- Mercy (Dexter, MO)
- …BSN preferred. Licensure: Current license in applicable State of practice for Registered Nurse . Experience: Minimum three years nursing experience. Previous ... staff members in the Med Surg and Outpatient Departments. Insures efficient utilization of available resources and meets productivity and/or financial goals. Meets… more
- Lee Health (Fort Myers, FL)
- …(American Heart Association / Basic Life Support) required. License:State of Florida Registered Nurse License or Physical Therapist License or Occupational ... of care is delivered safely to home health patients. The Clinical Manager directs patient assignments, staff scheduling, and coordination of referrals, patient visit… more
- Carle Health (Peoria, IL)
- …Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA); Licensed Registered Professional Nurse (RN) - Illinois Department of ... of the Surgery Department, Sterilization Department, and Endoscopy Department when Manager is not present. Assumes daily responsibility for coordination of the… more
- Overlake (Bellevue, WA)
- …Bachelors or Masters degree in nursing preferred. Current Washington State license as a Registered Nurse required. Certified Case Manager (CCM) or Accredited ... Pay range: - Hourly$51.79 - $77.69 Overlake has an outstanding opportunity for a Complex Nurse Case Manager to join our team. The position is full-time onsite,… more
- Greenspring Village by Erickson Senior Living (Springfield, VA)
- Location: Greenspring Village by Erickson Senior Living Join our team as the Nurse Manager , RN also known as the Clinical Manager ! The Clinical Manager ... care of our 32-bed Rehab neighborhood . The Clinical Manager will also facilitate, precept, and mentor staff to...term care, assisted living or hospital) is required. Current Registered Nurse license for the state in… more
- Valley Health System Consolidated Services (Las Vegas, NV)
- …collection/management computer programs. License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada. Other: Must be ... by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for… more
- Valley Health System Consolidated Services (Las Vegas, NV)
- …collection/management computer programs. License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada. Other: Must be ... by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for… more
- Christus Health (San Antonio, TX)
- …and operations for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Childrens Hospital Of The Kings Daughter (Norfolk, VA)
- …or under physician supervision. Reports to supervising physician(s) and designated manager . ESSENTIAL DUTIES AND RESPONSIBILITIES Performs a wide variety of ... accommodative services to support the medical practice with effective utilization of healthcare resources. Effectively utilizes healthcare resources and communicates… more
- University Health (Pleasanton, TX)
- … review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners ... POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care… more
- Life Care Center of Post Falls (Post Falls, ID)
- …nursing) Currently licensed/ registered in applicable State. Must maintain an active nurse (LPN) license in good standing throughout employment. One (1) year of ... Position Summary The Care Manager Assistant - LPN assists with the coordination...experience in post-acute care setting preferred Prior case management, utilization review, and discharge planning experience preferred Specific Job… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …* Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse ... to experience, education, and other business and organizational considerations. Department: Utilization Management - UH FTE: 1.00 Full Time Shift: Days Position… more
- University Health (Boerne, TX)
- …Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case ... and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to… more
- University Health (Pleasanton, TX)
- …Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. Case ... recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. Must… more
- MVP Health Care (Rochester, NY)
- …New York Qualifications you'll bring: Current New York State Licensure as a Registered Nurse required. Certification in Case Management required within 24 months ... innovative thinking and continuous improvement. To achieve this, we're looking for a Case Manager , Medicaid Long Term Support Program to join #TeamMVP. If you have a… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) ... timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring… more
- Veterans Affairs, Veterans Health Administration (Middleton, WI)
- Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of ... this position is able to cover a multitude of utilization review functions through point of entry, observation progression...management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
- Corewell Health (Grand Rapids, MI)
- …experience clinical nursing and or case management/managed care or related field Preferred + Registered Nurse (RN) - State of Michigan Upon Hire required + Basic ... prior authorizations, initial reviews, continuous stay reviews and appeals. Nurse Care Manager - Plans and prioritizes care for individuals and population… more
- Integra Partners (Troy, MI)
- …priorities, systems, and workflows in a fast-paced environment. EDUCATION: Active, unrestricted Registered Nurse , Licensed Vocational Nurse , or Licensed ... The Utilization Management (UM) Nurse Supervisor is...leadership duties, serving as both a mentor and performance manager for frontline staff. Salary: $75,000.00/Annually JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES… more
