- Baylor Scott & White Health (Dallas, TX)
- …experience. **Job Summary** You, as a Registered Nurse in the Denial Resource Center at Baylor Scott & White Health, manage denials and appeals. Your ... enhancement and earnestly participating in their implementation. + By closely examining denial trends, you will categorize them based on impacts like diagnosis, type… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …for clinical and operational excellence. **Primary Function/General Purpose of Position** The RN Care Manager is responsible for providing coordination of care for ... the continuum. This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods),...of active Case Management services and promotes the right resources , at the right time and at the right… more
- Bon Secours Mercy Health (Midlothian, VA)
- …weekends per month (Saturday & Sunday) & week day availability is required** The RN Care Manager is responsible for providing coordination of care for patients to ... the continuum. This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods),...of active Case Management services and promotes the right resources , at the right time and at the right… more
- Roper St. Francis (Mount Pleasant, SC)
- …Days (United States of America) **This position can be filled by either an RN Case Manager or an Social Woker** **Case Manager. See below for requirements for ... will reflect plan of care to address post hospital care needs and resources and evidence of patient, family, or caregiver involvement in planning. Ensuring patient's… more
- MyFlorida (West Palm Beach, FL)
- OPS REGISTERED NURSE - 67915013 Date: May 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 852798 Agency: Agency for Persons with Disabilities Working Title: OPS REGISTERED NURSE - 67915013 Pay Plan: Health Care Practice Position… more
- UCHealth (Aurora, CO)
- …Preferred: Bachelor's degree in Nursing. Required Licensure/Certification: State licensure as a Registered Nurse ( RN ). Basic Life Support (BLS) Healthcare ... appropriate action. Requirements: + Credentials: Essential: * Basic Life Support * Registered Nurse + Other information: Minimum Required Education: Graduate of… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management, which includes ... clinical experience + Case management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or… more
- HCA Healthcare (Richmond, VA)
- …+ Graduate of an accredited school of nursing required, BSN preferred. + Current Registered Nurse license in Virginia or current Multistate Registered State ... **Introduction** Do you have the PRN career opportunities as a **Case Manager RN Inpatient Rehabilitation PRN** you want with your current employer? We have an… more
- HCA Healthcare (Richmond, VA)
- …reviews, and patient audits as needed. **Qualifications that you will need:** + Registered Nurse Degree required. + Minimum 1 year directly related Healthcare ... opportunities as a Revenue Integrity Clinical Charge Review Analyst RN you want with your current employer? We have...pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k)… more
- Highmark Health (Monroeville, PA)
- …also building relationships across the organization in a community setting. **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care ... **Job Description :** At AHN, employees trust working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is… more
- Catholic Health Initiatives (Houston, TX)
- …be required to perform other duties as assigned. **Qualifications** **Required:** -Associate's Degree - Registered Nurse ( RN ) -Two (2) years of experience ... issues 3. Reviews all patient documentation in response to letters of denial for reimbursement. Assess individual situations and makes appropriate referrals to… more
- Select Medical (Scottsdale, AZ)
- …14. Performs other duties as requested. **Qualifications** **Minimum Qualifications** + Licensure as a Registered Nurse or LVN/LPN is required + 2 years of of ... with Select Medical & HonorHealth Scottsdale, AZ **Prior Authorization Specialist - LPN or RN license** Fully Remote Position - MUST work 8:00am - 5:00pm schedule on… more
- WMCHealth (Poughkeepsie, NY)
- Case Manager- RN Company: MidHudson Regional Hospital City/State: Poughkeepsie, NY Category: Nursing/Nursing Management Department: Case Management Union: No ... link Job Details: JOB SUMMARY + The Case Manager assures timely, resource -effective transition planning, with respect for the patient and family as individuals… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** RN /Case Manager Mount Sinai West FT Days 8a-4p Inpatient** The Case Manager (CM) will be responsible for all aspects of case management for an ... the length of stay (LOS), improved efficiency, quality and resource utilization. Assignment will be by units/clinical areas of...or a minimum of 3-5 years? experience as a RN in an acute care setting. + Current NYS… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** RN /Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management for an assigned ... the length of stay (LOS), improved efficiency, quality and resource utilization. Assignment will be by units/clinical areas of...or a minimum of 3-5 years? experience as a RN in an acute care setting. **Licensing and Certification… more
- LifePoint Health (Hickory, NC)
- …management as prescribed in the initial Utilization Review Plan with regard to resources , appropriateness of care and adherence to a designated Geometric Length of ... Stay (GLOS) for each patient. COMPANY DESCRIPTION Frye Regional Medical Center , located in the beautiful foothills of North Carolina is a 355-bed acute care… more
- UPMC (Pittsburgh, PA)
- …required with 4-6 weeks of hire. UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) + Act 34 *Current licensure either in ... **UPMC Passavant's Hillman Cancer Center is hiring a Full Time Professional Care...preferred. **Licensure, Certifications, and Clearances:** Current licensure as a Registered Professional Nurse either in the state… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and ... financial targets, with a focus on appropriate utilization and denial prevention. Utilizes resources with cost effectiveness...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Mount Sinai Health System (New York, NY)
- …degree preferred + 5 years of Case Management and 6 years as a clinical nurse . + Previous supervisory experience in case management or a related field. + Name: ... development plans, continuing education and performance appraisal. 3. Manages resource use (staff/supplies) and directs expense and revenue decisions. Monitors… more
- The County of Los Angeles (Los Angeles, CA)
- …or Medical Service Coordinator, CCS.** -OR- OPTION II: Two (2) years of experience as a registered nurse , of which one year must be in the treatment of chronic ... + A current, active license to practice as a Registered Nurse issued by the California Board...be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case… more