- CHRISTUS Health (Wake Village, TX)
- Description Summary: The Registered Nurse Clinical Care Coordinator is responsible for evaluating, coordinating, processing, screening, and documentation of ... patient entry into the CHRISTUS Health System. The Registered Nurse Clinical Care Coordinator...Utilization Management is required. Licenses, Registrations, or Certifications RN License in the state of employment required. BLS… more
- Hartford HealthCare (Torrington, CT)
- … Review Social Worker will work collaboratively with the IP Psychiatry Patient Care Team to assure Utilization Review activities on a 17 bed ... *your moment*. **Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** * Utilization Review Social Work Care Manager… more
- Sharp HealthCare (San Diego, CA)
- …case management, utilization review , care coordination experience + California Registered Nurse ( RN ) - CA Board of Registered Nursing ... Degree in Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered … more
- Sharp HealthCare (San Diego, CA)
- …Degree in Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... Diem RN (Adv CN)-Unit A4 position supports utilization review functions to ensure appropriate patient...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
- Sharp HealthCare (San Diego, CA)
- …1 **Shift Start Time** **Shift End Time** Bachelor's Degree; Associate's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered ... compliance with all local, state and federal regulations governing utilization review activities and/or care ...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
- Actalent (San Bernardino, CA)
- …As a part of the Utilization Management team the Utilization Review RN is a member of the Care Coordination team. The goal of care coordination ... stay and post-acute facility stay. The Utilization Review RN Coordinates continuing care /outside...working with health plan auditors preferred. - Current CA Registered Nurse ( RN ) license. -… more
- CVS Health (Austin, TX)
- …setting **Preferred Qualifications** + Experience working with the Medicare population + Utilization review experience + Managed Care experience ... care more personal, convenient and affordable. **Position Summary** Utilization management is a 24/7 operation. Work schedules will...time zone + 3+ years of experience as a Registered Nurse + 1+ years of clinical… more
- CVS Health (Columbus, OH)
- …**ed Qualifications** + **Critical care experience ie ICU, CCU, NICU, ER** + Utilization review experience + Managed Care experience + Experience working ... Holiday, Weekend, and late rotations. **Required Qualifications** + Active current and unrestricted Registered Nurse in the state of residence + Willing and able… more
- Magellan Health Services (Boise, ID)
- …Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN . Minimum 2 years experience post degree in healthcare,...quality of care . General Job Information Title Care Manager (SUD utilization review … more
- Corewell Health (Royal Oak, MI)
- …to five years' experience in care management, utilization review , home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - ... of all hospitalized patients. 1. Identifies patients that need care management services (ie utilization review...an accredited school of nursing. + Will consider non-BSN RN if actively pursuing a bachelor's degree in nursing… more
- Community Health Network (Indianapolis, IN)
- Utilization Review Registered Nurse ( RN ) Job...utilization of health care services. The Utilization Review Registered Nurse ... couldn't do it without you. **Make a Difference** The Utilization Review Registered Nurse...Bachelor's Degree: In Nursing (Preferred) + Licensed as a Registered Nurse ( RN ) with a… more
- CVS Health (Tallahassee, FL)
- …Must reside in Florida + Licensed Independent Behavioral Health clinician or an unrestricted Registered Nurse ( RN ) license in FL with psychiatric specialty ... + Outpatient behavioral health experience highly preferred + Managed care / utilization review experience + Experience...Behavioral Health Clinical License OR Minimum of a Diploma RN or Associate's degree in Nursing **Pay Range** The… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …**Remote Position** We're seeing an **Assistant Manager, Utilization Review ( Registered Nurse / RN )** responsible for supervising and coordinating ... Review Department. + Assist with representing the Utilization Review Department by participating in interdisciplinary care rounds, complex care … more
- UPMC (Hanover, PA)
- …required with 4-6 weeks of hire. UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) + Act 34 *Current licensure either in the ... a Professional Care Manager to support the Utilization Review process! This is a full...and holiday schedule.** This is a nonpatient-facing position. This Registered Nurse is responsible for completing medical… more
- New York State Civil Service (Buffalo, NY)
- …Bachelor's degree in a human services field and 3 years of utilization review experience in a health care facility regulated by Centers for Medicare and ... NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Buffalo Psychiatric Center, P25397 Occupational Category Health … more
- Sutter Health (Roseville, CA)
- …school of nursing + Bachelor's in Nursing preferred. **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** + ... experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN...managed care environment. + Comprehensive knowledge of Utilization Review , levels of care ,… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** **Description:** The Interim Manager of Care Management & Utilization Review , under the supervision and in ... Managers. Manages the activities of hospital staff in inpatient care coordination and utilization review ....(if applicable):** + State of Maryland license as a Registered Nurse + RN with… more
- Trinity Health (Syracuse, NY)
- …$10,000 NEW HIRE SIGN ON BONUS **Position Purpose:** The Registered Nurse Utilization Review (UR), Clinical Care Manger (CCM) actively manages the ... utilization review process and patient progression from Admission to Discharge....and Physician Advisors to determine appropriate patient status/level of care and ensure timely transition of care … more
- Pipeline Health System, LLC (Gardena, CA)
- Case Manager Registered Nurse RN -...a wide variety of tasks and functions. These include utilization review , discharge planning, care ... with the multidisciplinary team to ensure coordination of patient care and wise utilization of resources. +...+ Minimum of 2-3 years in Case Management Acute Care setting Licensure/Certifications: + Current RN licensed… more
- Pipeline Health System, LLC (Huntington Park, CA)
- RN Case Manager - Registered Nurse Per Diem 8-Hour Day Shift The RN Case Manager (CM) performs a wide variety of tasks and functions. These include ... utilization review , discharge planning, care ...record and in the required information system. + The RN CM reports to the Director/Manager of the department.… more
