• RN - Utilization Review Case

    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* ** Must ... in employment." **Job:** **Nursing* **Organization:** ** **Title:** *RN - Utilization Review Case Manager...**Nursing* **Organization:** ** **Title:** *RN - Utilization Review Case Manager * **Location:** *Virginia-Danville*… more
    LifePoint Health (09/10/24)
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  • Utilization Review Case

    Covenant Health (Nashua, NH)
    …policies and procedures. + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all ... health care team. + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to maintain current knowledge of UR practices.… more
    Covenant Health (10/31/24)
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  • Case Manager - Utilization

    Trinity Health (Mason City, IA)
    **Employment Type:** Part time **Shift:** Day Shift **Description:** **Position Purpose:** The Utilization Review Case Manager responsibilities include ... in the state of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the state of Iowa preferred… more
    Trinity Health (11/14/24)
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  • Utilization Review /Clinical…

    Sharp HealthCare (San Diego, CA)
    …employer business practices. **What You Will Do** Perform admission and concurrent review of patients, based upon needs regardless of payor sources. Identifies ... health care practitioners involved in Admission & Triage, Discharge planning, and case management of chemical dependency patients. + AHA Basic Life Support for… more
    Sharp HealthCare (11/06/24)
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  • Case Manager RN - Southern Region

    CVS Health (Princeton, WV)
    …+ Foster care experience + Crisis intervention skills + Managed care/ utilization review experience + Certified Case Manager (CCM) certification + ... of service and with demonstrated performance and attendance. The Case Manager RN (CM RN) is responsible...face member visits * Using clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more
    CVS Health (11/16/24)
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  • Case Manager RN - Field Northern…

    CVS Health (Charleston, WV)
    …+ Foster care experience + Crisis intervention skills + Managed care/ utilization review experience + Certified Case Manager (CCM) certification + ... of service and with demonstrated performance and attendance. The Case Manager RN (CM RN) is responsible...face member visits * Using clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more
    CVS Health (11/13/24)
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  • RN/ Case Manager -MSH- Case

    Mount Sinai Health System (New York, NY)
    …Requirements** + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + ... **Job Description** **RN/ Case Manager MSH Case ...+ Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case more
    Mount Sinai Health System (08/30/24)
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  • Case Manager RN-Mount Sinai West-…

    Mount Sinai Health System (New York, NY)
    …preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + ... **Job Description** The Case Manager (CM) will be responsible...1. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case more
    Mount Sinai Health System (11/19/24)
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  • RN Acute Case Manager - Case

    Guthrie (Cortland, NY)
    … Management and Utilization Review position. The Acute Care Case Manager utilizes industry accepted processes for achieving timely, optimal patient ... based on assessed needs and available resources. The Acute Case Manager also performs Utilization ...of experience in an acute care setting with strong case management, utilization review and… more
    Guthrie (11/13/24)
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  • Interim Manager - Case Management…

    Trinity Health (Silver Spring, MD)
    …time **Shift:** **Description:** The Interim Manager of Care Management & Utilization Review , under the supervision and in collaboration with the Director, ... experience in an acute healthcare setting required, preferably with case management, utilization review or...trusted provider of health services within our community. A Manager at Holy Cross Hospital is expected to demonstrate… more
    Trinity Health (10/10/24)
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  • Case Manager RN - Kodiak…

    Providence (Kodiak, AK)
    …standards. The Case Manager /RN Navigator partners with the Utilization Review nurse, patients, physicians, and interdisciplinary team to ensure ... **Description** The Case Manager /RN Navigator is responsible for...needs for discharge planning, admission to swing bed and case management including utilization review more
    Providence (11/22/24)
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  • SRS-Inpatient Case Manager II…

    Sharp HealthCare (San Diego, CA)
    …care nursing experience or case management experience + 3 Years recent case management, utilization review , care coordination experience + California ... Start Time** **Shift End Time** Master's Degree in Nursing; Bachelor's Degree in Nursing; Certified Case Manager (CCM) - Commission for Case Manager more
    Sharp HealthCare (10/30/24)
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  • RN Utilization Manager - Rex…

    UNC Health Care (Raleigh, NC)
    **Description** **Full time on-site staff Utilization Manager ** Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to ... through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
    UNC Health Care (11/07/24)
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  • Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …to track, review , and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our ... issues. To support the mission of Helio Health, theUtilization Case Manager will enhance the program's efforts...Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care,… more
    Helio Health Inc. (11/02/24)
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  • Clinical Case Manager /RN-Virtual

    Alight (NJ)
    …+ 5+ years medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review . + 2+ years as ... Additionally, demonstrate excellent problem-solving skills when questioned on your case management plans. + Consulting on medical, behavioral health,...a Clinical Case Manager + Demonstrate a dedication to providing high quality… more
    Alight (10/04/24)
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  • Travel Case Manager

    Actalent (Little Rock, AR)
    …Qualifications/Requirements: 1 to 2 years of experience working as a Case Manager , RN Utilization review and discharge experience required Patient ... $2,200 a week! Day shift! No weekends! Location: Memphis, TN 13 week Case Manager Registered Nurse travel assignment! Paid time off 401K Match Medical, Dental… more
    Actalent (11/20/24)
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  • Case Manager RN - Utilization

    Prime Healthcare (National City, CA)
    …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/180750/ case - manager -rn utilization ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
    Prime Healthcare (11/19/24)
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  • Case Manager (RN)…

    Prime Healthcare (Montclair, CA)
    …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/181372/ case - manager -%28rn%29 utilization ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
    Prime Healthcare (11/08/24)
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  • Utilization Review Manager

    Mount Sinai Health System (New York, NY)
    **Job Description** The Utilization Review Manager for...in the area of nursing practice assigned; in this case , acute care utilization review . ... internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with...review for medical and pharmacy claims. + Prepares case reports, summaries, or other related documents required to… more
    Mount Sinai Health System (10/31/24)
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  • Case Manager RN Union - 10Hr - SMRMC…

    Prime Healthcare (Reno, NV)
    …Certification (CCM) preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/183134/ case - manager -rn-union 10hr smrmc- utilization ... outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… more
    Prime Healthcare (11/19/24)
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