- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... the health and well-being of the unique communities we serve. RN Utilization Manager position specifically...of employment date.Licensure/Certification Requirements:* Licensed to practice as a Registered Nurse in the state of North… more
- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... integrating and functions of case management, utilization review and discharge planning. The Care Manager ...of employment date.Licensure/Certification Requirements:* Licensed to practice as a Registered Nurse in the state of North… 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
- Baptist Memorial (Memphis, TN)
- …Minimum- RN with 5 years of clinical experience at least 2 of which involve Utilization Review or Case Management Preferred- RN with 7 years of clinical ... education + Employee referral program Job Summary: Position: 18373 - System Manager - Utilization Review Facility: BMHCC Corporate Office Department: HS… more
- Trinity Health (Fresno, CA)
- **Employment Type:** Full time **Shift:** **Description:** **Are you an experience RN Manager , Utilization Review of Acute Care seeking your next ... adventure?** **Duration:** 13-week Assignment The Interim Utilization Management , RN Manager ...families, and hospital staff **Requirements** + State of California Registered Nurse ( RN ) License. +… more
- Catholic Health (Lockport, NY)
- …Rotation Hours: 8:00a-4:00p, 9:00a-5:00p, 10:00a-6:00p, 11:00a-7:00p Summary: The RN Care Manager , Utilization Review / Transitions of Care, as an active ... the Care Management and interdisciplinary care team, provides comprehensive Utilization Review and transitions of care services...BS Education, or BS in Health related field + Registered Nurse , licensed ( unrestricted ) in… 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 ... rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for...Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality… more
- Trinity Health (Mason City, IA)
- …**Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case screening, ... **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
- Universal Health Services (Gulfport, MS)
- …please visit us at www.gulfportbehavioral.com/ Position Summary: Join a team where the Utilization Review Manager assumes responsibility for the functioning ... of the Utilization Review Department. Provides utilization review ...reviews. Previous continuum of care experience highly preferred. Licensure: RN preferred WHAT DO OUR CURRENT EMPLOYEES VALUE AT… more
- Universal Health Services (Panama City, FL)
- Responsibilities Utilization Review Manager Opportunity Emerald Coast Behavioral Hospital provides inpatient treatment services to children, adolescents and ... TMS therapy for chronic depression. Visit us on-line at: https://emeraldcoastbehavioral.com/ The Utilization Review Manager is responsible for oversight of… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/163839/ rn -case- manager utilization - review ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute… 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
- Trinity Health (Syracuse, NY)
- …safe and appropriate discharge plan for the patients within their service area. The Registered Nurse Manager is accountable for applying positive managerial ... by the St. Joseph's Health Mission and Values, the manager of Utilization Review is...accredited School of Nursing and current licensure as a Registered Nurse in New York State. +… more
- Mayo Clinic (Rochester, MN)
- …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... provides the resources you need to succeed. **Responsibilities** The RN CASE MANAGER provides ongoing support to...within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records,… more
- Sharp HealthCare (San Diego, CA)
- …Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered ... Utilization Manager (UM) II position supports utilization review functions to ensure appropriate patient...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
- Universal Health Services (WA)
- Responsibilities Case Manager / Utilization Review / Discharge Planning Registered Nurse - GW Hospital Full Time / Part Time (Weekend ONLY/both days ... every other weekend) Days only RN Benefits, Special Incentives & Perks Up to $3,000...Employee discounts and much more !! Qualifications POSITION REQUIREMENTS Registered Nurse , BSN required Current licensure in… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Licenses and Certifications Preferred: + NJ State Professional Registered Nurse License. + Certified Case Manager . **Job ID** _2024-143617_ **Department** ... standards, and regulatory/payor requirements. The role integrates and coordinates utilization management, care coordination, discharge planning functions and performance… more
- Mayo Clinic (Phoenix, AZ)
- …and social workers in the inpatient and ambulatory settings. The RN Manager effectively resolves utilization review and denial management issues, ... inclusion, and provides the resources you need to succeed. **Responsibilities** The RN Manager , Care Management provides leadership, direction, and resource… more
- Henry Ford Health System (Detroit, MI)
- …working in a fun and dynamic environment? Join our team as a Registered Nurse ( RN ) Case Manager ! Who We're Looking For: Passionate, compassionate, and ... Team Structure:Benefit from our new dyad Social Work/ RN Case Manager model and remote utilization review setup, allowing you to excel in your profession.… more
- AmeriHealth Caritas (Newark, DE)
- ** Utilization Management Plan Oversight Manager , Registered Nurse (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ... preparation, coordination, and participation in and follow up of Utilization Management audits, such as readiness review ,...in Delaware. + Bachelor's Degree. + Current and unrestricted RN license in Delaware. + 3+ years utilization… more
