- Independent Health (Buffalo, NY)
- …managed care operations required; multi-dimension project management experience preferred. + Registered Nurse ( RN ) with active, unrestricted NYS license ... perks, benefits and commitment to diversity and inclusion. **Overview** The Program Manager - Utilization Management (UM) will be accountable for the … more
- CVS Health (Lansing, MI)
- …**Position Summary:** The Associate Manager is responsible for oversight of Utilization Management /Case Management staff. This position is responsible ... department + 3+ years inpatient clinical experience as a Registered Nurse + 3+ years of Managed...years of Managed Care experience + 1+ years of Utilization Management experience + 1+ year Leadership… more
- UCLA Health (Los Angeles, CA)
- …the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management ... a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,...(BSN) degree required + Five or more years of utilization management required + Four or more… more
- CVS Health (Phoenix, AZ)
- …for meetings/audits The Associate Manager is responsible for oversight of Utilization Management staff. This position is responsible for the development and ... some rotational on-call holiday coverage (URAC and Client Requirements). Utilization Management is a 24/7 operation.** Travel...department + 3+ years inpatient clinical experience as a Registered Nurse + 3+ years of Managed… more
- Prime Healthcare (Weslaco, TX)
- …#hiringrns #registerednurse #casemanagement Connect With Us! (https://careers-primehealthcare.icims.com/jobs/188814/ registered - nurse -case- manager ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …AND EXPERIENCE** BSN (Bachelor of Science in Nursing) Minimum 5 years clinical experience as Registered Nurse ( RN ) Minimum 2 years managed care or equivalent ... bonus eligibility, and more! **Responsibilities** **JOB SUMMARY/PURPOSE** Provides leadership to Utilization Management RNs, Denials RNs and support staff to… more
- Prime Healthcare (National City, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/187724/case- manager - rn utilization - management ... 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 years acute… more
- Prime Healthcare (Redding, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189120/**case- manager srmc- utilization - management ... 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 years acute… more
- Trinity Health (Boise, ID)
- …KNOWLEDGE, EDUCATION AND EXPERIENCE** : + Licensed in the State of Idaho as a Registered Nurse as defined by the Idaho State Board of Nursing. + Bachelor's ... Responsible for the day to day operations of Clinical Resource Management /Case Management , Social Work, Bundled Payment for Care Improvement and Transition… more
- BronxCare Health System (Bronx, NY)
- …special projects and committees as determined by Director. Qualifications CERTIFICATION/LICENSURE : Registered Nurse or physician or a foreign medical graduate ... and implementation of educational programs for Denial Prevention and Management . Responsibilities - Establish and maintain positive relationships with patients,… more
- Guthrie (Cortland, NY)
- …safe discharge, based on assessed needs and available resources. The Acute Case Manager also performs Utilization Management throughout the continuum of ... This is an integrated Case Management and Utilization Review position. The Acute Care Case Manager...degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant… more
- Stanford Health Care (Palo Alto, CA)
- …to create an effective plan to address them. **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State ... practice. Here, your leadership, coaching, and mentoring would further develop our robust, Utilization Management team. Are you driven by health care innovation,… more
- Community Health Network (Indianapolis, IN)
- Registered Nurse ( RN ) Case Manager / Utilization Review - North Emergency Job Ref 2408203 Category Nursing Job Family Case Manager Department Case ... you. **Make a Difference** Community North has a part-time RN Case Manager / Utilization Review position... Review position available in the Emergency Department. The Registered Nurse Case Manager is… more
- Ellis Medicine (Schenectady, NY)
- …is to work with the Social Worker, Nurse Case Manager , or Utilization Management Nurse to facilitate patient discharge plans, support coordination of ... care activities, and assist in utilization management activities under the direction of a registered... management activities under the direction of a registered nurse and/or social worker. Responsibilities include… more
- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: The… more
- HCA Healthcare (Richmond, VA)
- …at Chippenham Hospital have the opportunity to make a real impact. As a Registered Nurse RN Case Manager you can be a part of change. Currently offering ... by location._ We are seeking a Registered Nurse RN Case Manager for...experience in a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW… more
- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Do you have the career opportunities as a Registered Nurse RN Case Manager you want in your current role? We invest in ... and Qualifications** We are seeking a Registered Nurse RN Case Manager for...experience in a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** **CJW… more
- 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** HCA ... patient care. Apply today for our Registered Nurse RN Case Manager opportunity....utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… 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 ... you want to work as a(an) Registered Nurse RN Case Manager PRN...utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Do you have the career opportunities as a(an) Case Manager Registered Nurse RN PRN you want in your current role? We ... payers and maintains legible documentation as directed by the Utilization Management Plan + As a member...path, we encourage you to apply for our Case Manager Registered Nurse RN… more
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