- 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,...**Job:** **Nursing* **Organization:** ** **Title:** * RN - Utilization Review Case Manager* **Location:**… 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
- Baptist Memorial (Jackson, MS)
- Summary The Utilization Review Nurse is...Summary: Position: 19738 - RN - Utilization Review Facility: MBMC - Hospital Department: HS Case ... appropriateness of healthcare services and treatment as prescribed by utilization review standards. The UR Nurse...against standard criteria per payer guidelines + Prioritizes observation case review + Assists with level of… more
- Trinity Health (Fresno, CA)
- …through the effective utilization of the facility's resources. 1. Current licensure as a Registered Nurse ( RN ) in the state of California is required. 2. ... Reporting to the Manager Social Services*, Social Services, this position coordinates utilization review service for defined patient populations across the acute… more
- VHC Health (Arlington, VA)
- Case Manager/ Utilization Review Registered Nurse Job Description Purpose & Scope: The Case Manager is responsible for the collaborative process ... and available resources to promote quality cost-effective outcomes. Additionally, the Case Manager ensures that identified and referred patients have a coordinated… more
- Providence (Kodiak, AK)
- …and standards. The Case Manager/ RN Navigator partners with the Utilization Review nurse , patients, physicians, and interdisciplinary team to ensure ... + Associate's Degree in Nursing + Upon hire: Alaska Registered Nurse License + 3 years Clinical...1 year experience as an RN in Utilization Management- review , Case Management and/or… more
- Actalent (Oklahoma City, OK)
- Hiring for Case Manager- Utilization Review Job Description Care Managers perform integrated case management (CM) and disease management (UM) activities ... community resources, contracting and community care standards to each case . Responsibilities: * Determine, develop, and implement a plan...via computer and virtual meetings. Hard Skills + Licensed RN + Acute care experience or surgery experience +… more
- Fairview Health Services (St. Paul, MN)
- …role (grandfather status) + Current RN licensure in MN + 3-5 years utilization review or case management experience in hospital, clinic, insurance ... meets regulatory requirements. Participates in interdisciplinary communication related to utilization review issues. Educates on status. Provides all… more
- Prime Healthcare (Ontario, CA)
- …strategic leadership, development, and supervision to utilization review department, provides interprofessional collaboration with facility-based case ... A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management...with a large Health Plan + An active CA Registered Nurse license + Current BCLS (AHA)… more
- Trinity Health (Silver Spring, MD)
- …travel paid._** **Minimum Licensure/Certification Required (if applicable):** + State of Maryland license as a Registered Nurse + RN with BSN or RN with ... experience in an acute healthcare setting required, preferably with case management, utilization review or closely related area. + Extensive… more
- Henry Ford Health System (Detroit, MI)
- …community partners to support patient needs beyond the hospital setting. Qualifications: + Registered Nurse ( RN ) with active licensure + Minimum [number] ... with computers, electronic health records (EHR), database systems, and utilization review / case management documentation systems....work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years utilization review / case management/clinical/or combination; 2 of ... like in this role: Employee will be providing telephonic case management for our members. + Past job instability.... management for our members. + Past job instability. Registered nurses MUST have 4 years or more of… more
- LifePoint Health (Warrenton, VA)
- …federal, state or local law./ **Job:** **Nursing Management* **Organization:** ** **Title:** * Registered Nurse ( RN ) Case Manager* **Location:** ... Sign On Bonus for experienced candidates (new hires)* The RN Case Manager monitors and manages patient...*Required*- Three years of nursing experience. *Preferred*- Experience in utilization review , case management, discharge… more
- Mohawk Valley Health System (Utica, NY)
- Registered Nurse - Case Management - Full Time - Days Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision of Case ... regulatory compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review / case management experience or social work… more
- University of Miami (Miami, FL)
- …System, Department of Utilization Management, has an exciting opportunity for an Utilization Review Case Manager to work remote. The incumbent conducts ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
- Ellis Medicine (Schenectady, NY)
- …for appropriate Level of Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician for additional ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for...Case Manager include, but are not limited to, utilization review , case management, care… more
- Marshfield Clinic (Marshfield, WI)
- …Required:** Three years' experience in a medical facility. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in a ... (United States of America) **Job Description:** **JOB SUMMARY** The RN Case Manager serves as part of...to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse … more
- Marshfield Clinic (Marshfield, WI)
- …Required:** Three years' experience in a medical facility. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in a ... the most exciting missions in the world!** **Job Title:** RN Case Manager - Hospital (Remote In...to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse … more
- Rady Children's Hospital San Diego (San Diego, CA)
- … utilization of computers PREFERRED QUALIFICATIONS: Four years of experience Utilization review , case management, discharge planning experience Bilingual ... JOB SUMMARY: Case Managers function as liaisons between patients, their...Degree in Nursing 3 years of experience Current California RN license One year of pediatric experience Competent in… more
- University of Utah Health (Salt Lake City, UT)
- …education in healthcare or a related field. + One year of experience in a utilization review or case management environment. + Basic Life Support Health ... coordination of care activities under the direction of a registered nurse and/or social worker. + The...discharge plans prepared and delegated by social work or nurse case management by coordinating with home… more