- Fresenius Medical Care (Olmito, TX)
- …state regulations, and accrediting agency standards where applicable. . Participate in review business and finances of the site, including financial reports, market ... the security and integrity of facility . Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply… more
- AlliedTravelCareers (Greenbrae, CA)
- … Case Manager with experience as follows: Must have strong Utilization Review and InterQual experience REQUIRED! Conducting patient initial assessments Acute ... Care hospital experience EPIC EMR documentation experience Active CA RN License Monday through Friday - 0730 to 1600. Eight hour shifts only. 40 hours guaranteed.… 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
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... **Join Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff… more
- Logan Health (Kalispell, MT)
- … to lead the way as our Manager of Clinical Documentation Integrity (CDI) & Utilization Review ! This role is ideal for a collaborative RN leader who ... workflows with clarity. What You'll Be Doing: As the Manager of CDI & Utilization Review...little extra reassurance. If you're looking to use your RN experience to guide teams, support providers, and strengthen… 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/237903/ 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
- Cedars-Sinai (Los Angeles, CA)
- …criteria required **Req ID** : 14141 **Working Title** : Registered Nurse - Utilization Review Case Manager - PER DIEM - 8 Hour Days **Department** : ... **What will you be doing in this role?** The Utilization Review Case Manager validates...Degree, Nursing (MSN) preferred **License/Certification:** + Current, unrestricted California RN License required + BLS from the American Heart… more
- Cedars-Sinai (Los Angeles, CA)
- …Eye/Hand/Foot Coordination **Req ID** : 14355 **Working Title** : Registered Nurse - Utilization Review Case Manager - 8 Hour Days **Department** : ... America's Best Hospitals. Summary of Essential Duties: + The Utilization Management (UM) Registered Nurse ...accordance with CMS requirements and payer timelines. The UM RN collaborates with physicians, revenue integrity, and payer partners… 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
- Hartford HealthCare (Willimantic, CT)
- …**Windham Hospital* **Title:** * Registered Nurse Case Manager ( RN ) - Utilization Management* **Location:** *Connecticut-Willimantic-Windham ... clinical nursing required. * Two years experience with case management, discharge planning, utilization review and/or home care required. * Knowledge of the… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse I Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time) Schedule: Monday - ... with minimum direction. + Act as a resource for utilization review stakeholders and assists team members...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
- Catholic Health (Kenmore, NY)
- …Days with Weekend and Holiday Rotation Hours: 8 am- 4 pm Summary: The Registered Nurse ( RN ), Utilization Review , as an active member of the Middle ... in the hospital setting. Utilizing foundational nursing clinical skills Utilization Review nurse collaborates with...facilitate movement of the patient through the continuum. The Utilization Review RN identifies and… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse ( RN ) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... and is determined by employment status Job Description: The RN Case Manager is responsible to facilitate...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- Ochsner Health (New Orleans, LA)
- …develop and implement discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC Jefferson Highway ... case management or utilization review . **Certifications** Required - Current registered nurse license in state of practice. Basic Life Support (BLS) from… more
- Trinity Health (Ann Arbor, MI)
- …am to 5 pm Monday through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for conducting a focused assessment of ... leadership role in achieving desired clinical, financial and resource utilization outcomes. + This is achieved by coordinating care...issues and documentation completeness. + The RN Registered Nurse Case Manager will… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management, which ... and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated with transition to...management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Banner Health (Tucson, AZ)
- …environments, and resources that promote a healthy work-life balance. As the Registered Nurse RN Case Manager Care Coordination, you will have the ... regulatory agencies. Must possess knowledge of case management or utilization review as normally obtained through the...degree in case management or health care. Requires current Registered Nurse ( RN ) license in… more
- Penn State Health (State College, PA)
- …orders that prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** Practice Site Manager RN Registered Nurse - Windmere Centre ... supplies by working with vendors. Qualifications - Practice Site Manager RN - Windmere Centre - Requisition:...experience required. + Currently licensed to practice as a Registered Nurse by state of employment or… more
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