- Bon Secours Mercy Health (Petersburg, VA)
- …are recognized for clinical and operational excellence. ** Registered Nurse ( RN ) - Southside Regional Medical Center - Part - time** **Job Summary:** ... the continuum. This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods),...of active Case Management services and promotes the right resources , at the right time and at the right… more
- Bon Secours Mercy Health (Mechanicsville, VA)
- …recognized for clinical and operational excellence. ** Registered Nurse ( RN ) Care Manager - Memorial Regional Medical Center ** **$10,000 sign-on bonus!** ... the continuum. This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods),...of active Case Management services and promotes the right resources , at the right time and at the right… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management, which includes ... clinical experience + Case management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
- Bon Secours Mercy Health (Kilmarnock, VA)
- …for clinical and operational excellence. **Primary Function/General Purpose of Position** The RN Care Manager is responsible for providing coordination of care for ... the continuum. This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods),...of active Case Management services and promotes the right resources , at the right time and at the right… more
- Atlantic Health System (Newton, NJ)
- …Required Relevant Experience: + At least 3+ years of experience as a Registered Nurse in cardiac rehabilitation or cardiac/telemetry setting strongly preferred ... technology, resources , education, support and follow-up care. Newton Medical Center recently achieved the American Nurses Credentialing Center 's Pathway to… more
- HCA Healthcare (Nashville, TN)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Compliance Registered Nurse with Parallon you can be a part of an ... pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k)...our organization. We are looking for an enthusiastic Compliance Registered Nurse to help us reach our… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …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 information, refer to Required Documents below. The Jennifer Moreno DVA Medical Center in beautiful San Diego, California is looking to hire an Associate Chief… more
- Tenet Healthcare (Detroit, MI)
- …Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a ... RN Utilization Review - Case Management - 2506004107...resources in advocating for patient needs with judicious resource management Promotes prudent utilization of all resources… more
- UCHealth (Aurora, CO)
- …than 3 years experience. Preferred: Bachelor's degree in Nursing. State licensure as a Registered Nurse ( RN ). Basic Life Support (BLS) Healthcare Provider. 2 ... in a fast-paced environment and take appropriate action. Requirements: + Basic Life Support Registered Nurse + Graduate of an accredited or state board of… more
- HCA Healthcare (Kansas City, MO)
- …UR physician to adhere to the self- denial process. **What qualifications you will need:** + ( RN ) Registered Nurse + Registered Nurse Diploma, or ... to deliver excellent care patients deserve? At Research Medical Center we support our colleagues in their positions. Join...while supporting a balance of optimal care and appropriate resource utilization. + Responsible for ensuring other RN… more
- Community Health Systems (Franklin, TN)
- …insurance claims processing and denial management workflows. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... ensure timely and thorough appeal resolution and supports initiatives that improve denial prevention and recovery processes. As an Appeals Specialist II at Community… more
- HCA Healthcare (Kansas City, MO)
- …including geriatric patients age 55 years+). **What qualifications you will need:** + ( RN ) Registered Nurse , or (LCSW) Clinical Social Worker **Benefits** ... in your career. We have an exciting opportunity for you to join Research Medical Center which is a part of the nation's leading provider of healthcare services, HCA… more
- Houston Methodist (Houston, TX)
- …transplant acute care and/or ICU experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... At Houston Methodist, the Pre-Transplant Coordinator position a registered nurse , responsible for participating in department initiatives, facilitating, and… more
- Nuvance Health (Carmel, NY)
- …campus and discover what Putnam Pride is all about. *Summary* The Case Manager RN , working in conjunction with the centralized denial prevention team, partners ... and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) * Robotic Center of Excellence - Surgical Review Corporation (SRC) At Putnam Hospital,… more
- Houston Methodist (Sugar Land, TX)
- …care for government and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... responsible for performing utilization review activities, and monitoring the clinical denial management and appeals process, as applicable, in collaboration with… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** RN /Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management for an assigned ... the length of stay (LOS), improved efficiency, quality and resource utilization. Assignment will be by units/clinical areas of...or a minimum of 3-5 years experience as a RN in an acute care setting. Licensing and Certification… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** RN /Case Manager (Inpatient) Mount Sinai Morningside FT Days EOW** The Case Manager (CM) will be responsible for all aspects of case management ... the length of stay (LOS), improved efficiency, quality and resource utilization. Assignment will be by units/clinical areas of...or a minimum of 3-5 years? experience as a RN in an acute care setting. + Current NYS… more
- BronxCare Health System (Bronx, NY)
- …response by the department physician advisors and clinical staff. Qualifications - NYS Registered Nurse required - The Appeal Manager must have excellent verbal ... is responsible to assist in the analysis and preparation of response to denial notification letters that arrive in letter and electronic format. Collaborating with… more
- The County of Los Angeles (Los Angeles, CA)
- …or Medical Service Coordinator, CCS.** -OR- OPTION II: Two (2) years of experience as a registered nurse , of which one year must be in the treatment of chronic ... + A current, active license to practice as a Registered Nurse issued by the California Board...be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case… more
- Tenet Healthcare (Detroit, MI)
- …Master's degree in Nursing, Business Administration or Hospital Administration preferred. 2. Registered Nurse or LCSW/LMSW license. Must be currently licensed, ... Case Management Department to promote effective utilization of hospital resources , ensure processes support appropriate reimbursement for services rendered, support… more