- CHRISTUS Health (Hollywood Park, TX)
- …and operations for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- CHRISTUS Health (Tenneryville, TX)
- …and operations for assigned areas; at CHRISTUS GSMC - Longview. The nurse manager affects departmental outcomes through interpretation, implementation, and ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- UNC Health Care (Chapel Hill, NC)
- **Description** Surgery, Women's, & Children's Utilization Manager **(part-time: 20 hrs/week)** + Weekends only (Saturday & Sunday) + 8:30a-6:30p + **No Nights** ... care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management… more
- UNC Health Care (Hendersonville, NC)
- …the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review ... met and care delivery is coordinated. The UM completes utilization reviews in accordance with federal regulations and the...Required * Must be licensed to practice as a Registered Nurse in the state of North… more
- LifePoint Health (Danville, VA)
- * Registered Nurse , RN - Utilization Review Case Manager * Job Type:Full Time|Days *$10,000 Sign-on Bonus Eligibility for Full-Time, Bedside RNs* ** ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...offering safe discharge planning is the use of a Utilization RN and Case Manager … more
- Penn State Health (Hershey, PA)
- … Manager Utilization Management - DAY SHIFT - Utilization Management **Location** US:PA: Hershey | Registered Nurse | Full Time **Req ID** null ... OF POSITION:** Position is responsible to thoroughly understand all Utilization Management regulatory requirements for both CMS and DOH,...nursing required + Currently licensed to practice as a registered nurse by Pennsylvania Board of … more
- Trinity Health (Mason City, IA)
- …PRN/ As needed/ no weekends or holidays **Minimum Qualifications:** Education + Licensed registered nurse in the state of Iowa. + Bachelor's Degree required. ... the state of Iowa preferred Experience: + Five years of experience as a registered nurse involving community contact, knowledge of managed care, resource … more
- Covenant Health (Bangor, ME)
- …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
- Beth Israel Lahey Health (Burlington, MA)
- …8:00am-4:30pm Weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home Care ... a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse ...the needs of the department. **Minimum Qualifications:** Education: * Registered Nurse , Bachelors Degree or commensurate experience… more
- UCLA Health (Los Angeles, CA)
- …next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team ... a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,...(BSN) degree required + Five or more years of utilization management required + Four or more years of… more
- CVS Health (Austin, TX)
- …management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must hold active and unrestricted RN licensure in state of ... to make health care more personal, convenient and affordable. **Position Summary:** This Utilization Management (UM) Nurse Consultant role is fully remote and… more
- Sharp HealthCare (San Diego, CA)
- …California Registered Nurse ( RN ) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); ... Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
- McLaren Health Care (Detroit, MI)
- **Position Summary:** Responsible for providing assistance to the Utilization Manager (UM) RN in the coordination of patient admission and continued stay ... Functions and Responsibilities as Assigned:** 1. Collaborates with the UM RN to determine the appropriate hospital setting (inpatient vs. observation) based… more
- ERP International (Macdill AFB, FL)
- …on Collegiate Nursing Education (CCNE). **Experience:** Minimum 1 year experience as a RN Utilization Manager within the past 24 months. Licensure:** ... **Overview** ERP International is seeking a ** Utilization Management** ** Registered ** **Nurses ( RN )** for a Full-Time position at MacDill AFB, FL. Apply… more
- Healthfirst (NY)
- …, LPN, LMSW, LMHC,LMFT, LCSW, PT, OT, and/or ST license + For Episodic Utilization /Case Management: NYS RN or Licensed Social Worker (LCSW/LMSW any state) ... Negotiates rates with non-partner providers, where applicable. Ensures appropriate access and utilization of a full continuum of network and community resources to… more
- Cleveland Clinic (Vero Beach, FL)
- …from an accredited school of professional nursing. + Current state licensure as a Registered Nurse ( RN ). + Basic Life Support (BLS) certification through ... and initiate special projects as supervised by the Team Manager . Utilization Management Specialist Join our team...to five years of full-time clinical experience as an RN . + Knowledge of medical terminology, anatomy, physiology, diagnosis,… more
- Sharp HealthCare (San Diego, CA)
- …Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... utilization review, care coordination experience + California Registered Nurse ( RN ) - CA...Qualifications** + Master's Degree in Nursing + Certified Case Manager (CCM) - Commission for Case Manager … more
- Sharp HealthCare (San Diego, CA)
- …Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... 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 (ACM)… more
- UNC Health Care (Hendersonville, NC)
- …issues with complex patients and identify trends. Formulates potential solutions with Utilization Manager and Social Worker and continuously monitor cases/follow ... of the unique communities we serve. Summary: The Care Manager - RN provides ongoing support and...Required * Must be licensed to practice as a Registered Nurse in the state of North… more
- Sutter Health (San Francisco, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... **EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:**… more
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