- Covenant Health (Nashua, NH)
- …and procedures. + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all mandatory ... team. + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to...to work remotely as needed Education and Experience + Registered Nurse licensed in New Hampshire required… more
- Holzer Health System (Gallipolis, OH)
- …organizational and financial outcomes. Serves as a clinical expert and resource in Utilization Review and Case Management. Partners with Social Workers ... . A minimum of three years experience as a registered nurse in acute care for adult...will be taken into consideration. . Professional experience with case management, utilization review , or… more
- Beth Israel Lahey Health (Burlington, MA)
- … Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home Care ... a timely process. Registered Nurses (RNs) with utilization review experience, case management...the needs of the department. **Minimum Qualifications:** Education: * Registered Nurse , Bachelors Degree or commensurate experience… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse ( RN ) who comprehensively conducts point of ... case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare,… more
- BriteLife Recovery (Englewood, NJ)
- …assigned What we need from you? + Minimum of 2-3 years of experience in utilization review , case management, or insurance coordination in a behavioral health ... What you will be doing? The Utilization Review (UR) Specialist is a...EHR and UR logs. + Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review / case management/clinical/or combination; 2 of ... hire) **Job Description:** + NICE TO HAVE skill sets/qualities: Utilization management experience and /or Appeals experience /strong clinical...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … more
- Adecco US, Inc. (Minneapolis, MN)
- …the direct supervision of an RN or MD. . Performs utilization review activities, including pre-certification, concurrent, and retrospective reviews according ... ** : . Knowledge of Home Health processes. . Registered Nurse with a current license to...states . 2+ years of experience in managed care, Utilization Review , Case Management or… more
- UTMB Health (Friendswood, TX)
- …a safe and efficient work environment. + Monitors the work performance of the Utilization Review Case Management staff and provides guidance as necessary. ... nursing. + Provides assistance with clinical issues for non-nursing Utilization Review Case Management staff....Professional Nursing + Current Texas Nursing Licensure as a Registered Nurse ( RN ). + Minimum… more
- Henry Ford Health System (Detroit, MI)
- …community partners to support patient needs beyond the hospital setting. Qualifications: + Registered Nurse ( RN ) with active licensure + Minimum [number] ... with computers, electronic health records (EHR), database systems, and utilization review / case management documentation systems....work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …nursing degree preferred. + Experience: A minimum of two years of clinical experience in Utilization Review or Case Management is preferred. + Per Diem ... experience and internal equity. Position Summary + Reports to the Director of Case Management + Plan, organize and deliver utilization management activities for… more
- LifePoint Health (Warrenton, VA)
- …or local law./ **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ) - Case Manager* **Location:** *Virginia-Warrenton* ... Sign On Bonus for experienced candidates (new hires)* The RN Case Manager monitors and manages patient...*Required*- Three years of nursing experience. *Preferred*- Experience in utilization review , case management, discharge… more
- ChenMed (North Miami Beach, FL)
- …centers into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 ( RN ) role also involves establishing ... a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in...experience required. + A minimum of 1 year of utilization review and/or case management,… more
- Genesis Healthcare (York, PA)
- …Five to seven years of clinical nursing experience is required. Prior experience in utilization review , case management or discharge planning is required. ... meaningful impact in the communities we serve. Responsibilities The Manager, Case Management is responsible for the clinical, administrative, and financial oversight… more
- Ellis Medicine (Schenectady, NY)
- …for appropriate Level of Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician for additional ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for...Case Manager include, but are not limited to, utilization review , case management, care… more
- Marshfield Clinic (Marshfield, WI)
- …**Minimum Required:** One year of healthcare experience. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in ... the most exciting missions in the world!** **Job Title:** RN Case Manager - Hospital - Casual...to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse … more
- Mohawk Valley Health System (Utica, NY)
- RN - Case Manager - Days...Education/Experience Requirements Required: + Minimum of two (2) years utilization review / case management experience or ... - 12.5 Hour Shifts Department: CASE MANAGEMENT Job Summary Reports to and is under...filed. + Bachelor's degree is preferred. + Licensed professional nurse may be considered. + Bachelors or Masters Degree… more
- ChenMed (St. Louis, MO)
- … RN with Bachelor Degree in a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in State of employment required + A minimum ... practice. Job duties/responsibilities that are performed by either the RN or LPN include: + Conducts utilization ...experience required + A minimum of 1 year of utilization review and/or case management,… more
- NJM Insurance (Trenton, NJ)
- …with all statutory, regulatory, licensing requirements, and NJM policies/guidelines that affect utilization review , case management, and medical management. ... As an RN Case Manager, you will ensure...(Med-Surg or Critical Care preferred), Utilization Management Review /Hospital concurrent reviews, and/or Workers' Comp Case … more
- University of Utah Health (Salt Lake City, UT)
- …education in healthcare or a related field. + One year of experience in a utilization review or case management environment. + Basic Life Support Health ... coordination of care activities under the direction of a registered nurse and/or social worker. + The...discharge plans prepared and delegated by social work or nurse case management by coordinating with home… more
- Novant Health (Wilmington, NC)
- …day supervision, operations, monitoring ongoing quality, productivity, and efficiency for both Utilization Review and Case Management activities. Is ... (CCM), preferred. + Additional Skills Required: Current practice in case management/ utilization review ; regulatory/governing standards, policies,… more