- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical Center in ... rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for...Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality… more
- UPMC (Hanover, PA)
- **UPMC is hiring a part time Professional Care Manager for our Utilization Review department in Hanover! This is a part time, day shift position with a ... rotating weekend and holiday schedule.** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for...of hire. UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) + Act… 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
- Ochsner Health (Lafayette, LA)
- …medical management, or other related MCO departments/functions. **Certifications** Required - Current registered nurse ( RN ) license in state of practice. ... *MSW accepted in lieu of registered nurse ( RN ) licensure. Preferred...Determines appropriate staffing levels and the interviewing, hiring, performance review , and termination of employees within practice unit(s); maintains… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/204105/case- manager %2c- rn utilization - review ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute… more
- Trinity Health (Mason City, IA)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **JOB SUMMARY:** The Utilization Review Case Manager responsibilities include case ... with documentation standards, policies, procedures and/or guidelines **Minimum Qualifications:** + Licensed registered nurse in the state of Iowa. + Bachelor's… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of a target ... department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Ascension Health (Baltimore, MD)
- …job transfer date required. American Heart Association or American Red Cross accepted. + Registered Nurse obtained prior to hire date or job transfer date ... required. Education: + Required professional licensure/certification AND 3 years of experience and 1 year of cumulative leadership experience required. **Additional Preferences** \#ATP **Why Join Our Team** Ascension associates are key to our commitment of… more
- Trinity Health (Lavonia, GA)
- **Employment Type:** Full time **Shift:** **Description:** The RN Case Manager ( RN CM), works in collaboration with a multidisciplinary team by identifying ... care throughout hospitalization in compliance with CMS and organizational utilization management requirements. RN CM helps to ensure medical necessity is met by… 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 (Derry, NH)
- …growth, we encourage you to apply for our RN Case Manager Registered Nurse PRN opening. We review all applications. Qualified candidates will be ... PRN career opportunities as a(an) RN Case Manager Registered Nurse PRN you...Case Manager 's primary duties are to provide Utilization Review and Case Management functions for… more
- Lowe's (Charlotte, NC)
- …a clinical position. + 3-5 Years of Experience as a Case Manager or Utilization Review Nurse in worker's compensation + Experience in a clinical position ... Case Management Software, along with Microsoft Office + Unrestricted RN license in home State + CCM - Certified...Case Manager + CRRN - Certified Rehabilitation Registered Nurse + CDMS - Certified Disability… more
- Ascension Health (Baltimore, MD)
- …situations, troubleshooting problems, and ensuring effective resolution to maintain smooth operations. ** Registered Nurse , Certified Case Manager (CCM, ACM, ... salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes… more
- Community Health Systems (Naples, FL)
- …meet deadlines. + Effective written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** Under the direction of the UR Director/ Manager the UR Nurse reviews all...programs + Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages. +… more
- AdventHealth (La Grange, IL)
- …skills **.** Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** **.** State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**… more
- HCA Healthcare (Webster, TX)
- …you to apply for our Registered Nurse RN Case Manager PRN opening. We review all applications. Qualified candidates will be contacted for interviews. ... the PRN career opportunities as a(an) Registered Nurse RN Case Manager PRN...utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
- HCA Healthcare (Hopewell, VA)
- …you to apply for our Case Manager Registered Nurse RN PRN opening. Our team will promptly review your application. Highly qualified candidates will ... in their positions. Join our Team as a(an) Case Manager Registered Nurse RN...Required Five + years of recent clinical experience as RN years demonstrated leadership experience + Commercial Utilization… 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....Minimum two years of experience in Case Management and/or Utilization Management Review , or relevant professional experience.… 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...on other classifications of patients as designated by the Utilization /Case Management Review Plan. Coordinates patient care,… more
- LifePoint Health (Johnstown, PA)
- * Registered Nurse ( RN ), Case Manager *...team of RN Case Managers, Social Workers, Utilization Review staff, and Discharge Planners assure ... in employment. **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN )- Case Manager * **Location:** *Pennsylvania-Johnstown*… more
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