- CoreCivic (Brentwood, TN)
- …position will pay $82,000 - $97,400 with a 10% bonus eligible._ **SUMMARY:** The Manager , Utilization Management /Case Management provides Utilization ... standards, and government laws and regulations. + Manages a team of utilization management nurses.Provides direction and supports staff in the development… more
- Humana (Frankfort, KY)
- …experience working in Utilization Management processing clinical authorizations + Licensed Registered Nurse ( RN ) in the state of Kentucky (or compact ... our caring community and help us put health first** The Manager , Behavioral Health Utilization Management uses clinical knowledge, communication skills, and… more
- UCLA Health (Los Angeles, CA)
- …the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management ... a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,...(BSN) degree required + Five or more years of utilization management required + Four or more… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... **Join Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff… more
- Centene Corporation (Olympia, WA)
- …+ Prior Authorization highly preferred + Medicaid experience highly preferred **License/Certification:** + RN - Registered Nurse - State Licensure and/or ... Clinical Review team to ensure appropriate care to members. Manages utilization management issues related to member care, provider interactions, and facilitates… more
- Alameda Health System (Oakland, CA)
- System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day ... + Posted:Today **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN ...IRR) Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California… more
- Stanford Health Care (Palo Alto, CA)
- …to create an effective plan to address them. **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State ... RN - 3+ years of experience in case management / utilization review Why work at Stanford Medicine...evidence-based and patient-centered care. We are seeking a results-driven manager to further develop the framework for clinical, operational,… more
- Trinity Health (Chelsea, MI)
- …**Shift:** Day Shift **Description:** ** Registered Nurse Case Manager ** **Department:** Utilization Management **Location:** Chelsea, MI **Position ... Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to...use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of… more
- RWJBarnabas Health (Livingston, NJ)
- Case Manager Registered Nurse ( RN ), Case Management (per diem)Req #:0000191479 Category:Nursing Status:Per Diem Shift:Day Facility:Cooperman Barnabas ... Hills Road, Livingston, NJ 07039 Job Summary: The Case Manager Registered Nurse will coordinate...setting + Minimum of one year experience in Case Management / Utilization Management or Home Care… more
- RWJBarnabas Health (Rahway, NJ)
- Per Diem Case Manager Registered Nurse ( RN ), Case ManagementReq #:0000183145 Category:Nursing Status:Per Diem Shift:Day Facility:RWJ Rahway ... all Orientation Programs Certifications and Licenses Required: + Current Registered Nurse License in the state of...and continued stay denials, improves efficiency, quality, and resource utilization . The Case Manager RN … more
- HCA Healthcare (Webster, TX)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse RN Case Manager PRN you want with your current ... you want to work as a(an) Registered Nurse RN Case Manager PRN...utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
- AdventHealth (La Grange, IL)
- …skills **.** Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… 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 ... month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ): The... Manager Certified (CMC) + Experience: + Referral Management / Utilization Management (RM/UM) experience. +… more
- HCA Healthcare (Texas City, TX)
- …Do you want to join an organization that invests in you as a(an) Registered Nurse RN Case Manager PRN? At HCA Houston Healthcare Mainland, you come ... We are looking for a dedicated Registered Nurse RN Case Manager PRN...utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
- HCA Healthcare (Derry, NH)
- …set us apart from any other healthcare provider. We are seeking a Registered Nurse Case Manager RN to join our healthcare family. **Benefits** Parkland ... patient care. Apply today for our Registered Nurse Case Manager RN opportunity....Case Manager 's primary duties are to provide Utilization Review and Case Management functions for… more
- HCA Healthcare (Hopewell, VA)
- …TriCities Hospital we support our colleagues in their positions. Join our Team as a(an) Case Manager Registered Nurse RN PRN and access programs to ... certifications and job skills. Apply today for our Case Manager Registered Nurse RN... RN years demonstrated leadership experience + Commercial Utilization Management and/or Case Management … more
- HCA Healthcare (Manchester, NH)
- …us apart from any other healthcare provider. We are seeking a(an) Registered Nurse RN Case Manager to join our healthcare family. **Benefits** Catholic ... patient care. Apply today for our Registered Nurse RN Case Manager opportunity....preferred. + Minimum two years of experience in Case Management and/or Utilization Management Review,… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex ... the continuum of care. Also works with the providers, registered nurse care managers, social workers, and...limited to: RN care managers, assistants, coordinators, utilization management staff, and director. + Facilitates… more
- LifePoint Health (Johnstown, PA)
- * Registered Nurse ( RN ), Case Manager *...in the care of hospitalized patients. Our team of RN Case Managers, Social Workers, Utilization Review ... in employment. **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN )- Case Manager * **Location:** *Pennsylvania-Johnstown*… more
- HCA Healthcare (Derry, NH)
- …**Introduction** Do you have the PRN career opportunities as a(an) RN Case Manager Registered Nurse PRN you want with your current employer? We ... want to work as a(an) RN Case Manager Registered Nurse PRN where...Case Manager 's primary duties are to provide Utilization Review and Case Management functions for… more
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