- Trinity Health (Mason City, IA)
- …its goals **Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case ... **What We Are Looking For** Education [formal]: + Licensed registered nurse in the state of Iowa....of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the… more
- Trinity Health (Columbus, OH)
- …Shift **Description:** ** Utilization Review RN , Casual / PRN** Position Purpose: RN Utilization Review Case Mgr ensures that services are delivered ... Graduate of an accredited Registered /Professional Nursing program. * Licensure as a Registered Nurse ( RN ) in Ohio. * 3+ years of relevant clinical work… more
- Sharp HealthCare (San Diego, CA)
- …in Nursing; California Registered Nurse ( RN ) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management ... clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA...Experience and understanding of federal and state regulations governing utilization management. + Accredited Case Manager… more
- University of Miami (Miami, FL)
- …System, Department of Utilization Management, has an exciting opportunity for an Utilization Review Case Manager to work remote. The incumbent conducts ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal… more
- Prime Healthcare (Blue Springs, MO)
- …Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Nurse Case Manager ... healthcare teams to ensure efficient and effective care. The Nurse Case Manager strives to...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. +… more
- Healthfirst (NY)
- …case management, identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of ... **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which...with non-partner providers, where applicable. Ensures appropriate access and utilization of a full continuum of network and community… more
- HCA Healthcare (Nashville, TN)
- …and patient throughput while supporting a balance of optimal care and appropriate resource utilization . The Case Manager will identify potential barriers to ... colleagues in their positions. Join our Team as a(an) Case Management RN and access programs to...to learn! **Job Summary and Qualifications** POSITION SUMMARY: The Case Manager will facilitate the interdisciplinary plan… more
- LifePoint Health (Danville, VA)
- * Registered Nurse , Case Manager * Job Type:Full Time|Days...the use of a Utilization RN and Case Manager RN , in conjunction with a ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...and harassment in employment." **Job:** **Nursing* **Organization:** ** **Title:** * RN - Case Manager * **Location:**… more
- HCA Healthcare (Fort Walton Beach, FL)
- …supporting a balance of optimal care and appropriate resource utilization . The RN Case Manager will identify potential barriers to patient throughput ... environment where diversity and inclusion thrive? Submit your application for our Case Manager RN PRN opening with HCA Florida Fort Walton-Destin Hospital… more
- HCA Healthcare (Fort Walton Beach, FL)
- …supporting a balance of optimal care and appropriate resource utilization . The RN Case Manager will identify potential barriers to patient throughput ... purpose and integrity. We care like family! Jump-start your career as a Case Manager RN PRN today with HCA Florida Fort Walton-Destin Hospital. **Benefits**… more
- Crossroads Hospice & Palliative Care (Plymouth Meeting, PA)
- … management principles to ensure continuity of care and appropriate resource utilization Registered Nurse Case Manager Benefits & Schedule: + Monday ... As a Registered Nurse Case Manager , you will provide direct care to patients in their homes or care facilities. Your role goes beyond offering medical… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …years of progressively responsible and directly related work experience License/Certification: CA Registered Nurse ( RN ) Knowledge, Skills, & Abilities These ... and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care… more
- Prime Healthcare (National City, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/175861/** case - manager - rn utilization ... 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… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/171837/* case - manager %2c- rn utilization ... 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… more
- Prime Healthcare (Montclair, CA)
- …of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/175009/ case - manager -%28rn%29 utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMontclair… more
- Prime Healthcare (North Las Vegas, NV)
- …of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience ... in basic to intermediate computer skills. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/174491/ case - manager -%28rn%29 utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityNorth Vista Hospital… more
- Prime Healthcare (Lynwood, CA)
- …credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/174454/* case - manager - rn -%2c- utilization ... 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… more
- The Cigna Group (El Paso, TX)
- … case -management or utilization management position . Certified Case Manager preferred Bi-lingual-Spanish preferred. Basic Mathematical and statistical ... Performs community visits or telephonic outreach to customers that have been identified for case management. Nurse Case Managers also **Ideal candidate must… more
- Lowe's (Charlotte, NC)
- …of experience in a clinical position. + 3-5 Years of Experience as a Case Manager or Utilization Review Nurse in worker's compensation + Experience in a ... in home State + CCM - Certified Case Manager + CRRN - Certified Rehabilitation Registered Nurse + CDMS - Certified Disability Management Specialist… more
- Mayo Clinic (Rochester, MN)
- …and provides the resources you need to succeed. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an interdisciplinary ... management, care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing… more