- UNC Health (Chapel Hill, NC)
- …communities we serve.RN Utilization Manager position specifically for a Utilization Manager /Clinical Appeals Nurse . This person is based at the ... UNC Health is seeking a Registered Nurse (RN) Care Manager for a...through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical… more
- Detroit Medical Center (Detroit, MI)
- Detroit Medical Center is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Detroit, Michigan.Job Description & RequirementsSpecialty: ... Utilization ReviewDiscipline: RNDuration: Ongoing36 hours per weekShift: 12 hours,...preferred. Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills Required Analytical ability, critical thinking,… more
- MUSC (Charleston, SC)
- Job Description Summary The Nurse Case Manager (NCM) I reports to the Manager of Case Management and Care Transitions. Under guidance of the Nurse Case ... Manager Team Leader, the Nurse Case Manager I functions as a member of the clinical...as a clinical expert related to discharge planning, resource utilization , and case management.Entity Medical University Hospital Authority (MUHA)Worker… more
- UNC Health (Chapel Hill, NC)
- …date (EDD). Complete follow-up from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the meeting to discuss updates and ... UNC Health is seeking a Registered Nurse (RN) Care Manager for a...complex patients and identify trends. Formulate potential solutions with Utilization Manager and Social Worker and continuously… more
- MUSC (Charleston, SC)
- …candidates with 2-year commitment. Fair Labor Standards Act Status: Salaried Job Summary/Purpose: The Nurse Case Manager (NCM) I reports to the Manager of ... Case Management and Care Transitions. Under guidance of the Nurse Case Manager Team Leader, the ...as a clinical expert related to discharge planning, resource utilization , and case management. Minimum Training and Education: Bachelor's… more
- MUSC (Charleston, SC)
- …Work Hours/Shift: Days. 8:00a:4-:30p. Fair Labor Standards Act Status: Hourly Job Summary/Purpose: The Nurse Case Manager (NCM) I reports to the Manager of ... Case Management and Care Transitions. Under guidance of the Nurse Case Manager Team Leader, the ...as a clinical expert related to discharge planning, resource utilization , and case management. Minimum Training and Education: Bachelor… more
- The University of Vermont Health Network (Elizabethtown, NY)
- …health documents and reports. The manager is a registered professional nurse manager who is responsible for conducting inpatient Care Management; and ... Job Summary:The manager role is responsible for all aspects of...in nursing field. BSN preferred.* Must be a Registered Nurse (RN), licensed in good standing in NYS. Must… more
- North Mississippi Health Services (Amory, MS)
- …DME Providers, Home Health Agencies, Community Agencies, referral resource providers, Utilization Review Manager , patients, and family members Must have ... North Mississippi Health Services is seeking a Registered Nurse (RN) Case Management for a nursing job...Upon Hire Required Certified as a Board Certified Case Manager within 1 year of accepting position Upon Hire… more
- University Medicine (East Providence, RI)
- …home members to assist the patient to the right level of care and decrease unnecessary utilization . The nurse case manager is an active participant in the ... SUMMARY: Reporting to the Manager of Case Management, the nurse ...high risk case management (eg rising risk, frequent ED utilization ). The NCM helps Brown Medicine achieve the triple… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …the assigned unit regarding patient/family relations, environmental safety and effective resource utilization upon delegation of Nurse Manager duties. Duties ... Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required The Assistant Nurse Manager is also responsible for the overall operation of… more
- UNC Health Care (Chapel Hill, NC)
- …communities we serve. RN Utilization Manager position specifically for a Utilization Manager /Clinical Appeals Nurse . This person is based at the ... care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management… more
- Arnot Health (Elmira, NY)
- …areas suitable for nursing research. + Promotes research-based practice. Standard VIII. Resource Utilization The Nurse Manager evaluates and administers the ... DUTIES AND RESPONSIBILITIES: Standards of Care Standard I. Assessment The Nurse Manager develops, maintains, and evaluates patient/client and staff… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Scheduled Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time ... 8:00am-4:30pm weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse (RN) Case Manager for Hospital at Home Care Transitions… more
- Providence (Medford, OR)
- …and geriatric, based on population focus. Duties also include complex discharge planning and utilization review. The Nurse Case Manager must be competent to ... **Description** The RN Case Manager is an expert professional registered nurse...year home health, mental health, substance use, hospice, and/or utilization review. + Progressive nursing leadership experience, including charge… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service,… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service,… more
- Milford Regional Medical Center (Milford, MA)
- …to our community with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for utilization management at ... Nursing required Masters in Healthcare preferred Certification/License: Massachusetts Registered Nurse licensure required Certified Case Manager , preferred… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Role BHPS provides Utilization Management services to its clients. The Utilization Review Appeals Nurse performs daily appeal reviews and clinical quality ... oversite. This position reports to the Clinical Program Manager . This job description is not designed to cover...Complex Care Needs. Essential Qualifications + Current licensed Registered Nurse (RN) with state licensure. Must retain active and… more
- Texas Health Resources (Arlington, TX)
- **RN/Registered Nurse - Utilization Management, Clinical Reviews** **Work location:** 100% remote but must live in Texas, preferably in the Dallas-Fort Worth ... an acute hospital setting required and + 1 Year Utilization Management required and + Experience in case management,...years preferred **Licenses and Certifications** + RN - Registered Nurse Current license to practice professional nursing in the… more
- Ascension Health (Saginaw, MI)
- …health care services regarding admissions, case management, discharge planning and utilization review. + Review admissions and service requests within assigned unit ... needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance to federally… more
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