- Southern New Hampshire Health (Nashua, NH)
- …organizational goals. Who You Are: Graduate from an accredited school of nursing (BSN required) Registered Nurse , licensed in the state of NH Minimum of two (2) ... CLINICAL TEACHER / NURSE EDUCATOR - EMERGENCY DEPARTMENT Who We Are:...the ED is prepared to accommodate additional patients through utilization of hallway beds and a triage fast-track area.… 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
- 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
- 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
- Beth Israel Lahey Health (Burlington, MA)
- …people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ( RN ) Case ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality assurance for Lahey Clinic inpatient… more
- Trinity Health (Lavonia, GA)
- **Employment Type:** Full time **Shift:** **Description:** The RN Case Manager ( RN CM), works in collaboration with a multidisciplinary team by identifying ... care throughout hospitalization in compliance with CMS and organizational utilization management requirements. RN CM helps to ensure medical necessity is met by… more
- Ochsner Health (Lafayette, LA)
- …medical management, or other related MCO departments/functions. **Certifications** Required - Current registered nurse ( RN ) license in state of practice. ... *MSW accepted in lieu of registered nurse ( RN ) licensure. Preferred...Determines appropriate staffing levels and the interviewing, hiring, performance review , and termination of employees within practice unit(s); maintains… 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
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/200415/case- manager %2c- rn 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
- Ochsner Health (New Orleans, LA)
- …a difference at Ochsner Health and discover your future today!** This job is a registered Nurse with a diverse medical background, who is able to determine the ... Contents are subject to change at Ochsner's discretion. **Education** Required - Registered Nurse Diploma or equivalent **Work Experience** Required - 1… more
- UNC Health Care (Hendersonville, NC)
- …effectiveness through the integrating and functions of care management, utilization review and discharge planning. The Care Manager must be highly organized ... complex patients and identify trends. Formulates potential solutions with Utilization Manager and Social Worker and continuously...Required * Must be licensed to practice as a Registered Nurse in the state of North… more
- AdventHealth (La Grange, IL)
- …skills **.** Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** **.** State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**… more
- HCA Healthcare (Derry, NH)
- …set us apart from any other healthcare provider. We are seeking a Registered Nurse Case Manager RN to join our healthcare family. **Benefits** Parkland ... patient care. Apply today for our Registered Nurse Case Manager RN opportunity....Case Manager 's primary duties are to provide Utilization Review and Case Management functions for… more
- HCA Healthcare (Webster, TX)
- …you to apply for our Registered Nurse RN Case Manager PRN opening. We review all applications. Qualified candidates will be contacted for interviews. ... the PRN career opportunities as a(an) Registered Nurse RN Case Manager PRN...utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
- HCA Healthcare (Richmond, VA)
- …career path, we encourage you to apply for our Case Manager Registered Nurse RN PRN opening. We review all applications. Qualified candidates will be ... Do you have the career opportunities as a(an) Case Manager Registered Nurse RN...in this role is to Performs admission and concurrent review for all payers and maintains legible documentation as… 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
- Community Health Systems (Naples, FL)
- …meet deadlines. + Effective written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... Role ** Comprehensive Benefits **Job Summary** Under the direction of the UR Director/ Manager the UR Nurse reviews all admissions for medical necessity, correct… more
- HCA Healthcare (Manchester, NH)
- …us apart from any other healthcare provider. We are seeking a(an) Registered Nurse RN Case Manager to join our healthcare family. **Benefits** Catholic ... patient care. Apply today for our Registered Nurse RN Case Manager opportunity....Minimum two years of experience in Case Management and/or Utilization Management Review , or relevant professional experience.… more
- AdventHealth (Celebration, FL)
- …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... at the right time. **The role you'll contribute:** The RN Care Manager in collaboration with the...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- Ochsner Health (New Orleans, LA)
- …to develop and implement discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager To perform this job successfully, an ... case management or utilization review . **Certifications** Required - Current registered nurse license in state of practice. Basic Life Support (BLS) from… more
