- Community Health Network (Indianapolis, IN)
- Registered Nurse ( RN ) Case Manager / Utilization Review - North Emergency Job Ref 2408203 Category Nursing Job Family Case Manager Department ... Review position available in the Emergency Department. The Registered Nurse Case Manager is...inpatient and observation services. The RN Case Manager / Utilization Review RN … more
- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical Center in ... rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for...Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality… more
- Magellan Health Services (Boise, ID)
- …implement solutions that directly influence quality of care. General Job Information Title Care Manager (SUD utilization review preferred) - REMOTE USA Grade ... live in Idaho. Also interested in candidates with SUD utilization review experience. Under general supervision, and...Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State… more
- Ascension Health (Baltimore, MD)
- …education, experience, location, qualifications and comparison with associates in similar roles_ ** Registered Nurse , Certified Case Manager (CCM, ACM, URAC) ... with your Talent Advisor for additional specifics._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing… more
- Hartford HealthCare (Mansfield Center, CT)
- …and empowering individuals to participate in their own care and recovery. _*Job Summary*_ Utilization Review Care Manager coordinates the care of clients in ... this is* your moment.* **Job:** **Behavioral Health* **Organization:** **Natchaug Hospital* **Title:** * Utilization Review Care Manager - Behavioral Health*… more
- Covenant Health (Bangor, ME)
- …supervision of the VP of Accountable Care Operations & Population Health Strategy the Utilization Review Case Manager will work collaboratively with other ... members of the healthcare team. The nurse case manager also acts as an... conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that are housed… more
- Baylor Scott & White Health (Columbus, OH)
- …Note: Benefits may vary based on position type and/or level **Job Summary** As a Manager for Utilization Review , you guide and supervise staff. You oversee ... 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
- Stanford Health Care (Palo Alto, CA)
- …to create an effective plan to address them. **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State ... and Abilities** + Knowledge of principles and best practices of case management, utilization review , social work, care coordination and discharge planning. +… more
- 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,...employment." **Job:** **Nursing* **Organization:** ** **Title:** * Utilization Review RN Case Manager *… more
- Sharp HealthCare (San Diego, CA)
- …Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered ... Utilization Manager (UM) II position supports utilization review functions to ensure appropriate patient...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
- Lowe's (Charlotte, NC)
- …a clinical position. + 3-5 Years of Experience as a Case Manager or Utilization Review Nurse in worker's compensation + Experience in a clinical position ... for medically managing a minimum caseload of 65 including review of claims identified for Medicare Set-Aside. **What you...Case Manager + CRRN - Certified Rehabilitation Registered Nurse + CDMS - Certified Disability… more
- University of Utah Health (Salt Lake City, UT)
- …with an increased LOS, high dollar and frequent utilizers. + Collaborate with unit case manager , utilization review nurse and other organization staff on ... and continuum of care providers. + Provides guidance to utilization review staff and providers on admission...**Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah,… more
- South Central Regional Medical Center (Laurel, MS)
- …patients admitted through the ED - work collaboratively with the inpatient care manager and the utilization review department to support transitions ... and across other departments. JOB REQUIREMENTS Required Licenses [Mississippi, United States] Registered Nurse Must have a current Mississippi license or a… more
- Avera (Sioux Falls, SD)
- …transfers from Avera facilities as Swing Bed transfers. + Supports compliance with Utilization Review Process. Case Manager will have ongoing conversation ... with Utilization Review staff on patients status and ongoing coverage +...the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board… more
- HCA Healthcare (Webster, TX)
- …you to apply for our Registered Nurse RN Case Manager PRN opening. We review all applications. Qualified candidates will be contacted for interviews. ... the PRN career opportunities as a(an) Registered Nurse RN Case Manager PRN...utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
- HCA Healthcare (Richmond, VA)
- …career path, we encourage you to apply for our Case Manager Registered Nurse RN PRN opening. We review all applications. Qualified candidates will be ... Do you have the career opportunities as a(an) Case Manager Registered Nurse RN...in this role is to Performs admission and concurrent review for all payers and maintains legible documentation as… more
- Hartford HealthCare (Willimantic, CT)
- …**Job:** **Nursing* **Organization:** **Windham Hospital* **Title:** * Registered Nurse Case Manager ( RN )* **Location:** *Connecticut-Willimantic-Windham ... in Case Management or Utilization Management is preferred. *QUALIFICATIONS*: Registered nurse with current licensure in the State of Connecticut.… more
- AdventHealth (Daytona Beach, FL)
- …or RN Diploma degree + State of Florida license as a Registered Nurse + Two (2) years of medical/hospital nursing experience **Preferred qualifications:** ... Daytona Beach, FL 32117 **The role you'll contribute:** The RN Care Manager in collaboration with the...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical Case Manager * Fulltime Days * * *Your experience matters* At Frye Regional Medical Center, we are driven by a profound ... outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources,...employment." **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ), Clinical Case Manager *… more
- LifePoint Health (Henderson, NC)
- Registered Nurse ( RN ) Case Manager Up to $20,000 Commitment Bonus Job Type: Full Time| Weekend Coverage Schedule Requirement: Friday-Monday (4 10-hour ... skills. Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by...law. **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ) Case Manager Full… more