- CHRISTUS Health (Wake Village, TX)
- Description Summary: The Registered Nurse Clinical Care Coordinator is responsible for evaluating, coordinating, processing, screening, and documentation of ... patient entry into the CHRISTUS Health System. The Registered Nurse Clinical Care Coordinator will collaborate...required. Experience Minimum of two (2) years' experience in Case Management and/or Utilization Management is required.… more
- Covenant Health (Nashua, NH)
- …and procedures. + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all mandatory ... team. + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to...to work remotely as needed Education and Experience + Registered Nurse licensed in New Hampshire required… 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,...**Job:** **Nursing* **Organization:** ** **Title:** * RN - Utilization Review Case Manager* **Location:**… more
- Trinity Health (Mason City, IA)
- **Employment Type:** Part time **Shift:** Day Shift **Description:** **Position Purpose:** The Utilization Review Case Manager responsibilities include ... no weekends or holidays **Minimum Qualifications:** Education + Licensed registered nurse in the state of Iowa....of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the… more
- Baptist Memorial (Jackson, MS)
- Summary The Utilization Review Nurse is...Summary: Position: 19738 - RN - Utilization Review Facility: MBMC - Hospital Department: HS Case ... appropriateness of healthcare services and treatment as prescribed by utilization review standards. The UR Nurse...against standard criteria per payer guidelines + Prioritizes observation case review + Assists with level of… more
- Mohawk Valley Health System (Utica, NY)
- Registered Nurse - Utilization Review Nurse - Full Time - Days Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision ... regulatory compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review / case management experience or social work… more
- Sharp HealthCare (San Diego, CA)
- …BBS Licensed Marriage and Family Therapist (LMFT) - CA Board of Behavioral Sciences; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... practices. **What You Will Do** Perform admission and concurrent review of patients, based upon needs regardless of payor...BLS Healthcare) - American Heart Association -REQUIRED + California Registered Nurse ( RN ) - CA… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... Manager follows the UR process as defined in the Utilization Review Plan in accordance with the...Eye/Hand/Foot Coordination **Req ID** : 1074 **Working Title** : Registered Nurse - Utilization Management… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review / case management/clinical/or combination; 2 of ... prioritize effectively and have critical thinking skills. Experience in case management or care coordination and telephonic care experience...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … more
- Munson Healthcare (Traverse City, MI)
- …team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic work environment includes ... 5 years of start date. + Current licensure as Registered Nurse in the State of Michigan....+ Minimum of three years clinical experience required. Previous utilization review and/or case management… more
- Fairview Health Services (St. Paul, MN)
- …experience. **Qualifications** **Required** Education: Bachelor's degree in Nursing Experience: 3-5 years Utilization Review or Case Management experience in ... meets regulatory requirements. Participates in interdisciplinary communication related to utilization review issues. Educates on status. Provides all… more
- Prime Healthcare (Ontario, CA)
- …strategic leadership, development, and supervision to utilization review department, provides interprofessional collaboration with facility-based case ... A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management...with a large Health Plan + An active CA Registered Nurse license + Current BCLS (AHA)… more
- Trinity Health (Silver Spring, MD)
- …travel paid._** **Minimum Licensure/Certification Required (if applicable):** + State of Maryland license as a Registered Nurse + RN with BSN or RN with ... experience in an acute healthcare setting required, preferably with case management, utilization review or closely related area. + Extensive… more
- Henry Ford Health System (Detroit, MI)
- …community partners to support patient needs beyond the hospital setting. Qualifications: + Registered Nurse ( RN ) with active licensure + Minimum [number] ... with computers, electronic health records (EHR), database systems, and utilization review / case management documentation systems....work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years utilization review / case management/clinical/or combination; 2 of ... Remote position after initial onsite Equipment will be provided. Registered Nurse with > 5 years nursing...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years utilization review / case management/clinical/or combination; 2 of ... like in this role: Employee will be providing telephonic case management for our members. + Past job instability.... management for our members. + Past job instability. Registered nurses MUST have 4 years or more of… more
- LifePoint Health (Warrenton, VA)
- …federal, state or local law./ **Job:** **Nursing Management* **Organization:** ** **Title:** * Registered Nurse ( RN ) Case Manager* **Location:** ... Sign On Bonus for experienced candidates (new hires)* The RN Case Manager monitors and manages patient...*Required*- Three years of nursing experience. *Preferred*- Experience in utilization review , case management, discharge… more
- LifePoint Health (Bullhead City, AZ)
- …continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and management of discharge planning. ... five (5) years management experience, five (5) years of utilization review / case management...with MedHost EMR and with MorCare Required Licenses[United States] Registered Nurse Current RN Licensure… more
- Ellis Medicine (Schenectady, NY)
- …for appropriate Level of Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician for additional ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for...Case Manager include, but are not limited to, utilization review , case management, care… more
- Marshfield Clinic (Marshfield, WI)
- …Required:** Three years' experience in a medical facility. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in a ... (United States of America) **Job Description:** **JOB SUMMARY** The RN Case Manager serves as part of...to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse … more
