- Greenspring Village by Erickson Senior Living (Springfield, VA)
- Location: Greenspring Village by Erickson Senior Living Join our team as the Nurse Manager , RN also known as the Clinical Manager ! The Clinical ... leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee… more
- ChristianaCare (Newark, DE)
- RN Case Manager - Weekender - Day Shift Saturday & Sunday (Plus one rotating Friday shift). Newark, DE ChristianaCare - Wilmington Hospital is currently ... recruiting an RN Case Manager - Weekender with experience...Worker - Resolves psycho-social barriers and supports discharge needs. Utilization Management - Reviews patient status for appropriateness and… more
- Valley Health System Consolidated Services (Las Vegas, NV)
- …minimum three years experience in varied clinical settings. Two years experience in Utilization Review , Utilization Management or Case Management preferred. ... collection/management computer programs. License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada. Other: Must be… more
- Seabrook Village by Erickson Senior Living (Tinton Falls, NJ)
- …loss, and dehydration. Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) ... Salary based on experience** What you will need Current RN nursing license with no restrictions for the state...3 years' experience in a healthcare leadership role (Charge Nurse , Unit Manager , etc.). Experience with an… more
- The George Washington University Hospital (Washington, DC)
- …Resources Recruiter at ###. Please allow two to three business days for the manager to review your application. Thank you for your interest! About Universal ... shift oversight for clinical practice, staffing, patient flow, safety, service, and utilization of resources for daily operations. Maintains the environment of care.… more
- The George Washington University Hospital (Washington, DC)
- …Resources Recruiter at ###. Please allow two to three business days for the manager to review your application. Thank you for your interest! About Universal ... shift oversight for clinical practice, staffing, patient flow, safety, service, and utilization of resources for daily operations. Maintains the environment of care.… more
- Valley Health System Consolidated Services (Las Vegas, NV)
- …minimum three years experience in varied clinical settings. Two years experience in Utilization Review , Utilization Management or Case Management preferred. ... collection/management computer programs. License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada. Other: Must be… more
- University Health (Pleasanton, TX)
- …Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current ... POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration...licensure as a Registered Nurse with the Texas State Board...licensure as a Registered Nurse with the Texas State Board of … more
- University Health (Boerne, TX)
- …recent, full time hospital experience preferred. Work experience in case management, utilization review , or hospital quality assurance experience is preferred. ... clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF...of the State of Texas to practice as a registered nurse is required. National certification in… more
- University Health (Pleasanton, TX)
- …recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. ... Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred....of the State of Texas to practice as a registered nurse is required. National certification in… more
- Greenspring Village by Erickson Senior Living (Springfield, VA)
- …loss, and dehydration. Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) ... of up to 8%. What you will need Current RN nursing license with no restrictions for the state...3 years' experience in a healthcare leadership role (Charge Nurse , Unit Manager , etc.). Experience with an… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work ... Manager ) required or completed within three years of hire **Title:** * Manager - Utilization Review * **Location:** *MN-Minneapolis-Downtown Campus*… more
- Huron Consulting Group (Chicago, IL)
- …Management is responsible for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the ... + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the...Criteria and Milliman Care Guidelines (MCG) preferred. + Current RN license from Maryland Board of Nursing. + CCM… more
- Children's Mercy Kansas City (Kansas City, MO)
- …+ Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire + ... training oversight of programs and services. Responsible for effective utilization review and proper resource management of...One of the following: Licensed RN - Kansas, Registered Nurse … more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/ rn -case- manager ... 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
- Mayo Clinic (Rochester, MN)
- …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... to work well within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records, value based purchasing… more
- Vighter Medical Group (Glendale, CO)
- …Office of Community Care (OCC) in Glendale, Colorado. As a Case Manager / Utilization Review Nurse , you'll play a key role in coordinating and reviewing ... Position Type Full Time Job Shift Any Education Level Registered Nurse ( RN ) Travel Percentage...You'll Do As a Case Manager / Utilization Review RN , you will:… more
- UPMC (Pittsburgh, PA)
- Are you a registered nurse with a background in utilization management? UPMC Health Plan is looking for you! We are hiring a full-time Utilization ... in Pennsylvania. The Utilization Management (UM) Care Manager is responsible for utilization review...Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Act… more
- State of Indiana (Indianapolis, IN)
- …role of Utilization Management Manager oversees the integration of utilization review , clinically appropriate care and risk management for the purpose of ... Utilization Management Manager Date Posted: Nov...and clinical criteria evaluations.They will possess a current unrestricted RN license from the State of Indiana; a minimum… more
- Dignity Health (Gilbert, AZ)
- …Case Manager (ACM- RN ), or UM Certification + Utilization Review experience **Where You'll Work** Hello humankindness (https://hellohumankindness.org/) ... of the Director of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the efficient and effective… more
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