- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... case management experience supervised by a certified case manager , or 24 months full-time ...to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our ... certification: 12 months full-time case management experience supervised by a certified case manager , or 24 months full-time case management experience… more
- Protouch Staffing - Permanent (El Paso, TX)
- Protouch Staffing - Permanent is seeking a Registered Nurse ( RN ) Case Management for a nursing job in EL Paso, Texas.Job Description & ... hours per weekShift: 8 hours, daysEmployment Type: StaffPerks: Benefits: All Standards benefits are covered. Manager of Case Management RN - El Paso, TX Job… more
- LHC Group (Reno, NV)
- LHC Group is seeking a Registered Nurse ( RN ) Home Health Clinic for a nursing job in Reno, Nevada.Job Description & RequirementsSpecialty: ClinicDiscipline: ... the salary will be commensurate with experience. Summary We are hiring a Patient Care Manager /Clinical Manager ( RN ) with Home Health experience. At St Mary's… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... of system-wide opportunities as they relate to Value Analysis standardization, utilization and implementation. Facilitate Value Analysis Teams (VAT) to most… more
- Blanchard Valley Hospital (Findlay, OH)
- PURPOSE OF THIS POSITION The purpose of the role of the RN Case Manager is to develop, implement and evaluate an organized inpatient case management ... patients under the direction of the attending provider. The RN Case Manager will assist...Licensed by the Ohio Board of Nursing as a Registered Nurse . Four (4) years clinical nursing… more
- ICONMA (Kentfield, CA)
- …Acute Care hospital experience EPIC EMR documentation experience Active CA RN License Certifications/Requirements: BLS/BCLS Must have strong Utilization Review ... Requirements: Must have strong Utilization Review and InterQual experience required! Conducting patient initial assessments… more
- ICONMA (Kentfield, CA)
- Requirements: Must have strong Utilization Review and InterQual experience required! Conducting patient initial assessments Acute Care hospital experience EPIC EMR ... documentation experience Active CA RN License Shift Information: Day shift (0800-1630), Monday thru Friday Minimum Years of Experience: 2… more
- Pacer Staffing (Atlanta, GA)
- …regulatory requirements, and HIPAA privacy regulations. . Thorough knowledge of Case Management, Utilization Management, HIPAA Privacy and Security regulations. ... Provides Disease Management (DM) services to TRICARE beneficiaries. . The DM nurse will collaboratively assess, plan, implement, coordinate, monitor and evaluate the… more
- Trusted Resource Associates (TRA) (Palm Springs, CA)
- Trusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Palm Springs, California.Job ... Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: 09/25/2024Duration: 13 weeks40 hours per...Contract security compared to with an outside agency. The RN Case Manager is responsible… more
- Pacer Staffing (Atlanta, GA)
- Shift - Standard | Mon to Fri Location - Remote ( Case Manager - serious diagnoses. Children/Pediatric with down syndrome, serious disabilities, physical ... complex case management services from a non-ECHO case manager . Maintains knowledge of and compliance...United States, as a Licensed Clinical Social Worker or Registered Nurse US Citizenship Must be able… more
- Cambia Health Solutions, Inc (Lewiston, ID)
- …or Master's degree in Behavioral Health preferred for behavioral health care management); or Registered nurse ( RN ) license (must have a current unrestricted ... of creating a person-focused health care experience.Are you a Registered Nurse looking to transition out of...at least one of the following: Certification as a case manager from the URAC-approved list of… more
- Blanchard Valley Health System (Findlay, OH)
- …and procedures for service area. REQUIRED QUALIFICATIONS Current Ohio Licensure as a Registered Nurse Nursing experience 5+ years, 2-4 years in Care Coordination ... to the Acute Care Transitions Team, including the disciplines of Social Work, Case Management, Utilization Review, and Emergency Department Care Navigation to… more
- Equiliem (Orange, CA)
- Summary:We are seeking a highly motivated and experienced Care Manager , with Behavioral Health experience. The Care Manager is responsible for the oversight and ... Applied Behavior Analysis (ABA) services offered to eligible members. The Care Manager will screen, triage and assess members to determine the appropriate level… more
- Accounting Now (Carson City, NV)
- …(ABA) services only, and there is licensed staff supervisionPrevious experience in case management/ utilization management with a broad range of experience with ... and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to… more
- Staffing Now (Carson City, NV)
- …(ABA) services only, and there is licensed staff supervision. Previous experience in case management/ utilization management with a broad range of experience with ... and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to… more
- 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
