Board… more
- CareFirst (Baltimore, MD)
- …location based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the ... utilization management team and is responsible for the design, assessment,...addition to the required work experience. **Licenses/Certifications:** + Health Services\ RN - Registered Nurse -… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... individual and Company performance. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/172723/corporate- director -of-clinical- utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- Ascension Health (Tulsa, OK)
- **Details** + **Department:** Utilization Management + **Schedule:** FT, Monday-Friday, 8am-5pm + **Hospital:** Ascension St. John Medical Center + **Location:** ... Provide strategic direction and oversight of the day-to-day operations of utilization management function within the insurance plan. Responsibilities: +… more
- Scottish Rite for Children (Dallas, TX)
- …giving children back their childhood! Job Posting Title: Director of Case Management and Utilization Management Location: Dallas - Hospital Additional ... Details: Monday - Friday 8:00am to 4:30pm Job Description: Duties/Responsibilities: + Utilization Management supporting medical necessity and denial prevention +… more
- HonorHealth (Mesa, AZ)
- …hospitals, health plans and vendors, as required. Works closely with the Medical Director , Utilization Management , Nursing, the Chief Medical Officer and ... Experience 2 years managing a Case Management Department Required Licenses and Certifications Registered RN Or Licensed Social Worker (LCSW, LMSW) Required more
- Hackensack Meridian Health (Belle Mead, NJ)
- …third party payers and communicate potential or identified concerns to the treatment team, Director of Utilization Management , and the Medical Director . ... and serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and...Degree **Licenses and Certifications Preferred:** + NJ State Professional Registered Nurse License or NJ Licensed Social… more
- Banner Health (Phoenix, AZ)
- …commitment to the latest health care advancements and excellent patient care. As the **Associate Director Registered Nurse RN Intraop , you will bring ... the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change...improvement initiatives of the department in conjunction with the director . Seeks and utilizes input from staff and oversees… more
- Banner Health (Tucson, AZ)
- …population as we stand tall and provide the highest of quality care. As the Registered Nurse Associate Director , you will bring your leadership experience ... Monday-Friday exempt position. If you are a New Graduate Nurse with less than 12 months of experience, please...the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change… more
- Banner Health (Sterling, CO)
- …or admiring unique public art. Sterling Regional MedCenter is looking for a full-time Registered Nurse Associate Director in Sterling, Colorado. In this ... the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change...improvement initiatives of the department in conjunction with the director . Seeks and utilizes input from staff and oversees… more
- Banner Health (Torrington, WY)
- …wealth of recreational opportunities. Torrington Community Hospital is looking for a full-time Registered Nurse Associate Director to oversee the Surgical ... the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change...improvement initiatives of the department in conjunction with the director . Seeks and utilizes input from staff and oversees… more
- Banner Health (Brush, CO)
- …and a roller-skating rink. East Morgan County Hospital is looking for a full-time RN Associate Director to oversee the inpatient departments in Brush, Colorado. ... the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change...improvement initiatives of the department in conjunction with the director . Seeks and utilizes input from staff and oversees… more
- HCA Healthcare (Houston, TX)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse RN PACU PRN you want with your current employer? We have ... of colleagues. Do you want to work as a(an) Registered Nurse RN PACU PRN...Summary and Qualifications** Under the direct supervision of the Director of Surgical Support Services, the RN … more
- HCA Healthcare (Richmond, VA)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Case Manager Registered Nurse RN position and spend more time at ... payers and maintains legible documentation as directed by the Utilization Management Plan + As a member...career! We are interviewing candidates for our Case Manager Registered Nurse RN opening. **Apply… more
- AdventHealth (Altamonte Springs, FL)
- …in direct Care Management State specific RN license if a nurse **Preferred qualifications:** Registered Nurse : BSN Social Worker: MSW Three (3) ... Supervisor is under the general leadership of the Care Management Manager or Facility Director and assists...of staff Resolves daily staffing issues **Minimum qualifications** : Registered Nurse : Associates Degree Nursing OR Social… more
- HCA Healthcare (Pasadena, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN PACU PRN you want in your current role? We invest in what ... Summary and Qualifications** Under the direct supervision of the Director of Surgical Support Services, the RN ...career path, we encourage you to apply for our Registered Nurse RN PACU PRN… more
- RWJBarnabas Health (Newark, NJ)
- Registered Nurse ( RN ) ...in advance for potential conflicts or issues. Patient Care Management : Monitors the quality of service and utilization ... Cardiac Cath Lab under the direction of the Department Director . The NM supervises technical staff, coordinates staffing levels...the American Heart Association (AHA) + Active New Jersey Registered Nurse License or Multistate Compact License… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical...Accountable for the execution, adaptation and outcome of care management as prescribed in the initial Utilization ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...Length of Stay (GLOS) for each patient. Reports to: Director of Case Management ESSENTIAL FUNCTIONS .… more
- Beth Israel Lahey Health (Charlestown, MA)
- …considered in lieu of degree + Active, unrestricted Massachusetts Registered Nurse License required. Certification in Case Management (CCM) preferred. NH ... to the BILHPN provider's risk populations. The Care Manager, RN provides care management services to the...behavior. Working with the healthcare team, the Care Manager, RN monitors appropriate utilization of healthcare resources,… more
- AdventHealth (Daytona Beach, FL)
- …documents avoidable days, and facilitates progression of care. + Collaborates with Utilization Management staff for collaboration on patient status changes and ... Diploma degree + State of Florida license as a Registered Nurse + Two (2) years of...+ Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience + ACM/CCM… more