• Utilization Review Case Manager

    Covenant Health (Bangor, ME)
    …for the patient and assists in providing information regarding their insurance coverage. The UR Nurse Case Manager conducts medical necessity reviews ... collaboratively with other members of the healthcare team. The nurse case manager also acts...years required Licenses - Active valid State of Maine RN License Covenant Health Mission Statement We are a… more
    Covenant Health (11/27/24)
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  • Manager Case Management UR

    McLaren Health Care (Petoskey, MI)
    …QUALIFICATIONS REQUIRED + Bachelor's degree in a health-related field + State license as a Registered Nurse ( RN ) + Four years of professional experience in ... Provides overall technical direction and administration to case management and utilization review personnel, ensuring services...RN patient care and case management and/or utilization review QUALIFICATIONS PREFERRED + Master's… more
    McLaren Health Care (11/15/24)
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  • Registered Nurse Level 2 Case

    UR Medicine Home Care (Geneva, NY)
    UR Medicine HOMECARE is looking for RN Home Care Case Managers, come join our team Advantages to working at UR Medicine Home Care: + Day Shift, Monday - ... plan of care. QUALIFICATIONS: + New York State Licensed RN . + One year of experience as a clinical nurse in a hospital required, and 9 months recent experience… more
    UR Medicine Home Care (11/05/24)
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  • Registered Nurse - Level 1 Weekday…

    UR Medicine Home Care (Geneva, NY)
    …patient independence. D. Revises plan of treatments and discharge plan in conjunction with registered nurse case manager , patient, family, physician, ... Exceptional Home Care Nursing Team! Are you a dedicated nurse seeking a fulfilling career with a company that...Home care is the field for you - and UR Medicine Home Care is the place! We are… more
    UR Medicine Home Care (10/23/24)
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  • RN - CHHA Case Manager Float…

    UR Medicine Home Care (Rochester, NY)
    …Caseload assignment geography will vary based on patient coverage needs. The registered nurse makes the initial evaluation visit, regularly reevaluates the ... If you're a RN with recent home care experience in a...looking to have a positive effect on our community, UR Medicine Home Care currently has the ideal opportunity… more
    UR Medicine Home Care (10/16/24)
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  • Registered Nurse ( RN

    LifePoint Health (Hickory, NC)
    * Registered Nurse ( RN ), Clinical Case Manager * Fulltime Days * * *Your experience matters* At Frye Regional Medical Center, we are driven by a ... other regulatory agencies. Educates and mentors all staff in UR standards and LOS topics *About our Health System*...**Organization:** ** **Title:** * Registered Nurse ( RN ), Clinical Case Manager * **Location:**… more
    LifePoint Health (10/26/24)
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  • RN - Monday - Friday - $10,000 Sign…

    UR Medicine Home Care (Rochester, NY)
    …patient independence. + Revises plan of treatments and discharge plan in conjunction with registered nurse case manager , patient, family, physician, care ... Exceptional Home Care Nursing Team! Are you a dedicated nurse seeking a fulfilling career with a company that...Home care is the field for you - and UR Medicine Home Care is the place! We are… more
    UR Medicine Home Care (10/11/24)
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  • Manager , Case Management…

    Seattle Children's (Seattle, WA)
    …group of employees in a clinical setting **Required Credentials** Current Washington State RN license. National certification in case management must be obtained ... provides leadership, supervision, and oversight of day-to-day operations of the Case Management department. Serves as the central resource to the director… more
    Seattle Children's (11/21/24)
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  • Care Manager Registered Nurse

    UNC Health Care (Hendersonville, NC)
    …obtain Case Management certification. Required * Must be licensed to practice as a Registered Nurse in the state of North Carolina or one of compact states. ... of the unique communities we serve. Summary: The Care Manager - RN provides ongoing support and...in matters of review decisions, coding, discharge planning, and UR issues. Serves as a liaison with insurance companies… more
    UNC Health Care (10/17/24)
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  • Supervisor Care Management and UR - St…

    Providence (Anchorage, AK)
    …our HireVue system!** **Required Qualifications:** + Bachelor's Degree in Nursing + Alaska Registered Nurse License upon hire + National Provider BLS - American ... ambulatory clinic experience. **Preferred Qualifications:** + Certification as an Accredited Case Manager from the American Case Management Association or as… more
    Providence (11/01/24)
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  • Registered Nurse - Clinical Care…

    Trinity Health (Syracuse, NY)
    …**Description:** 12-day shifts. Emergency department experience preferred. **Position Purpose:** The Registered Nurse Utilization Review ( UR ), Clinical Care ... collaboration with all members of the healthcare team, the UR /CCM is the principal liaison between emergency services, surgical...will do** : + Completes initial and follow up case reviews on all patients as dictated by payer… more
    Trinity Health (09/14/24)
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  • Acute Care Nurse - Registered

    ChenMed (Tampa, FL)
    RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... requires possession and maintenance of a valid driver's license. + Certified Case Manager certification is preferred. Certification through the Commission for… more
    ChenMed (11/13/24)
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  • Utilization Review Registered Nurse

    Pipeline Health System, LLC (Toast, NC)
    Registered Nurse - Behavioral Health Unit/FT/Days Job Summary: This Utilization Review ( UR ) Registered Nurse ( RN ) position supports the Mission of ... clinical experience in acute care setting. + Minimum one-year experience as case manager in acute care setting preferred. + Critical thinking, service excellence… more
    Pipeline Health System, LLC (10/26/24)
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  • Hospice Registered Nurse , Atlantic…

    Atlantic Health System (Morristown, NJ)
    Atlantic Visiting Nurse , part of Atlantic Health System, is seeking a full-time hospice Registered Nurse to work Monday - Friday from 8 AM to 4 PM in the ... reimbursement ($.67) included. Internal referral bonus: $5,000 Reports to: Assistant Manager Job Qualifications/Experience: Required Current NJ RN License NJ… more
    Atlantic Health System (11/06/24)
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  • MSW Inpatient Case Manager

    Henry Ford Health System (Detroit, MI)
    …The Case Management department has recently redesigned into a dyad Social Work/ RN Case Manager model where UR is remote, allowing staff to excel in ... the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred. Internal… more
    Henry Ford Health System (11/12/24)
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  • Case Manager RN | Negotiable…

    Spring Creek Rehabilitation and Nursing Center (Harrisburg, PA)
    Registered Nurse ( RN ) Case Manager - Monday thru Friday, On Site **The position is on site at the facility, and remote work will not be considered.** ... Benefits of the Registered Nurse ( RN ) Case Manager...to gather appropriate skilled documentation + Key player in UR /Medicare meeting + Attends clinical meetings as appropriate +… more
    Spring Creek Rehabilitation and Nursing Center (11/19/24)
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  • RN Case Manager

    SSM Health (St. Louis, MO)
    …Type:** Regular **Job Highlights:** **You may be eligible for a $25,000 Sign On Bonus! RN Case Manager opportunity to work with a colloborative team at ... management process, admission process, and act as a case manager liaison with post acute providers...Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by… more
    SSM Health (09/20/24)
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  • RN Acute Case Manager

    Guthrie (Cortland, NY)
    …integrated Case Management and Utilization Review position. The Acute Care Case Manager utilizes industry accepted processes for achieving timely, optimal ... outcomes, coordinated and in cost effective manners. The Acute Case Manager has the responsibility and accountability...degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant… more
    Guthrie (11/13/24)
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  • San Leandro Hospital Case Manager

    Alameda Health System (San Leandro, CA)
    San Leandro Hospital Case Manager RN , Full Time, Benefited, Days, 8hrs, 1.0fte + San Leandro, CA + San Leandro Hospital + SLH Social Services + Full Time - ... + Posted:October 31, 2024 **Summary** **Job Summary:** The SLH Case Manager RN is responsible...Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
    Alameda Health System (09/06/24)
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  • AHD Case Manager RN

    Alameda Health System (Alameda, CA)
    AHD Case Manager RN +...preferred. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. ... FTE:1 + Posted:November 7, 2024 **Summary** **SUMMARY:** The AHD Case Manager ( RN ) is responsible...- coordinates denials with the attending physician, and the UR physician advisor. Prepares case reports; documents… more
    Alameda Health System (11/08/24)
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