- Medina Center for Rehabilitation (Valley City, OH)
- …OF QUALIFICATIONS: - Able to perform each of the essential position functions. A Registered Nurse in the State of New York with a Bachelor's Degree ... Reviews and maintains Medicare, Managed Care and Medicaid reference materials. Financial Management - Monitors and identifies utilization issues. - Establishes… more
- Trinity Health (Darby, PA)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Appeals and Utilization Management Coordinator under direction and in collaboration ... RN Care Coordination Manager, provides support to the utilization management , denials and appeals process for...process for the THMA South hospitals. The Appeals and Utilization Management Coordinator ensures the… more
- Dignity Health (Northridge, CA)
- …in an acute hospital setting required. + Current CA Registered Nurse ( RN ) license + Prior Utilization Management experience in a clinical or ... and more than 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is… more
- Hackensack Meridian Health (Brick, NJ)
- …community resources, and utilization management + NJ State Professional Registered Nurse License required + AHA Basic Health Care Life Support HCP ... serve as a leader of positive change. The **Care Management , Care Coordinator ** , ** Utilization Management ** is a member of the healthcare team and is… more
- Hackensack Meridian Health (Neptune, NJ)
- …and serve as a leader of positive change. The **Care Management , Care Coordinator , Utilization Management ** is a member of the healthcare team and ... treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively... **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health… more
- Hackensack Meridian Health (Hackensack, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The **Care Coordinator , Utilization Management ** is a member of the healthcare team ... treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively...**Licenses and Certifications Required** : + NJ State Professional Registered Nurse License. + AHA Basic Health… more
- Hackensack Meridian Health (Edison, NJ)
- …healthcare and serve as a leader of positive change. The Case Management Care Coordinator , Utilization Management is a member of the healthcare team and ... treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively...**Licenses and Certifications Required** : + NJ State Professional Registered Nurse License + AHA Basic Health… more
- AdventHealth (Winter Park, FL)
- …department-based goals which contribute to the success of the organization. . RN Coordinator may act as a Clinical Charge nurse when assigned by the ... Winter Park, FL 32792** **The role you'll contribute:** The RN Coordinator for **AdventHealth Hospital at Home...days, and facilitates progression of care. . Collaborates with Utilization Management staff for collaboration on patient… more
- Trinity Health (Springfield, MA)
- …affiliated nursing program. BSN graduate preferred. + **Licensure** : Current Licensure as a Registered Nurse RN in Massachusetts. + **Certification** : BLS ... Certification preferred. **Preferred Skills:** + **Experience:** 3-5 years in Case Management , Utilization review, or similar experience preferred. Hospital or… more
- University of Virginia (Charlottesville, VA)
- …to provide relationship-based care within a collaborative multidisciplinary team. This registered nurse utilizes advanced critical thinking to develop, ... Experience: 2 years of relevant experience. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia. American Heart Association… more
- Trinity Health (Springfield, MA)
- …affiliated nursing program. BSN graduate preferred. + **Licensure** : Current Licensure as a Registered Nurse RN in Massachusetts. + **Certification** : BLS ... in Nursing BSN degree preferred. + **Experience:** 3-5 years in Case Management , Utilization review, or similar experience preferred. Hospital or community-based… more
- Geisinger (Danville, PA)
- …- Default Issuing Body; Valid Driver's License - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & VALUES: ... System's professional healthcare providers including practice analysis, inpatient hospital utilization reviews, medical audits, and the compliance of assigned… more
- InnovaCare (San Juan, PR)
- …aberrant Inpatient days, documents, and codes and reports the data to the Utilization Management Inpatient Coordinator and Inpatient Nurses.13. Captures ... - patient utilization data and forwards the information, daily, to the Utilization Management Inpatient Coordinator .14. Prepares and submits to the… more
- Trinity Health (Syracuse, NY)
- …for more information on this unique and visionary leadership opportunity for nursing. The Registered Nurse Coordinator is a dynamic leadership role that ... that supports and leads unit and/or organizational changes. A RN Coordinator helps to identify problems, offers...accredited School of Nursing and current licensure as a Registered Nurse in New York State. +… more
- Trinity Health (Syracuse, NY)
- …and group sessions, psychotherapies, medications, ECT treatments and other rehab modalities.** The Registered Nurse Coordinator is a dynamic leadership role ... that supports and leads unit and/or organizational changes. A RN Coordinator helps to identify problems, offers...accredited School of Nursing and current licensure as a Registered Nurse in New York State. +… more
- PruittHealth (Fort Oglethorpe, GA)
- ** REGISTERED NURSE - CLINICAL CARE COORDINATOR 7am-7pm** **JOB PURPOSE:** Responsible for the oversight of clinical care management and care oversight of ... no later than 1 business day to the receiving care setting * Coordinate with utilization management and hospital case management as needed for member… more
- Veterans Affairs, Veterans Health Administration (Alexandria, LA)
- …and customer satisfaction throughout the continuum of care. Responsibilities The Community Care (CC) Coordinator Registered Nurse ( RN ) is responsible for ... of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Bon Secours Mercy Health (Richmond, VA)
- …patient care) ACLS Advanced Cardiac Life Support (preferred) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) ... specialty certification **Summary of Primary Function/General Purpose of Position** The Registered Nurse Medical/Surgical functions as a care provider of… more
- HCA Healthcare (Richmond, VA)
- …year, nurses at **Chippenham Hospital** have the opportunity to make a real impact. As a ** Registered Nurse RN Case Manager** you can be a part of change. ... benefits may vary by location._ We are seeking a Registered Nurse RN Case Manager...experience in a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW… more
- CVS Health (New York, NY)
- …a unique hybrid position that will support the an external provider team as a Float Registered Nurse . This position will help to help cover for the team if and ... Through broad knowledge of clinical care the Home Health Utilization RN evaluates, predicts, and facilitates the...and/or sub-acute rehabilitation preferred. Education Associate degree minimum as registered nurse Pay Range The typical pay… more
