- University of New Mexico - Hospitals (Albuquerque, NM)
- …* Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as requiredDepartment: Registered Nurse ... timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN 's, and other health care team members* VARIANCES - Intervene… more
- University Health (San Antonio, 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 ... POSITION SUMMARY/RESPONSIBILITIES Care Coordinator will be instrumental in assisting the...clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF… more
- University Health (Pleasanton, CA)
- …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 ... of appropriate diversions to home or other level of care more appropriate for the services needed to be...Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred.… 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
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_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 ... in confidentiality, integrity, creativity, and initiative */License/Certifications:/* * Current Registered Nurse licensure upon hire * National certification… more
- Hartford HealthCare (Willimantic, CT)
- …**Windham Hospital* **Title:** * Registered Nurse Case Manager ( RN ) - Utilization Management* **Location:** *Connecticut-Willimantic-Windham ... of hospital resources. Works under the direction of the Manager of Continuing Care and Utilization...management experience preferred. *LICENSURE/CERTIFICATION* * Current license as a registered nurse in the State of Connecticut.… more
- UPMC (Pittsburgh, PA)
- …Preference will be given to candidates with a Pennsylvania RN license. The Utilization Management (UM) Care Manager is responsible for utilization ... UPMC Health Plan is hiring a full-time UM Care Manager to support our UM...Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Act… more
- Highmark Health (Harrisburg, PA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care + Medical/Surgical experience + Utilization Management (UM) or (UR)… more
- St. Luke's University Health Network (Quakertown, PA)
- …of a patient's ability to pay for health care . The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex ... of care . Also works with the providers, registered nurse care managers, social... care management, including but not limited to: RN care managers, assistants, coordinators, utilization… more
- St. Luke's University Health Network (Bethlehem, PA)
- …May require occasional coverage of Easton campus should census warrant The Registered Nurse or Social Worker Care Manager is responsible for coordinating ... of care . Also works with the providers, registered nurse care managers, social... care management, including but not limited to: RN care managers, assistants, coordinators, utilization… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse ( RN ) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... employment status Job Description: The RN Case Manager is responsible to facilitate care along...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- HCA Healthcare (Brownsville, TX)
- …Regional Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse RN Case Manager you can be a part of change. **Benefits** ... for your patients as a (an) Registered Nurse RN Case Manager . We...and patient throughput while supporting a balance of optimal care and appropriate resource utilization **What qualifications… more
- Catholic Health (Kenmore, NY)
- …Work Schedule: Days with Weekend and Holiday Rotation Hours: 8 am- 4 pm Summary: The Registered Nurse ( RN ), Utilization Review, as an active member of ... field and working knowledge/experience in documentation utilization review in an acute care /inpatient setting + Unrestricted NYS RN license + Holds, or will… more
- Geisinger (Danville, PA)
- …Experience Minimum of 2 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life ... a vital role in ensuring patients receive the right care , at the right time, in the right place....life and pet and legal insurance Position Details The RN Case Manager assesses, plans, implements, coordinates,… more
- Mayo Clinic (Phoenix, AZ)
- …Competitive retirement package to secure your future. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an interdisciplinary team ... utilization management, care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo… more
- Bon Secours Mercy Health (Norfolk, VA)
- …**Summary of Primary Function** In the capacity of a Registered Nurse ( RN ), the Ambulatory Care Manager will provide clinical care management ... Nursing Bachelor's Degree (preferred) Specialty/Major- Nursing (BSN) **Licensing/ Certification** Registered Nurse with active License in State of… more
- Banner Health (Sun City, 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 ... lives, we want to hear from you. As the RN Case Manager in Care ...pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. 6. Educates internal members of… more
- Trinity Health (Ann Arbor, MI)
- …am to 5 pm Monday through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for conducting a focused assessment of ... utilization outcomes. + This is achieved by coordinating care and service for defined patient populations during an...issues and documentation completeness. + The RN Registered Nurse Case Manager will… more
- Ochsner Health (New Orleans, LA)
- …develop and implement discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC Jefferson Highway ... planning, case management or utilization review. **Certifications** Required - Current registered nurse license in state of practice. Basic Life Support… more
- St. Luke's University Health Network (Phillipsburg, NJ)
- …we serve, regardless of a patient's ability to pay for health care . The RN Care Manager coordinates the overall progression of care , resource ... which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses...touch as related to telephone and computer keyboard. EDUCATION: Registered Nurse with current license to practice… more
