- Baylor Scott & White Health (Columbus, OH)
- …vary based on position type and/or level **Job Summary** As a Manager for Utilization Review , you guide and supervise staff. You oversee care coordination across ... Factors** + Demonstrable knowledge in discharge planning, case management, utilization review and different care levels. +...work experience + Hold a valid registration as a Registered Nurse As a health care system… more
- Premier Health (Troy, OH)
- Position: ASSOCIATE NURSE MGR / UTILIZATION REVIEW RN Dept: Inpatient Behavioral Health Shift: Full time 72 hours/pp: 7am-7:30pm Facility: Upper ... POSITION: 24 HOURS/PP ASSOCIATE NURSE MANAGER AND 48 HOURS/PP UTILIZATION REVIEW RN ._** The **Associate Nurse Manager (ANM)-Inpatient Unit**… more
- Covenant Health Inc. (Sevierville, TN)
- Overview Registered Nurse Care Manager, Continuum of...related field. RN License Apply/Share Job Title RN CARE MGR II ID 4131512 Facility ... generous Combined Time Off (CTO) program. Position Summary: The RN Care Manager II is responsible for integrating evidenced...management services within the scope of practice as a registered nurse meeting all required standards both… more
- Covenant Health Inc. (Oak Ridge, TN)
- Overview Registered Nurse , Care Manager Full Time,...degree in Nursing or related field. Apply/Share Job Title RN Care Mgr II ID 4155306 Facility ... courtesy physicians + Over 800 employees Position Summary: The RN Care Manager II is responsible for integrating evidenced...management services within the scope of practice as a registered nurse meeting all required standards both… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Manager, Social Services PRN/OCC, Variable Hours, Day Shift Weekends required. Fort Sanders Regional Medical Center is an ... management services within the scope of practice as a registered nurse meeting all required standards both...Management, CCM, ACM or CPHQ required. Apply/Share Job Title RN CARE MGR III ID 4142116 Facility… more
- UTMB Health (Friendswood, TX)
- …from an accredited school of Professional Nursing + Current Texas Nursing Licensure as a Registered Nurse ( RN ). + Minimum of five (5) years full-time wage ... Program Mgr UR/Case Management - CMC - Baybrook **Friendswood,...quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review /Case Management program by utilizing clinical… more
- HCA Healthcare (Richmond, VA)
- …If you find this opportunity compelling, we encourage you to apply for our Mgr Central Sterile opening. We promptly review all applications. Highly qualified ... work environment where diversity and inclusion thrive? Submit your application for our Mgr Central Sterile opening with Chippenham Hospital today and find out what… more
- Covenant Health Inc. (Tazewell, TN)
- …are in place to achieve desired outcomes. + Collaborates with the Peer Review /PQPR medical staff chair to operationalize assessments of peer review triggers ... seeks opportunities to reduce waste and redundancy in the utilization of resources. + At a minimum participates in...+ At a minimum participates in the Quality, Peer Review , Regulatory, Infection Prevention, and Credentials Committees. The Quality… more
- Centene Corporation (Nashville, TN)
- …behavioral health conditions and members with special needs. Working knowledge of utilization review procedures, and familiarity with mental health community ... Update database regularly with most recent Service Management Plan of Care. + Review information submitted by providers into the database to ensure material is… more
- AdventHealth (Hinsdale, IL)
- …for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care ... physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge...(as permitted by the patient) as well as a review of the current and past inpatient and outpatient… more