- ChenMed (Houston, TX)
- …providers. We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient ... post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN)...and identify patient interest in participation. + Coordinate acute UR physician meetings. **Community Case Manager… more
- Hartford HealthCare (Manchester, CT)
- …serves a region of 300,000 people in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager ( UR CM) works in collaboration with the physician and ... for appropriate Level of Care and status on all patients through collaboration with Case Manager . * Demonstrates thorough knowledge in the application of medical… more
- Guthrie (Sayre, PA)
- …To $25,000 Sign On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, ... timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and...in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to… more
- HCA Healthcare (Englewood, CO)
- …Do you want to join an organization that invests in you as a(an) RN Case Manager ? At HCA HealthONE Swedish, you come first. HCA Healthcare has committed ... a difference. We are looking for a dedicated RN Case Manager like you to be a...daily with the discharge planners, social work staff, and UR RN's to determine the plan of care and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case Management PT Days** The Case Manager (CM) will be responsible for all aspects of case management ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...Utilization Review: a. Maintains a working knowledge of the UR (Utilization Review) requirements of each payor within the… more
- HCA Healthcare (Kansas City, MO)
- …Medical Center we support our colleagues in their positions. Join our Team as a(an) RN Case Manager Lead and access programs to assist with every stage of your ... certifications and job skills. Apply today for our RN Case Manager Lead opening and continue to...using IQ criteria appropriately. + Conduct reviews with the UR physician to adhere to the self-denial process. **What… more
- HCA Healthcare (Panama City, FL)
- …nurses set us apart from any other healthcare provider. We are seeking a(an) RN Case Manager to join our healthcare family. **Benefits** HCA Florida Gulf Coast ... passion for patient care. Apply today for our RN Case Manager opportunity. **Job Summary and Qualifications**...Identifies and transmits system issues impacting patient care to Case Management Director/CFO/ UR committee, as appropriate +… more
- Select Medical (Wilmington, DE)
- **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager (PRN)** _Requires a current licensure in a clinical ... discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW...and doing well by doing what is right. The Case Manager is responsible for utilization reviews… more
- Select Medical (Madison, WI)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure… more
- Select Medical (Chicago, IL)
- **Overview** **Rush Specialty Hospital** ** Case Manager ** **Hours/Shift: Per Diem (PRN)** *Availability to work a minimum of 2 shifts per month on an "as needed" ... current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW...and doing well by doing what is right. The Case Manager is responsible for utilization reviews… more
- Select Medical (Alexandria, VA)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** **$10,000 Sign On Bonus** _Requires a current licensure in a clinical discipline either as a ... Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical...and doing well by doing what is right. The Case Manager is responsible for utilization reviews… more
- Select Medical (Lake Worth, FL)
- **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager ** **Full Time: Monday-Friday 8-5pm** _Requires a current ... licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical...and doing well by doing what is right. The Case Manager is responsible for utilization reviews… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony Brook Medicine, a **RN Case Manager ** is a valuable member of our team, who provides clinical services to ... our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department...review screen for inpatient and observation cases. Activity includes UR from the Emergency Room or on the unit… more
- Erickson Living (Dallas, TX)
- Location: Highland Springs by Erickson Senior Living Join our team as a RN Case Manager (also known as Care Coordinator, Erickson Advantage at Erickson Senior ... + Researches and selects care options as appropriate. The nurse care coordinator may utilize a range of alternative,...community health nursing, home health care) and/or 3 years case management and/or UR experience preferred. +… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251212-5613FP-001 Location East Hartford, CT Date Opened 12/16/2025 12:00:00 AM Salary ... + + + Introduction Are you an experienced Registered Nurse looking to make a difference in the lives...and/or quality assurance programs; + Conduct various types of case reviews for quality and appropriate medical management, cost… more
- University of Utah Health (Salt Lake City, UT)
- …members or third-party payer. + Alerts and discusses with physician/provider and case manager /discharge planner when patient no longer meets medical necessity ... utilization to identify at risk patients. + Refers to UR committee any case that surpasses expected...Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one… more
- Tenet Healthcare (Detroit, MI)
- … management experience preferred. Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills Required Analytical ability, critical ... RN Utilization Review - Case Management - 2506004107 Description : Join our...healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make… more
- Saint Francis Health System (OK)
- …care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate with providers the details of reimbursement issues and ... Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 2 years of related experience in… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …of any of the following: CPHM (Certified Professional in Healthcare Management), CCM (Certified Case Manager ), ACM (Accredited Case Manager ) required or ... *_SUMMARY:_* We are currently seeking a*Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work onsite.… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Visiting Nurse , part of Atlantic Health System, is seeking a full-time GIP hospice Registered Nurse to work 12PM to 730PM in the Morris, Essex, Union, ... ($.70) included. Internal referral bonus: $5,000 Reports to: Assistant Manager Duties & Responsibilities: Performs Patient assessments. + Accurately assesses… more