• Case Manager with Utilization

    Beth Israel Lahey Health (Burlington, MA)
    …Days 8:00am-4:30pm Weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home ... in people's lives.** Joint role of Case Manager and Utilization Review Nurse ...a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… more
    Beth Israel Lahey Health (01/15/25)
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  • RN Case Manager

    UCLA Health (Los Angeles, CA)
    …for assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site at our ... accepted for current UCLA Health Nursing staff) + CA RN License and BLS certification + Recent experience in... License and BLS certification + Recent experience in case management, utilization management and discharge planning… more
    UCLA Health (01/04/25)
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  • Registered Nurse Case

    Prime Healthcare (Weslaco, TX)
    …#hiringrns #registerednurse #casemanagement Connect With Us! (https://careers-primehealthcare.icims.com/jobs/188814/ registered - nurse - case - manager ... Work Experience Required qualifications: 1. BSW or other Bachelor ( RN ) degree in a related field. At least one...a related field. At least one year experience in case management, discharge planning or nursing management;2. CCM or… more
    Prime Healthcare (01/07/25)
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  • Case Manager - Utilization

    Prime Healthcare (Lynwood, 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 ... experience, education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189323/ case - manager utilization -review/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Francis… more
    Prime Healthcare (01/13/25)
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  • Utilization Review Case

    Covenant Health (Bangor, ME)
    Case Manager will work collaboratively with other members of the healthcare team. The nurse case manager also acts as an advocate for the patient and ... in providing information regarding their insurance coverage. The UR Nurse Case Manager conducts medical... conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that are housed… more
    Covenant Health (11/27/24)
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  • Lowe's Care Nurse - Case

    Lowe's (Charlotte, NC)
    …of experience in a clinical position. + 3-5 Years of Experience as a Case Manager or Utilization Review Nurse in worker's compensation + Experience in a ... in home State + CCM - Certified Case Manager + CRRN - Certified Rehabilitation Registered Nurse + CDMS - Certified Disability Management Specialist… more
    Lowe's (12/04/24)
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  • Episodic Utilization Case

    Healthfirst (NY)
    RN , LPN, LMSW, LMHC,LMFT, LCSW, PT, OT, and/or ST license + For Episodic Utilization / Case Management: NYS RN or Licensed Social Worker (LCSW/LMSW any ... case management, identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of… more
    Healthfirst (11/24/24)
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  • Registered Nurse ( RN

    Avera (Parkston, SD)
    …between levels of care, to promote the best possible patient outcome. The case manager facilitates efficient utilization of resources and identifies ... hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board of Nursing An active license in… more
    Avera (12/23/24)
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  • Registered Nurse ( RN )…

    Avera (Sioux Falls, SD)
    …between levels of care, to promote the best possible patient outcome. The case manager facilitates efficient utilization of resources and identifies ... hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board of Nursing An active license in… more
    Avera (01/16/25)
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  • Case Manager / PRN ( RN / RT…

    Select Medical (Springdale, AR)
    …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/315805/ case - manager prn %28- rn rt sw… more
    Select Medical (01/17/25)
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  • Case Manager ( RN / RT / SW…

    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/315339/ case - manager -%28- rn rt sw lpn-%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share… more
    Select Medical (01/14/25)
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  • Registered Nurse Case

    Children's Hospital Boston (Boston, MA)
    74825BRJob Posting Title: Registered Nurse 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
    Children's Hospital Boston (01/15/25)
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  • Registered Nurse ( RN

    Northwell Health (Bay Shore, NY)
    …follow up and action. + * Acts as a liaison with patient's insurance carrier ( case manager , utilization reviewer) to coordinate post hospital services and ... as required. + * Participates in the maintenance of Utilization Management, Discharge Planning and Case Management...field, preferred. + Current license to practice as a Registered Professional Nurse in New York State.… more
    Northwell Health (01/17/25)
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  • Per Diem Case Manager

    RWJBarnabas Health (Rahway, NJ)
    Per Diem Case Manager Registered Nurse ( RN ), Case ManagementReq #:0000183145 Category:Nursing Status:Per Diem Shift:Day Facility:RWJ Rahway ... all Orientation Programs Certifications and Licenses Required: + Current Registered Nurse License in the state of...improves efficiency, quality, and resource utilization . The Case Manager RN will work… more
    RWJBarnabas Health (01/16/25)
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  • Oncology Prior Authorization Case

    University of Miami (Miami, FL)
    utilization and identifying the need for continued authorization. The Utilization Case Manager coordinates with the Nurse Case Manager ... of Miami Health System has an exciting opportunity for a per diem Utilization Case Manager to work at Sylvester Support Services Building. The purpose… more
    University of Miami (12/06/24)
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  • Utilization Review Case

    Morris Hospital (Morris, IL)
    …and federal regulatory requirements and payer/reimbursement methodologies. + Licensure as Registered Nurse in Illinois. + DCFS Mandated Reporter Certificate ... in acute hospital setting. + Strong clinical expertise. + Prior experience in utilization management or case management preferred. + Ability to maintain… more
    Morris Hospital (01/11/25)
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  • RN Utilization Manager - Rex…

    UNC Health Care (Raleigh, NC)
    **Description** **Full time exempt, 40 hours per week Utilization Manager - Medical necessity review for Surgical admissions** Become part of an inclusive ... care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management… more
    UNC Health Care (01/15/25)
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  • Registered Nurse ( RN )…

    Avera (Sioux Falls, SD)
    …and Avera Transfer Center RN and accepting physician. The Transfer Center Case Manager reviews patients for medical necessity, including both the level of ... facilities as Swing Bed transfers. + Supports compliance with Utilization Review Process. Case Manager ...the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board… more
    Avera (12/23/24)
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  • Nurse Case Manager

    Covenant Health (Lewiston, ME)
    …the individual patients' health needs while decreasing the incidence of duplication of care. The RN Case Manager works closely with, and delegates care to, ... and experience as it relates to the position. Summary RN Case Managers utilize a systematic and...of five years of broad clinical experience preferred. + Case Management and/or Utilization Manager more
    Covenant Health (01/22/25)
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  • RN -Disease Management

    ERP International (Nellis AFB, NV)
    **Overview** ERP International is seekinga ** Registered Nurse ( RN ) Disease Manager ** for a full-time position in support of theMike O'Callaghan Military ... or clinical management of selected diseases. * Collaborates with case manager , utilization manager...are required: Minimum of five years of experience as registered nurse with at least 12 months… more
    ERP International (01/18/25)
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