- Penn State Health (Hershey, PA)
- …Manager Utilization Management - DAY SHIFT - Utilization Management **Location** US:PA: Hershey | Registered Nurse | Full Time **Req ID** null ... OF POSITION:** Position is responsible to thoroughly understand all Utilization Management regulatory requirements for both CMS...nursing required + Currently licensed to practice as a registered nurse by Pennsylvania Board of … more
- Trinity Health (Silver Spring, MD)
- …travel paid._** **Minimum Licensure/Certification Required (if applicable):** + State of Maryland license as a Registered Nurse + RN with BSN or RN with ... time **Shift:** **Description:** The Interim Manager of Care Management & Utilization Review, under the supervision and in collaboration with the Director,… 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
- Sharp HealthCare (San Diego, CA)
- …Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... experience + 3 Years recent case management , utilization review, care coordination experience + California Registered Nurse ( RN ) - CA Board of… more
- Cleveland Clinic (Vero Beach, FL)
- … Manager . May design and initiate special projects as supervised by the Team Manager . Utilization Management Specialist Join our team at Cleveland Clinic ... of the most respected healthcare organizations in the world. Utilization Management (UM) Specialists perform UM activities,...of professional nursing. + Current state licensure as a Registered Nurse ( RN ). + Basic… more
- Prime Healthcare (National City, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/180750/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 (Montclair, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/181372/case- manager -%28rn%29 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
- 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
- Healthfirst (NY)
- **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which includes: + Pre-certification performing risk-identification, ... Negotiates rates with non-partner providers, where applicable. Ensures appropriate access and utilization of a full continuum of network and community resources to… more
- Sharp HealthCare (San Diego, CA)
- …Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA...Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager… 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
- Crossroads Hospice & Palliative Care (Chester, PA)
- …to ensure continuity of care and appropriate resource utilization Registered Nurse ( RN ) Hospice Case Manager Schedule & Benefits: + Monday to ... lasting impacts that transcend medical treatment. Registered Nurse ( RN ) Hospice Case Manager ...adjustments + Educate patients and their families on disease management , treatment options, and self-care techniques + Utilize case… more
- HCA Healthcare (Richmond, VA)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Case Manager Registered Nurse RN position and spend ... payers and maintains legible documentation as directed by the Utilization Management Plan + As a member...your career! We are interviewing candidates for our Case Manager Registered Nurse RN… more
- Crossroads Hospice & Palliative Care (Philadelphia, PA)
- …to ensure continuity of care and appropriate resource utilization RN , Case Manager Registered Nurse Schedule & Benefits: + Monday to Friday, 8:30 AM ... that go beyond medical treatment. RN , Case Manager Registered Nurse Qualifications: +...adjustments + Educate patients and their families on disease management , treatment options, and self-care techniques + Utilize case… more
- RWJBarnabas Health (Newark, NJ)
- Registered Nurse ( RN ) Nurse Manager Cardiac Cath Lab FT DaysReq #:0000176168 Category:Nursing Manager Status:Full-Time Shift:Day Facility:Newark ... Job Overview: RWJBarnabas Health is seeking a highly dedicated Nurse Manager for our Cardiac Cath Lab...in advance for potential conflicts or issues. Patient Care Management : Monitors the quality of service and utilization… more
- AdventHealth (Kissimmee, FL)
- …safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the ... competencies of this role. The RN Care Manager facilitates the collaborative management of patient...valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/… more
- AdventHealth (Apopka, FL)
- …safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the ... competencies of this role. The RN Care Manager facilitates the collaborative management of patient...valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/… more
- Community Health Network (Indianapolis, IN)
- Registered Nurse ( RN ) Case Manager - Community North Job Ref 2406693 Category Nursing Job Family Case Manager Department Case Management Schedule ... North Hospital has a full-time RN Case Manager position available. The Registered Nurse...cost effectiveness through the integrating and functions of case management , utilization review and management … more
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