- Tenet Healthcare (Detroit, MI)
- RN Utilization Review - Case Management - 2506004107 Description : Join our dedicated healthcare team where compassion meets innovation! As a ... Registered Nurse with us, you'll have the...This position integrates national standards for case management scope of services including: Utilization … more
- Houston Methodist (Houston, TX)
- …experience, which includes three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered ... Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively...state, local, and federal programs + Comprehensive knowledge of utilization management , case management… more
- McLaren Health Care (Bay City, MI)
- …duties as required and directed. #LI-LM1 **Qualifications:** _Required_ + State licensure as a registered nurse ( RN ) + Bachelor's degree in nursing from ... experience with an acute care hospital** _Preferred:_ + Experience in utilization management / case management , critical care, clinical documentation, or… more
- McLaren Health Care (Port Huron, MI)
- …related duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse ( RN ) ⦁ Bachelor's degree in nursing from ... experience with an acute care hospital **Preferred:** ⦁ Experience in utilization management / case management , critical care, clinical documentation, or… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- WellSpan Health (Lebanon, PA)
- …PM Includes Weekend rotation **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most ... patient discharge needs. Provides leadership in the integration of utilization and case management principles...., or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or +… 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 , ... experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...and federal programs + Progressive knowledge of discharge planning, utilization management , case management… more
- Trinity Health (Troy, NY)
- …+ 2 years of experience in acute setting **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case ... member of our caring, compassionate health care team the RN Case Manager will enjoy:** + Hours...Engage the patient and care team in the joint management of key patient outcomes such as management… more
- Community Health Systems (Franklin, TN)
- …+ Documents all utilization review activities in the hospital's case management software, including clinical reviews, escalations, avoidable days, payer ... Nursing preferred + 2-4 years of clinical experience in utilization review, case management , or...regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse -… more
- Waystar (Atlanta, GA)
- … Management team in an acute care setting + Active and current Utilization and/or Case Management Certification + 2-3 years' experience with MCG ... **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management is a member of...best practice workflows. We are specifically seeking an experienced Utilization Review Nurse who will serve as… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of a ... management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse ( RN ) responsible for comprehensively planning for case ... management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management… more
- Truman Medical Centers (Kansas City, MO)
- …written **Preferred Qualifications:** + RN experience in hospital utilization review, utilization management , or case management **Why Join Us?** ... **Position Overview:** We are seeking a dedicated and detail-oriented Case Manager (CM)-a registered nurse ...role, you will identify patients who would benefit from case management services and coordinate care across… more
- Ventura County (Ventura, CA)
- Senior Registered Nurse - Hospital Management Utilization Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply Senior ... Registered Nurse - Hospital Management Utilization ...principles, practices, techniques and methods of utilization review/ management , discharge planning or 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** ... + Demonstrated knowledge of payers, payer systems, cost effective utilization management and InterQual criteria. + The...+ Current license to practice as a Registered Nurse in the State of Utah,… more
- George C. Grape Community Hospital (Hamburg, IA)
- …infection control, and payers to resolve care coordination issues. Qualifications: * Education: Registered Nurse ( RN ) license required; BSN preferred. * ... Quality/ Utilization Review Nurse Position Summary: The...nursing experience (acute care preferred). o Prior experience in utilization review, case management , quality… 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 ... compliance. + Maintain compliance with payer policies, HIPAA regulations, and internal utilization management protocols. + Monitor trends in denials, approvals,… more
- Luke Staffing (Agana Heights, GU)
- …to Government and professional clinical standards and clinical protocols. . Participate in Utilization Management / Case Management meetings to review and ... services. . Provide patient referrals. Interface with the MTF RN Case Manager(s) in the development and... Manager(s) in the development and implementation of the Case Management Program (CMP). . Develop local… more
- Brockton Hospital (Brockton, MA)
- …while optimizing resource utilization . Provides training to staff on case management methods and techniques. Establishes monitoring mechanisms to identify ... and develops reports that clearly monitor all areas of utilization / case management . Provides data, guidance...RN with Master's Degree + Current License as Registered Nurse in the Commonwealth of Massachusetts… more
- Trinity Health (Philadelphia, PA)
- …nursing required. + Active PA RN License required. + Three (3) years of utilization management or case management experience, including emphasis on ... member of Trinity Health Mid-Atlantic, is seeking an experienced RN Care Manager to join our team in the...discharge planning. + Case Management certification from an accredited organization preferred **We offer… more