- UTMB Health (Galveston, TX)
- Utilization Review Case Mgr. -...nursing and current Texas Nursing licensure as a professional registered nurse . Minimum of three years of full ... and criteria guidelines. **MAJOR DUTIES / CRITICAL TASKS:** + Implements Utilization review procedures by prospectively, concurrently, and retrospectively… more
- Trinity Health (Columbus, OH)
- …**Description:** ** Utilization Review RN , Casual / PRN** Position Purpose: RN Utilization Review Case Mgr ensures that services are delivered ... Graduate of an accredited Registered /Professional Nursing program. * Licensure as a Registered Nurse ( RN ) in Ohio. * 3+ years of relevant clinical work… more
- Trinity Health (Mason City, IA)
- …its goals **Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case ... **What We Are Looking For** Education [formal]: + Licensed registered nurse in the state of Iowa....of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the… more
- Baptist Memorial (Memphis, TN)
- …referral program Job Summary: Position: 19738 - RN - Utilization Review Facility: BMHCC Corporate Office Department: HS Case Mgmt Administration Corporate ... Summary The Utilization Review Nurse is...against standard criteria per payer guidelines + Prioritizes observation case review + Assists with level of… more
- Cedars-Sinai (Los Angeles, CA)
- …named us one of America's Best Hospitals! **What You Will Do in This Role:** The Utilization Review Case Manager validates the patient's placement to be at ... Manager follows the UR process as defined in the Utilization Review Plan in accordance with the...continued employment. **Req ID** : 5329 **Working Title** : Registered Nurse - Utilization Management… more
- Fairview Health Services (St. Paul, MN)
- …role (grandfather status) + Current RN licensure in MN + 3-5 years utilization review or case management experience in hospital, clinic, insurance ... meets regulatory requirements. Participates in interdisciplinary communication related to utilization review issues. Educates on status. Provides all… more
- Prime Healthcare (Ontario, CA)
- …strategic leadership, development, and supervision to utilization review department, provides interprofessional collaboration with facility-based case ... A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management...with a large Health Plan + An active CA Registered Nurse license + Current BCLS (AHA)… more
- LifePoint Health (Warrenton, VA)
- …federal, state or local law./ **Job:** **Nursing Management* **Organization:** ** **Title:** * Registered Nurse ( RN ) Case Manager* **Location:** ... Sign On Bonus for experienced candidates (new hires)* The RN Case Manager monitors and manages patient...*Required*- Three years of nursing experience. *Preferred*- Experience in utilization review , case management, discharge… more
- Mohawk Valley Health System (Utica, NY)
- Registered Nurse - Case Management - Full Time - Days Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision of Case ... regulatory compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review / case management experience or social work… more
- ChenMed (Decatur, GA)
- …continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The incumbent ... related field preferred + Valid, active licensure as professional nurse ( RN , LPN or other nursing discipline)...nursing discipline) required + A minimum of 7 years' utilization review / case management experience, including… more
- University of Miami (Miami, FL)
- …System, Department of Utilization Management, has an exciting opportunity for an Utilization Review Case Manager to work remote. The incumbent conducts ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
- Ellis Medicine (Schenectady, NY)
- …for appropriate Level of Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician for additional ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for...Case Manager include, but are not limited to, utilization review , case management, care… more
- Marshfield Clinic (Marshfield, WI)
- …Required:** Three years' experience in a medical facility. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in a ... the most exciting missions in the world!** **Job Title:** RN Case Manager - Hospital (Remote In...to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse … more
- Marshfield Clinic (Weston, WI)
- …Required:** Three years' experience in a medical facility. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in a ... the most exciting missions in the world!** **Job Title:** RN Case Manager - Hospital **Cost Center:**...to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse … more
- Rady Children's Hospital San Diego (San Diego, CA)
- … utilization of computers PREFERRED QUALIFICATIONS: Four years of experience Utilization review , case management, discharge planning experience Bilingual ... JOB SUMMARY: Case Managers function as liaisons between patients, their...Degree in Nursing 3 years of experience Current California RN license One year of pediatric experience Competent in… more
- University of Utah Health (Salt Lake City, UT)
- …education in healthcare or a related field. + One year of experience in a utilization review or case management environment. + Basic Life Support Health ... coordination of care activities under the direction of a registered nurse and/or social worker. + The...discharge plans prepared and delegated by social work or nurse case management by coordinating with home… more
- Roper St. Francis (Mount Pleasant, SC)
- … or Case Manager, preferably within the last 5 years. Utilization Review and Case Management experience preferred. **Licensure/Certification:** Currently ... licensed as a Registered Nurse in the state of South...State and is not a permanent resident of SC. Utilization Review and Case Management… more
- Mount Sinai Health System (New York, NY)
- …+ 3-5 years of _applicable_ nursing utilization review , hospital case management, and charge nurse /supervisory experience. + Must have relevant clinical ... an acute care hospital setting. + Licensed as a registered nurse with current registration in New...interdisciplinary rounds on units as warranted. + Meets with Case Managers, as warranted, to review medically… more
- ChenMed (Detroit, MI)
- …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... people to join our team. * The Acute Care Nurse is responsible for achieving positive patient outcomes, managing...experience required. + A minimum of 1 year of utilization review and/or case management,… more
- RWJBarnabas Health (Livingston, NJ)
- Case Manager Registered Nurse ( RN ), Case ManagementReq #:0000166882 Category:Nursing Status:Full-Time Shift:Day Facility:Cooperman Barnabas Medical ... Short Hills Road, Livingston, NJ 07039 Job Summary: The Case Manager Registered Nurse develops...on other classifications of patients as designated by the Utilization / Case Management Review Plan. Coordinates… more