• Utilization Review Care

    Hartford HealthCare (Meriden, CT)
    …And this is*your moment*. **Job:** **Professional Non-Clinical* **Organization:** **Rushford* **Title:** * Utilization Review Care Manager - Behavioral ... We offer a wide range of programs including Acute Care and Evaluation, Residential Addiction Treatment, Individual, Group &...Assists with process of appeals as directed by the Manager - Utilization Review. 7. Performs other… more
    Hartford HealthCare (09/04/24)
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  • Utilization Review Social Work Care

    Hartford HealthCare (Torrington, CT)
    …*your moment*. **Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** * Utilization Review Social Work Care Manager ... Worker will work collaboratively with the IP Psychiatry Patient Care Team to assure Utilization Review activities...Review activities on a 17 bed Adult unit. The Care Manager will liaison with insurance companies… more
    Hartford HealthCare (08/08/24)
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  • Registered Nurse ( RN

    ERP International (Corpus Christi, TX)
    **Overview** ERP International is seeking a ** Registered Nurse ( RN )** ** Utilization Manager ** for a full-time position in support of the **Naval ... Program (UMP) and ensure that the UMP meets established Utilization Management (UM) standards of care . Assist...of this position, it must be directly related to referral/ utilization management. License:** Active, unrestricted RN license… more
    ERP International (09/07/24)
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  • Registered Nurse ( RN

    Commonwealth Care Alliance (Boston, MA)
    …procedures, and facilities under the provisions of CCA's benefits plan. The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
    Commonwealth Care Alliance (08/02/24)
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  • RN Utilization Manager

    UNC Health Care (Smithfield, NC)
    …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
    UNC Health Care (08/20/24)
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  • RN Manager - Care Management…

    Trinity Health (Silver Spring, MD)
    …Baltimore, MD **Description:** + Full-Time 8am - 4:30pm + Reporting to the Director of Care Management + The RN Manager is responsible and accountable for ... of RN Case Managers for in inpatient care coordination and utilization review. Oversees interactions...will need:** + State of Maryland license as a Registered Nurse + BSN required; MSN Degree… more
    Trinity Health (08/29/24)
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  • Utilization /Case Manager II,…

    Sutter Health (Burlingame, CA)
    …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... to include the achievement of optimal health, access to care , and appropriate utilization of resources balanced...of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon… more
    Sutter Health (06/20/24)
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  • Registered Nurse RN

    AdventHealth (Celebration, FL)
    …quality procedures and results at the right time. **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social ... progression through the continuum of care . The RN Care Manager ensures efficient...valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/… more
    AdventHealth (09/11/24)
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  • Registered Nurse RN Complex…

    AdventHealth (Altamonte Springs, FL)
    …: 701 EAST ALTAMONTE DRIVE, Altamonte Springs, 32701 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social ... progression through the continuum of care . The RN Care Manager ensures efficient...valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/… more
    AdventHealth (09/05/24)
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  • Care Manager Registered

    UNC Health Care (Hendersonville, NC)
    …to improve the health and well-being of the unique communities we serve. Summary: The Care Manager - RN provides ongoing support and expertise through ... management, utilization review and discharge planning. The Care Manager must be highly organized professional...Required * Must be licensed to practice as a Registered Nurse in the state of North… more
    UNC Health Care (07/15/24)
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  • Registered Nurse RN Case…

    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. **Benefits** ... impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every...by location._ We are seeking a Registered Nurse RN Case Manager for… more
    HCA Healthcare (08/22/24)
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  • Case Manager Registered Nurse

    HCA Healthcare (Richmond, VA)
    …and Qualifications** As a Case Manager Registered Nurse ( RN ), you will provide direct nursing care in accordance with established policies, ... Do you have the career opportunities as a(an) Case Manager Registered Nurse RN...Required Five + years of recent clinical experience as RN years demonstrated leadership experience + Commercial Utilization more
    HCA Healthcare (07/31/24)
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  • Registered Nurse RN Case…

    Banner Health (Tucson, AZ)
    …to make a difference in people's lives. Our Care Coordination staff is seeking a ** Registered Nurse RN Case Manager ** to work closely with patients, ... case management or health care . Requires current Registered Nurse ( RN ) license in...Travel positions require a minimum of one year Case Manager experience in an acute care hospital.… more
    Banner Health (06/29/24)
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  • Registered Nurse RN

    AdventHealth (Orlando, FL)
    …**Location:** 601 E Rollins St, Orlando, FL 32803 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social ... progression through the continuum of care . The RN Care Manager ensures efficient...in Nursing (ASN) + Current valid license as a Registered Nurse in the state of Florida… more
    AdventHealth (07/26/24)
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  • RN - Registered Nurse Case…

    Geisinger (Bellefonte, PA)
    …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery...job related to that position. Position Details As a RN Case Manager you will directly impact… more
    Geisinger (09/15/24)
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  • Case Manager Registered Nurse

    RWJBarnabas Health (Livingston, NJ)
    Case Manager Registered Nurse ( RN ), Case ManagementReq #:0000166882 Category:Nursing Status:Full-Time Shift:Day Facility:Cooperman Barnabas Medical ... Hills Road, Livingston, NJ 07039 Job Summary: The Case Manager Registered Nurse develops safe...setting + Minimum of one year experience in Case Management/ Utilization Management or Home Care + Successful… more
    RWJBarnabas Health (09/09/24)
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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 profound ... harassment in employment." **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ), Clinical Case Manager * **Location:** *NC-Hickory*… more
    LifePoint Health (09/07/24)
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  • Registered Nurse - Case…

    Mayo Clinic (Rochester, MN)
    …and provides the resources you need to succeed. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an interdisciplinary team to ... utilization management, care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo… more
    Mayo Clinic (09/09/24)
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  • Registered Nurse ( RN ) Case…

    Community Health Network (Indianapolis, IN)
    Registered Nurse ( RN ) Case Manager - Community South Job Ref 2406222 Category Nursing Job Family Case Manager Department Case Management Schedule ... South Hospital has a full-time RN Case Manager position available. The Registered Nurse...care to ensure quality patient outcomes and appropriate utilization of health care services. Responsible for… more
    Community Health Network (09/13/24)
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  • Registered Nurse RN Case…

    Banner Health (Mesa, AZ)
    …of a bachelor's degree in case management or health care . Requires current Registered Nurse ( RN ) license in state worked. For assignments in an ... be the opportunity you've been waiting for. As the RN Case Manager , you will bring your...Travel positions require a minimum of one year Case Manager experience in an acute care hospital.… more
    Banner Health (08/24/24)
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