- LifePoint Health (Las Cruces, NM)
- …state or local law./ **Job:** **Nursing* **Organization:** **Memorial Medical Center* **Title:** *RN Case Manager - UM - PRN* **Location:** *New Mexico-Las ... Us:* * Health (Medical, Dental, Vision) and 401K Benefits for full-time employees * Competitive Paid Time Off / Extended Illness Bank package for full-time … more
- Sharp HealthCare (San Diego, CA)
- …Nursing & Psychiatric Technicians -REQUIRED **Preferred Qualifications** + Experience as a case manager or discharge planner interacting with managed care ... **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time ** **Shift End Time ** California Licensed Vocational Nurse (LVN) - CA Board of… more
- Sharp HealthCare (San Diego, CA)
- …** **Shift End Time ** Bachelor's Degree; Associate's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); ... Manager (CCM) - Commission for Case Manager Certification **Hours** **Shift Start Time :** Variable...Care Management (ICM) team the Transfer and Admissions Utilization Manager ( UM ) partners with the Centralized Patient… more
- Ventura County (Ventura, CA)
- …four (4) Regular full-time vacancies. One (1) within Utilization Management ( UM ), one (1) within Case Management/Disease Management (CM/DM), and two (2) ... plan. The incumbents are expected to work at the full scope of their licensure, providing case ...Managed Health Care Plan; + Experience working as a case manager in a health plan … more
- YesCare Corp (Brentwood, TN)
- … time . + Communicate and document any issues relating to the outpatient/inpatient UM process to the Manager of Utilization Management. + Assist with the ... + Experience Level: 3 - 5 year's experience in utilization management, case management, quality management. Experience with InterQual and/or Milliman Care guidelines… more
- Elevance Health (Atlanta, GA)
- …Medical Director - Cardiology** + Job Family: MED > Licensed Physician/Doctor/Dentist + Type: Full time + Date Posted:Apr 16, 2024 + Anticipated End Date:Jun 28, ... with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
- Elevance Health (Los Angeles, CA)
- …or Family Practitioner** + Job Family: MED > Licensed Physician/Doctor/Dentist + Type: Full time + Date Posted:Apr 26, 2024 + Anticipated End Date:Jun ... providers and external physicians. + Conducts peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers...range of possible compensation for this role at the time of this posting. This range may be modified… more
- Sharp HealthCare (San Diego, CA)
- …is suspected of need for further management, communicates this to the appropriate Case Management Program per UM policy.Gathers pertinent information to provide ... San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time ** **Shift End Time ** California Licensed Vocational Nurse (LVN) - CA… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible for functional and operational aspects of the Case Mgmt./Social Work ... corporate and hospital administrators, medical staff, and defined customers related to the Case Mgmt. system. The Manager Case Mgmt./Social Work position… more
- Tenet Healthcare (Detroit, MI)
- … management experience preferred. Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills Required Analytical ability, critical ... RN Utilization Review FT Days - 2305004256 Description : The Detroit...that may require negotiation with a payor on a case -by- case basis. This position integrates national standards… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager to work the Directorate of Healthcare Operations (DHO) at ... Walter Reed National Military Medical Center, Bethesda, Maryland. Full-time , Monday - Friday between 7:00AM and 4:30PM. At...one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): The contracted RN shall… more
- Universal Health Services (Riverside, CA)
- …catastrophic injury) in an ambulatory setting. Reviews referrals and applies the UM standards for patient care. Ensures continuity of care across the continuum. ... accountable. Note: (other duties may be assigned, deleted or changed at any time , at the discretion of management, formally, or informally, either verbally or in… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with...for professional growth and development as related to the case manager position and maintenance of CM… more
- The Arora Group (Twentynine Palms, CA)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager near Palm Springs, California, to provide care to family ... between 7AM - 6PM. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): + P articipate in...including assessment, planning, implementation, coordination, and monitoring. + Integrate case management (CM) with utilization management ( UM )… more
- The Arora Group (Mayport, FL)
- …retirees in the Medical Home Port at Naval Branch Health Clinic Mayport. Registered Nurse Case Manager is full-time position, 80 hrs/2 weeks. DUTIES OF THE ... Registered Nurse Case Manager Nurse Currently recruiting a...community resources, etc. + Integrate CM and utilization management ( UM ) and integrate nursing case management with… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **SHG Clinic** in support of ... Medical Evaluation Unit (THMEU) in San Antonio, Tx. The Case Manager will be required to attend...for a ADN or 2 years as a BSN full time experience in clinical case… more
- The Arora Group (Goose Creek, SC)
- …medical care to Active Duty military heroes, their family members, and retirees. The RN Case Manager position is full-time , Mon-Fri days, between 06:00 - ... Registered Nurse Case Manager - Lead Nurse Currently...for community resources. + Integrate CM and utilization management ( UM ) and integrating nursing case management with… more
- The Arora Group (Coronado, CA)
- …Mon - Fri between 7:30AM - 8:00PM. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): + Perform a full range of RN duties, including: triage; patient ... Registered Nurse Case Manager Nurse Currently recruiting a...for community resources. + Integrate CM and utilization management ( UM ) and integrating nursing case management with… more
- Synergy Healthcare Solutions (FL)
- Other Clinical roles | FL, USA | Synergy Healthcare Services - Remote | Full Time **Looking for qualified Case Manager to join our team!** We are ... searching for a ** Case Manager ** to join our community that...disability status. **Facility:** Synergy Healthcare Services - Remote **Job Type:** Full Time **Job Category:** Other Clinical… more
- ERP International (Hill AFB, UT)
- **Overview** ERP International is seeking a **Registered Nurse - Case Manager (RN)** for a full-time position supportingHill AFB, UT ... for community resources. + Integrate CM and utilization management ( UM ) and integrating nursing case management with...: Possess one of the following: + Commission for Case Manager Certification Certified Case … more