- Hartford HealthCare (Meriden, CT)
- …And this is*your moment*. **Job:** **Professional Non-Clinical* **Organization:** **Rushford* **Title:** * Utilization Review Care Manager - Behavioral ... We offer a wide range of programs including Acute Care and Evaluation, Residential Addiction Treatment, Individual, Group &...Assists with process of appeals as directed by the Manager - Utilization Review. 7. Performs other… more
- Hartford HealthCare (Torrington, CT)
- …*your moment*. **Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** * Utilization Review Social Work Care Manager ... Worker will work collaboratively with the IP Psychiatry Patient Care Team to assure Utilization Review activities...Review activities on a 17 bed Adult unit. The Care Manager will liaison with insurance companies… more
- ERP International (Corpus Christi, TX)
- **Overview** ERP International is seeking a ** Registered Nurse ( RN )** ** Utilization Manager ** for a full-time position in support of the **Naval ... Program (UMP) and ensure that the UMP meets established Utilization Management (UM) standards of care . Assist...of this position, it must be directly related to referral/ utilization management. License:** Active, unrestricted RN license… more
- UNC Health Care (Hillsborough, NC)
- … Manager position is for a Utilization Manager /Clinical Denials Nurse . RN Utilization Manager is responsible for clinical reviews for ... for delivery of Federally mandated notices to patients. The RN Utilization Manager will also...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
- UNC Health Care (Smithfield, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Trinity Health (Silver Spring, MD)
- …Baltimore, MD **Description:** + Full-Time 8am - 4:30pm + Reporting to the Director of Care Management + The RN Manager is responsible and accountable for ... of RN Case Managers for in inpatient care coordination and utilization review. Oversees interactions...will need:** + State of Maryland license as a Registered Nurse + BSN required; MSN Degree… more
- SSM Health (Janesville, WI)
- …Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + ... is what sets us apart. The role of the RN -Case Manager supports our organization by ensuring...Registered Nurse ( RN ) - Missouri Division of Professional… more
- Sutter Health (Burlingame, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... to include the achievement of optimal health, access to care , and appropriate utilization of resources balanced...of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon… more
- AdventHealth (Altamonte Springs, FL)
- …: 701 EAST ALTAMONTE DRIVE, Altamonte Springs, 32701 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social ... progression through the continuum of care . The RN Care Manager ensures efficient...valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/… more
- UNC Health Care (Hendersonville, NC)
- …to improve the health and well-being of the unique communities we serve. Summary: The Care Manager - RN provides ongoing support and expertise through ... management, utilization review and discharge planning. The Care Manager must be highly organized professional...Required * Must be licensed to practice as a Registered Nurse in the state of North… more
- HCA Healthcare (Richmond, VA)
- …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** ... impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every...by location._ We are seeking a Registered Nurse RN Case Manager for… more
- HCA Healthcare (Richmond, VA)
- …and Qualifications** As a Case Manager Registered Nurse ( RN ), you will provide direct nursing care in accordance with established policies, ... Do you have the career opportunities as a(an) Case Manager Registered Nurse RN...Required Five + years of recent clinical experience as RN years demonstrated leadership experience + Commercial Utilization… more
- Banner Health (Tucson, AZ)
- …to make a difference in people's lives. Our Care Coordination staff is seeking a ** Registered Nurse RN Case Manager ** to work closely with patients, ... case management or health care . Requires current Registered Nurse ( RN ) license in...Travel positions require a minimum of one year Case Manager experience in an acute care hospital.… more
- AdventHealth (Orlando, FL)
- …**Location:** 601 E Rollins St, Orlando, FL 32803 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social ... progression through the continuum of care . The RN Care Manager ensures efficient...in Nursing (ASN) + Current valid license as a Registered Nurse in the state of Florida… more
- Geisinger (Moosic, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... of optimizing the patient or member's health status. Manages utilization and practice metrics to further refine the delivery...job related to that position. Position Details As a RN Case Manager you will directly impact… 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 ... harassment in employment." **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ), Clinical Case Manager * **Location:** *NC-Hickory*… more
- Banner Health (Mesa, AZ)
- …of a bachelor's degree in case management or health care . Requires current Registered Nurse ( RN ) license in state worked. For assignments in an ... be the opportunity you've been waiting for. As the RN Case Manager , you will bring your...Travel positions require a minimum of one year Case Manager experience in an acute care hospital.… more
- AdventHealth (Shawnee, KS)
- …Clay, Cass Counties in Missouri** **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... care based on individual patient needs. The RN Care Manager is responsible...implementation and evaluation for that caseload as the primary nurse . o Sets priorities of home care … more
- AdventHealth (Clermont, FL)
- …health and benefits offerings **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... care based on individual patient needs. The RN Care Manager is responsible...implementation and evaluation for that caseload as the primary nurse . . Sets priorities of home care … more