- Wellstar Health Systems, Inc. (Marietta, GA)
- …focus on patient safety concerns and patient care. Teamwork and Collaboration - Communicates with nurse manager and/or assistant nurse manager any needs ... States of America) Job Summary: Full-time- Days (7am-7pm) The RN Clinical Charge Nurse is responsible for...survey readiness, and other task as assigned by the manager , which are basic to the department's ability to… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... * Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse more
- University Health (San Antonio, TX)
- …recent, full time hospital experience preferred. Work experience in case management, utilization review , or hospital quality assurance experience is preferred. ... clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF...of the State of Texas to practice as a registered nurse is required. National certification in… more
- University Health (San Antonio, TX)
- …recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. ... Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred....of the State of Texas to practice as a registered nurse is required. National certification in… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work ... Manager ) required or completed within three years of hire **Title:** * Manager - Utilization Review * **Location:** *MN-Minneapolis-Downtown Campus*… 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
- Huron Consulting Group (Chicago, IL)
- …Management is responsible for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the ... + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the...Criteria and Milliman Care Guidelines (MCG) preferred. + Current RN license from Maryland Board of Nursing. + CCM… more
- Children's Mercy Kansas City (Kansas City, MO)
- …+ Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire + ... training oversight of programs and services. Responsible for effective utilization review and proper resource management of...One of the following: Licensed RN - Kansas, Registered Nurse … more
- Mayo Clinic (Rochester, MN)
- …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... to work well within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records, value based purchasing… more
- Vighter Medical Group (Glendale, CO)
- …Office of Community Care (OCC) in Glendale, Colorado. As a Case Manager / Utilization Review Nurse , you'll play a key role in coordinating and reviewing ... Position Type Full Time Job Shift Any Education Level Registered Nurse ( RN ) Travel Percentage...You'll Do As a Case Manager / Utilization Review RN , you will:… more
- State of Indiana (Indianapolis, IN)
- …role of Utilization Management Manager oversees the integration of utilization review , clinically appropriate care and risk management for the purpose of ... Utilization Management Manager Date Posted: Nov...and clinical criteria evaluations.They will possess a current unrestricted RN license from the State of Indiana; a minimum… more
- McLaren Health Care (Bay City, MI)
- . **Position Summary:** U nder the direction of the Manager , provides utilization review and evaluation of Emergency admissions and direct admits to assist ... * Licensed by the State of Michigan as a Registered Nurse . * Three years experience as...Degree in Nursing. * Two years experience in hospital utilization review . * Minimum of one-year experience… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) ... review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- Catholic Health (Kenmore, NY)
- …Days with Weekend and Holiday Rotation Hours: 8 am- 4 pm Summary: The Registered Nurse ( RN ), Utilization Review , as an active member of the Middle ... in the hospital setting. Utilizing foundational nursing clinical skills Utilization Review nurse collaborates with...facilitate movement of the patient through the continuum. The Utilization Review RN identifies and… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse ( RN ) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... and is determined by employment status Job Description: The RN Case Manager is responsible to facilitate...management 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 ** ....a hospital setting preferred. + Previous case management or utilization review experience preferred. Johnston-Willis Hospital has… more
- Ochsner Health (New Orleans, LA)
- …develop and implement discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC Jefferson Highway ... case management or utilization review . **Certifications** Required - Current registered nurse license in state of practice. Basic Life Support (BLS) from… more
- Trinity Health (Ann Arbor, MI)
- …am to 5 pm Monday through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for conducting a focused assessment of ... leadership role in achieving desired clinical, financial and resource utilization outcomes. + This is achieved by coordinating care...issues and documentation completeness. + The RN Registered Nurse Case Manager will… 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, which ... and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated with transition to...management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Banner Health (Tucson, AZ)
- …environments, and resources that promote a healthy work-life balance. As the Registered Nurse RN Case Manager Care Coordination, you will have the ... regulatory agencies. Must possess knowledge of case management or utilization review as normally obtained through the...degree in case management or health care. Requires current Registered Nurse ( RN ) license in… more
Related Job Searches:
Manager,
Manager Utilization Review,
RN,
RN Manager,
Review,
Utilization,
Utilization Manager,
Utilization Manager RN,
Utilization Review,
Utilization Review RN