- Sourcing Square US (Philadelphia, PA)
- …*Must be a graduate of an approved school of nursing with a license as a Registered Nurse or equivalent professional license (ie Physical Therapist) *BS or a BA ... management of reimbursement priorities in nursing centers to assure proper utilization of services to maximize revenues.*Advise and assist the Clinical… more
- US Tech Solutions, Inc. (Columbia, SC)
- …PREFERRED/NICE TO HAVE skill sets/qualities: I would love to have someone with prior insurance/ utilization review experience, but I know that is not very common. ... a typical day would like in this role: The nurse would work remotely from their home ...any of the following in support of medical claims review and utilization review practices:… more
- Northwell Health (Huntington, NY)
- …in case management and clinical pathways, variance analysis and trending, quality management/ utilization review and home care/discharge planning, preferred. ... utilization management using Interqual criteria. + Conducts chart review for appropriateness of admission and continued length of...Nursing, required. + Current license to practice as a Registered Professional Nurse in New York State.… more
- Ascension Health (Manhattan, KS)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- Alameda Health System (San Leandro, CA)
- …**Additional Information** Note: Must have Case Management, Utilization Review , Home Health or Public Health Registered Nurse experience. Schedule: ... preferred. Minimum Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical experience or… more
- HCA Healthcare (Richmond, VA)
- …every year, nurses at Chippenham Hospital have the opportunity to make a real impact. As a Registered Nurse RN Case Manager you can be a part of change. ... benefits may vary by location._ We are seeking a Registered Nurse RN Case Manager...a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW Medical Center… more
- HCA Healthcare (Houston, TX)
- …growth, we encourage you to apply for our Registered Nurse RN PACU PRN opening. We review all applications. Qualified candidates will be contacted ... Do you have the PRN career opportunities as a(an) Registered Nurse RN PACU PRN...protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care… more
- HCA Healthcare (Richmond, VA)
- …your career path, we encourage you to apply for our Case Manager Registered Nurse RN opening. We review all applications. Qualified candidates will be ... you have the career opportunities as a(an) Case Manager Registered Nurse RN you want...Required Five + years of recent clinical experience as RN years demonstrated leadership experience + Commercial Utilization… more
- HCA Healthcare (Pasadena, TX)
- …career path, we encourage you to apply for our Registered Nurse RN PACU PRN opening. We review all applications. Qualified candidates will be contacted ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN PACU PRN...what matters most to nurses like you - at home , at work, and at every stage in your… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... registered nurse holds a current temporary practice permit.... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully… more
- RWJBarnabas Health (Livingston, NJ)
- Case Manager Registered Nurse ( RN ), Case ManagementReq #:0000166882 Category:Nursing Status:Full-Time Shift:Day Facility:Cooperman Barnabas Medical Center ... Road, Livingston, NJ 07039 Job Summary: The Case Manager Registered Nurse develops safe discharge plans in...setting + Minimum of one year experience in Case Management/ Utilization Management or Home Care + Successful… more
- Banner Health (Fallon, NV)
- …the completion of a bachelor's degree in case management or health care. Requires current Registered Nurse ( RN ) license in state worked. For assignments in ... great dinner, and entertainment. Banner Churchill Community Hospital is looking for part-time Registered Nurse Case Manager to work in Fallon, Nevada. This… more
- AdventHealth (Celebration, FL)
- …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... and results at the right time. **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians… more
- AdventHealth (Altamonte Springs, FL)
- …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... EAST ALTAMONTE DRIVE, Altamonte Springs, 32701 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses,… more
- Banner Health (Tucson, AZ)
- …to make a difference in people's lives. Our Care Coordination staff is seeking a ** Registered Nurse RN Case Manager** to work closely with patients, their ... MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the...degree in case management or health care. Requires current Registered Nurse ( RN ) license in… more
- UNC Health Care (Hendersonville, NC)
- …care and cost effectiveness through the integrating and functions of care management, utilization review and discharge planning. The Care Manager must be highly ... based on approved criteria and standards per the Hospital Utilization Review Plan. Directs delivery of notifications...Required * Must be licensed to practice as a Registered Nurse in the state of North… more
- LA Care Health Plan (Los Angeles, CA)
- …such as ambulatory care, home care, or case management. OR experience in Utilization Review or Care Management will be considered in lieu of direct patient ... and/or disabilities in a case/care management environment. Preferred: Experience in utilization review , skilled nursing, home health, discharge… more
- Ventura County (Ventura, CA)
- …Diem Unit MOA (Sec. 809). APPROXIMATE SALARY: Per Diem Nurse Extern: $29.54 per hour Registered Nurse I ( RN I): $41.60 - $43.72 per hour Registered ... II): $48.60 - $58.11 per hour Per Diem Registered Nurse I (PD RN ...as indicated and required; + May participate in quality assurance/ utilization review or other non-direct patient care… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …**Summary of Primary Function/General Purpose of Position** In the capacity of a Registered Nurse , the Ambulatory Care Manager will provide clinical care ... Bachelor's Degree Specialty/Major Nursing (BSN) **Licensing/ Certification** Licensure/Certification Required Registered Nurse with active License in State of… more
- Fresenius Medical Center (Reno, NV)
- …Sign On Bonus Available Outpatient Dialysis Clinical Manager - position requires licensed Registered Nurse with minimum 6 months of experience working in an ... Services departments. + Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's ...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
