- University of Maryland Medical System (Baltimore, MD)
- …treatment options. Implements strategies for case management care plans. Qualifications Licensure as a Registered Nurse ( RN ) in the state of Maryland, or ... within an assigned case load for care coordination, discharge planning, and utilization management services Facilitates early referral to high risk case management,… more
- University of Maryland Medical System (Baltimore, MD)
- …planning and case management. Qualifications Education and Experience Licensure Currently licensed as a Registered Nurse ( RN ) in the State of Maryland, or ... infectious diseases. Job Description Under general administrative direction of the Clinical Nurse Manager , the Assistant Nurse Manager is accountable for… more
- University of Maryland Medical System (Largo, MD)
- …improve the health status of Prince George's County residents. Job Description Assistant Nurse Manager - Emergency Department Full-time / Night-shift UM Capital ... Nursing Director- or other senior clinical leader, the Assistant Nurse Manager (ANM), is accountable for the...Licensure/Certification/Registration Required: Current license in good standing as a Registered Nurse in Maryland or a compact… more
- University of Maryland Medical System (Bel Air, MD)
- …Air, MD The Senator Bob Hooper House, Forest Hill, MD Job Description Manager of Case Management Full-time, Days, 8am-5:30pm JOB SUMMARY: Supervises team members on ... and collaboration with the Post-Acute Facilities and the Skilled Transition Nurse Navigator. Position requires 24-hour accountability for planning, organizing, and… more
- UNC Health Care (Hillsborough, NC)
- **Description** RN Utilization Manager is responsible for clinical reviews for medical necessity for both admission and continuing stay patients during the ... care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management… more
- ERP International (Corpus Christi, TX)
- **Overview** ERP International is seeking a ** Registered Nurse ( RN )** ** Utilization Manager ** for a full-time position in support of the **Naval ... requirements of this position, it must be directly related to referral/ utilization management. License:** Active, unrestricted RN license Board Certification:**… more
- UNC Health Care (Hendersonville, NC)
- …the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review ... met and care delivery is coordinated. The UM completes utilization reviews in accordance with federal regulations and the...Required * Must be licensed to practice as a Registered Nurse in the state of North… more
- UNC Health Care (Hendersonville, NC)
- **Description** Job Summary The Utilization Manager (UM) assesses new admissions, continued stay and discharge review cases for medical necessity, appropriate ... met and care delivery is coordinated. The UM completes utilization reviews in accordance with federal regulations and the...Required + Must be licensed to practice as a Registered Nurse in the state of North… more
- Humana (Madison, WI)
- …duties as assigned **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in IL, WI, MN, SD, ND, IA, NE, ... of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the coordination,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …policies and procedures. Minimum Qualifications: + Must have a valid, active unencumbered Registered Nurse license or temporary permit approved by the Georgia ... and leadership programs + And more **Description** We're seeking an **Assistant Manager , Utilization Review** , responsible for supervising and coordinating… more
- Trinity Health (Mason City, IA)
- …with other clinical disciplines. **What We Are Looking For** Education [formal]: + Licensed registered nurse in the state of Iowa. + Bachelor's Degree required. ... 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case...preferred Experience: + Five years of experience as a registered nurse involving community contact, knowledge of… more
- AmeriHealth Caritas (Dublin, OH)
- ** Utilization Management Plan Oversight Manager ** Location: Dublin, OH Primary Job Function: Medical Management ID**: 37872 Your career starts now. We are ... Current and unrestricted RN license in OH. + 3+ years of utilization /case management experience in relevant scope preferred, one year required. + 3+ years… more
- UCLA Health (Los Angeles, CA)
- …next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team ... a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,...(BSN) degree required + Five or more years of utilization management required + Four or more years of… more
- Sharp HealthCare (San Diego, CA)
- …California Registered Nurse ( RN ) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); ... Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
- McLaren Health Care (Detroit, MI)
- **Position Summary:** Responsible for providing assistance to the Utilization Manager (UM) RN in the coordination of patient admission and continued stay ... Functions and Responsibilities as Assigned:** 1. Collaborates with the UM RN to determine the appropriate hospital setting (inpatient vs. observation) based… more
- Hartford HealthCare (Torrington, CT)
- …moment*. **Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** * Utilization Review Social Work Care Manager (LCSW) - ... comfortable patient environment. *Job Summary* Under the Direction of the Inpatient Nurse Director & Social Work Supervisor, the Inpatient Psychiatric Utilization… more
- Trinity Health (Columbus, OH)
- …* Graduate of an accredited Registered /Professional Nursing program. * Licensure as a Registered Nurse ( RN ) in Ohio. * 3+ years of relevant clinical ... ** Utilization Review RN , Casual / PRN** Position Purpose: RN Utilization Review Case Mgr ensures that services are delivered in a manner that… more
- Trinity Health (Fresno, CA)
- …through the effective utilization of the facility's resources. 1. Current licensure as a Registered Nurse ( RN ) in the state of California is required. 2. ... the Manager Social Services*, Social Services, this position coordinates utilization review service for defined patient populations across the acute care… more
- Healthfirst (NY)
- …Negotiates rates with non-partner providers, where applicable. Ensures appropriate access and utilization of a full continuum of network and community resources to ... + Occasional overtime as necessary + Additional duties as assigned **Minimum Qualifications:** RN , LPN, LMSW, LMHC,LMFT, LCSW, PT, OT, and/or ST license For CASAC… more
- Trinity Health (Silver Spring, MD)
- …travel paid. **Minimum Licensure/Certification Required (if applicable):** + State of Maryland license as a Registered Nurse + RN with BSN or RN with ... **Employment Type:** Full time **Shift:** **Description:** The Manager -Care Management & Utilization Review, under the supervision and in collaboration with the… more
