- CHRISTUS Health (Tenneryville, TX)
- Description Summary: The RN Supervisor is accountable for supervising the delivery of high-quality, cost-effective care to patients. Responsible in assisting the ... for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established… more
- CHRISTUS Health (Alamo Heights, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- CHRISTUS Health (Tyler, TX)
- …in matters related to nursing service and strategies Standard I: Financial Management Recognizes the impact of reimbursement on revenue Understands the relationship ... capital appropriations and project authorizations Standard II. Human Resources Management Evaluates and specifies the critical resources required to accomplish… more
- CHRISTUS Health (Tenneryville, TX)
- …years of healthcare management experience C. Licenses, Registrations, or Certifications . RN License in state of employment or compact Work Type: Full Time EEO ... in matters related to nursing service and strategies Standard I: Financial Management . Recognizes the impact of reimbursement on revenue . Understands the… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN ) will be responsible for ensuring the efficient ... record (EHR) systems and other healthcare software. **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State… more
- ERP International (Nellis AFB, NV)
- **Overview** ERP International is seeking ** Registered Nurse ( RN ) Utilization Managers** for full-time positions in support of theMike O'Callaghan ... No Call, No Weekends, No Holidays! **Job Specific Position Duties:** * Provides Utilization Management activities and functions by using MTF specific Quality… more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... care and supports other members of the System Centralized Utilization Management team to ensure final status...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Director of Utilization Management leads and manages all utilization management (UM) functions for physical ... regulatory requirements and all applicable accreditation standards. The Director of Utilization Management is responsible for setting strategic direction,… more
- Catholic Health Initiatives (Lexington, KY)
- …both inside our hospitals and out in the community. **Responsibilities** The Utilization Management (UM) Director is responsible for the market(s) development, ... implementation, evaluation and direction of the Utilization Management Program and staff in support of the CommonSpirit Health Care Coordination model. The … more
- CareFirst (Baltimore, MD)
- …is required in addition to the required work experience. **Licenses/Certifications:** + Health Services\ RN - Registered Nurse - State Licensure and/or ... based on business needs and work activities/deliverables that week. The Director, Utilization Management provides strategic leadership of the utilization … more
- Sharp HealthCare (San Diego, CA)
- …Degree in Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... Care Management (ICM) team the Per Diem RN (Adv CN)-Unit A4 position supports utilization ...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
- Sharp HealthCare (San Diego, CA)
- …recent case management , utilization review, care coordination experience + California Registered Nurse ( RN ) - CA Board of Registered Nursing ... Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA...and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge… more
- AmeriHealth Caritas (Dublin, OH)
- …+ Current and unrestricted RN license in OH. + 3+ years of utilization /case management experience in relevant scope preferred, one year required. + 3+ years ... ** Utilization Management Plan Oversight Manager (Ohio...meetings and audits. Knowledge of Ohio Medicaid policies required. RN required Your career starts now. We are looking… more
- Crouse Hospital (Syracuse, NY)
- Utilization Management Registered Nurse has...proficient with standard Utilization Review processes. The Utilization Management RN is an ... workload in a fast-paced, rapidly changing regulatory environment. The Utilization Management RN works collaboratively.../ LICENSURE + Required: + Currently licensed as a Registered Professional Nurse in New York State.… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- CVS Health (Columbus, OH)
- …with preference for those residing in Arizona.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... to make health care more personal, convenient and affordable. **Position Summary** **This Utilization Management (UM) Nurse Consultant role is 100% remote… more
- Ascension Health (Nashville, TN)
- **Details** + **Department:** Utilization Management + **Schedule:** Monday - Friday. 40 hours week. + **Hospital:** Ascension Saint Thomas + **Location:** ... TN market. We're looking for an experienced Director of Utilization Management to join our team! In...all clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Tennessee Board… more
- Hackensack Meridian Health (Neptune, NJ)
- …transform healthcare and serve as a leader of positive change. The **Care Coordinator, Utilization Management ** is a member of the healthcare team and is ... Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to.... **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health… more
- Hackensack Meridian Health (Neptune, NJ)
- …to transform healthcare and serve as a leader of positive change. The **Care Management , Care Coordinator, Utilization Management ** is a member of the ... Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to... **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health… more
- Elevance Health (FL)
- **JR133557 Manager II Behavioral Health Services ( Utilization Management for Behavior Analysis Services)** Responsible for Behavioral Health Utilization ... Candidate will be responsible for the oversight of the utilization management team. + Responsible for a...ALL FUNCTIONS: Requires current, active, unrestricted license such as RN , LCSW (as applicable by state law and scope… more
