- HCA Healthcare (Webster, TX)
- …- and empowers their passion for patient care . Apply today for our Registered Nurse RN Case Manager opportunity. **Job Summary and Qualifications** We ... from any other healthcare provider. We are seeking a(an) Registered Nurse RN Case Manager...and patient throughput while supporting a balance of optimal care and appropriate resource utilization **What qualifications… more
- HCA Healthcare (Webster, TX)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse RN Case Manager PRN you want with your current employer? ... of colleagues. Do you want to work as a(an) Registered Nurse RN Case Manager...and patient throughput while supporting a balance of optimal care and appropriate resource utilization **What qualifications… more
- Fresenius Medical Center (Toms River, NJ)
- …regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, ... Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make… more
- Munson Healthcare (Manistee, MI)
- …experience will be considered in lieu of a Bachelor's degree in nursing (must have RN license). If Registered Nurse , must be licensed to practice in ... customer service/interpersonal skills at all times. 6. Maintains working knowledge/experience in utilization management, managed care , and payer issues that may… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager Adult Services Full Time Days - 2406004417 Description : **$25,000 Sign on Bonus, with required relevant experience** DMC Harper ... hypertension, stroke prevention and heart failure. Job Description: The RN Case Manager is responsible to facilitate care...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- Outreach Development Corporation (Brentwood, NY)
- F/T Registered Nurse ; Brentwood, NY, US Exempt;...nurse on site and serves as the health care coordinator. Job Scope: + Conduct and/or monitor all ... medication calls and health calls as scheduled + Registered Nurse must supervise the License Practical...client(s) to emergency and/or health facility. + The Program RN will attend Supervision with The Nurse … more
- HCA Healthcare (Houston, TX)
- …field required + Basic Cardiac Life Support + Registered Social Worker (RSW), or Registered Nurse , or Certified Care Manager (CMC) Opened in 1995, Texas ... care . Apply today for our Case Management Supervisor RN opportunity. **Job Summary and Qualifications** The Supervisor Case...you will need:** + Bachelor's degree Nursing preferred + Registered Nurse - Currently licensed as a… more
- HCA Healthcare (El Paso, TX)
- …and empowers their passion for patient care . Apply today for our Registered Nurse Case Manager Market Float Pool opportunity. **Job Summary and ... from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager Market Float Pool...and patient throughput while supporting a balance of optimal care and appropriate resource utilization . Essential Functions:… more
- HCA Healthcare (El Paso, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse Case Manager Mkt Float Pool PRN you want in your current role? We ... and patient throughput while supporting a balance of optimal care and appropriate resource utilization . Essential Functions:...career path, we encourage you to apply for our Registered Nurse Case Manager Mkt Float Pool… more
- AdventHealth (Orlando, FL)
- …environment. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... legitimacy of hospital admission, treatment, and appropriate level of care . The UM RN leverages the algorithmic...and valid license to practice in Florida as a Registered Nurse (ADN or BSN) required. +… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Nurse Specialist RN...of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM). Knowledge… more
- UNC Health Care (Hendersonville, NC)
- …week. PARDEE Other information: Qualifications Required * Must be licensed to practice as a Registered Nurse in the state of North Carolina or one of compact ... etc.) to ensure the patient's needs are met and care delivery is coordinated. The UM completes utilization...* Two (2) years of experience working as a Registered Nurse . * Strong verbal and written… more
- UNC Health Care (Chapel Hill, NC)
- …of employment date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. **Professional ... episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management… more
- Northwell Health (Melville, NY)
- …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... and facility/physician and the third party payer. Prepares and defends level of care and medical necessity for assigned case. Collaborates with physician advisor… more
- HonorHealth (Scottsdale, AZ)
- …Degree in Nursing from an accredited NLN/CCNE institution Required Experience 3 years as a Registered Nurse in an acute care setting Required 1 year ... Review RN Specialist reviews and monitors utilization of health care services with the...in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or… more
- Ellis Medicine (Schenectady, NY)
- Basic Function: The Utilization Management Registered Nurse (UM RN ) supports daily coordination of care across healthcare continuum with the ... with the utilization management program. The UM RN ensures the appropriate level of care ... related field required. Current registration as a Licensed Registered Professional Nurse in New York State.… more
- Glens Falls Hospital (Glens Falls, NY)
- …care , utilization management, or payer experience preferred. *Licenses/Certifications/Registrations* * ** Registered Nurse ( RN ) in New York State* * ... outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers....can be foundhere. **Job:** **Nursing - Case Management* **Title:** * RN - Utilization Review Nurse *… more
- Catholic Health Initiatives (Houston, TX)
- …be required to perform other duties as assigned. **Qualifications** **Required:** -Associate's Degree - Registered Nurse ( RN ) -Two (2) years of experience ... **Overview** **Baylor St. Luke's Medical Center** is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine… more
- Fairview Health Services (St. Paul, MN)
- …tracks all work related to denials/appeals. + Educate internal members of the health care team on utilization management workflow and managed care concepts. ... **Job Expectations:** + Perform and document timely and accurate utilization management review to ensure compliance with all policies,... facility. + Minimum of 1-3 years of acute care hospital nursing experience. + Current RN … more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized Patient Placement...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more