• SRS-Inpatient Case Manager II…

    Sharp HealthCare (San Diego, CA)
    …experience or case management experience + 3 Years recent case management , utilization review, care coordination experience + California Registered ... Master's Degree in Nursing; Bachelor's Degree in Nursing; Certified Case Manager (CCM) - Commission for ...competency and individual development planning process.Maintain current knowledge of case management , utilization management more
    Sharp HealthCare (10/30/24)
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  • Case Manager RN - Utilization

    Prime Healthcare (National City, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/180750/ case - manager -rn utilization - management ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
    Prime Healthcare (11/19/24)
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  • Case Manager (RN)…

    Prime Healthcare (Montclair, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/181372/ case - manager -%28rn%29 utilization - management ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
    Prime Healthcare (11/08/24)
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  • Interim Manager - Case

    Trinity Health (Silver Spring, MD)
    …/supervision/leadership experience in an acute healthcare setting required, preferably with case management , utilization review or closely related ... **Shift:** **Description:** The Interim Manager of Care Management & Utilization Review, under the supervision...RN with BSN or RN with > 10 years case management experience. Masters Degree preferred. **Minimum… more
    Trinity Health (10/10/24)
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  • RN Acute Case Manager - Case

    Guthrie (Cortland, NY)
    …discharge, based on assessed needs and available resources. The Acute Case Manager also performs Utilization Management throughout the continuum of care ... Position Summary: This is an integrated Case Management and Utilization ...and Utilization Review position. The Acute Care Case Manager utilizes industry accepted processes for… more
    Guthrie (11/13/24)
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  • RN Case Manager

    Actalent (Los Angeles, CA)
    …, Hiring Now!! Job Description Kaiser Permanente is seeking an RN Case Manager to provide utilization management of patients at the East Hollywood ... Great opportunity to gain experience with Kaiser! Requirements + Utilization management experience + Valid CA RN...At least a year of RN Case Management experience Essential Skills + Provide utilization more
    Actalent (11/22/24)
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  • Behavioral Health Utilization

    Healthfirst (NY)
    **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which includes: + Pre-certification performing ... in a related discipline + Experience in managed care, case management , identifying alternative care options, and...identifying alternative care options, and discharge planning + Certified Case Manager + Milliman knowledge + Knowledge… more
    Healthfirst (11/24/24)
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  • RN Case Manager , Inpatient…

    Children's Hospital Boston (Boston, MA)
    …as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, Temporary, Per Diem:Per Diem Remote ... 74825BRJob Posting Title:RN Case Manager , Inpatient & Ambulatory (Per...length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services. + Actively… more
    Children's Hospital Boston (10/17/24)
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  • RN Utilization Manager - Rex…

    UNC Health Care (Raleigh, NC)
    …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
    UNC Health Care (11/07/24)
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  • Appeals Manager , Department…

    BronxCare Health System (Bronx, NY)
    …and implementation of educational programs for Denial Prevention and Management . Responsibilities - Establish and maintain positive relationships with patients, ... includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality… more
    BronxCare Health System (09/18/24)
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  • PRN Clin Resource Coordinator at HUP

    Penn Medicine (Philadelphia, PA)
    …critical thinking skills and being a strong patient advocate.The case manager conducts utilization management activities, communication with insurers, ... fearful you will miss patient contact?If so, our nurse case manager role at Penn Medicine is...community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management more
    Penn Medicine (11/06/24)
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  • UMII Transfer and Admission - Utilization

    Sharp HealthCare (San Diego, CA)
    …+ Experience and understanding of federal and state regulations governing utilization management . + Accredited Case Manager (ACM) - American Case ... CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management... Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized… more
    Sharp HealthCare (09/06/24)
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  • Per Diem RN - Utilization Management

    Sharp HealthCare (San Diego, CA)
    …(MCG) + Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager (ACM) - American Case ... CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management...in Healthcare or a related field + 3 Years Utilization Management or case more
    Sharp HealthCare (11/02/24)
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  • RN- Case Management

    LifePoint Health (Wilson, NC)
    …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management , and Discharge Planning. The ... outcomes with adherence to regulations and compliance. *Essential Functions* 1. Case Manager independently performs initial and ongoing discharge… more
    LifePoint Health (11/10/24)
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  • RN- Case Management

    LifePoint Health (Wilson, NC)
    …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management and Discharge Planning. The ... RN license - BLS optional **Job:** **Nursing* **Organization:** ** **Title:** *RN- Case Management * **Location:** *NC-Wilson* **Requisition ID:** *7462-9117* more
    LifePoint Health (10/20/24)
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  • Case Manager / PRN ( RN / RT / SW…

    Select Medical (Wichita, KS)
    …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
    Select Medical (11/21/24)
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  • Director - Care Coordination

    Dartmouth Health (Lebanon, NH)
    …ie, Certified Professional in Healthcare Quality (CPHQ), Certified Case Manager (CCM), Certified Professional Utilization Management (CPUM), Certified ... to seven years of leadership experience in care coordination, case management , or utilization review,...Case Manager , Certified Case Manager , or Case Management Administrator… more
    Dartmouth Health (09/11/24)
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  • Case Manager ( RN / RT / SW / LPN )

    Select Medical (Chicago, IL)
    …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** _Requires a current licensure...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
    Select Medical (11/23/24)
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  • RN Manager -System Care Management

    Guthrie (Sayre, PA)
    …outcomes in timely, coordinated, and cost- effective manner. The Manager -of Case Management supports utilization management , discharge planning, ... and care coordination scope of practice within the department. . . The Manager - Case Management collaborates cooperatively with members of the… more
    Guthrie (11/13/24)
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  • RN Case Manager

    Trinity Health (Hartford, CT)
    …Smilow Cancer Hospital. **Keywords: Case Management ; Case Manager ; Registered Nurse; RN; BSN; Connecticut; utilization management ** **Our ... $10,000 sign-on bonus.** **Position Purpose** At **Saint Francis Hospital** our **RN Case Manager ** are responsible for coordinating patient care, assessing… more
    Trinity Health (10/05/24)
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