- Community Health Network (Indianapolis, IN)
- Registered Nurse ( RN ) Case Manager / Utilization Review - North Emergency Job Ref 2408203 Category Nursing Job Family Case Manager Department ... Review position available in the Emergency Department. The Registered Nurse Case Manager is...inpatient and observation services. The RN Case Manager / Utilization Review RN … more
- 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 ... coordination of care. In this role you will perform utilization review while assuring the delivery of...accepted for current UCLA Health Nursing staff) + CA RN License and BLS certification + Recent experience in… more
- Ascension Health (Baltimore, MD)
- …education, experience, location, qualifications and comparison with associates in similar roles_ ** Registered Nurse , Certified Case Manager (CCM, ACM, URAC) ... salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes… more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/185693/case- manager utilization - review ... 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
- Catholic Health Initiatives (Little Rock, AR)
- …Matching 401(k) and 457(b) Retirement Programs Wellness Programs. **Responsibilities** The Utilization Review Nurse coordinates the communication of ... most cost effective use of available resources. The care manager utilization review will monitor...update the payer on changes in the patients **Qualifications** Registered Nurse with Bachelors degree or diploma/associates… more
- Providence (Missoula, MT)
- …Qualifications:** + Graduate of an accredited school of nursing + Upon hire: Montana Registered Nurse License + 3 years experience in Clinical Nursing + 1 ... **Description** The Nurse Case Manager (NCM) is responsible...time **Job Shift:** Day **Career Track:** Nursing **Department:** 3500 UTILIZATION REVIEW **Address:** MT Missoula 500 W… more
- Hartford HealthCare (Mansfield Center, CT)
- …and empowering individuals to participate in their own care and recovery. _*Job Summary*_ Utilization Review Care Manager coordinates the care of clients in ... this is* your moment.* **Job:** **Behavioral Health* **Organization:** **Natchaug Hospital* **Title:** * Utilization Review Care Manager - Behavioral Health*… more
- Covenant Health (Bangor, ME)
- …supervision of the VP of Accountable Care Operations & Population Health Strategy the Utilization Review Case Manager will work collaboratively with other ... members of the healthcare team. The nurse case manager also acts as an... conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that are housed… more
- Baylor Scott & White Health (Columbus, OH)
- …Note: Benefits may vary based on position type and/or level **Job Summary** As a Manager for Utilization Review , you guide and supervise staff. You oversee ... Factors** + Demonstrable knowledge in discharge planning, case management, utilization review and different care levels. +...work experience + Hold a valid registration as a Registered Nurse As a health care system… 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 ... and Abilities** + Knowledge of principles and best practices of case management, utilization review , social work, care coordination and discharge planning. +… more
- LifePoint Health (Danville, VA)
- * Registered Nurse , RN - Utilization Review Case Manager * Job Type:Full Time|Days *$10,000 Sign-on Bonus Eligibility for Full-Time, Bedside RNs* ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...employment." **Job:** **Nursing* **Organization:** ** **Title:** * Utilization Review RN Case Manager *… more
- Community Health Systems (Franklin, TN)
- …appropriate additional documentation from the physician(s). + Escalates cases to the Utilization Review Manager and/or Physician Advisor if physicians ... experience + Preferred Experience: 3 plus years Utilization review experience + Required License/Registration/Certification: Licensed Practical Nurse or… more
- Fairview Health Services (St. Paul, MN)
- …Work on a variety of special projects and assume other duties as assigned by the Utilization Review Manager or Supervisor. + Understand and focus on key ... **Overview** **Fairview Health Services is hiring a casual** ** Utilization Management Spec RN ** **to join...**Required** + Bachelor's degree in Nursing + 3-5 years Utilization Review or Case Management experience in… more
- Sharp HealthCare (San Diego, CA)
- …Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered ... Utilization Manager (UM) II position supports utilization review functions to ensure appropriate patient...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
- Morris Hospital (Morris, IL)
- …using evidenced-based clinical guidelines. Performs duties in accordance with the Utilization Review Plan. Demonstrates thorough knowledge of performance measure ... and federal regulatory requirements and payer/reimbursement methodologies. + Licensure as Registered Nurse in Illinois. + DCFS Mandated Reporter Certificate… more
- Lowe's (Charlotte, NC)
- …a clinical position. + 3-5 Years of Experience as a Case Manager or Utilization Review Nurse in worker's compensation + Experience in a clinical position ... for medically managing a minimum caseload of 65 including review of claims identified for Medicare Set-Aside. **What you...Case Manager + CRRN - Certified Rehabilitation Registered Nurse + CDMS - Certified Disability… more
- McLaren Health Care (Bay City, MI)
- …Variable** **Scheduled Bi-Weekly: 0** **Position Summary:** U nder the direction of the Manager , provides utilization review and evaluation of Emergency ... + Licensed by the State of Michigan as a Registered Nurse . + Three years experience as...Degree in Nursing. + Two years experience in hospital utilization review . + Minimum of one-year experience… more
- South Central Regional Medical Center (Laurel, MS)
- …patients admitted through the ED - work collaboratively with the inpatient care manager and the utilization review department to support transitions ... and across other departments. JOB REQUIREMENTS Required Licenses [Mississippi, United States] Registered Nurse Must have a current Mississippi license or a… more
- Avera (Sioux Falls, SD)
- …transfers from Avera facilities as Swing Bed transfers. + Supports compliance with Utilization Review Process. Case Manager will have ongoing conversation ... with Utilization Review staff on patients status and ongoing coverage +...the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board… 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...a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW Medical Center… more
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