• Case Manager with Utilization

    Beth Israel Lahey Health (Burlington, MA)
    … and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home Care Transitions ... the needs of the department. **Minimum Qualifications:** Education: * Registered Nurse , Bachelors Degree or commensurate experience...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… more
    Beth Israel Lahey Health (02/09/25)
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  • RN Case Manager

    UCLA Health (Los Angeles, CA)
    …for assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site at our ... accepted for current UCLA Health Nursing staff) + CA RN License and BLS certification + Recent experience in... License and BLS certification + Recent experience in case management, utilization management and discharge planning… more
    UCLA Health (01/31/25)
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  • Case Manager / Utilization

    Trinity Health (Athens, GA)
    …in a hospital setting and a minimum of 1 year in case management, utilization management, or discharge planning preferred for RN . Certification in case ... intensity of service for patients to ensure appropriate and timely utilization of hospital services. **Licensure/Certification/Registration:** Current GA RN more
    Trinity Health (02/14/25)
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  • Case Manager II - Utilization

    Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
    …years of progressively responsible and directly related work experience License/Certification: CA Registered Nurse ( RN ) Knowledge, Skills, & Abilities These ... and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care… more
    Lucile Packard Children's Hospital Stanford (02/05/25)
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  • Case Manager , RN

    Prime Healthcare (Lynwood, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189319/ case - manager %2c- rn utilization ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five… more
    Prime Healthcare (02/13/25)
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  • Utilization Review Case

    Covenant Health (Bangor, ME)
    Case Manager will work collaboratively with other members of the healthcare team. The nurse case manager also acts as an advocate for the patient and ... in providing information regarding their insurance coverage. The UR Nurse Case Manager conducts medical... conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that are housed… more
    Covenant Health (11/27/24)
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  • Lowe's Care Nurse - Case

    Lowe's (Charlotte, NC)
    …of experience in a clinical position. + 3-5 Years of Experience as a Case Manager or Utilization Review Nurse in worker's compensation + Experience in a ... in home State + CCM - Certified Case Manager + CRRN - Certified Rehabilitation Registered Nurse + CDMS - Certified Disability Management Specialist… more
    Lowe's (02/06/25)
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  • Registered Nurse ( RN

    Avera (Parkston, SD)
    …between levels of care, to promote the best possible patient outcome. The case manager facilitates efficient utilization of resources and identifies ... hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board of Nursing An active license in… more
    Avera (12/23/24)
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  • Case Manager / PRN ( RN / RT…

    Select Medical (Birmingham, AL)
    …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... characteristic protected under applicable law. Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/319065/ case - manager prn %28- rn rt sw… more
    Select Medical (02/14/25)
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  • Case Manager ( RN / RT / SW…

    Select Medical (Columbus, OH)
    …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... characteristic protected under applicable law. Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/317134/ case - manager -%28- rn rt sw lpn-%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share… more
    Select Medical (01/30/25)
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  • Registered Nurse Case

    Children's Hospital Boston (Boston, MA)
    74825BRJob Posting Title: Registered Nurse Case Manager , Inpatient & Ambulatory (Per Diem)Department:Patient Services-Patient Care ... per Week:1 Job Posting Category:NursingJob Posting Description:The Per Diem RN Case Manager (inpatient and/or...of employment. + Experience as a Case Manager (Discharge Planning and or Utilization Management)… more
    Children's Hospital Boston (01/15/25)
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  • Utilization Review Case

    Trinity Health (Lavonia, GA)
    **Employment Type:** Full time **Shift:** **Description:** The RN Case Manager ( RN CM), works in collaboration with a multidisciplinary team by ... level of care throughout hospitalization in compliance with CMS and organizational utilization management requirements. RN CM helps to ensure medical necessity… more
    Trinity Health (02/14/25)
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  • Per Diem Case Manager

    RWJBarnabas Health (Rahway, NJ)
    Per Diem Case Manager Registered Nurse ( RN ), Case ManagementReq #:0000183145 Category:Nursing Status:Per Diem Shift:Day Facility:RWJ Rahway ... all Orientation Programs Certifications and Licenses Required: + Current Registered Nurse License in the state of...improves efficiency, quality, and resource utilization . The Case Manager RN will work… more
    RWJBarnabas Health (01/16/25)
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  • Remote RN Admissions Case

    Ochsner Health (New Orleans, LA)
    case management or utilization review. **Certifications** Required - Current Registered Nurse license in state of practice. Preferred - Commission for ... to change at the company's discretion. **Education** Required - Registered nurse diploma. Preferred - Associate's degree...Case Manager (CCM), Certified Professional … more
    Ochsner Health (01/29/25)
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  • RN Utilization Manager - Rex…

    UNC Health Care (Raleigh, NC)
    …care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management ... and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
    UNC Health Care (02/11/25)
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  • Registered Nurse ( RN )…

    Avera (Sioux Falls, SD)
    …and Avera Transfer Center RN and accepting physician. The Transfer Center Case Manager reviews patients for medical necessity, including both the level of ... facilities as Swing Bed transfers. + Supports compliance with Utilization Review Process. Case Manager ...the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board… more
    Avera (12/23/24)
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  • Utilization Management RN - Usfhp

    Pacific Medical Centers (Renton, WA)
    …assure cost effective, appropriate utilization of health care resource. Utilization Nurse / Case Manager manages, directs, and coordinates the entire ... Nurse License. + 5 years Clinical experience. + Utilization review/ case management. **Preferred Qualifications:** + Bachelor's Degree in Nursing… more
    Pacific Medical Centers (01/23/25)
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  • Registered Nurse RN

    HCA Healthcare (Richmond, VA)
    **Description** **Introduction** Do you have the PRN career opportunities as a Registered Nurse RN Case Manager PRN you want with your current ... you want to work as a Registered Nurse RN Case Manager... experience in a hospital setting preferred.** + **Previous case management or utilization review experience preferred.**… more
    HCA Healthcare (02/12/25)
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  • Registered Nurse ( RN )…

    Ochsner Health (New Orleans, LA)
    …a difference at Ochsner Health and discover your future today!** This job is a registered Nurse with a diverse medical background, who is able to determine the ... Contents are subject to change at Ochsner's discretion. **Education** Required - Registered Nurse Diploma or equivalent **Work Experience** Required - 1… more
    Ochsner Health (01/29/25)
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  • Registered Nurse RN

    HCA Healthcare (Webster, TX)
    …set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse RN Case Manager to join our healthcare family. **Benefits** ... patient care. Apply today for our Registered Nurse RN Case Manager...utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
    HCA Healthcare (12/15/24)
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