- Vivian (Kentfield, CA)
- Openwork Health is seeking a travel nurse RN Case Management Supervisor for a travel nursing job in Greenbrae, California.Job Description & ... to be determined.About Openwork HealthWe're not your average travel nurse agency. At Openwork Health, we're all about helping...pay packages, weekly direct deposit, and a dedicated payroll specialist who's always just a message away. Because we… more
- Appcast (Fresno, CA)
- …Therapist* LMSW - Licensed Master Social Worker* LPC - Licensed Professional Counselor* RN - Registered Nurse * State and/or Compact State LicensureEducation ... this role with necessary degrees: CEAP, LMSW, LCSW, LPC, RN * Minimum 2 years experience post degree in healthcare,...time management and communication skills* Knowledge of utilization management procedures, mental health and substance… more
- State of Florida (Largo, FL)
- Requisition No: 855081 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64029287 Pay Plan: Career Service Position Number: 64029287 ... annually Posting Closing Date: 07/18/2025 Total Compensation Estimator Tool REGISTERED NURSE SPECIALIST - OPEN...One year experience working as a Registered Nurse . Preferred At least one year case management… more
- Health eCareers (Rogers, MN)
- …other departments including coding, quality, compliance, the medical staff, utilization review/case management , and any other applicable departments ... Work.”Overview:This position is an advanced CDI role. The Senior Clinical Documentation Specialist coworker is responsible for assisting in the overall integrity of… more
- AdventHealth (Tampa, FL)
- …Health visits in the Hillsborough County area. The role you'll contribute: The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management...school of professional nursing 1+ year of relevant clinical RN experience Registered Nurse -… more
- Conifer Health Solutions (Seahurst, WA)
- …from a Nursing program, BSN, or graduate CERTIFICATES, LICENSES, REGISTRATIONS Active state Registered Nurse license Preferred: CDIP or CCDS PHYSICAL DEMANDS The ... including attending physicians, allied health practitioners, nursing, and case management . ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may… more
- EmblemHealth (New York, NY)
- …with current active RN license (Required) CCM certification (Preferred) Certification in utilization or care management (Preferred) 4 - 6 years of clinical ... Experience in case management /care coordination, managed care, and/or utilization management (Preferred) Strong communication skills - verbal, written,… more
- Garden Place Healthcare (Attleboro, MA)
- …health care experience. *Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable. *Ability to ... Medicare/Managed Care Assessments. *Tracks Skilled (MRA/HMA/HMO) customers utilizing Case Management Tools to determine continued and appropriate Medicare/Managed Care… more
- Texas Health and Human Services Commission (Austin, TX)
- …critical thinking skills. Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse ( RN ) in the State of Texas (or ... Collaborates with Nurse Coordinator, other charge nurses, and Mental Health Supervisor/ Specialist to ensure 24-hour continuity of care. May assume duties of the … more
- The University of Kansas Health System (Kansas City, KS)
- …understandable terminology and utilizing active listening skills. Assures prudent utilization of all resources (fiscal, staff resources, environmental, equipment and ... Contributes to the financial viability of hospitals. Works in partnership with RN Case Manager to insure timely patient discharge. Utilizes established procedures… more
- Gentell (Montebello, CA)
- …of the wound care products coverage guidelines Requirements The ideal Wound and Product Specialist : - Valid healthcare license ( RN , LPN, PT, OTR-L, DPM or ... for our employees. We are looking for a licensed nurse , physical therapist, occupational therapist or LPN. The ideal...arrangements are made and paid for through our travel management system, with reimbursement of incidental expenses. We are… more
- UW Medicine Valley Medical Center (Renton, WA)
- … management . Collaborate daily with a multidisciplinary team, including a Physican, RN or LPN, behavioral health specialist , and clinical pharmacist to ... work closely with a dedicated interdisciplinary team- including a Physician, nurse care manager, behavioral health therapist, and clinical pharmacist-to deliver… more
- Cleveland Clinic (Cleveland, OH)
- …career with one of the most respected healthcare organizations in the world. As a Utilization Management Specialist , you will perform UM activities, such as ... a minimum of 85% on IRR quarterly. + Complete Utilization Management for assigned patients with a...School of Nursing + Current state licensure as a Registered Nurse ( RN ) + Basic… more
- Alameda Health System (Oakland, CA)
- System Utilization Management SUM Specialist + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Care ... 18, 2025 **Summary** **SUMMARY:** The System Utilization Management (SUM) Care Without Delay RN is...IRR) Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- UnityPoint Health (Cedar Rapids, IA)
- …optimal clinical outcomes and patient and provider satisfaction. The RN UM Specialist provides the Utilization Management function for patients admitted ... + Shift: 8 + Job ID: 168048 Overview The Utilization Management Specialist in the...degree in a health care related field or an RN + Two years of behavioral health work experience.… more
- Sanford Health (Bemidji, MN)
- …minimum of five years of clinical practice. Knowledge and experience in case management , utilization management and/or Coding highly preferred. Currently ... written/verbal communication, critical thinking, creative problem solving, and conflict management skills. Must be proficient in organization and planning....holds an unencumbered RN license with the State Board of Nursing where… more
- Commonwealth Care Alliance (Boston, MA)
- …responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting ... & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for the… more
- UnityPoint Health (West Des Moines, IA)
- …payers approved days, denials, requests for further information. + In coordination with RN Utilization Management Specialist , communicate opportunities ... Under the guidance and supervision of the Manager of Utilization Management and RN UM...according to established processes. Seeks necessary clinical direction of RN UM Specialist staff or Manager. +… more
- LifePoint Health (Louisburg, NC)
- Registered Nurse ( RN ) Utilization Review Job...the lives of those we serve. Connect with our RN recruiting specialist . Do you need more time ... as an employee but as a person. As a registered nurse ( RN ) joining our...a valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator*… more
