- Swedish Health Services (Renton, WA)
- …make sure you read the following details carefully before making any applications. Care Manager RN - Emergency Department @ Swedish First Hill Full time Night ... Acts as resource and provides oversight for the Case Management Associate for discharge planning and utilization ...contingent upon attaining the BSN degree Upon hire: Washington Registered Nurse License 3 years Registered… more
- University of New Mexico - Hospitals (Corrales, NM)
- …* Minor Hazard - physical risks, dirt, dust, fumes, noise * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse ... patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease … more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …limited to experience, education, and other business and organizational considerations. Department: Utilization Management - UH Read on to fully understand what ... * Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …experience, education, and other business and organizational considerations. Department: Utilization Management - UHFTE: 1.00Full TimeShift: DaysPosition ... * Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as requiredDepartment: Registered Nurse more
- beBeeCare (Albuquerque, NM)
- …quality patient outcomes within established time frames and with efficient utilization of resources. The successful candidate will have excellent communication and ... this role, you will conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through… more
- University Health (San Antonio, TX)
- …Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case ... Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred....full time hospital experience preferred. Work experience in case management , utilization review, or hospital quality assurance… more
- University Health (San Antonio, TX)
- …Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. Case ... Three years recent, full-time hospital experience preferred. Work experience in case management , utilization review or hospital quality assurance experience is… more
- Elevance Health (Washington, DC)
- …office 4 days each week. The office is located at 609 H. Street NE.** The ** Manager of Utilization Management ** **ll** is responsible for managing a team of ... acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member...as aligned to license which includes 3 years prior management experience + Current active unrestricted RN … more
- Elevance Health (Tampa, FL)
- …is granted as required by law. *Must reside in the state of Florida* The ** Manager of Utilization Management ** is responsible for managing a team of ... physical and/or behavioral health practitioners responsible for coordinating member service, utilization , access, care management and/or concurrent review to… more
- State of Indiana (Indianapolis, IN)
- Utilization Management Manager Date Posted: Nov 30, 2025 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling ... care and their communities. Role Overview: The role of Utilization Management Manager oversees the...and clinical criteria evaluations.They will possess a current unrestricted RN license from the State of Indiana; a minimum… 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
- Commonwealth Care Alliance (Boston, MA)
- …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- Huron Consulting Group (Chicago, IL)
- …Join our team as the expert you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, ... Review Plan and the overall operation of the Utilization Management Department in accordance with federal,...Criteria and Milliman Care Guidelines (MCG) preferred. + Current RN license from Maryland Board of Nursing. + CCM… more
- Guthrie (Sayre, PA)
- …approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of ... degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant...admissions and short procedures by translating clinical information to Utilization Management requirements using pre ‐ determined… more
- Actalent (Duluth, GA)
- Case management & Utilization management registered nurse opportunity! Description Nurse will be working on site. Responsibilities will include: ... Case Manager / Utilization Management (90%) and Discharge... management /care management Must be a RN ( Registered Nurse ) with a... management Must be a RN ( Registered Nurse ) with a compact license and… more
- Sanford Health (Rapid City, SD)
- …Schedule:** Full time **Weekly Hours:** 40.00 **Department Details** Join our team as a Utilization Review and Case Management Manager and lead a ... supervision of all departmental staff. Maintains a standardization of utilization management process to ensure all policies...in medical necessity review preferred. Currently holds an unencumbered registered nurse ( RN ) license with… more
- Catholic Health (Kenmore, NY)
- …Work Schedule: Days with Weekend and Holiday Rotation Hours: 8 am- 4 pm Summary: The Registered Nurse ( RN ), Utilization Review, as an active member of ... of experience working in an Acute Care Hospital Setting + Proficiency in utilization management and regulatory requirements preferred + Experience in working… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse ( RN ) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... for case management scope of services including: Utilization Management supporting medical necessity and denial... experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- HCA Healthcare (Richmond, VA)
- …Johnston-Willis Hospital have the opportunity to make a real impact. As a ** Registered Nurse RN Case Manager ** you can be a part of change. **Benefits** ... outcomes for your patients as a ** Registered Nurse RN Case Manager ** ....experience in a hospital setting preferred. + Previous case management or utilization review experience preferred. Johnston-Willis… more
- HCA Healthcare (Brownsville, TX)
- …Regional Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse RN Case Manager you can be a part of change. **Benefits** ... for your patients as a (an) Registered Nurse RN Case Manager . We...patient-centered care by coordinating all aspects of hospital-based case management for his/her assigned area of responsibility in alignment… more
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