- Spectraforce Technologies Inc (Branchburg, NJ)
- … on an acute/critical care unit, organ donation/transplant unit, in tissue/blood banking, utilization review and/or case management with critical care ... Job Title: Registered Nurse Location: Branchburg, NJ 08876...international and state regulations during the second level quality review of all tissue donor files for tissue submitted… more
- Mindlance (Columbia, SC)
- …Job Location: Columbia, SC Top 3/5 Skills: . RN / Registered Nurse License . Chronic condition care . Case Management Job Responsibilities Reviews and ... mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years' utilization review / case management/clinical/or combination; 2 of… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …team members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the… more
- CHRISTUS Health (Alamogordo, NM)
- …status and assists him/her in ensuring proper placement of patient. Conducts utilization review using nationally recognized medical necessity criteria and ... documents the review . Refers cases for second level reviews when medical...reporting individual cases and/or trends to the infection control nurse . Performs utilization management functions as required… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... of an accredited nursing program Bachelor's Degree Nursing **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3...**Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR… more
- Baptist Memorial (Memphis, TN)
- …with 5 years of clinical experience at least 2 of which involve Utilization Review or Case Management Preferred- RN with 7 years of clinical experience ... with Utilization Review or Case Management experience in a...and computer skills. Problem solving; and governmental regulations. Licensure: Minimum- RN Preferred-CCM; ACM About Baptist Memorial Health Care At… more
- Trinity Health (Mason City, IA)
- …its goals **Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case ... **What We Are Looking For** Education [formal]: + Licensed registered nurse in the state of Iowa....of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the… more
- Beth Israel Lahey Health (Burlington, MA)
- …Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm weekend ... and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case...a timely process. Registered Nurses (RNs) with utilization review experience, case management… more
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** ... case that surpasses expected LOS, expected cost, or over/under- utilization of resources. + Performs verbal/fax clinical review...+ Current license to practice as a Registered Nurse in the State of Utah,… more
- Providence (Everett, WA)
- …in consultation with the Human Resources leader. + Upon hire: Washington Registered Nurse License + Experience as an RN in an acute care setting within ... 5 years, OR recent Utilization Management experience **Preferred qualifications:** + Utilization review or case management experience + Experience with… more
- Universal Health Services (Conway, SC)
- Responsibilities Job Posting Lighthouse Behavioral Health Hospital is hiring for a Part Time RN Utilization Review Coordinator. Utilization Review / ... care, CD Rehab and intensive outpatient programs. Benefits for UR- Registered Nurse ( RN ) include: +...REQUIREMENTS : One to three years of experience in utilization review , case management, or… more
- Prime Healthcare (Ontario, CA)
- …strategic leadership, development, and supervision to utilization review department, provides interprofessional collaboration with facility-based case ... A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management...with a large Health Plan + An active CA Registered Nurse license + Current BCLS (AHA)… more
- Glens Falls Hospital (Glens Falls, NY)
- …per week, can be found here. **Job:** **Nursing - Case Management* **Title:** * Registered Nurse ( RN ) - Case Manager (Emergency Services)* ... the CM ED include, but are not limited to, utilization review , case management, physician...other experience will be considered *Licenses, Certifications, Registrations* * Registered Nurse ( RN ) in New… more
- Mohawk Valley Health System (Utica, NY)
- Registered Nurse - Case Management - Full Time - Days Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision of Case ... regulatory compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review / case management experience or social work… more
- LifePoint Health (Bullhead City, AZ)
- …continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and management of discharge planning. ... five (5) years management experience, five (5) years of utilization review / case management...with MedHost EMR and with MorCare Required Licenses[United States] Registered Nurse Current RN Licensure… more
- Marshfield Clinic (Marshfield, WI)
- …Required:** Three years' experience in a medical facility. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in a ... the most exciting missions in the world!** **Job Title:** RN Case Manager - Hospital (Remote In...to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse … more
- Universal Health Services (Temecula, CA)
- …22, TJC). Qualifications MINIMUM ESSENTIAL EXPERIENCE + Five (5) years managerial experience in Utilization Review and/or Case Management + Strong acute care ... required MINIMUM ESSENTIAL EDUCATION + Completion of an accredited Registered Nurse Program + Bachelor degree in...+ CPUR, CPUM, CCM or other national certification in Utilization Review or Case Management… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking Utilization Review Case Manager to ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
- LifePoint Health (Warrenton, VA)
- …Work Experience* *Required*- Three years of nursing experience. *Preferred*- Experience in utilization review , case management, discharge planning, and ... *$10,000 Sign On Bonus for experienced candidates (new hires)* The RN Case Manager monitors and manages patient care to promote continuity of care, optimal… more
- LifePoint Health (Warrenton, VA)
- …Experience* Required - Three years of nursing experience. Preferred - Experience in utilization review , case management, discharge planning, and clinical ... The RN Case Manager monitors and manages patient care to promote continuity of care, optimal patient outcomes, patient satisfaction, cost efficiency, and… more
