- 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
- 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
- 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
- Cedars-Sinai (Los Angeles, CA)
- …named us one of America's Best Hospitals! **What You Will Do in This Role:** The Utilization Review Case Manager validates the patient's placement to be at ... from an accredited nursing program required. Bachelors Degree in Nurse preferred. California RN License required. **Experience:**...continued employment. **Req ID** : 4300 **Working Title** : Utilization Management Case Manager -… 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/170680/ case - manager -%28rn%29 utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMontclair… 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
- 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 ... : **EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire CCM certification… more
- University of Utah Health (Salt Lake City, UT)
- …LOS, high dollar and frequent utilizers. + Collaborate with unit case manager , utilization review nurse and other organization staff on establishing ... charges related to specific condition. + Participates in organization Utilization Review Committee, weekly Medicare IPPS Case ...**Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah,… more
- Trinity Health (Chelsea, MI)
- …time **Shift:** Rotating Shift **Description:** ** Registered Nurse Case Manager ** **Department:** Utilization Managment **Location:** Chelsea, MI ... **Position Purpose:** Exceptional opportunity for a Registered Nurse Case ...use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of… more
- AdventHealth (Land O' Lakes, FL)
- …care outcomes within effective time frames on a specific group of patients. The Case Manager is responsible for utilization reviews and resource management, ... Awards, TWCE as Nice **The role you'll contribute:** The Case Manager is accountable for the organization,...years of hospital nursing experience . Current license of registered nurse in Florida or licensure from… more
- Select Medical (Columbus, OH)
- …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... characteristic protected under applicable law. Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/302171/ case - manager prn %28- rn rt sw… more
- Select Medical (Columbus, OH)
- …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... characteristic protected under applicable law. Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/301690/ case - manager -%28- rn rt sw lpn-%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share… more
- Henry Ford Health System (Detroit, MI)
- …working in a fun and dynamic environment? Join our team as a Registered Nurse ( RN ) Case Manager ! Who We're Looking For: Passionate, compassionate, ... + Innovative Team Structure:Benefit from our new dyad Social Work/ RN Case Manager model and remote utilization review setup, allowing you to excel… more
- Children's Hospital Boston (Boston, MA)
- 74825BRJob Posting Title: RN Case Manager , Inpatient & Ambulatory (Per Diem)Department:Patient Services-Patient Care ... per Week:1 Job Posting Category:NursingJob Posting Description:The Per Diem RN Case Manager (inpatient and/or...of employment. + Experience as a Case Manager (Discharge Planning and or Utilization Management)… more
- Prime Healthcare (Blue Springs, MO)
- …and maintain current. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/171723/ registered - nurse - case - manager ... these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Nurse Case Manager in an… more
- Commonwealth Care Alliance (Boston, MA)
- …active nursing license in good standing required. + CCM (Certified Case Manager ) preferred + 1 to 2 years Utilization Management experience required. + ... facilities under the provisions of CCA's benefits plan. The Nurse Utilization Management (UM) Reviewer is responsible...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- Avera (Yankton, SD)
- …our pride by delivering excellent care. **Job Summary** + The Case Manager is responsible for the care planning, utilization of services, coordination of ... effectively, and with the best possible outcomes. + The Case Manager will develop all patient care...education and experience preferred. **Licensure/Certification/Registration** + License as a Registered Nurse ( RN ) in South… more
- Avera (Yankton, SD)
- …shifts to fit your lifestyle and opportunities for career growth. **Avera is looking for a RN - Case Manager to join our Team!** **_Position Highlights:_** + ... and effective operations of case management and utilization review. The Case Manager ...degree in nursing preferred. + Must have current SD registered nurse license, if residing in SD… more
- University of Miami (Miami, FL)
- …. This position functions as Manager of the Case Managers and Utilization Review for all inpatient UMHC ... Palmer, Sylvester and UHealth Tower. This position analyzes and distributes daily Case Manager assignments, coordination of monthly schedules, daily report… more
- HCA Healthcare (Richmond, VA)
- …nurses 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. ... by location._ We are seeking a Registered Nurse RN Case Manager... experience in a hospital setting preferred.** + **Previous case management or utilization review experience preferred.**… more