- Ascension Health (Tulsa, OK)
- …codes for all clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board of Nursing obtained ... **Details** + **Department:** Utilization Management + **Schedule:** FT, Monday-Friday, 8am-5pm + **Hospital:** Ascension St. John Medical Center + **Location:**… more
- Northwell Health (Bay Shore, NY)
- …post discharge needs. + * Arranges for patients post hospital needs, ie visiting nurse , physical therapy, medical/social model day care , personal care aides, ... Degree in Nursing or related field, preferred. + Current license to practice as a Registered Professional Nurse in New York State. + Minimum of two (2) years… more
- Fresenius Medical Center (Alvin, TX)
- …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
- 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
- Sutter Health (San Francisco, CA)
- …**EDUCATION:** Graduate of an accredited school of nursing **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...in order to avoid unnecessary admissions, improper level of care utilization , and delays in transition. Reviews… more
- HCA Healthcare (El Paso, TX)
- …and empowers their passion for patient care . Apply today for our Registered Nurse Case Manager Mkt Float Pool opportunity. **Job Summary and Qualifications** ... from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager Mkt Float Pool...and patient throughput while supporting a balance of optimal care and appropriate resource utilization . **Essential Functions:**… more
- Stanford Health Care (Palo Alto, CA)
- …**This is a remote Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN ) will be responsible ... health of the institution, navigating the complexities of patient care and resource utilization management, and education....systems and other healthcare software. **Licenses and Certifications** + Nursing/ RN - Registered Nurse -… 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
- 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 ... Care Management (ICM) team the Per Diem RN (Adv CN)-Unit A4 position supports utilization ...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
- UNC Health Care (Smithfield, 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
- 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
- Veterans Affairs, Veterans Health Administration (East Orange, NJ)
- …This job opportunity announcement may be used to fill additional vacancies. The Nurse IV QSV Chief functions as an advisor , administrator, educator, consultant, ... Service, and Value (QSV). This position functions as an advisor , administrator, educator, consultant, and mentor. The QSV Chief...level degree in Nursing may have opportunity to become registered as a nurse with a state… 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 ... 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
- Hackensack Meridian Health (Neptune, NJ)
- …management **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health Care Life Support HCP ... and serve as a leader of positive change. The ** Care Management, Care Coordinator, Utilization ...records as required by payer agencies and initiates physician advisor 's review as necessary for unwarranted admissions. + Performs… more
- Hackensack Meridian Health (Holmdel, NJ)
- …management. **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health Care Life Support HCP ... and serve as a leader of positive change. The ** Care Coordinator, Utilization Management** is a member...records as required by payer agencies and initiates physician advisor 's review as necessary for unwarranted admissions. + Performs… more
- The County of Los Angeles (Los Angeles, CA)
- …AED) Programs. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered ... UTILIZATION REVIEW NURSE SUPERVISOR II Print...in a state other than California must provide their Registered Nurse License Number from that state… more
- Munson Healthcare (Traverse City, MI)
- …required to obtain a BSN within 5 years of start date. + Current licensure as Registered Nurse in the State of Michigan. + Minimum of three years clinical ... care . + Consults with case manager and/or physician advisor as necessary to resolve progression-of- care barriers...able to adapt to required software programs which support Utilization Management functions. Familiarity with health care … more
- Hackensack Meridian Health (Belle Mead, NJ)
- …+ Master's Degree **Licenses and Certifications Preferred:** + NJ State Professional Registered Nurse License or NJ Licensed Social Worker **Job ID** ... and utilization review principles in monitoring the delivery of care and promoting optimal communication among treatment team members, intra and… more