- Greenspring Village by Erickson Senior Living (Springfield, VA)
- …clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management /Safety ... Erickson Senior Living Join our team as the Nurse Manager , RN also known as the Clinical Manager...and processes in accordance with the Erickson Senior Living Management Policies and Procedures and nursing standards of practice.… more
- ChristianaCare (Newark, DE)
- …plan. Social Worker - Resolves psycho-social barriers and supports discharge needs. Utilization Management - Reviews patient status for appropriateness and ... RN Case Manager - Weekender - Day Shift Saturday &...throughout the care continuum and discharge planning. The Care Management Model: Our Care Management Triad Team… more
- Valley Health System Consolidated Services (Las Vegas, NV)
- …A minimum three years experience in varied clinical settings. Two years experience in Utilization Review , Utilization Management or Case Management ... outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is… more
- Valley Health System Consolidated Services (Las Vegas, NV)
- …A minimum three years experience in varied clinical settings. Two years experience in Utilization Review , Utilization Management or Case Management ... outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is… more
- University Health (Pleasanton, TX)
- …experience required (as a Staff nurse II or above). Work experience in case management , utilization review or hospital quality is preferred. LICENSURE/ ... POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and...Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred and… more
- White House Black Market (Coralville, IA)
- …feel beautiful. POSITION OBJECTIVE: The Sales Lead is responsible for supporting Management in in promoting a customer and product-focused sales culture, where our ... handling, presentation, loss prevention, and all other duties as directed by Management . * Develops a high-performance culture, motivating sales team to meet… more
- White House Black Market (Savannah, GA)
- …feel beautiful. POSITION OBJECTIVE: The Sales Associate is responsible for supporting Management in in promoting a customer and product-focused sales culture, where ... handling, presentation, loss prevention, and all other duties as directed by Management . * Participates in visual directives including monthly store sets and zone… more
- University Health (Boerne, TX)
- …Three years recent, full time hospital experience preferred. Work experience in case management , utilization review , or hospital quality assurance experience ... and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to… more
- Seabrook Village by Erickson Senior Living (Tinton Falls, NJ)
- …weight loss, and dehydration. Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management /Safety ... 3 years' experience in a healthcare leadership role (Charge Nurse, Unit Manager , etc.). Experience with an electronic medical record (EMR) system is preferred.… more
- Greenspring Village by Erickson Senior Living (Springfield, VA)
- …weight loss, and dehydration. Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management /Safety ... 3 years' experience in a healthcare leadership role (Charge Nurse, Unit Manager , etc.). Experience with an electronic medical record (EMR) system is preferred.… more
- University Health (Pleasanton, TX)
- …Three years recent, full-time hospital experience preferred. Work experience in case management , utilization review or hospital quality assurance experience ... to practice as a registered nurse is required. National certification in related field is preferred. Case Manager Certification (CCM or ANCC) is highly desirable. more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work ... utilization of resources, coordination of payer communication, and utilization review and management . Responsible...required or completed within three years of hire **Title:** * Manager - Utilization Review * **Location:**… more
- Huron Consulting Group (Chicago, IL)
- …Join our team as the expert you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, ... Review Plan and the overall operation of the Utilization Management Department in accordance with federal,...and may be implemented in the future._ **Position Level** Manager **Country** United States of America At Huron, we're… more
- Children's Mercy Kansas City (Kansas City, MO)
- …development of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, ... quality, and Lean process improvements, and facilitating the quarterly Utilization Review Committee meetings. Provides evidence based...of hire + One of the following: American Case Management , Certified Case Manager required upon hire… more
- Houston Methodist (Houston, TX)
- …+ Five years of hospital clinical nursing experience, which includes three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position...to physicians, nurses, and other health care providers on utilization management topics. + Initiates improvement of… more
- State of Indiana (Indianapolis, IN)
- …of Utilization Management Manager oversees the integration of utilization review , clinically appropriate care and risk management for the purpose ... Utilization Management Manager Date Posted: Nov 30, 2025 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... access the full range of their benefits through the utilization review process. + Conducts admission reviews....degree such as nursing, social work, psychology, health information management or other related healthcare field is preferred or… more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review - Case Management - 2506004107 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... for case management scope of services including: Utilization Management services supporting medical necessity and...level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as… more
- Elevance Health (Tampa, FL)
- …is granted as required by law. *Must reside in the state of Florida* The ** Manager of Utilization Management ** is responsible for managing a team of ... practitioners responsible for coordinating member service, utilization , access, care management and/or concurrent review to ensure cost effective … more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/rn-case- manager utilization - ... and service! Responsibilities Responsible for the quality and resource management of all patients that are admitted to the...to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,… more
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